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Amyotrophic Lateral Sclerosis (ALS)

Disease/Condition(s): Amyotrophic Lateral Sclerosis (ALS)
What is Amyotrophic Lateral Sclerosis (ALS)?

Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurodegenerative disorder that affects nerve cells in the brain and spinal cord, leading to the loss of muscle control. ALS causes the motor neurons that control muscle movement to gradually deteriorate and die, resulting in the weakening and wasting away of muscles, impacting the ability to speak, eat, move, and breathe. The exact cause of ALS is not well understood, though it is believed to involve a combination of genetic and environmental factors.

  • In the US, there are about 1.94 new cases per 100,000 people per year, with more than 6250 individuals in the US diagnosed with ALS each year.1
  • ALS is a devastating disease that places a tremendous emotional and physical burden on patients, their families and their caregivers.2
  • Early diagnosis, include genetic testing, and healthcare interventions are extremely important to the health of a person with ALS.3

Amyotrophic Lateral Sclerosis (ALS) Sponsored Testing Program Overview:

Amyotrophic Lateral Sclerosis (ALS) – ALS Identified™

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What is the role of testing for Amyotrophic Lateral Sclerosis (ALS)?

Genetic testing for patients diagnosed with ALS may help provide a better understanding of their condition and may help inform life choices, including family planning and potential clinical trial opportunities.4

May help inform risk

Genetic testing for asymptomatic family members may help inform individuals about their risk of developing the disease and may help inform similar life choices regarding long-term life decisions and family planning. DNA studies included in this program are not intended to be a diagnostic or screening test for the selected condition(s).5

What is the Program?

Sponsored by Biogen and offered through Invitae, a genetic testing provider, ALS Identified is a no-charge genetic testing program for amyotrophic lateral sclerosis (ALS). The program will test for mutations in more than 20 genes that are linked to ALS.

Program Eligibility

ALS Identified™ is open to all individuals 18 years or older within the US and Puerto Rico with

  • A diagnosis of ALS.

  • Or, a family history of, ALS. This includes patients with familial ALS as well as patients with seemingly sporadic ALS as genetic mutations have been found in people with ALS who have no known family history of the disease.

Testing

How to participate

Choose between the following testing options:

Invitae

Amyotrophic Lateral Sclerosis Panel

Genes Evaluated: ATP13A2, CHMP2B, DDHD1, ERLIN1, FIG4, MATR3, NEFH, SIGMAR1, TIA1, ALS2, ANG, ANXA11, C9ORF72, CHCHD10, DCTN1, ERBB4, FUS, HEXA, KIF5A, OPTN, PFN1, SETX, SOD1, SPG11, SQSTM1, TARDBP, TBK1, TFG, UBQLN2, VAPB, VCP

How To Order

Collect your patient’s specimen using an Invitae collection kit and return it. Use the label provided to ship most samples at no additional charge from the US and Canada.

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FAQs

Program Information

What is the ALS Identified program?

The ALS Identified program is a sponsored genetic testing initiative designed to diagnose and study Amyotrophic Lateral Sclerosis (ALS), a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. The program offers genetic testing to identify mutations in genes known to contribute to ALS, aiding in the diagnosis and enhancing understanding of the disease’s genetic basis.

Who is eligible for the ALS Identified testing program?

This program is intended for individuals who have symptoms indicative of ALS, such as progressive muscle weakness, slurred speech, and difficulty swallowing, or those with a family history of the disease. A referral from a healthcare provider is required for participation.

What types of genetic tests are performed in this program?

The program involves testing for several genes associated with ALS, including SOD1, C9orf72, FUS, and TARDBP, among others. These tests may include both sequencing and repeat expansion analysis to detect a wide range of genetic mutations linked to ALS.

How can healthcare providers enroll patients in the ALS Identified program?

Healthcare providers can enroll patients by submitting a comprehensive application that includes the patient’s medical history, detailed symptoms of ALS, any previous diagnostic test results, and required consent forms. This ensures that the genetic testing is appropriately targeted and clinically justified.

What are the benefits of participating in the ALS Identified program?

Participants benefit from obtaining a genetic diagnosis, which can help in understanding the progression and prognosis of ALS and potentially qualifying for targeted clinical trials. Moreover, genetic insights can aid family members in understanding their risk and making informed health decisions.

How long does it take to receive results from the genetic testing?

Results from the genetic tests are usually available within several weeks, depending on the specific genes being analyzed and the complexity of the mutations. Results are communicated to the referring healthcare provider, who will discuss them with the patient along with any relevant genetic counseling.

More Information About This Program

  • Patients that meet the eligibility criteria may receive one test at no cost.
  • No patients, providers, and/or third-party payers (including commercial health plans and government health care programs) will be billed for the testing covered under the program.
  • The ordering physician will not receive any fees or other compensation in connection with the Sponsored Testing Program, such as for specimen collection, handling, or data reporting.
  • Patients meeting the above eligibility criteria, as well as their treating health care providers, are not required to order, purchase, prescribe, and/or obtain any other product or service from sponsor, the labs or any of their affiliates.
  • The performing labs reserve the right to rescind, revoke, or amend the program for any reason without notice.
  • Program is not valid where prohibited by law.
  • No identifiable patient data will be shared with sponsor as part of this program.

About Biogen

Biogen logo

Founded in 1978, Biogen is a leading biotechnology company that pioneers innovative science to deliver new medicines to transform patients’ lives and to create value for shareholders and our communities. We apply deep understanding of human biology and leverage different modalities to advance first-in-class treatments or therapies that deliver superior outcomes. Our approach is to take bold risks, balanced with return on investment to deliver long-term growth.

The company routinely posts information that may be important to investors on its website at www.biogen.com. Follow Biogen on social media – Facebook, LinkedIn, X, YouTube.

About QALSODY®

QALSODY® (tofersen) is an antisense oligonucleotide (ASO) developed by Biogen for the treatment of amyotrophic lateral sclerosis (ALS) in adults with a mutation in the superoxide dismutase 1 (SOD1) gene. It works by binding to SOD1 mRNA to reduce the production of the SOD1 protein, which is linked to the degeneration of motor neurons in ALS. Approved under accelerated approval based on the reduction of plasma neurofilament light chain (NfL), QALSODY® aims to slow the progression of this devastating genetic form of ALS.

References

1. Mehta P, Kaye W, Raymond J, et al. Prevalence of amyotrophic lateral sclerosis—United States, 2015. MMWR Morb Mortal Wkly Rep. 2018;67(46):1285-1289.
2. Gladman M, Zinman L. The economic impact of amyotrophic lateral sclerosis: a systematic review. Expert Rev Pharmacoecon Outcomes Res. 2015;15(3):439-450.
3. Roggenbuck J, Quick A, Kolb SJ. Genetic testing and genetic counseling for amyotrophic lateral sclerosis: an update for clinicians. Genet Med. 2017;19(3):267-274.
4. Shepheard SR, Parker MD, Cooper-Knock J, et al; on behalf of Project MINE Consortium; Project MinE. Value of systematic genetic screening of patients with amyotrophic lateral sclerosis. J Neurol Neurosurg Psychiatry. 2021;jnnp-2020-325014. doi:10.1136/jnnp-2020-325014.
5. Benatar M, Stanislaw C, Reyes E, et al. Presymptomatic ALS genetic counseling and testing: experience and recommendations. Neurology. 2016;86(24):2295-2302.

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