Treatment of Fabry’s Disease with the Pharmacologic Chaperone Migalastat

作者: Dominique P Germain , Derralynn A Hughes , Kathleen Nicholls , Daniel G Bichet , Roberto Giugliani

DOI: 10.1056/NEJMOA1510198

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摘要: Background Fabry's disease, an X-linked disorder of lysosomal α-galactosidase deficiency, leads to substrate accumulation in multiple organs. Migalastat, an oral pharmacologic chaperone, stabilizes specific mutant forms of α-galactosidase, increasing enzyme trafficking to lysosomes. Methods The initial assay of mutant α-galactosidase forms that we used to categorize 67 patients with Fabry's disease for randomization to 6 months of double-blind migalastat or placebo (stage 1), followed by open-label migalastat from 6 to 12 months …

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