Drugs / Arimoclomol

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed Niemann-Pick disease type C, adult neurologic onset 4 milestones
Refused (EMA) EU (EMA) — Niemann-Pick disease type C, adult neurologic onset 2026-07-24

“has adopted a negative opinion regarding the Marketing Authorization Application (MAA) for arimoclomol for the treatment of Niemann-Pick disease type C (NPC)” zevra.com ↗

Filed EU (EMA) MIPLYFFA Niemann-Pick disease type C, adult neurologic onset 2025-07-28

“submitted a Marketing Authorization Application (MAA) to the European Medicines Agency (EMA) for the evaluation of arimoclomol for the treatment of Niemann-Pick Disease Type C” zevra.com ↗

“Zevra has submitted a Marketing Authorization Application to the European Medicines Agency for the evaluation of arimoclomol for the treatment of Niemann-Pick disease type C” zevra.com ↗

“A Marketing Authorisation Application for the evaluation of arimoclomol for the treatment of NPC is under review by the European Medicines Agency (EMA).” zevra.com ↗

“supporting the arimoclomol MAA submission” zevra.com ↗

Rejected (CRL) US (FDA) — Niemann-Pick disease type C, adult neurologic onset 2021-06-17

“On June 17, 2021 , Orphazyme received a Complete Response Letter (CRL) from the FDA regarding its NDA for arimoclomol for the treatment of NPC.” zevra.com ↗

Filed US (FDA) — Niemann-Pick disease type C, adult neurologic onset —

“the arimoclomol NDA which was resubmitted to the FDA in December 2023” zevra.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) MIPLYFFA — 2024-09-20 fda.gov ↗

Trials 9

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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 24 trials · 1 missed
Phase 2 NCT03746587 Jun 2018 → Apr 2020 Gaucher disease type I, Gaucher disease type III ZevraDenmark Terminated No outcome recorded
Phase 2 NCT02753530 Aug 2017 → Jan 2021 inclusion body myositis ZevraDenmark Completed Missed primary
Phase 2 NCT00244244 Oct 2005 → Jan 2007 amyotrophic lateral sclerosis CytRx Completed No outcome recorded
Phase 2 NCT00561366 — amyotrophic lateral sclerosis CytRx Withdrawn No outcome recorded
Phase 2/31 trial · 1 met primary
Phase 2/3 NCT02612129 Jun 2016 → Jun 2018 Niemann-Pick disease type C ZevraDenmark Completed Met primary
Phase 33 trials · 1 missed
Phase 3 NCT03836716 Sep 2019 → Jul 2021 amyotrophic lateral sclerosis ZevraDenmark Terminated No outcome recorded
Phase 3 NCT04049097 May 2019 → Nov 2021 inclusion body myositis ZevraDenmark Terminated No outcome recorded
Phase 3 NCT03491462 Jul 2018 → Dec 2020 amyotrophic lateral sclerosis ZevraDenmark Completed Missed primary
Phase not stated1 trial
— NCT04316637 — Niemann-Pick disease type C ZevraDenmark Available No outcome recorded
Comparator or background therapy2 trials
Phase 2/3 NCT00706147 Comparator Jan 2009 → Dec 2014 familial amyotrophic lateral sclerosis University of Miami Completed No outcome recorded
Phase 2/3 NCT00769860 Comparator Sep 2008 → Sep 2012 inclusion body myositis Richard Barohn, MD Completed No outcome recorded

News releases announcing trial results or a regulatory action · 21

DateIssuerRelease
2026-08-25 ZevraDenmark Results Zevra Therapeutics to Present New Long-Term Real-World Data on MIPLYFFA® in Niemann-Pick Disease Type C (NPC) at the 2026 SSIEM Annual Symposium zevra.com ↗
The data demonstrate sustained disease stabilization across a broad range of patients, including adults, while providing valuable insight from up to eight years of real-world treatment experience.
2026-08-03 ZevraDenmark Results Zevra Therapeutics Announces Publication of Four-Year Real-World Data from U.S. Early Access Program Evaluating MIPLYFFA® (arimoclomol) in Niemann-Pick Disease Type C (NPC) zevra.com ↗
The study includes the first published real-world data evaluating arimoclomol in adults with NPC, a historically understudied population.
2026-07-24 ZevraDenmark Regulatory Zevra Therapeutics Provides Update on Regulatory Submission for Arimoclomol for the Treatment of Niemann-Pick Disease Type C (NPC) in the European Union zevra.com ↗
2026-06-23 ZevraDenmark Results Zevra Therapeutics Announces Publication of Positive MIPLYFFA® Data from Pediatric Substudy in Infants with Niemann-Pick Disease Type C (NPC) zevra.com ↗
Arimoclomol was generally well tolerated, with no new safety signals, and pharmacokinetic results were consistent with older pediatric populations.
2026-06-08 ZevraDenmark Regulatory Zevra Therapeutics Announces Orange Book Listing of U.S. Patent Strengthening Exclusivity for MIPLYFFA zevra.com ↗
today announced that it has submitted U.S. Patent No. 11,707,456 for MIPLYFFA® (arimoclomol) to the U.S. Food and Drug Administration for listing in the publication Approved Drug Products With Therapeutic Equivalence Evaluations, commonly known as the Orange Book.
2026-02-04 ZevraDenmark Results Zevra Therapeutics Presents Positive New Real-World Data on MIPLYFFA® in Patients with Neimann-Pick Disease Type C (NPC) at the 22nd Annual WORLDSymposium™ zevra.com ↗
These data highlight MIPLYFFA’s potential to meaningfully stabilize disease progression across a broad spectrum of NPC patients, including adults who have historically had limited clinical data,” said Adrian Quartel, M.D., FFPM, Zevra’s Chief Medical Officer.
2025-09-04 ZevraDenmark Results Zevra Therapeutics Presents Positive New Data Supporting Foundational Role of MIPLYFFA® (arimoclomol) for the Treatment of Niemann-Pick Disease Type C at the International Congress of Inborn Errors of Metabolism (ICIEM) zevra.com ↗
New data from pre-specified analysis shows patients on concomitant miglustat who switched from placebo to MIPLYFFA experienced a decline in annual disease progression
2025-07-28 ZevraDenmark Regulatory Zevra Therapeutics Submits Marketing Authorization Application to European Medicines Agency to Review Arimoclomol for the Treatment of Niemann-Pick Disease Type C zevra.com ↗
2025-07-18 ZevraDenmark Results Zevra Therapeutics Announces MIPLYFFA® and OLPRUVA® Presentations at the Annual Meeting of the Southeastern Regional Genetics Group (SERGG) zevra.com ↗
The datasets on MIPLYFFA illustrate that its distinct mechanism of action precisely targets the underlying pathology of NPC, and this disease-modifying activity has led to sustained disease stabilization in patients undergoing treatment for multiple years.
2025-07-16 ZevraDenmark Results Zevra Therapeutics Announces Open Label Extension Data Showing Sustained Long-Term Efficacy of MIPLYFFA for the Treatment of NPC Published in the Journal of Molecular Genetics and Metabolism zevra.com ↗
2025-04-17 ZevraDenmark Results Zevra Announces Publication of MIPLYFFA® Mechanism of Action Manuscript in Molecular Genetics and Metabolism zevra.com ↗
The publication presents data demonstrating that arimoclomol enters the cell and increases the translocation of translation factors EB and E3 (FTEB & TFE3) from the cytosol to the nucleus, a key initial step for triggering a cascade of downstream events.
2024-11-11 ZevraDenmark Results Zevra Therapeutics to Present Data Demonstrating Relevance of Swallow Domain in Niemann-Pick Disease Type C Clinical Severity Scale at 53rd Child Neurology Society Annual Meeting zevra.com ↗
The treatment difference based on the R4DNPCCSS score change from baseline to 12 months or last visit while on treatment was -1.51 ( P =0.0413) in favor of arimoclomol when compared to placebo.

All press releases naming this drug 29 releases

DateIssuerRelease

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 12 sources stand behind the page.

FieldValueCited text
Known as Arimoclomol ClinicalTrials.gov intervention name — accepted as the source's own label NCT03491462 ↗
10

NCT04316637 ↗

NCT03836716 ↗

NCT02753530 ↗

NCT00769860 ↗

NCT00561366 ↗

NCT04049097 ↗

NCT00706147 ↗

NCT03746587 ↗

NCT02612129 ↗

NCT00244244 ↗

Known as Arimoclomol (BRX-345) “Arimoclomol (BRX-345)” NCT00706147 ↗
Known as ARIMOCLOMOL CITRATE ChEMBL registry synonym — accepted as the source's own label CHEMBL2107726 ↗
Known as BRX-220 FREE BASE ChEMBL registry synonym — accepted as the source's own label CHEMBL2107726 ↗
Known as Miplyffa ChEMBL registry synonym — accepted as the source's own label CHEMBL2107726 ↗
Known as Orphazyme a/s ChEMBL registry synonym — accepted as the source's own label CHEMBL2107726 ↗
Action Activate “upregulates "molecular chaperones"” NCT00561366 ↗
Modality Small molecule “Arimoclomol is a small molecule that upregulates "molecular chaperones" in cells under stress.” NCT00244244 ↗
Route Oral “Participants received arimoclomol capsules orally three times a day (TID) for 12 months.” NCT02612129 ↗