- |||||||||| Miplyffa (arimoclomol) / Orphazyme, Zevra Therap
Review, Journal: Arimoclomol: First Approval. (Pubmed Central) - Jan 17, 2025 Arimoclomol (MIPLYFFA
- |||||||||| Review, Journal: Pompe disease: Unmet needs and emerging therapies. (Pubmed Central) - Nov 13, 2024
Overall, switching treatment from alglucosidase alfa to cipa+mig positively impacted PRO measurements during the double-blind period of PROPEL. The approval of avalglucosidase alfa (Nexviazyme
- |||||||||| miglustat / Generic mfg.
Clinical data, Journal: Cipaglucosidase alfa plus miglustat: linking mechanism of action to clinical outcomes in late-onset Pompe disease. (Pubmed Central) - Nov 4, 2024 Here, we investigate this hypothesis by analyzing published and new data related to the mechanism of action of the enzyme and stabilizer molecule. Based on an extensive collection of in vitro, preclinical, and clinical data, we conclude that cipaglucosidase alfa plus miglustat successfully addresses each of these challenges to offer meaningful advantages in terms of pharmacokinetic exposure, target-cell uptake, endolysosomal processing, and clinical benefit.
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NIEMANN-PICK TYPE C - INSIGHTS FROM 20 PATIENTS IN A PORTUGUESE REFERENCE CENTER (Poster Room | Level 0) - Jul 30, 2024 - Abstract #SSIEM2024SSIEM_514; Lower occurrence of adult-onset cases could be due to referral bias, as most came from a pediatric hospital. Initially, diagnosis relied on filipin staining, but diagnosis methods have evolved with the introduction of plasma biomarkers and genetic testing.
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COMBINED EFFECT OF KETOGENIC DIET THERAPY WITH MIGLUSTAT ON NIEMANN-PICK TYPE C (Poster Room | Level 0) - Jul 30, 2024 - Abstract #SSIEM2024SSIEM_503; Initially, diagnosis relied on filipin staining, but diagnosis methods have evolved with the introduction of plasma biomarkers and genetic testing. KDT in this patient with juvenil NPC has stabilized neurological manifestations.After itinitiation of KDT,patient's life quality and alertness increased, and reduction in hospital admissions observed.The concomitant use of miglustat and KDT in patients with NPC has been mentioned in only one case before.This case report may encourage further research on ketogenic diet in NPC patients.
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MIGLUSTAT: A FIRST-IN-CLASS ENZYME STABILISER FOR LATE-ONSET POMPE DISEASE (Poster Room | Level 0) - Jul 30, 2024 - Abstract #SSIEM2024SSIEM_450; In a head to-head study, cipa+mig had a similar safety profile to alglucosidase alfa. Stabilisation of cipa by mig in circulation improved cipa exposure, further reduced Hex4 levels and was well tolerated in clinical studies in patients with LOPD.
- |||||||||| miglustat / Generic mfg.
ARIMOCLOMOL FOR THE TREATMENT OF NPC IN A REAL-WORLD SETTING: LONG-TERM OUTCOMES FROM AN EXPANDED ACCESS PROGRAM IN THE USA (Poster Room | Level 0) - Jul 30, 2024 - Abstract #SSIEM2024SSIEM_444; P Stabilisation of cipa by mig in circulation improved cipa exposure, further reduced Hex4 levels and was well tolerated in clinical studies in patients with LOPD. Long-term outcomes in a US EAP of arimoclomol indicate that treated patients experienced relatively stable disease over 1 and 2 years of treatment with lower disease progression observed in patients treated with arimoclomol and miglustat dual therapy.
- |||||||||| azasugar (AZ-3102) / Azafaros
BLINDED SAFETY DATA OF NIZUBAGLUSTAT PHASE 2 STUDY FOR GM2 GANGLIOSIDOSIS AND NPC DISEASE (Poster Room | Level 0) - Jul 30, 2024 - Abstract #SSIEM2024SSIEM_432; This highlights the need to improve monitoring frequency and consistency for patients with LOPD. Background: Nizubaglustat (AZ-3102) is an orally available, brain-penetrant, highly potent, highly selective inhibitor of glucosylceramide synthase and non-lysosomal neutral glucosylceramidase...Also had to be miglustat na
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Journal: Assessing the Potential of N-Butyl-l-deoxynojirimycin (l-NBDNJ) in Models of Cystic Fibrosis as a Promising Antibacterial Agent. (Pubmed Central) - Jun 20, 2024 Mechanistic insights into the observed activity revealed that l-NBDNJ interferes with the expression of proteins regulating cytoskeleton assembly and organization of the host cell, downregulates the main virulence factors of P. aeruginosa involved in the host response, and affects pathogen adhesion to human cells. These findings along with the observation of the absence of an in vitro bacteriostatic/bactericidal action of l-NBDNJ suggest the potential use of this glycomimetic as an antivirulence agent in the management of CF lung disease.
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Journal, Video: Video-Oculography Assessment in Neurodegenerative Ataxias and Niemann Pick Type C. (Pubmed Central) - Jun 13, 2024 Our findings support that cerebellar pathology in degenerative ataxia patients is associated with both impaired saccadic velocity and smooth pursuit gain, whereas in NP-C, only the impaired vertical saccades as opposed to relatively preserved other eye movements are seemingly a diagnostic marker for the entity. We conclude that recording of eye movements could be useful for differential diagnosis and monitorization of the treatment of ataxia syndromes as an easy and objective method.
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Journal: DJ-1 protects cell death from a mitochondrial oxidative stress due to GBA1 deficiency. (Pubmed Central) - Mar 9, 2024 Taken together, our results suggest that DJ-1 upregulation due to GBA1 deficiency has a protective role against oxidative stress. It may be supposed that mutations or malfunctions in the DJ-1 protein may have disadvantages in the survival of dopaminergic neurons in the brains of patients harboring GBA1 mutations.
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Supranuclear Palsy as an Initial Presentation of the Adult-onset Niemann-Pick Type C (Colorado Convention Center | Exhibit Hall B-E) - Mar 8, 2024 - Abstract #AAN2024AAN_2461; NP-C should be considered in an adult patient who develops supranuclear palsy, particularly when parkinsonism is not present, as in Progressive Supranuclear Palsy. While no cure exists for NP-C, timely diagnosis and treatment can improve a patient's quality of life by slowing the progression of the disease.
- |||||||||| Pombiliti (cipaglucosidase alfa-atga) / Amicus
Enrollment open, Trial completion date, Trial primary completion date: A Global Prospective Observational Registry of Patients With Pompe Disease (clinicaltrials.gov) - Mar 5, 2024 P=N/A, N=500, Recruiting, In addition, further optimization of the treatment protocol and additional treatments are needed to improve patient outcomes. Not yet recruiting --> Recruiting | Trial completion date: Nov 2033 --> Dec 2034 | Trial primary completion date: Nov 2033 --> Dec 2034
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Journal: Stabilization of the Metastable Pre-Fusion Conformation of the SARS-CoV-2 Spike Glycoprotein through N-Linked Glycosylation of the S2 Subunit. (Pubmed Central) - Feb 28, 2024 Using the ?-glycosidase inhibitors castanospermine and NB-DNJ, we confirmed that disruption of N-linked glycosylation blocked the maturation of the S protein, leading to the impairment of S protein-mediated membrane fusion...Therefore, N-glycans on the SARS-CoV and SARS-CoV-2 S2 subunits are highly important for maintaining the pre-fusion state of the S protein. This study revealed the critical roles of N-glycans in S protein maturation and stability, information that has implications for the design of vaccines and antiviral strategies.
- |||||||||| Xenpozyme (olipudase alfa) / Sanofi
Review, Journal: The Genetic Basis, Lung Involvement, and Therapeutic Options in Niemann-Pick Disease: A Comprehensive Review. (Pubmed Central) - Feb 28, 2024 The only approved disease-modifying therapy in NPD type C is miglustat, a substrate-reduction treatment. The aim of this review was to delineate a state of the art on the genetic basis and lung involvement in NPD, focusing on clinical manifestations, radiologic and histopathologic characteristics of the disease, and available therapeutic options, with a gaze on future therapeutic strategies.
- |||||||||| Myozyme (alglucosidase alfa) / Sanofi, Nexviazyme (avalglucosidase alfa) / Sanofi, VAL-1221 / Valerion
Review, Journal: Enzyme replacement therapy for late-onset Pompe disease. (Pubmed Central) - Dec 12, 2023 The impact of ERT on some outcomes remains unclear, and longer RCTs are needed to generate relevant information due to the progressive nature of LOPD. Alternative resources, such as post-marketing registries, could capture some of this information.
- |||||||||| ambroxol oral / Generic mfg., miglustat / Generic mfg.
Clinical, Clinical data, Retrospective data, Journal, Real-world evidence, Real-world: Clinical Outcomes of Patients with Chronic Neuropathic Form of Gaucher Disease in the Spanish Real-World Setting: A Retrospective Study. (Pubmed Central) - Oct 28, 2023 Visceral manifestations, including hepatosplenomegaly and hematological and bone manifestations, were mostly controlled with ERT, except for kyphosis. The data from this study may help to increase the evidence base on this rare disease and contribute to improving the clinical management of GD3 patients.
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Journal: Glycosphingolipids linked to elevated neurotransmission and neurodegeneration in a Drosophila model of Niemann Pick Type C. (Pubmed Central) - Oct 14, 2023 Glucosylceramide (GlcCer) synthase inhibition with miglustat prevented elevated neurotransmission in Npc1a and brn mutants, further suggesting epistasis...Glycosphingolipid synthesis mutants also have greatly heightened neurodegeneration, with similar neurodegeneration in npc1a;brn double mutants, again suggesting that npc1a and brn function in the same pathway. These findings indicate causal links between glycosphingolipid-dependent neurotransmission and neurodegeneration in this NPC disease model.
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Journal: Argentinean Consensus on the Diagnosis and Treatment of Niemann- Pick Disease Type C (Pubmed Central) - Aug 19, 2023 The last few years have seen considerable progress in understanding this disease and its management. In this consensus, current approaches to the diagnosis, follow-up and treatment of NPC (including the use of miglustat, the only specific drug approved at the time) are discussed by an Argentinian panel of experts.
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