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Apazunersen is an **antisense oligonucleotide** currently in Phase 3 clinical trials for the treatment of **Angelman syndrome**. It is designed to target the underlying genetic cause of the disorder by inhibiting the mechanism that silences the paternal UBE3A gene, thus stimulating UBE3A protein expression. Apazunersen is administered via **intrathecal injection** and is under development by **GeneTx Biotherapeutics** (a subsidiary of Ultragenyx Pharmaceutical) and Ultragenyx Pharmaceutical. The drug has received multiple designations including Breakthrough Therapy, Orphan Drug, Fast Track (US), Orphan Drug and PRIME (EU), and Rare Pediatric Disease. The primary endpoint in current studies is cognitive improvement measured by the Bayley-4 cognitive raw score.
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