Drugs / Miglustat
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Miglustat

also known as OGT918 · Zavesca · Butyldeoxynojirimycin · mig · SC-48334

Small molecule targets CFTR via restoration

Developed for
Niemann-Pick disease type C · cystic fibrosis · HIV infectious disease · Gaucher disease · glycogen storage disease due to acid maltase deficiency, late-onset · GM2 gangliosidosis · Sandhoff disease · Tay-Sachs disease
+7 more · Gaucher disease type I · glycogen storage disease due to acid maltase deficiency, infantile onset · GM1 gangliosidosis · hereditary spastic paraplegia · juvenile neuronal ceroid lipofuscinosis 3 · glycogen storage disease II · 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 24

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 1/21 trial
Phase 1/2 NCT05174039 Mar 2022 → May 2024 juvenile neuronal ceroid lipofuscinosis 3 Beyond Batten Disease Foundation 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 NCT00002079 — HIV infectious disease G D Searle Completed No outcome recorded
Phase 2 NCT00001993 — 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 37 trials · 1 met primary · 1 missed
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 → Mar 2027 expected glycogen storage disease due to acid maltase deficiency, late-onset Amicus Therapeutics Active not recruiting 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 Missed primary
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 Met primary
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
Comparator or background therapy2 trials
Phase 1 NCT02185651 Comparator Oct 2016 → Jul 2018 glycogen storage disease II, hypersensitivity reaction disease University of Florida Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT00945347 Comparator Jul 2009 → May 2011 cystic fibrosis Cliniques universitaires Saint-Luc- Université Catholique de Louvain Completed No outcome recorded

News releases announcing trial results or a regulatory action · 9

DateIssuerRelease
2026-10-02 BioMarin Pharmaceutical Results BioMarin Announces Five-Year Phase 3 Data for POMBILITI® (cipaglucosidase alfa-atga) + OPFOLDA® (miglustat) at World Muscle Society Annual Congress biomarin.com ↗
These results from the PROPEL open-label extension (OLE) study of POMBILITI + OPFOLDA, which were shared in a late-breaking presentation, demonstrated durable motor function outcomes and relative stabilization of pulmonary function over long-term follow-up.
2026-09-01 Theranexus Regulatory THX Pharma, BBDF and Biocodex Announce Regulatory Submissions for the Phase 3 Clinical Trial of Batten-1 in Juvenile Batten Disease (CLN3) actusnews.com ↗
THX Pharma (Theranexus), an innovative biopharmaceutical company developing treatments for rare neurological diseases, together with its partners, the Beyond Batten Disease Foundation (BBDF) and Biocodex, today announced the submission of regulatory applications to initiate the Phase 3 clinical trial evaluating Batten-1 (study Batten-1-02), a proprietary oral liquid formulation of miglustat developed for the treatment of juvenile Batten disease (CLN3).
2025-05-13 Theranexus Results THERANEXUS AND BEYOND BATTEN DISEASE FOUNDATION ANNOUNCE STRONG POSITIVE REAL-WORLD DATA SUPPORTING BATTEN-1 EFFICACY FOR THE TREATMENT OF BATTEN DISEASE actusnews.com ↗
The analysis demonstrated a statistically significant and clinically meaningful difference in favor of Batten-1 treatment on visual function with a notable preservation of visual acuity in treated patients compared to untreated patients.
2024-11-19 Theranexus Results Update on the Theranexus' Batten-1 project in CLN3 Batten's disease actusnews.com ↗
This presentation highlights the strong safety profile of miglustat in CLN3 Batten disease patients and underscores the positive efficacy data gathered during this trial.
2024-06-06 Theranexus Results Theranexus and BBDF confirm positive 18-month results for Batten-1 in Phase I/II trial based on neurofilaments, a biomarker of neuronal death actusnews.com ↗
2024-04-18 Theranexus Results Theranexus and BBDF announce final and positive safety and efficacy data in the Phase I/II trial testing Batten-1 actusnews.com ↗
The 18-month safety and efficacy data confirm the 12-month results announced in September 2023.
2023-02-20 Theranexus Results THERANEXUS, BBDF AND CARDIFF UNIVERSITY PRESENT THEIR NOVEL RESEARCH ON BATTEN-1 AND BATTEN DISEASE AT WORLDSYMPOSIUM 2023 actusnews.com ↗
Presentation of preclinical data demonstrating how Batten-1 drastically reduces the buildup of toxic glycosphingolipids in Batten disease and a poster describing for the first time the burden of Batten disease.
2023-01-05 Theranexus Results New advance to the Theranexus and BBDF Batten-1 program for juvenile Batten disease (CLN3) actusnews.com ↗
We are delighted that Batten-1 showed good safety and tolerability for our patients suffering from Batten disease.
2021-09-09 Theranexus Regulatory THERANEXUS AND BEYOND BATTEN DISEASE FOUNDATION (BBDF) WIN US INVESTIGATIONAL NEW DRUG (IND) APPROVAL TO START CLINICAL DEVELOPMENT OF BBDF 101 actusnews.com ↗
With the FDA's IND approval for BBDF 101, we have reached a significant milestone in the drug’s regulatory development plan.

All press releases naming this drug 11 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 27 sources stand behind the page.

FieldValueCited text
Known as Miglustat “Cipaglucosidase Alfa (ATB200) co-administered with Miglustat(AT2221) capsule” NCT03911505 ↗
19

“Zavesca® (Miglustat) in Healthy Subjects” NCT01822028 ↗

NCT04768166 ↗

NCT02325362 ↗

NCT00672022 ↗

NCT02030015 ↗

NCT00418847 ↗

NCT00517153 ↗

NCT03822013 ↗

NCT00319046 ↗

NCT00742092 ↗

Show 9 more sources

Known as Butyldeoxynojirimycin ClinicalTrials.gov intervention name — accepted as the source's own label NCT00002079 ↗
2

NCT00001993 ↗

NCT00000692 ↗

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 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 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 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 ↗
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 ↗