Drugs / Lucerastat
last change Feb 2026 re-read 9 days ago

Lucerastat

Small molecule targets UGCG via inhibition

Developed for
Fabry disease
Investigated by
Idorsia Pharmaceuticals Ltd.

Trials 7

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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials · 1 met primary
Phase 1 NCT03832452 Feb → Apr 2019 — Idorsia Pharmaceuticals Ltd. Completed Met primary
Phase 1 NCT03380455 Jan 2018 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT02930655 Feb 2015 → Feb 2016 Fabry disease Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT02944474 Dec 2003 → May 2004 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT02944487 Oct → Dec 2002 — Idorsia Pharmaceuticals Ltd. Completed No outcome recorded
Phase 32 trials · 1 missed
Phase 3 NCT03737214 Dec 2018 → Aug 2029 expected Fabry disease Idorsia Pharmaceuticals Ltd. Active not recruiting No outcome recorded
Phase 3 NCT03425539 Jun 2018 → Aug 2021 Fabry disease Idorsia Pharmaceuticals Ltd. Completed Missed primary

News releases announcing trial results or a regulatory action · 5

DateIssuerRelease
2026-02-06 Idorsia Pharmaceuticals Ltd. Results Clear route to registration positions lucerastat as the potential first oral therapy for all patients with Fabry disease idorsia.com ↗
The results indicate that long-term treatment with lucerastat monotherapy was associated with low-to-no levels of kidney Gb3 inclusions.
2026-01-30 Idorsia Pharmaceuticals Ltd. Results Idorsia to present long-term lucerastat data and kidney biopsy results at WORLDSymposium idorsia.com ↗
Data from up to 42 months of treatment reinforce lucerastat’s potential as a first-in-class oral substrate reduction therapy addressing key unmet needs across the Fabry population
2026-01-12 Idorsia Pharmaceuticals Ltd. Results Nature Communications reports promising effect of Idorsia’s lucerastat on kidney function in Fabry disease idorsia.com ↗
Idorsia Ltd (SIX: IDIA) announces the publication of results from the pivotal Phase 3 MODIFY study and its open-label extension (OLE) evaluating lucerastat, an oral substrate reduction therapy, in adults with Fabry disease.
2021-12-13 Idorsia Pharmaceuticals Ltd. Results Idorsia to further characterize lucerastat for the treatment of Fabry disease by continuing the open-label extension of the Phase 3 MODIFY study idorsia.com ↗
Lucerastat demonstrated a substantial reduction in levels of the Fabry-disease biomarker plasma Gb3 after 6 months of treatment.
2021-10-11 Idorsia Pharmaceuticals Ltd. Results Idorsia announces the results of MODIFY, a Phase 3 study of lucerastat in Fabry disease idorsia.com ↗
Idorsia Ltd (SIX: IDIA) today announced that MODIFY, the Phase 3 study to investigate the effect of lucerastat, as an oral substrate reduction therapy for the treatment of adult patients with Fabry disease, did not meet the primary endpoint.

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 9 sources stand behind the page.

FieldValueCited text
Known as Lucerastat ClinicalTrials.gov intervention name — accepted as the source's own label NCT03737214 ↗
6

NCT02944487 ↗

NCT03832452 ↗

NCT03425539 ↗

NCT02930655 ↗

NCT03380455 ↗

NCT02944474 ↗

Known as ACT-434964 ChEMBL registry synonym — accepted as the source's own label CHEMBL1086997 ↗
Known as N-butyldeoxygalactonojirimycin ChEMBL registry synonym — accepted as the source's own label CHEMBL1086997 ↗
Known as N-n-butyl deoxygalactonojirimycin ChEMBL registry synonym — accepted as the source's own label CHEMBL1086997 ↗
Action Inhibit “Lucerastat, an inhibitor of glucosylceramide synthase” PMID 28088251 ↗ Jan 2017
1

“Ceramide glucosyltransferase inhibitor” CHEMBL1086997 ↗

Modality Small molecule “Lucerastat, an iminosugar with potential as substrate reduction therapy for glycolipid storage disorders” PMID 28088251 ↗ Jan 2017
Route Oral “Ten subjects with Fabry Disease received 1000 mg of oral lucerastat twice daily for 12 weeks” NCT02930655 ↗
Target UGCG “Ceramide glucosyltransferase inhibitor” CHEMBL1086997 ↗