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Molecule

Nusinersen

Antisense Oligonucleotide
Available on requestOrphanCold chainRare diseases and enzyme replacement
Presentations
3
Brands
1
Manufacturers
1
Available from stock
0

Nusinersen is an antisense oligonucleotide indicated for the treatment of spinal muscular atrophy (SMA) in pediatric and adult patients. It is available as injection for intrathecal use. MedsAcross supplies Nusinersen for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Antisense Oligonucleotide, Oligonucleotides, Survival Motor Neuron-2-directed RNA Interaction, Increased Protein Synthesis
ATC classification
M09AX07 Nusinersen · Other musculoskeletal medicines, subgroup M09A, subgroup M09AX
US FDA first approval
23 December 2016
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intrathecal
Dosage forms
Injection
Identifiers
UNII 5Z9SP3X666RxCUI 1863556CAS 1258984-36-9DrugBank DB13161Q25105466

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

SPINRAZA is indicated for the treatment of spinal muscular atrophy (SMA) in pediatric and adult patients. SPINRAZA is a survival motor neuron-2 (SMN2)-directed antisense oligonucleotide indicated for the treatment of spinal muscular atrophy (SMA) in pediatric and adult patients

Source: US FDA prescribing information

How it works

SPINRAZA is an antisense oligonucleotide (ASO) designed to treat SMA caused by mutations in chromosome 5q that lead to SMN protein deficiency. Using in vitro assays and studies in transgenic animal models of SMA, SPINRAZA was shown to increase exon 7 inclusion in SMN2 messenger ribonucleic acid (mRNA) transcripts and production of full-length SMN protein.

Source: US FDA prescribing information

Dosing overview

SPINRAZA is administered intrathecally. Recommended Dosage. The recommended dosage is one of two options: Low Dose Regimen: Administer one 12 mg loading dose every 14 days for three doses, then a fourth 12 mg loading dose 30 days after the third dose, then administer a 12 mg maintenance dose once every 4 months thereafter. High Dose Regimen: Administer one 50 mg loading dose followed by a second 50 mg loading dose 14 days later, then administer a 28 mg maintenance dose once every 4 months thereafter. Important Preparation and Administration Instructions. Allow to warm to room temperature prior to administration Administer within 4 hours of removal from vial Prior to administration, remove 5 mL of cerebrospinal fluid Administer as intrathecal bolus injection over 1 to 3 minutes Laboratory Testing and Monitoring to Assess Safety.

Source: US FDA prescribing information

Warnings and precautions

Thrombocytopenia and Coagulation Abnormalities: Increased risk for bleeding complications, testing required at baseline and before each dose and as clinically needed. Renal Toxicity: Quantitative spot urine protein testing required at baseline and prior to each dose

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are described in detail in other sections of the labeling: Thrombocytopenia and Coagulation Abnormalities Renal Toxicity The most common adverse reactions that occurred in at least 20% of SPINRAZA-treated patients who received Low Dose Regimen and occurred at least 5% more frequently than in control patients were: lower respiratory infection and constipation in patients with infantile-onset SMA pyrexia, headache, vomiting, and back pain in patients with later-onset SMA. The most common adverse reactions in at least 10% of SPINRAZA-treated patients who received High Dose Regimen and occurred at least 5% more frequently than in historic matched sham-control were: pneumonia, COVID-19, pneumonia aspiration, and malnutrition in patients with infantile-onset SMA

Source: US FDA prescribing information

Storage

Store in a refrigerator between 2°C to 8°C (36°F to 46°F) in the original carton to protect from light. Do not freeze. If no refrigeration is available, SPINRAZA may be stored in its original carton, protected from light at or below 30 o C (86 o F) for up to 14 days. Prior to administration, unopened vials of SPINRAZA can be removed from and returned to the refrigerator, if necessary. If removed from the original carton, the total combined time out of refrigeration should not exceed 30 hours at a temperature that does not exceed 25 o C (77 o F). SPINRAZA should be protected from light and kept in the original carton until time of use.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Nusinersen, sorted by availability.

MedicineManufacturerRegisterAvailability
Spinraza 12 mg/5 mL injectionIntrathecal Cold chainBiogenUS FDAAvailable on request
Spinraza 28 mg/5 mL injectionIntrathecal Cold chainBiogenUS FDAAvailable on request
Spinraza 50 mg/5 mL injectionIntrathecal Cold chainBiogenUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 23 December 2016Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Nusinersen in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Nusinersen available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Nusinersen and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Nusinersen have?

The catalogue lists 1 brand names for Nusinersen, including Spinraza.

Is Nusinersen approved by the US FDA?

Yes. The US FDA first approved Nusinersen on 23 December 2016, according to Drugs@FDA.

Is Nusinersen authorised in the European Union?

Yes. Nusinersen has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Nusinersen need cold chain shipping?

At least one listed presentation of Nusinersen must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Nusinersen in?

Nusinersen is classified under ATC code M09AX07 (Nusinersen).

References

  1. Spinraza prescribing information (Biogen). U.S. National Library of Medicine, DailyMed. Retrieved 31 March 2026
  2. Spinraza: European public assessment report (EPAR). European Medicines Agency. Retrieved 10 November 2026

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