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Safety of home administration of cipaglucosidase alfa plus miglustat in late-onset Pompe disease:results from multiple clinical trials

Title: Safety of home administration of cipaglucosidase alfa plus miglustat in late-onset Pompe disease:results from multiple clinical trials
Authors: Andersen, Henning; Díaz-Manera, Jordi; Goker-Alpan, Ozlem; Mozaffar, Tahseen; Sitaraman Das, Sheela; Fox, Brian; Amon, Farah; O’Brien-Prince, Kinesha; Goldman, Mitchell; Holdbrook, Fred; Jain, Vipul; Byrne, Barry J.
Source: Andersen, H, Díaz-Manera, J, Goker-Alpan, O, Mozaffar, T, Sitaraman Das, S, Fox, B, Amon, F, O’Brien-Prince, K, Goldman, M, Holdbrook, F, Jain, V & Byrne, B J 2026, 'Safety of home administration of cipaglucosidase alfa plus miglustat in late-onset Pompe disease : results from multiple clinical trials', Therapeutic Advances in Rare Disease, vol. 7. https://doi.org/10.1177/26330040261416943
Publication Year: 2026
Collection: Aarhus University: Research
Subject Terms: cipaglucosidase alfa; enzyme replacement therapy; GAA deficiency; miglustat; Pompe disease
Description: Background: Late-onset Pompe disease (LOPD) is caused by a deficiency of the acid α-glucosidase enzyme. In LOPD treatment, enzyme replacement therapy is delivered via intravenous infusion, typically in clinical settings. Cipaglucosidase alfa is delivered with the oral enzyme stabilizer miglustat (cipa + mig). Objectives: Evaluate the safety of cipa + mig home infusions. Design: Post hoc analysis of pooled safety data from three clinical trials in adults with LOPD (NCT02675465, NCT03729362, NCT04138277). Methods: The frequency and severity of infusion-associated reactions (IARs) during cipa + mig home and clinic administration were analyzed. Results: In total, 65/151 patients (43.0%) received ⩾1 cipa + mig home treatment. Of 9185 treatments, 2024 (22.0%) were administered at home. IAR frequency was similar for home (1.3%, 26/2024) and clinic (1.8%, 129/7161). The most frequent IAR following home infusion was pyrexia (6.2% of patients). Two patients with ⩾1 home-based treatment experienced serious IARs. Conclusion: Analyses support the safety of home cipa + mig treatment in eligible adults with LOPD.
Document Type: article in journal/newspaper
Language: English
ISSN: 2633-0040
Relation: info:eu-repo/semantics/altIdentifier/pmid/41631150; info:eu-repo/semantics/altIdentifier/eissn/2633-0040
DOI: 10.1177/26330040261416943
Availability: https://pure.au.dk/portal/en/publications/b40d0557-9b4c-498a-b04d-7f16dfe2420c; https://doi.org/10.1177/26330040261416943; https://www.scopus.com/pages/publications/105029923395
Rights: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.48F325E7
Database: BASE