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Priya Life Science Compound trial record
Compound · clinical trials

Eplontersen clinical trials

Also listed in trial records as ION-682884, IONIS-TTR-LRx, AKCEA-TTR-LRx
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 4 trials in our USA, France, Spain, Italy, Sweden, Canada, China, UK, Germany, Portugal, Brazil, Japan, Australia, Belgium, Denmark, Poland, Austria, Czechia, Israel, Turkey and Taiwan registers that name Eplontersen as an intervention. Synced 9 Nov 2026
4Current trials
0Recruiting now
2Lead sponsors
21Country registers
At a glance

Eplontersen is named as an intervention in 4 current clinical trials in our USA, France, Spain, Italy, Sweden, Canada, China, UK, Germany, Portugal, Brazil, Japan, Australia, Belgium, Denmark, Poland, Austria, Czechia, Israel, Turkey and Taiwan registers. None are recruiting at the moment. The most common phase is Phase 3. The sponsor with the most trials is Ionis Pharmaceuticals, Inc (2). The most-studied condition is Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM).

Where Eplontersen is approved

All regulators →

Of the three regulators tracked here, the first to approve Eplontersen was the US, on 21 Dec 2023. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
21 Dec 2023
Wainua (autoinjector)
NDA217388 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
6 Mar 2025
Wainzua
EMA product page
First centralised authorisation
CACanada (Health Canada)
19 Jun 2024
Wainua
Notice of Compliance 33471
First new-drug NOC
  • 1 EU orphan designation, most recently for treatment of transthyretin-mediated amyloidosis (13 Oct 2023, withdrawn)

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Eplontersen patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Eplontersen, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Wainua, Wainua (autoinjector)
  • 3 listed patents; the last listed expires 25 Aug 2034 (US 10683499).
  • Latest patent on the drug substance itself: 25 Aug 2034 (US 10683499).
  • Exclusivity ODE-461: Orphan drug exclusivity: treatment of the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults, until 21 Dec 2030.
  • Exclusivity NCE: New chemical entity, until 21 Dec 2028.
See the Orange Book listing for NDA 217388

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Eplontersen

All medicines →
ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$8.9m
215 prescriptions in 2025 · Wainua
+327% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Eplontersen works

All drug targets →
  • Transthyretin mRNA antisense inhibitor Antisense inhibitor
    Target: TTR transthyretin
    ChEMBL only
Other medicines acting on TTR

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL4594334, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 13606, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Eplontersen

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 1 technology appraisal of Eplontersen. 1 is current, and 1 of it recommends it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Eplontersen for treating hereditary transthyretin-related amyloidosis
NICE TA1020
Recommended27 Nov 2024Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Eplontersen

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Wainzua
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Trials by status

  • Active, closed375%
  • By invitation125%

Trials by phase

  • Phase 3375%
  • Phase 2125%
01

Clinical trials of Eplontersen

4 trials
StudyPhaseStatusLead sponsorRegisters
An Extension Study to Assess Long-Term Safety of Eplontersen in Adults With Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR-CM)
NCT05667493 · Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)
Phase 3 By invitation Ionis Pharmaceuticals, Inc UK, USA, Germany, France, Spain, Italy, Belgium, Sweden, Denmark, Poland, Austria, Czechia, Portugal, Canada, Brazil, Japan, Australia, Israel
A Study to Assess the Long-Term Safety and Efficacy of Eplontersen (Formerly Known as ION-682884, IONIS-TTR-LRx and AKCEA-TTR-LRx) in Patients With Hereditary Transthyretin-Mediated Amyloid Polyneuropathy
NCT05071300 · ClinicalTrials.gov ↗ · Hereditary Transthyretin-Mediated Amyloid Polyneuropathy
Phase 3 Active, closed Ionis Pharmaceuticals, Inc USA, China, France, Spain, Italy, Sweden, Portugal, Turkey, Canada, Brazil, Taiwan, Australia
EPIC-ATTR: A Study to Evaluate the Effect of Eplontersen on the Transthyretin Reduction and Long-term Safety in Chinese Subjects With Transthyretin Amyloid Cardiomyopathy
NCT06194825 · ClinicalTrials.gov ↗ · Transthyretin Amyloid Cardiomyopathy
Phase 3 Active, closed AstraZeneca China
A Study to Evaluate the Efficacy and Safety of Concomitant Use of Eplontersen and ALXN2220 Compared With Eplontersen and Placebo for Adults Participants With ATTR-CM
NCT07608354 · Transthyretin Amyloid Cardiomyopathy (ATTR-CM)
Phase 2 Active, closed AstraZeneca UK, USA, China, Germany, France, Spain, Italy, Sweden, Canada, Japan

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Eplontersen across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

1 single-substance product containing Eplontersen on the HPRA medicines list.

All 1 Irish product →

Supply shortages

No entry for Eplontersen in the EMA, FDA or German BfArM shortage lists we track.

03

Conditions studied with Eplontersen

4 conditions
Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)1Transthyretin Amyloid Cardiomyopathy (ATTR-CM)1Hereditary Transthyretin-Mediated Amyloid Polyneuropathy1Transthyretin Amyloid Cardiomyopathy1
06

Related compounds

07

Questions about Eplontersen trials

How many clinical trials are testing Eplontersen?

4 current trials in our USA, France, Spain, Italy, Sweden, Canada, China, UK, Germany, Portugal, Brazil, Japan, Australia, Belgium, Denmark, Poland, Austria, Czechia, Israel, Turkey and Taiwan registers name Eplontersen (also registered as ION-682884) as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Eplontersen trials recruiting patients?

Not at the moment. None of the 4 trials in our registers is recruiting; they are active but closed to enrolment, not yet open, or enrolling by invitation. Only the study team can confirm whether a patient is eligible.

Who sponsors Eplontersen clinical trials?

Ionis Pharmaceuticals, Inc (2) and AstraZeneca (2). The number in brackets is how many trials each organisation leads.

Is Eplontersen licensed in Ireland?

Yes. The HPRA medicines list includes 1 single-substance product containing Eplontersen, for example Wainzua 45 mg solution for injection in pre-filled pen (AstraZeneca AB). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Eplontersen shortage?

Not in the lists we track: Eplontersen has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Eplontersen works or whether it is effective, and it is not medical advice.

Approvals, shortages and trials, every Friday

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Eplontersen works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Eplontersen (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.