ZOLGENSMA Solution for infusion Ref.[10923] Active ingredients: Onasemnogene abeparvovec

Source: European Medicines Agency (EU)  Revision Year: 2020  Publisher: Novartis Gene Therapies EU Limited, Block B, The Crescent Building, Northwood, Santry, Dublin 9, D09 C6X8, Ireland

Product name and form

Zolgensma 2 × 1013 vector genomes/mL solution for infusion.

Pharmaceutical Form

Solution for infusion.

When thawed, it is a clear to slightly opaque, colourless to faint white solution.

Qualitative and quantitative composition

General description

Onasemnogene abeparvovec is a gene therapy medicinal product that expresses the human survival motor neuron (SMN) protein. It is a non-replicating recombinant adeno-associated virus serotype 9 (AAV9) based vector containing the cDNA of the human SMN gene under the control of the cytomegalovirus enhancer/chicken-β-actin-hybrid promoter.

Onasemnogene abeparvovec is produced in human embryonic kidney cells by recombinant DNA technology.

Qualitative and quantitative composition

Each mL contains onasemnogene abeparvovec with a nominal concentration of 2 × 1013 vector genomes (vg). Vials will contain an extractable volume of not less than either 5.5 mL or 8.3 mL. The total number of vials and combination of fill volumes in each finished pack will be customised to meet dosing requirements for individual patients depending on their weight (see sections 4.2 and 6.5).

Excipient with known effect:

This medicinal product contains 0.2 mmol sodium per mL (see section 4.4).

For the full list of excipients, see section 6.1.

Active Ingredient Description
Onasemnogene abeparvovec

Onasemnogene abeparvovec is a gene therapy designed to introduce a functional copy of the survival motor neuron gene (SMN1) in the transduced cells to address the monogenic root cause of the disease. By providing an alternative source of SMN protein expression in motor neurons, it is expected to promote the survival and function of transduced motor neurons.

List of Excipients

Tromethamine
Magnesium chloride
Sodium chloride
Poloxamer 188
Hydrochloric acid (for pH adjustment)
Water for injections

Pack sizes and marketing

Onasemnogene abeparvovec is supplied in a vial (10 mL polymer crystal zenith) with stopper (20 mm chlorobutyl rubber) and seal (aluminum, flip-off) with a coloured cap (plastic), in two different vial fill volume sizes, either 5.5 mL or 8.3 mL.

The dose of onasemnogene abeparvovec and exact number of vials required for each patient is calculated according to the patient’s weight (see section 4.2 and Table 5 below).

Table 5. Carton/kit configurations:

Patient weight (kg) 5.5 mL viala 8.3 mL vialb Total vials per carton
2.6–3.0 0 2 2
3.1–3.5 2 1 3
3.6–4.0 1 2 3
4.1–4.5 0 3 3
4.6–5.0 2 2 4
5.1–5.5 1 3 4
5.6–6.0 0 4 4
6.1–6.5 2 3 5
6.6–7.0 1 4 5
7.1–7.5 0 5 5
7.6–8.0 2 4 6
8.1–8.5 1 5 6
8.6–9.0 0 6 6
9.1–9.5 2 5 7
9.6–10.0 1 6 7
10.1–10.5 0 7 7
10.6–11.0 2 6 8
11.1–11.5 1 7 8
11.6–12.0 0 8 8
12.1–12.5 2 7 9
12.6–13.0 1 8 9
13.1–13.5 0 9 9
13.6–14.0 2 8 10
14.1–14.5 1 9 10
14.6–15.0 0 10 10
15.1–15.5 2 9 11
15.6–16.0 1 10 11
16.1–16.5 0 11 11
16.6–17.0 2 10 12
17.1–17.5 1 11 12
17.6–18.0 0 12 12
18.1–18.5 2 11 13
18.6–19.0 1 12 13
19.1–19.5 0 13 13
19.6–20.0 2 12 14
20.1–20.5 1 13 14
20.6–21.0 0 14 14

a Vial nominal concentration is 2 × 1013 vg/mL and contains an extractable volume of not less than 5.5 mL.
b Vial nominal concentration is 2 × 1013 vg/mL and contains an extractable volume of not less than 8.3 mL.

Marketing authorization holder

Novartis Gene Therapies EU Limited, Block B, The Crescent Building, Northwood, Santry, Dublin 9, D09 C6X8, Ireland

Marketing authorization dates and numbers

EU/1/20/1443/001
EU/1/20/1443/002
EU/1/20/1443/003
EU/1/20/1443/004
EU/1/20/1443/005
EU/1/20/1443/006
EU/1/20/1443/007
EU/1/20/1443/008
EU/1/20/1443/009
EU/1/20/1443/010
EU/1/20/1443/011
EU/1/20/1443/012
EU/1/20/1443/013
EU/1/20/1443/014
EU/1/20/1443/015
EU/1/20/1443/016
EU/1/20/1443/017
EU/1/20/1443/018
EU/1/20/1443/019
EU/1/20/1443/020
EU/1/20/1443/021
EU/1/20/1443/022
EU/1/20/1443/023
EU/1/20/1443/024
EU/1/20/1443/025
EU/1/20/1443/026
EU/1/20/1443/027
EU/1/20/1443/028
EU/1/20/1443/029
EU/1/20/1443/030
EU/1/20/1443/031
EU/1/20/1443/032
EU/1/20/1443/033
EU/1/20/1443/034
EU/1/20/1443/035
EU/1/20/1443/036
EU/1/20/1443/037

18 May 2020

Drugs

Drug Countries
ZOLGENSMA Austria, Brazil, Estonia, Finland, France, Croatia, Ireland, Israel, Italy, Lithuania, Poland, Romania, United Kingdom

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