Friedreich’s ataxia (FA): treatment

Evidence-based neurology checklist on friedreich’s ataxia (fa): treatment: Omeveloxolone It is an orally active, small molecule semi-synthetic triterpenoid drug It increases antioxidant activity It activates the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway It is potentially a disease…

Omeveloxolone

  • It is an orally active, small molecule semi-synthetic triterpenoid drug
  • It increases antioxidant activity
  • It activates the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway
  • It is potentially a disease modifying treatment

Treatment of spasticity

Treatment of neuropathic pain

Treatment of square wave jerks and ocular flutter

Treatment of cardiomyopathy

Management in pregnancy

Multidisciplinary care

Investigational treatments

References

  1. Corben LA, Lynch D, Pandolfo M, et al. Consensus clinical management guidelines for Friedreich ataxia. Orphanet J Rare Dis 2014; 9:184.
  2. Lee A. Omaveloxolone: first approval. Drugs 2023; 83:725-729. 
  3. Lynch DR, Farmer J, Hauser L, et al. Safety, pharmacodynamics, and potential benefit of omaveloxolone in Friedreich ataxia. Ann Clin Transl Neurol 2018; 6:15-26.
  4. Profeta V, McIntyre K, Wells M, Park C, Lynch DR. Omaveloxolone: an activator of Nrf2 for the treatment of Friedreich ataxia. Expert Opin Investig Drugs 2023; 32:5-16.
  5. McCormick A, Shinnick J, Schadt K, et al. Cardiac transplantation in Friedreich ataxia: extended follow-up. J Neurol Sci 2017; 375:471-473.
  6. And 2 more. Subscribe to see the full list

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