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PrWAINUA™ eplontersen injection
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WAINUA® Important Safety Information

Indications and clinical use:

WAINUA (eplontersen injection) is indicated for the treatment of polyneuropathy associated with stage 1 or stage 2 hereditary transthyretin-mediated amyloidosis in adults.

Relevant warnings and precautions:

  • Reduced serum vitamin A levels and recommended supplementation
  • Driving and operating machinery
  • Potential risk of ocular symptoms
  • Use in pregnant or breastfeeding women
  • Risks related to reproductive health, including teratogenic risk

For more information:

Please consult the Product Monograph for important information relating to adverse reactions, drug interactions, and dosing information, which has not been discussed in this piece.

The Product Monograph is also available by calling 1-877-404-8277 or emailing ask-medical@astrazeneca.ca.

Reference: WAINUA® Product Monograph. AstraZeneca Canada Inc. August 26, 2025.

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WAINUA®

Safety & Tolerability Profile

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  • Trial Design
  • Efficacy Data
  • TTR Suppression Data

WAINUA was generally well tolerated in NEURO-TTRansform, with a discontinuation rate of 5.6% vs. 3.3% in the external placebo group over 65 weeks

Adverse reactions reported in ≥5% of patients treated with WAINUA
up to Week 85

  WAINUA
N=144
(%)
Eye Disorders
Vision blurred 6
Cataract 6
Gastrointestinal Disorders
Vomiting 9
General Disorders and Administration Site Conditions
Injection site reactions* 6
Metabolism and Nutrition Disorders
Vitamin A deficiency 12
Renal and Urinary Disorders
Proteinuria 8

Adapted from the WAINUA Product Monograph.

* Includes injection site erythema and injection site pruritus.

Demonstrated safety and tolerability profile based on WAINUA exposure in 144 patients with hATTR-PN who were randomized to WAINUA and received ≥1 dose of WAINUA for up to 85 weeks.

  • 141 patients received ≥6 months of treatment and 137 patients received ≥12 months of treatment.
  • The mean duration of treatment was 541 days (range: 57 to 582 days).
  • SAEs occurred in 18.8% of patients treated with WAINUA for up to 85 weeks. The most common SAEs (≥1%) were vomiting (3.5%), nausea (1.4%), urinary tract infection (1.4%), and syncope (1.4%).
  • The most frequent causally related adverse reaction with WAINUA during treatment was reduced serum vitamin A levels.
See NEURO-TTRansform trial design

hATTR-PN: hereditary transthyretin-mediated amyloidosis with polyneuropathy; SAEs: serious adverse events.

Reference: WAINUA® Product Monograph. AstraZeneca Canada Inc. August 26, 2025.

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WAINUA® is a registered trademark of AstraZeneca AB, used under license by AstraZeneca Canada Inc.

The AstraZeneca logo is a registered trademark of AstraZeneca AB, used under license by AstraZeneca Canada Inc.

© AstraZeneca Canada Inc. 2025

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