miglustat / Generic mfg. 
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 0 Diseases   7 Trials   7 Trials   39 News 


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  • ||||||||||  Journal:  Advances in Disease-Modifying Therapeutics for Chronic Neuromuscular Disorders. (Pubmed Central) -  Sep 9, 2025   
    Amyotrophic lateral sclerosis (ALS) remains a challenge. The two most recent FDA-approved medications, namely sodium phenylbutyrate and tofersen, may slow down the disease by a few months in a selected population but do not stop the progression of the disease.
  • ||||||||||  miglustat / Generic mfg.
    Journal:  Ketogenic Diet in Niemann-Pick Type C: Insights From a Case Report. (Pubmed Central) -  Sep 4, 2025   
    In NPC patients treated with miglustat-particularly those experiencing seizures-a ketogenic diet may support neurological stabilization. A lower ratio KD may enhance long-term compliance.
  • ||||||||||  Myozyme (alglucosidase alfa) / Sanofi
    Integrating clinical evidence on cipaglucosidase alfa plus miglustat and alglucosidase alfa via a multi-level network meta-regression (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_1567;    
    Second generation ERTs cipaglucosidase alfa with miglustat (cipa+mig) and avalglucosidase alfa are now available...Using patient-level and aggregate published data from RCTs (PROPEL, COMET, LOTS) and phase I/II and open-label extension (OLE) trials (PROPEL OLE, LOTS OLE, COMET-OLE, ATB200-02, NEO-1/-EXT), a Bayesian ML-NMR was conducted, adjusting for various baseline covariates, including previous ERT duration, to obtain relative effect estimates on 6MWD (meters [m]) and ppFVC... Cipa+mig showed a statistically significant improvement versus alg in both 6MWD and FVC independent of prior ERT exposure which became more favourable when all available evidence was used in the analysis.
  • ||||||||||  miglustat / Generic mfg.
    Niemann Pick Type C associated IBD: A paediatric case series from a single centre (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_1471;    
    All 5 patients were female, with mean age at diagnosis of IBD 6.2y (range 2-11y). NPC diagnosis preceded IBD in four patients by a mean of 4.6y (range 2-6y) at a mean of 2.8y (4m-7y), all had typical NPC presentation with splenomegaly +/- hepatomegaly +/- jaundice.
  • ||||||||||  miglustat / Generic mfg.
    An Analysis of Biomarkers for the Evaluation of Gene Therapy for Niemann-Pick Disease Type C (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_1467;    
    Although miglustat is an approved treatment, its effectiveness remains insufficient...PPCS and lyso-SM are considered disease biomarkers in NPC1 mice. In addition, PPCS has been suggested to be a potential biomarker for monitoring the effects of gene therapy.
  • ||||||||||  Myozyme (alglucosidase alfa) / Sanofi
    Integrating clinical evidence on cipaglucosidase alfa plus miglustat and alglucosidase alfa via a multi-level network meta-regression (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_899;    
    Second generation ERTs cipaglucosidase alfa with miglustat (cipa+mig) and avalglucosidase alfa are now available...Using patient-level and aggregate published data from RCTs (PROPEL, COMET, LOTS) and phase I/II and open-label extension (OLE) trials (PROPEL OLE, LOTS OLE, COMET-OLE, ATB200-02, NEO-1/-EXT), a Bayesian ML-NMR was conducted, adjusting for various baseline covariates, including previous ERT duration, to obtain relative effect estimates on 6MWD (meters [m]) and ppFVC... Cipa+mig showed a statistically significant improvement versus alg in both 6MWD and FVC independent of prior ERT exposure which became more favourable when all available evidence was used in the analysis.
  • ||||||||||  miglustat / Generic mfg.
    Niemann Pick Type C associated IBD: A paediatric case series from a single centre (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_803;    
    All 5 patients were female, with mean age at diagnosis of IBD 6.2y (range 2-11y). NPC diagnosis preceded IBD in four patients by a mean of 4.6y (range 2-6y) at a mean of 2.8y (4m-7y), all had typical NPC presentation with splenomegaly +/- hepatomegaly +/- jaundice.
  • ||||||||||  miglustat / Generic mfg.
    An Analysis of Biomarkers for the Evaluation of Gene Therapy for Niemann-Pick Disease Type C (Poster 1 Annex Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_799;    
    Although miglustat is an approved treatment, its effectiveness remains insufficient...PPCS and lyso-SM are considered disease biomarkers in NPC1 mice. In addition, PPCS has been suggested to be a potential biomarker for monitoring the effects of gene therapy.
  • ||||||||||  miglustat / Generic mfg.
    Modeling Niemann-Pick Disease Type C by Directly Converted Neurons from Urine-Derived Cells (Best Poster Event Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_306;    
    Miglustat (N-butyldeoxynojirimycin), a glucosylceramide synthase inhibitor, is the only approved oral treatment for NPC in Japan...Some compounds significantly ameliorated the decreased survival and lysosomal dysfunction of NPC UDC-iNs, suggesting their therapeutic potential for NPC. These results suggest that UDC-iNs from disease patients can serve as a robust human cellular model for neurodegenerative disorders.
  • ||||||||||  miglustat / Generic mfg.
    Modeling Niemann-Pick Disease Type C by Directly Converted Neurons from Urine-Derived Cells (Best Poster Event Hall) -  Aug 28, 2025 - Abstract #ICIEM2025ICIEM_289;    
    Miglustat (N-butyldeoxynojirimycin), a glucosylceramide synthase inhibitor, is the only approved oral treatment for NPC in Japan...Some compounds significantly ameliorated the decreased survival and lysosomal dysfunction of NPC UDC-iNs, suggesting their therapeutic potential for NPC. These results suggest that UDC-iNs from disease patients can serve as a robust human cellular model for neurodegenerative disorders.
  • ||||||||||  miglustat / Generic mfg.
    Biomarker, Journal:  Serum neurofilament light protein as a biomarker in Niemann-Pick disease, type C1. (Pubmed Central) -  Aug 18, 2025   
    Longitudinal analyses reveal a 26% reduction in serum NfL levels in individuals on miglustat, a therapeutic drug used off-label for the treatment of NPC1 in the United States of America...To help inform clinical trial design, our modeling predicts that a measurable reduction of serum NfL levels might be observed after 8 months of treatment with a potential drug exhibiting 10% to 20% efficacy. Our data suggest that NfL may be a useful serum biomarker for NPC1.
  • ||||||||||  miglustat / Generic mfg.
    Biomarker, Review, Journal:  Biomarker Validation in NPC1: Foundations for Clinical Trials and Regulatory Alignment. (Pubmed Central) -  Aug 15, 2025   
    Therapeutic development for NPC1 has been historically limited, with miglustat approved in some regions for off-label use and 2-hydroxypropyl-?-cyclodextrin currently under clinical investigation...Ongoing clinical trials and translational research are essential to accelerate biomarker qualification and regulatory approval of disease-modifying treatments. A comprehensive, mechanistically driven approach that integrates molecular, biochemical, and clinical endpoints is key to advancing precision medicine for NPC1.
  • ||||||||||  Nypta (tideglusib) / ASD Therap, miglustat / Generic mfg.
    Journal:  Naringenin and SMER28 target lysosomal reformation and rescue SPG11 and SPG15 Hereditary Spastic Paraplegia phenotypes. (Pubmed Central) -  Jul 28, 2025   
    Their effects were compared with those of SMER28 and of miglustat, the latter tested in a phase II clinical trial in SPG11 patients, in both SPG15 and SPG11 patient's derived cells and in the corresponding Drosophila models...Both compounds induced lysosomal tubulation, downstream of mTOR, promoting lysosomal reformation. Our work indicates that lysosomal reformation is a good strategy for HSPs with impaired lysosomal function and identifies naringenin as new modulator of this process, offering further hand to planning phase II clinical trials in SPG11-SPG15 patients.
  • ||||||||||  Myozyme (alglucosidase alfa) / Sanofi, Nexviazyme (avalglucosidase alfa) / Sanofi, miglustat / Generic mfg.
    Journal, Real-world evidence:  Enzyme replacement therapies in adults with Pompe disease: from trials to real-world data. (Pubmed Central) -  Jun 5, 2025   
    Clinical trials and early real-world data suggest that they may be superior to alglucosidase alfa, the standard of care for the past 20?years, although head-to-head comparisons between all three treatments are lacking. More data will become available over the next 5 years, leading to better guidelines for starting, stopping and switching therapies based on a more personalized assessment of outcomes.
  • ||||||||||  doxycycline / Generic mfg., miglustat / Generic mfg.
    Journal:  Neurogenin 2-induced central neurons from iPSC-established patients with NPC display attenuated neurite outgrowth while accumulating cholesterol. (Pubmed Central) -  May 28, 2025   
    Five iPSCs (3 NPC and 2 healthy individuals) carrying a doxycycline-inducible NGN2 (iPSCsTetON:NGN2) were generated, and edited cells efficiently differentiated into cortical neurons by 15?days...Miglustat, a drug approved for NPC in several countries, promoted neurite outgrowth and reduced unesterified cholesterol accumulation in LDL-treated NPC neurons...Collectively, our results indicate that neurons of NPC patients fail neurite extension due to suboptimal cholesterol transport to the membrane. This will be a valuable tool for NPC research to identify the pathological mechanisms of neuronal degeneration and to discover new therapeutics.
  • ||||||||||  Miplyffa (arimoclomol) / Orphazyme, Zevra Therap
    Journal:  Mechanistic insights into arimoclomol mediated effects on lysosomal function in Niemann-pick type C disease. (Pubmed Central) -  Apr 27, 2025   
    Arimoclomol, an orally available small molecule, is the first FDA-approved treatment for NPC when used in combination with miglustat...By also amplifying expression of CLEAR genes associated with autophagy, arimoclomol has the potential to act on different pathways and improve cell viability independent of NPC1 protein levels and functionality. In summary, the findings presented illustrate how arimoclomol improves lysosomal function and potentially autophagy flux to decrease lipid burden in NPC patient fibroblasts.
  • ||||||||||  Myozyme (alglucosidase alfa) / Sanofi, miglustat / Generic mfg., Cabaletta (trehalose) / Seelos Therap
    Journal:  Miglustat: A First-In-Class Enzyme Stabilizer for Late-Onset Pompe Disease (P10-2.012). (Pubmed Central) -  Apr 7, 2025   
    In a head-to-head study, cipa+mig had a similar safety profile to alglucosidase alfa...Dimachkie has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Cabaletta Bio...Prof. parenti has nothing to disclose.
  • ||||||||||  miglustat / Generic mfg.
    Journal:  Hypometabolism and atrophy patterns associated with Niemann-Pick type C. (Pubmed Central) -  Feb 26, 2025   
    parenti has nothing to disclose. Our findings delineate a discernible hypometabolism pattern specific to NP-C that distinguishes it from other neurodegenerative conditions, thus suggesting that [18F]FDG PET might be a promising tool for NP-C diagnosis and to study disease progression.
  • ||||||||||  Pombiliti (cipaglucosidase alfa-atga) / Amicus
    Clinical, Journal:  Effect Size Analysis of Cipaglucosidase Alfa Plus Miglustat Versus Alglucosidase Alfa in ERT-experienced Adults with Late-onset Pompe Disease in PROPEL (S21.003). (Pubmed Central) -  Feb 20, 2025   
    P3
    The randomized, double-blind PROPEL study (ATB200-03; NCT03729362) compared the efficacy and safety of the investigational two-component enzyme replacement therapy (ERT) cipa+mig with alg plus placebo in adults with late-onset Pompe disease (LOPD); 77% of patients had received ERT with alg before study entry (median ERT duration 7.4 years)...Dimachkie has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Cabaletta Bio...Dr. Mozaffar has received personal compensation in the range of $500-$4,999 for serving as a Study Section Member with NIH.
  • ||||||||||  Miplyffa (arimoclomol) / Orphazyme, Zevra Therap
    Review, Journal:  Arimoclomol: First Approval. (Pubmed Central) -  Jan 17, 2025   
    Mozaffar has received personal compensation in the range of $500-$4,999 for serving as a Study Section Member with NIH. Arimoclomol (MIPLYFFA