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Casimersen is an antisense phosphorodiamidate morpholino oligonucleotide (PMO) indicated for the treatment of Duchenne muscular dystrophy (DMD) in patients with a confirmed mutation of the DMD gene amenable to exon 45 skipping. It works by binding to exon 45 of the DMD pre-mRNA, causing this exon to be skipped during mRNA processing. This restores the reading frame and enables production of a truncated but partially functional dystrophin protein, similar to that seen in Becker muscular dystrophy, thereby improving muscle stability and potentially slowing disease progression. Casimersen is administered as a once-weekly intravenous infusion and was developed by Sarepta Therapeutics. Its FDA approval was granted under accelerated approval based on increased dystrophin levels as a surrogate endpoint.
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