A new protocol for treatment with high-dose nusinersen arrives in Europe

While nusinersen is currently administered at a dose of 12 mg intrathecally, a new treatment device with higher doses (50 mg and 28 mg) has just been authorised by the European Commission.

  • This follows the results of the DEVOTE trial, which showed a significant improvement in motor function in participants with proximal spinal muscular atrophy (SMA), whether they had been treated previously or not.
  • This new intrathecal treatment protocol consists of two 50 mg loading doses 14 days apart, followed by 28 mg maintenance doses every 4 months.
  • In the event of a change, patients who were receiving 12 mg will receive a 50 mg dose, followed by 28 mg maintenance doses every 4 months.

The dossier must now be reviewed by the French health authorities before it can be marketed in France.

 

Biogen Receives European Commission Approval for High Dose Regimen of SPINRAZA® (nusinersen) for Spinal Muscular Atrophy. Biogen. 12 January 2026 press release.