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Miglustat

Phase 3

Gaucher Disease Type 1 | Small molecule | Rare Disease |Johnson & Johnson|Last Updated: Feb 4, 2025

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment42

FDA Designations

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Clinical trial landscape

Miglustat · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT00319046Clinical Study to Evaluate the Long Term Efficacy, Safety and Tolerability of Miglustat in Patients With Stable Type 1 Gaucher DiseaseGaucher Disease Type 1
COMPLETED42 Analytics
PHASE3COMPLETED
Clinical Study to Evaluate the Long Term Efficacy, Safety and Tolerability of Miglustat in Patients With Stable Type 1 Gaucher Disease
Gaucher Disease Type 1Unlock trial analytics

Study Endpoints

Primary Endpoints

Liver Volume at Baseline and at End of Treatment
Baseline and end of treatment (Month 24)

Liver volume was assessed at baseline and end of treatment by magnetic resonance imaging. Imputation methods for patients with missing values at Month 24 were applied as follows: if a patient had at least 640 days of treatment with the study drug, the last observation that was not more than 2 days after the end of treatment was carried forward. If a patient had discontinued study drug before Day 640, the 'worst' within-patient value not more than 2 days after the end of treatment was used to impute the missing value.

Mean Within-patient Percent Change From Baseline in Liver Volume
End of treatment (Month 24)

Liver volume was assessed at baseline and end of treatment by magnetic resonance imaging. Imputation methods for patients with missing values at Month 24 were applied as follows: if a patient had at least 640 days of treatment with the study drug, the last observation that was not more than 2 days after the end of treatment was carried forward. If a patient had discontinued study drug before Day 640, the 'worst' within-patient value not more than 2 days after the end of treatment was used to impute the missing value.

The sum of responses in nasal potential difference (NPD) after perfusion with isoproterenol and chloride-free buffer (TCS: Total Chloride Secretion), in the presence of amiloride.
Change from baseline (pre-dose on Day 1) to end-of-treatment (Day 8)
The primary endpoints will be two parameters - Horizontal Saccadic α and Horizontal Saccadic β - which are estimated for each patient from their saccadic eye movement data
Baseline to Month 12

Secondary Endpoints

Spleen Volume at Baseline and End of Treatment
Baseline and end of treatment (Month 24)
Mean Percent Change From Baseline in Spleen Volume
End of treatment (Month 24)
Change in basline nasal potential difference (NPD) response
From baseline (pre-dose on Day 1) to end-of-treatment
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Open-label miglustatEXPERIMENTALOral administration of miglustat 100 mg t.i.d. for a period of 2 years
1EXPERIMENTALmiglustat
2PLACEBO_COMPARATORplacebo

Interventions

NameTypeDescription
MiglustatDRUGOral capsules containing miglustat 100 mg, administered three times daily (t.i.d.)
placeboDRUGOral placebo capsules matching in appearance miglustat capsules given t.i.d. (three times a day) for 7 days and a single dose on Day 8
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Males or females aged 18 years or older 2. Type 1 Gaucher disease, diagnosed by glucocerebrosidase assay or molecular analysis of the glucocerebrosidase gene. 3. Treatment with ERT for at least 3 years, with a stable dose regimen for at least the last 6 months. 4. Clinically ...

Countries:Belgium
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Frequently asked questions about Miglustat

What is Miglustat used for?

Miglustat is a small molecule being studied for the treatment of Cystic Fibrosis, Gaucher Disease Type 1, and Niemann-Pick Type C Disease. It is developed by Johnson & Johnson and is currently in Phase 3 clinical development for these rare diseases.

What does Miglustat target?

Miglustat is a small molecule that targets the enzyme glucosylceramide synthase, which is involved in the production of glycosphingolipids. By inhibiting this enzyme, it reduces the accumulation of these lipids in cells, which is relevant to the pathology of Gaucher Disease and Niemann-Pick Type C Disease.

Who makes Miglustat?

Miglustat is developed by Johnson & Johnson, a multinational pharmaceutical company listed on the New York Stock Exchange under the ticker symbol JNJ. The company is conducting clinical trials to evaluate the drug's efficacy and safety in multiple rare disease indications.

What phase is Miglustat in?

Miglustat is in Phase 3 clinical development. It has completed a Phase 3 trial in Gaucher Disease Type 1, as well as Phase 2 trials in Niemann-Pick Type C Disease and Cystic Fibrosis. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is Miglustat in?

Miglustat has been studied in three completed clinical trials. NCT00319046 is a Phase 3 trial in Gaucher Disease Type 1 with 42 participants. NCT00517153 is a Phase 2 trial in Niemann-Pick Type C Disease with 29 participants. NCT00742092 is a Phase 2 trial in Cystic Fibrosis with 11 participants.

Is Miglustat the same as Zavesca?

Miglustat is also known by the brand name Zavesca. It is a small molecule drug developed by Johnson & Johnson for the treatment of rare diseases such as Gaucher Disease Type 1 and Niemann-Pick Type C Disease.