Drugs / Miglustat
last change Jun 2026 re-read 2 minutes ago

Miglustat

Small molecule targets CFTR, UGCG via restoration / inhibition

Developed for
Niemann-Pick disease type C · cystic fibrosis · glycogen storage disease due to acid maltase deficiency, late-onset · HIV infectious disease · Gaucher disease · glycogen storage disease II · GM2 gangliosidosis · Sandhoff disease
+7 more · Tay-Sachs disease · Gaucher disease type I · glycogen storage disease due to acid maltase deficiency, infantile onset · GM1 gangliosidosis · hereditary spastic paraplegia · juvenile neuronal ceroid lipofuscinosis 3 · hypersensitivity reaction disease
Investigated by
Actelion · Amicus Therapeutics · G D Searle · National Institute of Neurological Disorders and Stroke (NINDS) · National Taiwan University Hospital · Assistance Publique - Hôpitaux de Paris
+19 more · Beyond Batten Disease Foundation · CRCM (Centres de Ressources et de Compétences de la Mucoviscidose) · Children's National Research Institute · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · IRCCS Fondazione Stella Maris · Kashan University of Medical Sciences · Lysosomal Disease Network · Mashhad University of Medical Sciences · National Center for Advancing Translational Sciences (NCATS) · National Eye Institute (NEI) · National Institute of Allergy and Infectious Diseases (NIAID) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Rare Diseases Clinical Research Network · Tehran University of Medical Sciences · The Hospital for Sick Children · Theranexus · URC-CIC Paris Descartes Necker Cochin · University of Minnesota · University of Washington

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Refused (EMA) EU (EMA) Zavesca 2009-06-16 europa.eu
Approved US (FDA) ZAVESCA 2003-07-31 fda.gov
Approved EU (EMA) Zavesca 2002-11-20 europa.eu

Trials 27 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT01822028 Mar → Jun 2013 diarrheal disease Actelion Completed No outcome recorded
Phase 1 NCT00316498 Oct 2002 → Aug 2007 Niemann-Pick disease type C National Eye Institute (NEI) Completed No outcome recorded
Phase 1 NCT00000692 HIV infectious disease G D Searle Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT05174039 Mar 2022 → May 2024 juvenile neuronal ceroid lipofuscinosis 3 Beyond Batten Disease Foundation Completed No outcome recorded
Phase 1/2 NCT02675465 Apr 2016 → Aug 2024 glycogen storage disease II Amicus Therapeutics Completed No outcome recorded
Phase 28 trials
Phase 2 NCT04768166 Jun → Aug 2021 hereditary spastic paraplegia IRCCS Fondazione Stella Maris Completed No outcome recorded
Phase 2 NCT00742092 Aug → Dec 2008 cystic fibrosis Actelion Completed No outcome recorded
Phase 2 NCT00537602 Nov 2007 → Feb 2008 cystic fibrosis Actelion Terminated No outcome recorded
Phase 2 NCT00418847 Jul 2004 → Apr 2009 GM2 gangliosidosis The Hospital for Sick Children Completed No outcome recorded
Phase 2 NCT00041535 Jul 2002 → Mar 2007 Gaucher disease National Institute of Neurological Disorders and Stroke (NINDS) Completed No outcome recorded
Phase 2 NCT00517153 Jan 2002 → Sep 2006 Niemann-Pick disease type C Actelion Completed No outcome recorded
Phase 2 NCT00001993 HIV infectious disease G D Searle Completed No outcome recorded
Phase 2 NCT00002079 HIV infectious disease G D Searle Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT02325362 Mar 2015 → Apr 2017 cystic fibrosis Assistance Publique - Hôpitaux de Paris Completed No outcome recorded
Phase 38 trials
Phase 3 NCT04808505 Jul 2023 → Jul 2027 expected glycogen storage disease due to acid maltase deficiency, infantile onset Amicus Therapeutics Recruiting No outcome recorded
Phase 3 NCT03911505 Feb 2020 → Jun 2026 overdue glycogen storage disease due to acid maltase deficiency, late-onset Amicus Therapeutics Active not recruiting No outcome recorded
Phase 3 NCT04138277 Dec 2019 → Dec 2024 glycogen storage disease due to acid maltase deficiency, late-onset Amicus Therapeutics Completed No outcome recorded
Phase 3 NCT03822013 Jan 2019 → Sep 2025 GM2 gangliosidosis Tehran University of Medical Sciences Terminated No outcome recorded
Phase 3 NCT03729362 Dec 2018 → Dec 2020 glycogen storage disease due to acid maltase deficiency, late-onset Amicus Therapeutics Completed No outcome recorded
Phase 3 NCT01760564 Jan 2008 → Dec 2010 Niemann-Pick disease type C National Taiwan University Hospital Completed No outcome recorded
Phase 3 NCT00319046 Feb 2006 → Jun 2010 Gaucher disease type I Actelion Completed No outcome recorded
Phase 3 NCT00672022 Jul 2004 → Aug 2007 Sandhoff disease, Tay-Sachs disease Children's National Research Institute Completed No outcome recorded
Phase 43 trials
Phase 4 NCT03910621 Apr 2020 → Mar 2022 Niemann-Pick disease type C Actelion Completed No outcome recorded
Phase 4 NCT02030015 Dec 2015 → Jul 2019 GM1 gangliosidosis, Sandhoff disease, Tay-Sachs disease University of Minnesota Terminated No outcome recorded
Phase 4 NCT00194649 Jun 2005 → Jan 2006 University of Washington Completed No outcome recorded
Phase not applicable1 trial
NCT02520934 Jul 2015 → Dec 2017 Gaucher disease National Taiwan University Hospital Unknown No outcome recorded
Phase not stated1 trial
NCT03865836 glycogen storage disease II Amicus Therapeutics Available No outcome recorded
Also used as a comparator or background therapy in 3 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT02185651 Comparator Oct 2016 → Jul 2018 glycogen storage disease II, hypersensitivity reaction disease University of Florida Terminated No outcome recorded
Phase 21 trial
Phase 2 NCT00945347 Comparator Jul 2009 → May 2011 cystic fibrosis Cliniques universitaires Saint-Luc- Université Catholique de Louvain Completed No outcome recorded
Phase not stated1 trial
NCT04327973 Background glycogen storage disease due to acid maltase deficiency, infantile onset Amicus Therapeutics Available No outcome recorded

Evidence & citations 17 cited values

Every value below carries the sentence it was read from. 32 sources stand behind the page.

FieldValueCited text
Known as Miglustat “Participants received ATB200 co-administered with AT2221 capsule (Miglustat)” NCT04327973
20

“Cipaglucosidase Alfa (ATB200) co-administered with Miglustat(AT2221) capsule” NCT03911505

“Zavesca® (Miglustat) in Healthy Subjects” NCT01822028

NCT00194649

NCT00319046

NCT04808505

NCT00517153

NCT03729362

NCT00672022

NCT03822013

NCT02520934

NCT04768166

NCT05174039

NCT01760564

NCT03910621

NCT00418847

NCT02030015

NCT00742092

NCT00537602

NCT00945347

NCT02325362

Known as AT2221 “Participants received ATB200 co-administered with AT2221 capsule (Miglustat)” NCT04327973
3

NCT02675465

NCT04138277

NCT03865836

Known as Butyldeoxynojirimycin ClinicalTrials.gov intervention name — accepted as the source's own label NCT00001993
2

NCT00000692

NCT00002079

Known as mig “Cipa is used with miglustat (mig), an oral enzyme stabilizer that protects cipa against breakdown in the bloodstream and increases the amount available for uptake into muscle cells.” PMID 41631150 Jan 2026
Known as Miglustat dipharma ChEMBL registry synonym — accepted as the source's own label CHEMBL1029
Known as Miglustat gen.orph ChEMBL registry synonym — accepted as the source's own label CHEMBL1029
Known as N-butyldeoxynojirimycin ChEMBL registry synonym — accepted as the source's own label CHEMBL1029
Known as OGT918 “The primary objective of the study is to investigate the pharmacokinetics of ZAVESCA® (miglustat, OGT918), when given as a single dose and at steady state, in infantile...” NCT00672022
4

“The purpose of the study is to investigate the pharmacokinetics of Zavesca (miglustat, OGT918) when given as single and multiple doses in juvenile patients with GM2 gangliosidosis.” NCT00418847

“a new drug called OGT 918” NCT00316498

NCT00041535

NCT00316498

Known as Opfolda ChEMBL registry synonym — accepted as the source's own label CHEMBL1029
Known as SC-48334 “Phase II Study of the Safety and Surrogate Marker Efficacy of Butyldeoxynojirimycin (SC-48334) and AZT in Symptomatic HIV-1 Infected Patients With 200 - 500 CD4+ Cells/mm3.” NCT00002079
Known as Yargesa ChEMBL registry synonym — accepted as the source's own label CHEMBL1029
Known as Zavesca “A Single Arm Uncontrolled 12 Months Clinical Study to Evaluate the Safety and Efficacy of Miglustat (Zavesca) for the Treatment of Niemann Pick Type C Disease (NPC) in Chinese Subjects” NCT03910621
3

“Miglustat (Zavesca)” NCT00194649

Zavesca (Miglustat)” NCT00672022

NCT02185651

Action Inhibit “OGT 918 is a reversible inhibitor of glucosylceramide synthase, a key enzyme in the synthesis of glycolipids” NCT00041535
1

“Ceramide glucosyltransferase inhibitor” CHEMBL1029

Modality Small molecule “This inhibitor was Miglustat, which is an alkylated imino sugar.” NCT00194649
Route Oral “the drug is administered by mouth” NCT00000692
Target CFTR “Miglustat restores the function of the cystic fibrosis transmembrane conductance regulator (CFTR)” NCT02325362
Target UGCG “Ceramide glucosyltransferase inhibitor” CHEMBL1029