# Singapore is the first ASEAN country to provide government subsidy for eligible patients receiving vutrisiran for transthyretin amyloidosis

- Link: https://www.thailand-business-news.com/pr-news/singapore-is-the-first-asean-country-to-provide-government-subsidy-for-eligible-patients-receiving-vutrisiran-for-transthyretin-amyloidosis
- Published: 2026-09-01T09:00:00+07:00
- Author: PR Newswire

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"From September 2026 – eligible patients receiving vutrisiran will receive government
subsidies of up to 75%^([1])^(,)^([2])"

"HELIOS-A and B provide strong clinical evidence supporting improved patient outcomes"

SINGAPORE, Sept. 1, 2026 /PRNewswire/ — Medison Pharma (Medison), the creator of
a first-of-its-kind unified global commercialisation platform for breakthrough therapies,
today announced that from September 1st, 2026, vutrisiran has been recommended for
inclusion in the Medication Assistance Fund (MAF) for government subsidy for stage
1 or 2 hereditary transthyretin amyloidosis with polyneuropathy (hATTR-PN), and 
transthyretin amyloid cardiomyopathy (ATTR-CM).^([1,2]) Singapore is the first country
in ASEAN to provide government subsidy for eligible patients receiving vutrisiran
treatment for transthyretin amyloidosis. The treatment cost will be subsidised by
up to 75% for eligible patients undergoing treatment with vutrisiran as a monotherapy.
^([1,2])

Vutrisiran is a RNAi therapeutic that works by delivering sustained knockdown of
disease-causing transthyretin (TTR) at its source_. _It is administered as a subcutaneous
injection once every three months, offering a dosing schedule that may reduce treatment
burden.

It was approved by the Health Sciences Authority for the treatments of stage 1 or
2 hATTR-PN (October 2024)^([3]), and wild-type or hereditary ATTR-CM (October 2025)
^([4]). Vutrisiran is the first treatment approved in Singapore for both hATTR-PN
and ATTR-CM.

"At Medison, we believe that patients’ lives should not determine their access to
breakthrough therapies. We welcome the inclusion of vutrisiran in the MAF following
the Agency for Care Effectiveness’ rigorous assessment. This decision represents
an important step towards improving affordability and access for eligible patients
in Singapore. We remain committed to working with healthcare systems and other stakeholders
to help expand patient access to approved medicines." said Ms Jocelynn Seah, Head
of Singapore, Hong Kong and Taiwan, Medison Pharma Singapore Pte Ltd.

"The inclusion of vutrisiran in the MAF reflects the clinical evidence supporting
its use in approved indications and represents an important step towards broader
access for eligible patients. Through our partnership with Medison and its global
commercialisation platform, more patients in Singapore who may benefit from vutrisiran
could have the opportunity to receive treatment, in consultation with their healthcare
professionals." said Norton Oliveira, Senior Vice-President and Head of Partner 
and Emerging Markets, Alnylam Pharmaceuticals.

**ATTR-CM: HELIOS-B phase 3 study, which showed 28% reduction in all-cause mortality
and recurrent cardiovascular events through 33-36 months, with preservation of functional
capacity and quality of life, with four quarterly doses per year****^([5])**

ATTR-CM is a progressive, debilitating and fatal disease^([6]) in which a transport
protein (transthyretin) becomes misshapen, breaks apart and builds up as toxic deposits(
amyloids) in the heart muscle. This stiffens the heart, leading to heart failure.
The median survival of ATTR-CM patients is 2.6 to 5.8 years after diagnosis.^([7])
ATTR-CM may be hereditary or wild-type and predominately affects men.^([8])

The subsidy decision was based on positive results from the pivotal HELIOS-B Phase
3 study.

Key findings from the clinical trial include:^([5])

 ◦ Primary endpoint: achieved a 28% reduction in all-cause mortality and recurrent
   cardiovascular events through 33-36 months.
 ◦ Secondary endpoint: reduced all-cause mortality by 36% through 42 months.
 ◦ Disease progression: demonstrated significant improvements in functional capacity(
   six-minute walk test), health status and quality of life, and heart failure symptoms
   and severity.

Vutrisiran demonstrated a safety profile similar to placebo. Common adverse reactions
included injection site reactions and elevated blood alkaline phosphatase and alanine
transaminase.^([5])

Detailed results from HELIOS-B Phase 3 study were published in _The New England 
Journal of Medicine._^([5])

"ATTR amyloidosis is a progressive and often underdiagnosed disease that can significantly
affect both survival and quality of life. Vutrisiran offers the advantage of convenient
quarterly dosing together with rapid and sustained suppression of transthyretin,
the protein that drives the disease process. Clinical studies have shown that it
can help reduce disease burden and preserve patients’ functional ability and quality
of life", said Dr Tang Hak Chiaw, Consultant Cardiologist, Novena Heart Centre.

"The inclusion of vutrisiran in the Medication Assistance Fund is a significant 
milestone for patients in Singapore. By improving access to an effective disease-
modifying treatment, more eligible patients will have the opportunity to receive
timely care, while clinicians gain an additional treatment option to support individualised
patient management and ultimately improve patients’ outcomes," continued Dr Tang.

**hATTR-PN: HELIOS-A phase 3 study, which showed 48% of patients experienced improvement
in neuropathy impairment, with four quarterly doses per year****^([9])**

hATTR-PN is a rare, progressive genetic disease. It shares the same root cause as
ATTR-CM, but its toxic deposits (amyloids) build up in the peripheral nerves and
other organs. This nerve damage leads to severe, life-altering complications, including
chronic pain, loss of mobility and vital organ dysfunction. At last review, there
were 34 known patients with hATTR-PN^([1]), however the number is likely more now
given increasing recognition and access to diagnostics.

Key 18-month findings from the HELIOS-A Phase 3 study:^([9])

 ◦ Primary endpoint: at nine months, vutrisiran significantly improved neuropathy
   impairment as measured by mNIS+7 compared with the external placebo group from
   the APOLLO study. Patients receiving vutrisiran demonstrated stabilisation or
   improvement in neuropathy measures, whereas neuropathy worsened in the placebo
   group.
 ◦ Secondary endpoint: vutrisiran slowed disease progression and improved measures
   of neuropathy impairment, disability, quality of life and gait speed.

The most common adverse reactions were arthralgia (joint pain) and pain in the arms
and legs.^([9])

Detailed results from HELIOS-A Phase 3 study were published in _Amyloid_.^([9])

For additional information about AMVUTTRA®, please see the full prescribing information.

[[

**About AMVUTTRA® (vutrisiran)**

AMVUTTRA® (vutrisiran) is an RNAi therapeutic that delivers rapid knockdown of transthyretin(
TTR), addressing the underlying cause of transthyretin (ATTR) amyloidosis. Administered
quarterly via subcutaneous injection by a healthcare professional, AMVUTTRA is approved
and marketed in Singapore for the treatment of hereditary transthyretin amyloidosis
in adult patients with stage 1 or stage 2 polyneuropathy (hATTR-PN) and for the 
treatment of wild-type or hereditary transthyretin amyloidosis in adult patients
with cardiomyopathy (ATTR-CM).

**About ATTR**

Transthyretin amyloidosis (ATTR) is an underdiagnosed, rapidly progressive, debilitating
and fatal disease caused by misfolded transthyretin (TTR) proteins, which accumulate
as amyloid deposits in various parts of the body, including the nerves, heart and
gastrointestinal tract. Patients may present with polyneuropathy, cardiomyopathy,
or both manifestations of disease. There are two different forms of ATTR – hereditary
ATTR (hATTR), which is caused by a TTR gene variant and affects approximately 50,000
people worldwide, and wild-type ATTR (wtATTR), which occurs without a TTR gene variant
and impacts an estimated 200,000 – 300,000 people worldwide.

**About RNAi**

RNAi (RNA interference) is a natural cellular process of gene silencing that represents
one of the most promising and rapidly advancing frontiers in biology and drug development
today. Its discovery has been heralded as "a major scientific breakthrough that 
happens once every decade or so," and was recognized with the award of the 2006 
Nobel Prize for Physiology or Medicine. By harnessing the natural biological process
of RNAi occurring in our cells, a new class of medicines known as RNAi therapeutics
is now a reality. Small interfering RNA (siRNA), the molecules that mediate RNAi
and comprise Alnylam’s RNAi therapeutic platform, function upstream of today’s medicines
by potently silencing messenger RNA (mRNA) – the genetic precursors – that encode
for disease-causing or disease pathway proteins, thus preventing them from being
made. This is a revolutionary approach with the potential to transform the care 
of patients with genetic and other diseases.

**About Medison** 

At Medison, we are addressing one of the pharma industry’s most pressing challenges:
enabling access to breakthrough therapies for patients with severe and rare diseases
in international markets where traditional commercialization models fall short. 

As the creator and leader of the global partnership category, we have built a first-
of-its-kind unified commercialization platform that enables biotechs to effectively
plan, optimize and launch their therapies on a global scale. 

With a strong leadership team and a proven track record, we are the partner of choice
for innovative biotech companies seeking to expand beyond the US, Western Europe
and Japan into regions where most of the world’s population resides. Our affiliate-
like model integrates commercial, medical and operational capabilities across diverse
geographies, accelerating access and delivering life-changing treatments to more
patients, faster. 

Medison is on a mission to ensure that every patient, regardless of where they live,
has the opportunity to benefit from breakthrough therapies. For more information,
please visit [https://www.medisonpharma.com/](https://www.medisonpharma.com/)

**About Alnylam **

Alnylam (Nasdaq: ALNY) has led the translation of RNA interference (RNAi) into a
new class of innovative medicines with the potential to transform the lives of people
afflicted with rare and prevalent diseases with unmet need. RNAi therapeutics represent
a clinically validated approach that has yielded five Alnylam-discovered medicines
that have received marketing authorization in markets around the world.

Alnylam has a deep pipeline of investigational medicines, including multiple product
candidates that are in late-stage development.  Alnylam is headquartered in Cambridge,
MA.

For more information about Alnylam please visit [www.alnylam.com](http://www.alnylam.com/).

**About Medison’s Partnership with Alnylam** 

Medison has a global partnership with Alnylam to commercialize RNAi therapeutics
in various markets, including Asia-Pacific (including Australia) Europe, Israel,
and Latin America. This partnership reflects Medison’s and Alnylam’s belief that
every patient, wherever they are in the world, deserves a fair chance to receive
disease-modifying, highly innovative therapies.

**Healthcare professionals are asked to report any suspected adverse reactions by
contacting [safety.singapore@medisonpharma.com](https://www.thailand-business-news.com/pr-news/safety.singapore@medisonpharma.com)**

References

[1] Agency for Care Effectiveness (ACE), Drug Guidance, Eplontersen and vutrisiran
for hereditary transthyretin amyloidosis with polyneuropathy, [https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidance/drug-guidance/eplontersen-and-vutrisiran-for-hereditary-transthyretin-amyloidosis-with-polyneuropathy/](https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidance/drug-guidance/eplontersen-and-vutrisiran-for-hereditary-transthyretin-amyloidosis-with-polyneuropathy/)(
Accessed on 2026-07-06)

[2] Agency for Care Effectiveness (ACE), Drug Guidance, vutrisiran-for-transthyretin-
amyloid-cardiomyopathy, [https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidance/drug-guidance/vutrisiran-for-transthyretin-amyloid-cardiomyopathy/](https://www.ace-hta.gov.sg/healthcare-professionals/ace-technology-guidance/drug-guidance/vutrisiran-for-transthyretin-amyloid-cardiomyopathy/)(
Accessed on 2026-07-06)

[3] [https://www.hsa.gov.sg/announcements/new-drug-approvals—october-2024/](https://www.hsa.gov.sg/announcements/new-drug-approvals---october-2024/)(
Accessed on 2026-07-30)

[4] Health Sciences Authority (HSA), New drug approvals – October 2025, [https://www.hsa.gov.sg/announcements/new-drug-indication-approval—october-2025/](https://www.hsa.gov.sg/announcements/new-drug-indication-approval---october-2025/)(
Accessed on 2026-07-06)

[5] Fontana M., Berk J L, Gillmore, J D, et al. _New England Journal of Medicine_.
2024;392(1), 33-44

[6] Hawkins PN, et al. _Ann Med_. 2015;47(8):625-638

[7] Kittleson MM, et al. _J Am Coll Cardiol_. 2023;81(11):1076-1126

[8] Dispenzieri A, et al. _Orphanet J Rare Dis_. 2022;17(1):236

[9] Adams D, et al. Efficacy and safety of vutrisiran for patients with hereditary
transthyretin-mediated amyloidosis with polyneuropathy: a randomized clinical trial.
_Amyloid _2022 [https://doi.org/10.1080/13506129.2022.2091985](https://doi.org/10.1080/13506129.2022.2091985)

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