This Neuroscience video recap highlights key developments across MS, ALS, Alzheimer’s disease, and Parkinson’s, including new approvals, regulatory decisions, biomarker advances, and shifts in clinical pipelines.
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Top Stories Covered in This Video
Chapters
0:00 Introduction
0:08 NICE: Recommends natalizumab (Tysabri SC, Tyruko IV) for highly active RRMS when cladribine is unsuitable
0:37 Sandoz: Tyruko, first US MS biosimilar to Tysabri, now available with REMS and JCV testing support
1:04 Sanofi: FDA issues CRL for tolebrutinib in nrSPMS, firm to work with agency on next steps
1:32 Biogen: JAMA Neurology publishes VALOR/OLE data, earlier QALSODY linked to slower SOD1-ALS decline
2:05 Biohaven: BHV-7000 fails Phase 2 in MDD, psychiatry deprioritized as epilepsy program continues
2:33 Axsome: FDA accepts sNDA for AXS-05 in Alzheimer’s agitation and grants Priority Review
2:56 Quanterix: Nature study shows pTau-217 blood test maps population-level AD pathology and rules out in subsets 3:27 IRLAB: Gets approval to start Phase Ib signal-finding study of IRL757 for apathy in Parkinson’s disease
3:57 How to reach us
Transcript
Welcome to the latest edition of Neuroscience Updates, covering recent breakthroughs. Brought to you by LucidQuest.
First, the UK’s NICE recommends natalizumab for adults with highly active relapsing remitting multiple sclerosis after at least one disease-modifying therapy when cladribine is unsuitable. This covers Tysabri as a subcutaneous originator and Tyruko as an intravenous biosimilar, adding a pregnancy-suitable option, broadening choice, and likely increasing competition that could affect pricing and formulary access.
Next, Sandoz launches Tyruko in the United States, the first and only multiple sclerosis biosimilar to Tysabri for all reference indications. A Risk Evaluation and Mitigation Strategy is in place, with Labcorp support for JC virus antibody testing, positioning Tyruko as a cost-effective, clinically equivalent alternative that may influence payer decisions.
Third, the FDA has issued a Complete Response Letter for Sanofi’s tolebrutinib in non-relapsing secondary progressive multiple sclerosis. Reviews in Europe and other regions continue, and an expanded access protocol was submitted at the FDA’s request. Sanofi highlights the unmet need in slowing disability progression and plans to work with the agency on next steps.
Fourth, long-term data for QALSODY, tofersen, in SOD1 amyotrophic lateral sclerosis are published in JAMA Neurology, covering the Phase 3 VALOR study and its open-label extension with more than three and a half years of follow-up. Earlier initiation is associated with numerically slower clinical decline, reduced risk of death or permanent ventilation, and sustained reductions in neurofilament, which may shape prescribing and payer assessments.
Fifth, Biohaven reports that BHV-7000, a Kv7.2 and Kv7.3 channel activator, did not show benefit versus placebo on the Montgomery-Åsberg Depression Rating Scale in a roughly 300-patient, six-week Phase 2 major depressive disorder trial. The company is deprioritizing psychiatry while continuing its epilepsy program, with readouts ahead.
Sixth, the FDA has accepted and granted Priority Review to the supplemental new drug application for Axsome’s AXS-05 for agitation associated with Alzheimer’s disease. The submission includes four randomized, controlled Phase 3 trials and a long-term safety study, with a PDUFA action goal set.
Seventh, a Nature study using the Quanterix Simoa plasma pTau-217 assay analyzed more than eleven thousand four hundred samples from Norway’s HUNT study. The assay maps age-linked Alzheimer’s disease pathology at a population level and helps rule out Alzheimer’s in specific subsets, informing treatment eligibility and clinical trial enrollment, while interpretation depends on study design and confounding control.
Eighth, IRLAB has approval to begin a Phase Ib, signal-finding study of IRL757 for apathy in Parkinson’s disease, enrolling seventy-five patients at sixteen European sites. Prior Phase 1 studies in young and older adults showed good exposure and tolerability over ten days with no serious adverse events, and the trial is funded by MSRD, an Otsuka subsidiary. Stay ahead in Neuroscience research! Like, share, and subscribe for our updates. Visit www.lqventures.com
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Why it matters
- Access to natalizumab broadens in the UK while a US biosimilar arrives, potentially lowering costs and expanding choice.
- Regulatory shifts in MS and ALS, plus AD diagnostic and therapeutic advances, may reframe payer and prescriber decisions in 2026.
- CNS development remains mixed, underscoring the importance of robust endpoints and post-authorization evidence.
🗓️ Explore details and sources
📚 View the full Neuroscience archive on our research hub page.
FAQ
What exactly did NICE change for MS patients?
NICE recommended natalizumab for adults with highly active RRMS after at least one DMT when cladribine is unsuitable, covering Tysabri (SC) and Tyruko (IV). This widens treatment choice, including during pregnancy [1].
Is Tyruko truly equivalent to Tysabri?
Sandoz states Tyruko is clinically equivalent to Tysabri for efficacy and safety, with REMS requirements and JCV testing support via Labcorp in the US [2].
Why did FDA issue a CRL for tolebrutinib?
Details are not specified in the source. Sanofi reported the CRL for nrSPMS, with plans to work with FDA while other regions continue reviews [3].
What did the QALSODY publication show?
Over >3.5 years, earlier tofersen initiation was associated with numerically slower functional decline and reduced death or permanent ventilation, alongside sustained neurofilament reductions in SOD1-ALS [4].
What is the regulatory status of AXS-05 in Alzheimer’s agitation?
FDA accepted the sNDA and granted Priority Review, with an action goal date set by the agency. The filing includes four randomized Phase 3 trials and long-term safety data [6].
What does the pTau-217 study imply for health systems?
Population-scale pTau-217 testing may identify at-risk individuals earlier and help rule out AD in others, aiding resource planning and trial readiness. Interpretation depends on assay thresholds and clinical pathways [7].
Entities / Keywords
Multiple sclerosis; RRMS; natalizumab, Tysabri, Tyruko; tolebrutinib; ALS, SOD1-ALS; QALSODY (tofersen); Alzheimer’s disease; AXS-05; pTau-217; Quanterix Simoa; Parkinson’s disease; IRL757; NICE; Sandoz; Sanofi; Biogen; Axsome Therapeutics; IRLAB Therapeutics; MSRD, Otsuka.