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What is the New Treatment for FOP?

Published in FOP Treatment 3 mins read

The new treatment for Fibrodysplasia Ossificans Progressiva (FOP) is Sohonos (palovarotene) capsules, representing a significant breakthrough as the first medication specifically approved to address this rare genetic disorder. This treatment is designed to help manage the debilitating progression of FOP by targeting the formation of new abnormal bone outside the skeleton.

Understanding Fibrodysplasia Ossificans Progressiva (FOP)

FOP is an extremely rare and severely disabling genetic condition where muscle, tendons, and ligaments gradually turn into bone, a process known as heterotopic ossification (HO). This extra-skeletal bone formation leads to progressive loss of mobility and can cause severe functional limitations and pain. Until recently, there were no approved treatments to directly counteract this process.

Sohonos (Palovarotene): A Breakthrough for FOP Patients

Sohonos (palovarotene) received approval from the U.S. Food and Drug Administration (FDA) for the reduction in the volume of new heterotopic ossification. This marks a pivotal moment for individuals living with FOP, as it offers the first therapeutic option specifically designed to intervene in the disease's progression.

How Sohonos Works

Palovarotene, the active ingredient in Sohonos, is a selective retinoic acid receptor gamma (RARγ) agonist. While the precise mechanism in FOP is still being fully elucidated, it is understood to play a role in modulating bone formation pathways. By influencing these pathways, Sohonos aims to reduce the volume of new extra-skeletal bone formation, thereby potentially slowing the progression of FOP and preserving function.

Who Can Receive Sohonos?

Sohonos is approved for use in specific patient populations to manage FOP. The eligibility criteria are based on age and sex:

  • Females: 8 years and older
  • Males: 10 years and older

This targeted approval ensures that the treatment is administered to individuals who meet the safety and efficacy profiles established during clinical trials.

Key Aspects of Sohonos (Palovarotene)

Here's a summary of the new treatment:

Feature Description
Treatment Name Sohonos (palovarotene) capsules
Condition Treated Fibrodysplasia Ossificans Progressiva (FOP)
Primary Action Reduction in the volume of new heterotopic ossification (extra-skeletal bone formation)
Regulatory Approval U.S. Food and Drug Administration (FDA)
Eligible Population Adults and children aged 8 years and older for females, and 10 years and older for males
Significance It is the first and currently only FDA-approved treatment for FOP, offering a new avenue for disease management by targeting the abnormal bone growth itself.

The approval of Sohonos provides a new therapeutic strategy, moving beyond symptomatic management to directly address the underlying mechanism of abnormal bone formation in FOP.