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Expert Interview

Slingshot members are talking to an expert! The topic is:

A Second View: Diving into the Long-Term Open Label Data for Larimar Therapeutics' Nomlabofusp in Friedreich's Ataxia.

Ticker(s): LRMR, BIIB

Who's the expert?

Institution: SUNY Downstate Medical Center

  • Director of the Muscular Dystrophy Association Clinic and Associate Professor of Neurology at SUNY Downstate Medical Center.
  • Treats 8 patients with ATTR-PN, 15 patients for Friedreich’s Ataxia and 90 patients with myasthenia gravis.
  • Research Interests in HIV-related neuropathy, inflammatory myopathies and has a clinical specialty in Neuromuscular disease.

Interview Questions
Q1.

How many FA patients do you manage?

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Q2.

How many of your FA patients are on Skyclarys?

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Q3.

What is your level of concerns regarding the obeserved anaphylaxis risk?

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Q4.

What is your level of excitement for nomlabofusp on a scale of 1-10?

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Q5.

Given the protocol, there is a good chance of black box and REMS, how would this impact your willingness to prescribe based on the data set so far?

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Q6.

Can you explain the scientific rationale behind why prior exposure followed by a break increases the chance of anaphylaxis?

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Q7.

If a patient were to receive Lexeo therapeutics gene therapy for FA cardiomyopathy (LX2006), would you also prescribe nomlabofusp?

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Q8.

For LRMR, what minimum mFARS effect (e.g., ≥2–3-point advantage or ≥40–50% slowing) over what duration (≥12–24 months) would convince you the drug is clinically efficacious?

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