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. 2022 Jun;50(6):888–897. doi: 10.1124/dmd.121.000417

TABLE 2.

Biodistribution of the FDA-approved ASO drugs

The data are extracted from the FDA drug labels of each ASO drug.

Biodistribution
Drug Protein Binding Bioavailability AUC Volume of Distribution
Fomivirsen 40% (from analysis of vitreous samples from treated rabbits and monkey) N/A N/A N/A
Pegaptanib N/A N/A 25 μg/h per ml (at 3 mg monocular dose) N/A
Nusinersen CSF: <25%; plasma: >94% 100% (intrathecal) N/A CSF: 0.4 L; plasma: 29 L
Mipomersen ≥90% at clinically relevant concentrations (1–8 μg/ml) 54% to 78% N/A N/A
Inotersen >94% (independent of dosage) N/A 90 mcg/h per ml 293 L
Defibrotide Average of 93% 100% (i.v.) 26.9–48.1 μg/ml × h 8.1–9.1 L
Eteplirsen 6% to 17% 100% (i.v.) N/A 600 ml/kg
Golodirsen 33% to 39% (independent of dosage) 100% (i.v.) 34% to 44%a 668 ml/kg (at dose of 30 mg/kg)
Viltolarsen ∼40% 100% (i.v.) 16% to 27%a 300 ml/kg
Casimersen 8% to 32% 100% (i.v.) 16% to 34%a 367 ml/kg

N/A, no specific information available.

aIntersubject variability