Meet Levi, age 10
Amenable to exon 45 skipping

About AMONDYS 45

How will I know if my child can be treated with AMONDYS 45?

A doctor will need to interpret the test results to consider appropriate treatment options. Learn more about deletions.

Who is AMONDYS 45 for?

AMONDYS 45 is used to treat Duchenne muscular dystrophy (DMD) in patients who have a confirmed mutation in the dystrophin gene that can be treated by skipping exon 45. Learn how gene mutations are identified.

This indication is approved under accelerated approval based on an increase in dystrophin production in skeletal muscle observed in patients treated with AMONDYS 45. Continued approval for this indication may be contingent upon verification of a clinical benefit in confirmatory trials.

Who should not receive AMONDYS 45?

Individuals who are allergic to casimersen or any of the ingredients in AMONDYS 45 should not receive AMONDYS 45. Serious allergic reactions to casimersen have included anaphylaxis, which may include difficulty breathing, tightness in the chest, and angioedema, which may include swelling of the mouth, face, lips, or tongue.

Has AMONDYS 45 been tested?

Yes. AMONDYS 45 is being studied in an ongoing clinical trial. See clinical trial results.

Is the treatment effective?

Weekly infusions of AMONDYS 45 helped the body make a shorter form of the dystrophin protein.a View the results from an ongoing clinical study.
 

AMONDYS 45 is used to treat patients with Duchenne muscular dystrophy (DMD) who have a confirmed mutation in the dystrophin gene that can be treated by skipping exon 45.


This indication is approved under accelerated approval based on an increase in dystrophin production in skeletal muscle observed in patients treated with AMONDYS 45. Continued approval for this indication may be contingent upon verification of a clinical benefit in confirmatory trials.


aBoys treated with AMONDYS 45 showed varying levels of increased dystrophin production after 48 weeks. In an ongoing clinical study, 27 boys (median age 9 years) receiving AMONDYS 45 had an average dystrophin level of 1.74% of normal, compared to 0.76% in 16 boys who received a placebo infusion.

How does exon skipping work?

Exon skipping allows the body to make a shorter form of the dystrophin protein.  Learn more about exon skipping.

Genetic Testing

Why is genetic testing important?

A genetic test will confirm a diagnosis of Duchenne and allow your child’s doctor to identify the genetic mutation, so treatment options can be considered, and to assist with family planning. Understanding genetic testing.

What does “amenable” mean?

Amenability describes the potential for your child to be treated with exon-skipping therapy. AMONDYS 45 is only for those whose Duchenne muscular dystrophy is the result of a genetic mutation amenable to exon 45 skipping. Find out more about genetic testing for Duchenne.

Where do I get a genetic test?

If your child has been diagnosed with Duchenne, you can request a genetic test through your child’s doctor. Once you have the results, your doctor or a genetic counselor can interpret them for you. Find out more about genetic testing for Duchenne.

We have a genetic test. How do I know if my child can be treated with AMONDYS 45?

A doctor will need to interpret the test results to consider appropriate treatment options. Learn more about deletions.

How is a genetic test done?

Getting a genetic test usually involves providing a blood or saliva sample. Find out more about genetic testing for Duchenne.

What is a genetic mutation?

A mutation is a change in a person's DNA. Mutations range in size from a small (a single rung on a ladder) to a large segment of DNA. Every mutation causes a different effect on our bodies. Learn more about the role of genetics in Duchenne.

What is a deletion?

A deletion is a type of mutation where genetic material is missing. Duchenne is caused by a mutation on the dystrophin gene; the mutation may be a deletion, duplication, or other change in the gene.  Learn about genetic testing for Duchenne.

My child has a deletion and is missing exon 45. Can they take AMONDYS 45?

Please discuss your child's genetic test results and treatment options with your child's doctor. For AMONDYS 45 to work, exon 45 must be present in the dystrophin gene. Your child's doctor or a genetic counselor is the best person to help you understand genetic testing. Explore what genetic test results can tell you.

Why is a Duchenne diagnosis important?

Because Duchenne is a progressive disease, it’s important for your child's doctor to confirm a diagnosis and identify the specific genetic mutation to guide your child's care and treatment. More about the steps to diagnosis.

AMONDYS 45 Treatment

Who can take AMONDYS 45?

Duchenne patients who receive AMONDYS 45 must have a genetic test that shows a mutation in the dystrophin gene that can be treated by skipping exon 45. Your child's doctor is best equipped to determine if your child’s mutation is amenable to treatment with AMONDYS 45. We’ve developed a Doctor Discussion Guide to help you start that important conversation.

How is AMONDYS 45 given?

AMONDYS 45 therapy is a weekly intravenous (IV) infusion that is always given by a healthcare provider. The medicine is usually infused over 35-60 minutes. Learn more about planning for treatment.

Where will I get my infusion?

Infusions can be given at an infusion center, doctor's office, or your home. Discuss your options with your doctor—there are many factors to consider when deciding what’s best for your family.

What happens if I miss an infusion?

Talk to your healthcare provider. If you miss a dose of AMONDYS 45, it may be administered as soon as possible after the scheduled time.

Should I continue taking my other medications while on AMONDYS 45?

You should talk to your doctor about all the medications you are taking. Your doctor is the best person to advise you about your medicines.

How much AMONDYS 45 will I receive?

The amount of AMONDYS 45 is based upon how much you weigh. The recommended dosage is 30 milligrams per kilogram of body weight, once weekly.

When should I contact my doctor about my port?*

The instructions you get from your doctor will explain when you should contact them. Always contact your doctor if:

  • You notice any redness, tenderness, bruising, swelling, warmth, or drainage at or near the infusion site
  • You experience swelling, tingling, or pain at or near the port infusion site or in the arm closest to the port
  • You develop a fever


*Always refer to the manufacturer’s instruction for use (IFU) guide for more information on safety and precautions and ask your healthcare provider to review the relevant instruction for use of your port with you.

About SareptAssist

How do I get started on AMONDYS 45?

When your child is prescribed AMONDYS 45, we’ll connect you with a SareptAssist dedicated Case Manager. They will provide support to get you started on treatment and throughout your journey—from helping you understand insurance benefits to providing information on treatment locations. How SareptAssist can help.

What is SareptAssist?

SareptAssist is our patient support program. Families are connected with dedicated Case Managers who provide information and support to help them start and stay on treatment with AMONDYS 45. How SareptAssist can help.

What support is available for people being treated with AMONDYS 45?

We developed SareptAssist, our patient support program, to help patients start and stay on therapy. You’ll have support at every step—from managing insurance approvals to coordinating drug delivery. See how to get started.

How can I connect with other families of children with Duchenne?

Several advocacy organizations offer Duchenne patients and families the opportunity to come together at events throughout the year. Find out more about Duchenne advocacy groups.

Will my insurance cover AMONDYS 45?

Once your child is prescribed AMONDYS 45, you may enroll in SareptAssist, our patient support program. Your Case Manager will start a benefits investigation on your current insurance plan and can help explain details about your coverage. How SareptAssist can help.

Ongoing support and information from Sarepta.

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Receive future tips and support about treatment with AMONDYS 45.

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Stay informed about SareptAssist services.

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Find out about patient resources that are available.

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Get updates about news and research on Duchenne from Sarepta.

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What is AMONDYS 45 (casimersen)?

AMONDYS 45 is used to treat patients with Duchenne muscular dystrophy (DMD) who have a confirmed mutation of the dystrophin gene that can be treated by skipping exon 45.

This indication is approved under accelerated approval based on an increase in dystrophin production in skeletal muscle observed in patients treated with AMONDYS 45. Continued approval for this indication may be contingent upon verification of a clinical benefit in confirmatory trials.

Read More

IMPORTANT SAFETY INFORMATION

Contraindications: Do not receive AMONDYS 45 if you are allergic to casimersen or any of the ingredients in AMONDYS 45. Serious allergic reactions to casimersen have included anaphylaxis, which may include difficulty breathing, tightness in the chest, and angioedema which may include swelling of the mouth, face, lips, or tongue.

Hypersensitivity Reactions: Serious allergic reactions, including angioedema and anaphylaxis, have occurred in patients who were treated with AMONDYS 45. Patients should seek immediate medical care should they experience signs and symptoms of allergic reactions. Your doctor will institute appropriate medical treatment which may include slowing, interrupting, or discontinuing the AMONDYS 45 infusion. Your doctor will monitor you until the condition resolves.

Kidney Toxicity and Monitoring: Damage to the kidneys was seen in animals who received casimersen. Although damage to the kidneys was not seen in clinical studies with AMONDYS 45, potentially fatal kidney damage has occurred with other drugs that work in a similar way. Your doctor may recommend urine and blood testing before starting treatment followed by urine testing every month and a blood test every 3 months to monitor your kidneys.

Adverse Reactions: Side effects occurring in at least 20% of patients treated with AMONDYS 45 and at least 5% more frequently than in patients who received an inactive intravenous (IV) infusion were (AMONDYS 45, placebo): upper respiratory tract infection (65%, 55%), cough (33%, 26%), fever (33%, 23%), headache (32%, 19%), joint pain (21%, 10%), and pain in mouth and throat (21%, 7%).

Other side effects that occurred in at least 10% of patients treated with AMONDYS 45 and at least 5% more frequently than patients who received an inactive IV infusion were: ear pain, nausea, ear infection, pain after injury, and dizziness and light-headedness.

What do I do if I have side effects?

Ask your healthcare provider for advice about any side effects that concern you.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. You may also report side effects to Sarepta Therapeutics at 1-888-SAREPTA (1-888-727-3782).

The information provided here does not include all that is known about AMONDYS 45. To learn more, talk with your healthcare provider.

Before receiving this infusion, please see the full Prescribing Information for AMONDYS 45 (casimersen).