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阿里莫克莫:首次获批。

Arimoclomol: First Approval.

作者信息

Keam Susan J

机构信息

Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.

出版信息

Drugs. 2025 Jan;85(1):111-116. doi: 10.1007/s40265-024-02129-x. Epub 2024 Dec 24.

DOI:10.1007/s40265-024-02129-x
PMID:39715913
Abstract

Arimoclomol (MIPLYFFA™), an oral small molecule that crosses the blood brain barrier and is thought to upregulate CLEAR (Coordinated Lysosomal Expression and Regulation) network genes and improve lysosomal function, is being developed by Zevra Therapeutics Inc., for the treatment of neurological manifestations of Niemann-Pick disease type C (NPC). In September 2024, arimoclomol was approved for use in combination with miglustat for the treatment of neurological manifestations of NPC in adult and pediatric patients 2 years of age and older in the USA. This article summarizes the milestones in the development of arimoclomol leading to this first approval for use in combination with miglustat for the treatment of neurological manifestations of NPC in adult and pediatric patients aged ≥ 2 years.

摘要

阿利莫克莫(MIPLYFFA™)是一种口服小分子药物,可穿越血脑屏障,被认为能上调CLEAR(溶酶体协调表达与调控)网络基因并改善溶酶体功能。Zevra Therapeutics公司正在研发该药物,用于治疗尼曼-匹克病C型(NPC)的神经表现。2024年9月,阿利莫克莫在美国被批准与米格鲁司他联合使用,用于治疗2岁及以上成人和儿童患者的NPC神经表现。本文总结了阿利莫克莫研发过程中的里程碑事件,这些事件促成了其首次获批与米格鲁司他联合用于治疗≥2岁成人和儿童患者的NPC神经表现。

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Arimoclomol: First Approval.阿里莫克莫:首次获批。
Drugs. 2025 Jan;85(1):111-116. doi: 10.1007/s40265-024-02129-x. Epub 2024 Dec 24.
2
Mechanistic insights into arimoclomol mediated effects on lysosomal function in Niemann-pick type C disease.关于阿利克仑莫对尼曼-匹克C型病溶酶体功能介导作用的机制性见解。
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Efficacy of miglustat in Niemann-Pick C disease: a single centre experience.尼曼-匹克 C 病中麦格司他的疗效:单中心经验。
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Miglustat therapy in the French cohort of paediatric patients with Niemann-Pick disease type C.米格列奈治疗法在法国小儿尼曼-匹克病 C 型患者队列中的应用。
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Efficacy and safety of arimoclomol in Niemann-Pick disease type C: Results from a double-blind, randomised, placebo-controlled, multinational phase 2/3 trial of a novel treatment.阿利莫氯胺治疗尼曼-匹克病 C 型的疗效和安全性:一种新型治疗药物的双盲、随机、安慰剂对照、多中心 2/3 期临床试验结果。
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Stable or improved neurological manifestations during miglustat therapy in patients from the international disease registry for Niemann-Pick disease type C: an observational cohort study.来自尼曼-匹克病C型国际疾病登记处的患者在米格鲁司他治疗期间神经学表现稳定或改善:一项观察性队列研究。
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Stem Cell Res Ther. 2025 Aug 29;16(1):467. doi: 10.1186/s13287-025-04575-0.
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Heterozygosity in NPC may be associated with neurologic and systemic phenotypes.NPC中的杂合性可能与神经和全身表型相关。
Front Neurol. 2025 Aug 12;16:1618380. doi: 10.3389/fneur.2025.1618380. eCollection 2025.
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Biomarker Validation in NPC1: Foundations for Clinical Trials and Regulatory Alignment.

本文引用的文献

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Extracellular Self-DNA Effects on Yeast Cell Cycle and Transcriptome during Batch Growth.胞外自身 DNA 对酵母分批培养过程中细胞周期和转录组的影响。
Biomolecules. 2024 Jun 6;14(6):663. doi: 10.3390/biom14060663.
2
Alterations in Proteostasis Mechanisms in Niemann-Pick Type C Disease.尼曼-匹克 C 型疾病中蛋白质稳态机制的改变。
Int J Mol Sci. 2024 Mar 29;25(7):3806. doi: 10.3390/ijms25073806.
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Heat shock protein amplification improves cerebellar myelination in the Npc1 mouse model.热休克蛋白扩增可改善 NPC1 小鼠模型的小脑髓鞘形成。
NPC1中的生物标志物验证:临床试验及监管协调的基础
J Inherit Metab Dis. 2025 Sep;48(5):e70075. doi: 10.1002/jimd.70075.
4
Game Changers: Blockbuster Small-Molecule Drugs Approved by the FDA in 2024.变革者:2024年获美国食品药品监督管理局批准的重磅小分子药物
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Efficacy and safety of arimoclomol in Niemann-Pick disease type C: Results from a double-blind, randomised, placebo-controlled, multinational phase 2/3 trial of a novel treatment.阿利莫氯胺治疗尼曼-匹克病 C 型的疗效和安全性:一种新型治疗药物的双盲、随机、安慰剂对照、多中心 2/3 期临床试验结果。
J Inherit Metab Dis. 2021 Nov;44(6):1463-1480. doi: 10.1002/jimd.12428. Epub 2021 Sep 7.
5
Validation of the 5-domain Niemann-Pick type C Clinical Severity Scale.验证尼曼-匹克 C 型 5 域临床严重程度量表。
Orphanet J Rare Dis. 2021 Feb 12;16(1):79. doi: 10.1186/s13023-021-01719-2.
6
Heat shock protein-based therapy as a potential candidate for treating the sphingolipidoses.基于热休克蛋白的疗法作为治疗鞘脂贮积症的潜在候选方法。
Sci Transl Med. 2016 Sep 7;8(355):355ra118. doi: 10.1126/scitranslmed.aad9823.