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SEPTEMBER 21, 2026
Alexander Disease, and the First Drug Approved to Treat It
What is Alexander disease, and what did the FDA actually approve for it? AxD is an ultra-rare, usually fatal genetic disorder of the brain's astrocytes, caused by mutations in the GFAP gene. On September 3, 2026, the FDA approved Zanvastro (zilganersen), an RNA-targeted drug given by quarterly spinal injection, as the first treatment aimed at the disease itself rather than its symptoms. The trial behind it enrolled 49 randomized patients.