WAINUA is indicated for the treatment of the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults.

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SAFETY

WAINUA was generally well tolerated1

Results from the NEURO-TTRansform trial

Vitamin A warning: Treatment with WAINUA leads to a decrease in serum vitamin A levels. Patients should supplement with the recommended daily allowance of vitamin A while taking WAINUA.*†1

  1. *Refer patients to an ophthalmologist if ocular symptoms suggestive of vitamin A deficiency occur.1

  2. Higher doses than the recommended daily allowance of vitamin A should not be given to try to achieve normal serum vitamin A levels during treatment with WAINUA, as serum vitamin A levels do not reflect the total vitamin A in the body.1

ADVERSE REACTIONS IN ≥5% OF PATIENTS TREATED WITH WAINUA1

Adverse reaction WAINUA (N=144)
Vitamin A decreased 15%
Vomiting 9%
Proteinuria 8%
Injection-site reactions§ 7%
Blurred vision 6%
Cataract 6%
  1. Vitamin A decreased includes vitamin A deficiency and vitamin A decrease.1

  2. §Injection-site reactions include erythema, pain, and pruritus.1

  • Three serious adverse reactions of AV heart block (2%) occurred in WAINUA-treated patients, including 1 case of complete AV block1
  • Safety and tolerability profile of WAINUA was consistent at Weeks 66 and 852

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FOOTNOTE

AV, atrioventricular.

REFERENCES

  1. 1. WAINUA® (eplontersen) [prescribing information]. Wilmington, DE: AstraZeneca Pharmaceuticals LP; 2025.
  2. 2. Coelho T, Marques W Jr, Dasgupta NR, et al. Eplontersen for hereditary transthyretin amyloidosis with polyneuropathy [article and supplementary online content]. JAMA.
    2023;330(15):1448-1458.

IMPORTANT SAFETY INFORMATION

WARNINGS AND PRECAUTIONS

  • Reduced Serum Vitamin A Levels and Recommended Supplementation WAINUA leads to a decrease in serum vitamin A levels. Supplement with recommended daily allowance of vitamin A. Refer patient to an ophthalmologist if ocular symptoms suggestive of vitamin A deficiency occur.

ADVERSE REACTIONS

Most common adverse reactions (≥9% in WAINUA-treated patients) were vitamin A decreased (15%) and vomiting (9%).

INDICATION

WAINUA injection, for subcutaneous use, 45 mg is indicated for the treatment of the polyneuropathy of hereditary transthyretin-mediated amyloidosis in adults.

 

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