TheraRadar
Data updated: May 26, 2026

QALSODY (tofersen)

Trial Activity: Expansion 3 active trials
First-in-Class Orphan Drug Priority Review Accelerated Approval Fast Track
CNS Approved 2023-04-25

QALSODY is indicated for the treatment of Amyotrophic Lateral Sclerosis.

Source: FDA Label • Biogen • Antisense Oligonucleotide

How QALSODY Works

Tofersen is an antisense oligonucleotide that targets the biological production of the SOD1 protein. The drug works by binding to SOD1 messenger RNA (mRNA), which facilitates the degradation of the mRNA molecule. This process results in a reduction of SOD1 protein synthesis. By lowering the levels of this protein, the drug addresses the underlying genetic driver of the disease in patients with the SOD1 mutation.

Development Insights

Biogen conducting 5 trials (83%)
5 indications explored (Moderate)
amyotrophic lateral sclerosis (2 trials)
amyotrophic lateral sclerosis associated with a sod1 gene mutation (1 trials)
als (amyotrophic lateral sclerosis) (1 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
3
Years on Market

Details

Status
Prescription
First Approved
2023-04-25
Patent Cliff
2035

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Patent cliff and revenue data

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Routes
INTRATHECAL
Dosage Forms
SOLUTION

Companies

Active Ingredient: TOFERSEN

QALSODY Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2023 to 2023
Apr 2023 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What QALSODY Treats

1 indications

QALSODY is approved for 1 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Amyotrophic Lateral Sclerosis
Source: FDA Label

QALSODY Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

4

Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to QALSODY

3 of 4

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

EDARAVONE
EDARAVONE
1 shared
Dr. Reddy's
Shared indications:
Amyotrophic Lateral Sclerosis
RADICAVA
EDARAVONE
1 shared
SHIONOGI
Shared indications:
Amyotrophic Lateral Sclerosis
RADICAVA ORS
EDARAVONE
1 shared
SHIONOGI
Shared indications:
Amyotrophic Lateral Sclerosis
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Clinical Trial Registry

6 trials
Trial Sponsor ID Phase Status Title
NCT04856982 ATLAS 233AS303 2020-004590-51 Ph 3 active not recruiting A Study of BIIB067 (Tofersen) Initiated in Clinically Presymptomatic Adults With a Confirmed Superoxide Dismutase 1 Mutation
NCT07294144 US-TOF-12361 Ph 2 recruiting Tofersen in Non-SOD1 ALS
NCT07223723 233AS402 Ph 4 recruiting A Study to Learn More About the Long-Term Safety of Tofersen (Qalsody) in Chinese Participants With SOD-1 Amyotrophic Lateral Sclerosis (ALS)
NCT03070119 results posted 233AS102 2016-003225-41 Ph 3 completed Long-Term Evaluation of BIIB067 (Tofersen)
NCT02623699 VALOR (Part C) results posted 233AS101 2015-004098-33 Ph 3 completed An Efficacy, Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of BIIB067 (Tofersen) in Adults With Inherited Amyotrophic Lateral Sclerosis (ALS)
NCT03764488 233HV101 Ph 1 completed A Study to Evaluate Safety, Tolerability, and Distribution of a Microdose of Radiolabeled BIIB067 (99mTc-MAG3-BIIB067) Co-administered With BIIB067 (Tofersen) to Healthy Adults
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

QALSODY FDA Label Details

Indications & Usage

FDA Label (PDF)

QALSODY is indicated for the treatment of Amyotrophic Lateral Sclerosis.

View full patent landscape →
3 OB patents · 1 families · 91 international docs across 30 countries

QALSODY Patents & Exclusivity

Latest Patent: Apr 2035
Exclusivity: Apr 2030

Patents (3 active)

US10968453 Expires Apr 1, 2035
US10669546 Expires Apr 1, 2035
US10385341 Expires Apr 1, 2035

Exclusivity

NCE Until Apr 2028
ODE-432 Until Apr 2030
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for QALSODY

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2035
  • 3 active patents

Trial Analysis

  • 6 total trials
  • Stage: Expansion

Competitive Landscape

  • 4 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment