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. 2025 Aug 9;14(5):2083–2094. doi: 10.1007/s40120-025-00795-x
Why carry out this study?
While pivotal trials have established the safety of risdiplam in patients with spinal muscular atrophy (SMA), evidence from real-world clinical settings, particularly in Japan, remains limited
This all-case postmarketing surveillance study aimed to evaluate the safety and usage patterns of risdiplam in Japanese patients with SMA over a 12-month period in real-world settings
What was learned from the study?
Risdiplam was generally well tolerated, with 2.2% of patients discontinuing treatment because of adverse events
The incidence of adverse drug reactions (ADRs) was 20.8%. The most common ADRs were gastrointestinal disorders (16.0%), predominantly diarrhoea (8.0%) and faeces soft (4.3%)
Advanced age, the presence of comorbidities and the use of concomitant medications may contribute to a higher incidence of gastrointestinal disorders. A multivariate analysis will be performed in the final assessment to provide a clearer understanding of the associated risk factors