Arimoclomol

(Miplyffa®)

Miplyffa®

Drug updated on 10/3/2024

Dosage FormCapsule (oral; 47 mg, 62 mg, 93 mg and 124 mg)
Drug ClassHeat shock protein stimulators
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for use in combination with miglustat for the treatment of neurological manifestations of Niemann-Pick disease type C (NPC) in adult and pediatric patients 2 years of age and older.

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Summary
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  • This summary is based on the review of one randomized controlled trial(s). [1]
  • At 12 months, arimoclomol showed a mean NPCCSS score progression of 0.76 compared to 2.15 for placebo, with a treatment difference of -1.40 (95% CI: -2.76, -0.03; P = .046), reflecting a 65% reduction in disease progression.
  • In patients receiving miglustat, arimoclomol resulted in stabilization of disease severity, with a treatment difference of -2.06 (P = .006), indicating significant benefit compared to placebo.
  • In the arimoclomol group, 88.2% of patients (30 out of 34) experienced adverse events, with serious adverse events occurring in 14.7% of patients (5 out of 34). Treatment-related serious adverse events included urticaria and angioedema (n = 2).
  • In the placebo group, 75.0% of patients (12 out of 16) experienced adverse events, and serious adverse events occurred in 31.3% of patients (5 out of 16).
  • The study population included patients aged 2-18 years with Niemann-Pick disease type C (NPC), and a subgroup analysis showed that arimoclomol significantly stabilized disease severity over 12 months for patients receiving miglustat as part of their routine care.

Product Monograph / Prescribing Information

Document TitleYearSource
Miplyffa (arimoclomol) Prescribing Information.2024Zevra Therapeutics, Inc. Celebration, FL

Randomized Controlled Trials