Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain
the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in
Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles
and JavaScript.
Biogen and Ionis’s SOD1-antisense oligonucleotide tofersen failed a first phase III trial, raising questions about the next steps for this drug and for future ALS trials.
Biogen and Ionis’s tofersen missed the primary endpoint in a first phase III trial of an antisense candidate for amyotrophic lateral sclerosis (ALS). The findings, reported at the American Neurological Association (ANA) meeting in October, were another blow for patients with the rare, fatal neurodegenerative disease. But there were hints of a possible effect — raising hopes that earlier use of the drug might show efficacy.