Established long-term safety over 1 year in clinical trials1
The safety of DAWNZERA reflects an average duration of exposure of 14 months in 171 adult and pediatric patients aged ≥12 across 3 clinical trials.2
Adverse reactions (≥5% with DAWNZERA and more common than placebo) in OASIS-HAE at Week 242
| Adverse reaction, n (%) | DAWNZERA Q4W (n=45) | DAWNZERA Q8W (n=23) | Placebo (n=22) |
| Injection-site reactions* | 11 (24) | 1 (4) | 1 (5) |
| Upper respiratory tract infection | 4 (9) | 2 (9) | 1 (5) |
| Urinary tract infection | 4 (9) | 2 (9) | 0 |
| Abdominal discomfort | 3 (7) | 0 | 0 |
*Injection-site reactions: erythema, discoloration, pain, pruritus, induration, bruising, hematoma, hypersensitivity, swelling, reaction, and urticaria.2
Pivotal trial
- All injection-site reactions were mild and nonserious, and the majority resolved without receiving any treatment2
- Erythema was the most common injection-site reaction3
Open-label extension at Week 521
- No new safety signals were observed
- The most common TEAEs (>10%) across both treatment arms were influenza, nasopharyngitis, back pain, headache, upper respiratory tract infection, and COVID-19
- Two patients discontinued the trial due to TEAE†
†One patient experienced chest tightness, dyspnea, and back pain; the other patient experienced a 30-day persistence of alanine aminotransferase levels at >5 times the upper limit of normal with normal blood bilirubin concentration that resolved after treatment discontinuation.1
The majority of adverse reactions with DAWNZERA were mild to moderate1,3
TEAE=treatment-emergent adverse event; Q4W=every 4 weeks; Q8W=every 8 weeks.
References: 1. Lumry WR, Tachdjian R, Craig T, et al. Donidalorsen for long-term prophylaxis of hereditary angioedema attacks: results from the OASISplus open-label extension cohort at year 1. J Asthma Allergy. 2026;19:592079. doi:10.2147/JAA.S592079 2. DAWNZERA. Prescribing information. Ionis Pharmaceuticals. 3. Riedl MA, Tachdjian R, Lumry WR, et al. Efficacy and safety of donidalorsen for hereditary angioedema. N Engl J Med. 2024;391(1):21-31. doi:10.1056/NEJMoa2402478