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Voretigene Neparvovec

Published: July 26, 2026Updated: July 26, 2026

Voretigene Neparvovec (LUXTURNA) is a gene therapy indicated for the treatment of patients with confirmed biallelic RPE65 mutation-associated retinal dystrophy, including Leber congenital amaurosis and retinitis pigmentosa. It works by delivering a functional copy of the RPE65 gene directly to retinal cells via subretinal injection, allowing them to produce the normal enzyme required for the visual cycle.

Quick summary

A gene therapy that restores functional vision in patients with RPE65 mutation-associated inherited retinal dystrophies by delivering a normal copy of the RPE65 gene to retinal cells.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
S01XA27
RxNorm
1995537
Generic
Voretigene Neparvovec
Class
atc-s01
Brands
Luxturna
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Exceeding the recommended dose of 1.5 × 10^11 vector genomes (GC) per eye may cause serious retinal toxicity and inflammation
Chronic overdose: Not applicable - Voretigene Neparvovec is administered as a single dose per eye; cumulative toxicity data not available
Immediate actions
Contact treating ophthalmologist immediately; monitor intraocular pressure; initiate corticosteroid therapy as prescribed
Antidote
No specific antidote available(Supportive care and corticosteroid therapy are the main interventions; effectiveness varies by individual case)
Poison Control: 1-800-222-1222

Special Populations

6 groups
?

pregnancy

all trimesters
unknown
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

✓

pediatric_age

children 4 years and older
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

indicated for patients 4 years and older with RPE65 mutation-associated retinal dystrophy

Monitor

regular ophthalmologic examinations and retinal imaging

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

can be administered to elderly patients; consider overall health status

Monitor

pre-procedure cardiac and ophthalmologic assessment

?

renal_impairment

mild to moderate
unknown
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; drug not primarily renally cleared

Monitor

standard monitoring

?

hepatic_impairment

mild to moderate
unknown
FDA Category
N
Dose Adjustment

no specific adjustment

Key Recommendations

use with caution; drug not primarily hepatically cleared

Monitor

standard monitoring

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

discontinue breastfeeding or avoid use; insufficient data on excretion in breast milk

Monitor

no specific monitoring required

Statistics and clinical data

drug_classFDA
2023

Drug class

Value:Gene therapy (AAV vector)

Voretigene Neparvovec is an adeno-associated virus (AAV) vector-based gene therapy

approvalFDA
2023

FDA approval year

Value:2017

First gene therapy for an inherited retinal disease approved in the United States

indicationFDA
2023

Indication

Value:RPE65 mutation-associated retinal dystrophy

Treatment of patients with confirmed biallelic RPE65 mutations leading to Leber congenital amaurosis type 2

administrationFDA
2023

Route of administration

Value:Intravitreal injection

Administered by subretinal injection directly into the retina

Treatment of confirmed biallelic RPE65 mutation-associated retinal dystrophy, including Leber congenital amaurosis (LCA) and retinitis pigmentosa (RP) in patients with sufficient viable retinal cells.

Delivers a normal copy of the RPE65 gene to retinal pigment epithelial (RPE) cells via a modified adeno-associated virus vector. This enables cells to produce functional retinoid isomerohydrolase (RPE65), an enzyme essential for the visual cycle and normal vision.

Administered via subretinal injection requiring surgical procedure by a qualified surgeon. Potential for immune-mediated responses; corticosteroid prophylaxis recommended. Treatment is unilateral or bilateral; dosing is based on body surface area. Requires genetic confirmation of RPE65 mutations before treatment. Patients should be monitored for intraocular pressure, retinal detachment, and potential cataracts.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy