A combination therapy involving an antisense oligonucleotide and an HDAC6 inhibitor appears promising for SMA

Researchers in Lyon have investigated, both in vitro and in vivo, the potential therapeutic synergy between the type 6 HDAC inhibitor (givinostat), which is already used to combat muscle atrophy in Duchenne muscular dystrophy, and nusinersen, which is already marketed for the treatment of spinal muscular atrophy (SMA):

  • in the SMA cell models used (SMA myoblast cell lines), the addition of the HDAC-6 inhibitor to nusinersen had a positive impact on the development and differentiation of myotubes;
  • these same beneficial effects were also observed in a mouse model of SMA (Taiwanese strain), which showed an increase in lifespan as well as an increase in muscle mass and strength.

This research could lead to a clinical trial, given that it involves the repurposing of givinostat and that nusinersen is already available on the market.

 

Combining SMN2 splicing modifiers with HDAC6 inhibition improves spinal muscular atrophy outcomes. Osseni A, Slika R, Coudert L et al. Brain. 2026 May