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Givosiran for the Treatment of Pediatric Acute Intermittent Porphyria
Kenneth E Bujold1, Nicole Kasher2, Christine McKiernan3
1Division of Pediatric Hematology-Oncology, Baystate Children's Hospital.
Insights
Givosiran therapy offers a potential new treatment for pediatric acute intermittent porphyria (AIP), significantly improving a patient
Area of Science:
- Biochemistry
- Genetics
- Pediatric Medicine
Background:
- Acute intermittent porphyria (AIP) is a rare genetic disorder.
- AIP causes severe neurovisceral symptoms and organ damage.
- Current treatments for AIP include trigger avoidance and hemin infusions.
Abstract:
Acute intermittent porphyria (AIP) causes neurovisceral symptoms and organ toxicity resulting in acute and chronic health conditions. Treatment has traditionally involved avoiding triggers and utilizing carbohydrates and hemin infusions for acute attacks. Givosiran, an FDA-approved small interfering RNA, has shown benefit in adults in reducing attacks. However, its usage in pediatrics is extremely limited. We present a pediatric patient with AIP, requiring frequent hemin infusions for severe attacks, which have a resolution of her disease state and symptoms with the initiation of givosiran therapy.
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