Drug updated on 9/4/2024
Dosage Form | Injection (intravenous; 10 mg/5 mL) |
Drug Class | Recombinant human lysosomal beta glucuronidases |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the treatment of Mucopolysaccharidosis VII (MPS VII, Sly syndrome) in pediatric and adult patients.
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Summary
- Mepsevii (vestronidase alfa) is indicated for the treatment of Mucopolysaccharidosis VII (MPS VII, Sly syndrome) in pediatric and adult patients.
- This summary is based on the review of one randomized controlled trial(s). [1-2]
- Vestronidase alfa at a dose of 4 mg/kg QOW demonstrated effectiveness in reducing urinary glycosaminoglycans (GAGs) levels in patients with Mucopolysaccharidosis type VII (MPS VII), with pharmacodynamic responses indicating a plateau at this dose.
- The pharmacokinetics/pharmacodynamics (PK/PD) modeling predicts that the QOW dosing regimen results in more efficient drug delivery to GUS-deficient tissues, potentially enhancing treatment efficacy compared to less frequent dosing.
- The study population included both adult and pediatric patients with MPS VII, and no differences in effectiveness between these groups were reported, with the same dosing regimen recommended for both.
- General Safety: The study indicates that clinical evidence supports the safety of the 4 mg/kg QOW dosing regimen but does not provide specific details on adverse effects or safety outcomes.
- Significant Safety Concerns or Adverse Effects: There are no specific safety concerns or adverse effects mentioned in the study.
- There is no population types or subgroups information available in the reviewed studies.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Mepsevii (vestronidase alfa) Prescribing Information. | 2020 | Ultragenyx Pharmaceutical Inc., Novato, CA |
Randomized Controlled Trials
Document Title | Sex Distribution | Year | Source |
---|---|---|---|
The long-term safety and efficacy of vestronidase alfa, rhGUS enzyme replacement therapy, in subjects with mucopolysaccharidosis VII. | 12Subjects F: 67% M: 33% | 2020 | Molecular genetics and metabolism |
Pharmacokinetic and pharmacodynamic modeling to optimize the dose of vestronidase alfa, an enzyme replacement therapy for treatment of patients with mucopolysaccharidosis type VII: results from three trials. | Data not availableSubjects F: null% M: null% | 2019 | Clinical Pharmacokinetics |
Sex Distribution:
F:67%
M:33%
12Subjects
Year:
2020
Source:Molecular genetics and metabolism
Sex Distribution:
Year:
2019
Source:Clinical Pharmacokinetics