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Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
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Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
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Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study

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Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study
Journal Article

Efficacy and safety of migalastat in a Japanese population: a subgroup analysis of the ATTRACT study

2020
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Overview
BackgroundFabry disease is a progressive X-linked lysosomal disorder. In this subgroup analysis of the global phase III ATTRACT study, the efficacy and safety of oral migalastat, a pharmacologic chaperone, were investigated in Japanese patients with Fabry disease.MethodsPatients were randomly assigned to receive migalastat (150 mg every other day) or to continue biweekly enzyme replacement therapy infusions (ERT; agalsidase alfa 0.2 mg/kg or agalsidase beta 1.0 mg/kg) for 18 months followed by a 12-month open-label extension during which all patients received migalastat. End points included glomerular filtration rate (estimated and measured), left ventricular mass index (LVMi), composite clinical outcomes, leukocyte alpha-galactosidase A activity, plasma globotriaosylsphingosine (lyso-Gb3), and safety.ResultsData from 7 Japanese patients (migalastat, 5; ERT, 2), mean age 55 years, with high disease burden, were analyzed. All patients in the migalastat group completed the open-label comparison and extension periods. At 18 months, efficacy in the Japanese patient population was similar to that in the overall ATTRACT population. Migalastat treatment increased leukocyte alpha-galactosidase A activity, stabilized renal function, and decreased LVMi. Plasma lyso-Gb3 levels remained low and stable. Additionally, the long-term extension study showed that efficacy of migalastat was maintained for up to 48 months. Migalastat was safe and well tolerated in the Japanese patients, as in the overall ATTRACT population.ConclusionMigalastat can be used to treat Japanese patients with Fabry disease with GLA mutations amenable to migalastat according to the dosage and administration approved in other countries.Trial registration numbersClinicalTrials.gov, NCT01218659 and NCT02194985.