We have developed a database of research summaries that include leukodystrophy articles, clinical trials and pharmaceutical press releases to allow our community to easily read about relevant recent research developments.

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28th September 2026

ZANVASTRO™ (zilganersen) approved by the FDA as the first and only disease modifying treatment for Alexander disease (AxD) in pediatric and adult patients

Alexander disease (AxD) https://ir.ionis.com/news-releases/news-release-details/zanvastrotm-zilganersen-approved-fda-first-and-only-disease The U.S. Food and Drug Administration (FDA) has approved ZANVASTRO™ (zilganersen) for people living with Alexander diseasein the United States, making it the first approved treatment for this rare leukodystrophy. ZANVASTRO was safe and well tolerated in trials with statistically significant stabilisations of speed of walking and improved gross motor function […]

31st August 2026

Neuroradiological patterns and prognostic implications in type I Alexander disease

Alexander disease (AxD) https://www.sciencedirect.com/science/article/pii/S1096719226004725 Alexander disease (AxD) is a rare leukodystrophy, where Type 1 AxD usually begins in infancy or early childhood and is caused by pathogenic variants, in the GFAP gene, which provides instructions for making glial fibrillary acidic protein (GFAP) in astrocytes. Pathogenic variants are changes in the DNA that have been confirmed […]

31st July 2026

Ionis announces license agreement with Recordati for zilganersen in Alexander disease (AxD) in all countries outside the U.S.

Alexander disease (AxD) https://ir.ionis.com/news-releases/news-release-details/ionis-announces-license-agreement-recordati-zilganersen Ionis have entered into a license agreement with Recordati to commercialise zilganersen for Alexander disease for all countries outside of the United States. This is a significant step towards providing access to a disease modifying treatment for Alexander disease patients.

31st March 2026

Characterization of Clinical Phenotype to Glial Fibrillary Acidic Protein Concentrations in Alexander Disease

Alexander Disease (AxD) https://onlinelibrary.wiley.com/doi/10.1002/acn3.70305 Alexander disease (AxD) is a rare genetic disorder that affects the brain and spinal cord. It is caused by changes in the GFAP gene, which leads to an abnormal build-up of a protein called glial fibrillary acidic protein (GFAP) in brain cells known as astrocytes. These cells normally support and protect […]

31st March 2026

Ionis announces zilganersen New Drug Application for Alexander disease (AxD) accepted by FDA for Priority Review

Alexander Disease (AxD) https://ir.ionis.com/news-releases/news-release-details/ionis-announces-zilganersen-new-drug-application-alexander The U.S. Food and Drug Administration (FDA) has accepted Ioni’s New Drug Application (NDA) for zilganersen, the investigational treatment for Alexander Disease for Priority Review. The acceptance of the NDA is the critical first step in the FDA review process. The FDA will now begin a thorough review of the application. Priority Review […]

28th February 2026

Genotype-phenotype correlations of GFAP variants in type I Alexander disease subtypes

Alexander Disease https://www.sciencedirect.com/science/article/pii/S109671922500681X?via%3Dihub#ab0005 Alexander disease is a rare, progressive neurological condition caused by changes, known as variants, in the GFAP gene. This gene provides instructions for making glial fibrillary acidic protein (GFAP), a key structural protein in astrocytes, which are support cells in the brain. When GFAP is altered, it can form abnormal clumps called […]

31st January 2026

Expanded Access Program (EAP) for people with Alexander disease to access zilganersen in the United States

Alexander Disease https://alextlc.org/wp-content/uploads/2026/01/Community-Statement-Ionis-Opens-EAP-in-the-US-for-Zilganersen-12.19.25.pdf Ionis has established an Expanded Access Program (EAP) in the United States for people with Alexander Disease to access zilganersen. An Expanded Access Program is a pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product for treatment outside of clinical […]

30th November 2025

Growth Differentiation Factor 15 Elevation in the Central Nervous System Is Associated With Failure to Thrive in Alexander Disease

Alexander disease (AxD) https://onlinelibrary.wiley.com/doi/10.1002/acn3.70209 Alexander Disease (AxD) is a rare, genetic neurological disorder caused by mutations in the GFAP gene. It primarily affects astrocytes and leads to symptoms such as developmental delays, seizures, and a severe problem known as failure to thrive, where affected children struggle to gain weight and maintain muscle and fat. This […]

31st October 2025

Ionis announces positive topline results from pivotal study of zilganersen in Alexander disease

Alexander disease (AxD) https://ir.ionis.com/news-releases/news-release-details/ionis-announces-positive-topline-results-pivotal-study Ionis have shared results from their study of Zilganersen in children and adults with Alexander Disease. Zilganersen demonstrated statistically significant and clinically meaningful stabilisation on the primary endpoint of gait speed as assessed by the 10-Meter Walk Test (10MWT) compared to the control group with favourable safety and tolerability. It also showed […]

1st August 2025

Diagnosing Alexander disease in adults

Alexander Disease https://pn.bmj.com/content/early/2025/05/10/pn-2024-004490.long Alexander disease (AxD) is a rare genetic disorder caused by mutations in the GFAP gene. It is traditionally classified into infantile, juvenile and adult forms. While early-onset cases are often severe, adult-onset AxD is very diverse in how it presents and can be mistaken for other conditions such as multiple sclerosis. In […]