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Tofersen is an antisense oligonucleotide designed to treat adults with amyotrophic lateral sclerosis (ALS) who have a confirmed mutation in the superoxide dismutase 1 (SOD1) gene. It works by binding to SOD1 mRNA, leading to its degradation via RNase H-mediated mechanisms and thereby reducing the synthesis of toxic SOD1 protein. This reduction in mutant SOD1 protein is intended to slow disease progression in this specific genetic subset of ALS patients. Tofersen is administered intrathecally and was developed as a targeted therapy for SOD1-ALS, representing the first FDA-approved treatment for this form of ALS[1][3][5][6][8].
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