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Eliglustat

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and Shayman, but after a news broke of a competitor developing a new treatment for Gaucher's disease, licensed the Radin/Shayman patents in 2000. Eliglustat did not receive FDA approval for another 14 years, a delay that Shayman speculated was due to some company leaders not being fully committed to developing a drug that would compete with
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began exploring the possibility of inhibiting the synthesis of lipid substrates involved in Gaucher's disease as early as 1982, and, in collaboration with the laboratory of Jim Shayman, found several candidate inhibitors in the mid-1990s. Genzyme initially rejected the candidates developed by Radin
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In 2014, the annual cost of eliglustat taken orally twice a day was $ 310,250. Cerezyme cost about $ 300,000 for the intravenous medication if taken twice a month. Manufacturing costs for eliglustat are slightly lower than for imiglucerase. Genzyme maintains higher prices for
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InChI=1S/C23H36N2O4/c1-2-3-4-5-6-9-22(26)24-19(17-25-12-7-8-13-25)23(27)18-10-11-20-21(16-18)29-15-14-28-20/h10-11,16,19,23,27H,2-9,12-15,17H2,1H3,(H,24,26)/t19-,23-/m1/s1
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resulted in "significant improvements in spleen volume, hemoglobin level, liver volume, and platelet count" in untreated adults with Gaucher disease Type 1.
531: 1655: 606: 826: 1609: 1075: 1034: 991: 1487: 1602: 1635: 551: 669: 775: 1650: 238: 159: 85: 1541: 944:"Effect of oral eliglustat on splenomegaly in patients with Gaucher disease type 1: the ENGAGE randomized clinical trial" 601: 343: 1196: 611: 423: 104: 1582: 1448: 1392: 1382: 1209: 115: 830: 412: 1640: 1493: 1335: 1143: 985: 1085: 1346: 1011: 1407: 1298: 1239: 1235: 586: 439: 1578: 1478: 1283: 258: 122: 1518: 1433: 1276: 1271: 1256: 1231: 1417: 1306: 1226: 1069: 1028: 973: 924: 895:"ELIGLUSTAT TARTRATE: Glucosylceramide Synthase Inhibitor Treatment of Type 1 Gaucher Disease" 875: 392: 332: 211: 198: 186: 43: 1586: 942:
Mistry PK, Lukina E, Ben Turkia H, Amato D, Baris H, Dasouki M, et al. (February 2015).
800: 1387: 1358: 1117: 963: 955: 914: 906: 865: 597: 460: 267: 352: 1645: 1555: 1483: 1397: 1363: 1323: 1293: 1288: 443: 1523: 1412: 1402: 1153: 968: 943: 919: 894: 1629: 1453: 1375: 1163: 726: 292: 77: 910: 1570: 1528: 1513: 1508: 1266: 1251: 1168: 1125: 649: 627: 622: 142: 137: 829:(Press release). U.S. Food and Drug Administration. 19 August 2015. Archived from 670:"Prescription medicines: registration of new chemical entities in Australia, 2015" 63: 1498: 1340: 1311: 1261: 1219: 1173: 749: 71: 1473: 1328: 1316: 1247: 1201: 1191: 1134: 1121: 582: 493: 323: 870: 853: 652:—most often paid for by insurers—in order to remain financially sustainable. 1503: 1468: 1463: 1458: 1443: 1371: 1158: 57: 977: 928: 879: 22: 959: 750:"Cerdelga 84 mg Hard Capsules - Summary of Product Characteristics (SmPC)" 594: 303: 99: 312: 1214: 1148: 590: 278: 30: 1183: 403: 593:, and was approved by the FDA in August 2014. Commonly used as the 372: 1353: 516: 507: 383: 589:. It was discovered at the University of Michigan, developed by 363: 217: 192: 1089: 205: 94: 428: 168: 827:"FDA approves new drug to treat a form of Gaucher disease" 181: 1590: 634:), Genzyme's flagship treatment for Gaucher's disease. 1539: 1054:
New Genzyme pill will cost patients $ 310,250 a year
600:, the compound is believed to work by inhibition of 1426: 1182: 1133: 505: 492: 459: 454: 422: 402: 382: 362: 342: 322: 302: 277: 257: 229: 158: 153: 128: 114: 84: 70: 52: 42: 37: 854:"Improved inhibitors of glucosylceramide synthase" 291: 1046: 1044: 266: 1005: 1003: 1001: 1610: 1101: 539:CCCCCCCC(=O)N(CN1CCCC1)(C2=CC3=C(C=C2)OCCO3)O 8: 103: 21: 607:Journal of the American Medical Association 1617: 1603: 1108: 1094: 1086: 442: 331: 29: 967: 918: 869: 351: 696:"Product monograph brand safety updates" 1546: 661: 556: 536: 438: 311: 243: 76: 1067: 1026: 983: 674:Therapeutic Goods Administration (TGA) 20: 852:Lee L, Abe A, Shayman JA (May 1999). 411: 391: 62: 7: 1567: 1565: 141: 858:The Journal of Biological Chemistry 371: 282: 1656:Gastrointestinal system drug stubs 1589:. You can help Knowledge (XXG) by 1074:: CS1 maint: overridden setting ( 1033:: CS1 maint: overridden setting ( 990:: CS1 maint: overridden setting ( 14: 1569: 1549: 477: 471: 911:10.1358/dof.2010.035.08.1505566 805:European Medicines Agency (EMA) 564:Key:FJZZPCZKBUKGGU-AUSIDOKSSA-N 1051:Weisman R (2 September 2014), 776:"Cerdelga- eliglustat capsule" 483: 465: 1: 604:. According to an article in 577:, sold under the brand name 1197:phenylalanine ammonia-lyase 612:substrate reduction therapy 1672: 1564: 1010:Garber K (December 2017), 893:Shayman JA (August 2010). 585:used for the treatment of 455:Chemical and physical data 602:glucosylceramide synthase 547: 527: 234: 28: 1636:Beta-Hydroxyamphetamines 1581:article relating to the 871:10.1074/jbc.274.21.14662 1583:gastrointestinal system 1449:Glycerol phenylbutyrate 1393:eladocagene exuparvovec 1383:atidarsagene autotemcel 1210:Carbohydrate metabolism 1651:Transferase inhibitors 1494:Sodium phenylbutyrate 1488:+sodium phenylacetate 1336:iduronate-2-sulfatase 960:10.1001/jama.2015.459 1299:Pegunigalsidase alfa 1240:Cipaglucosidase alfa 1236:Avalglucosidase alfa 1016:, Ann Arbor Observer 1284:alpha-galactosidase 899:Drugs of the Future 833:on 16 February 2017 722:"Genetic disorders" 638:Society and culture 201:(Prescription only) 177:(Prescription only) 25: 1519:Uridine triacetate 1434:Anethole trithione 1277:Velaglucerase alfa 1272:Taliglucerase alfa 1257:glucocerebrosidase 1232:Alglucosidase alfa 1057:, The Boston Globe 1598: 1597: 1537: 1536: 1418:vestronidase alfa 1307:Glycosaminoglycan 1227:alpha-glucosidase 807:. 4 December 2007 587:Gaucher's disease 572: 571: 518:Interactive image 424:CompTox Dashboard 221: 209: 196: 184: 172: 97: 16:Chemical compound 1663: 1619: 1612: 1605: 1573: 1566: 1554: 1553: 1552: 1545: 1388:cerliponase alfa 1359:lysosomal lipase 1347:idursulfase beta 1118:alimentary tract 1110: 1103: 1096: 1087: 1080: 1079: 1073: 1065: 1064: 1062: 1048: 1039: 1038: 1032: 1024: 1023: 1021: 1007: 996: 995: 989: 981: 971: 939: 933: 932: 922: 890: 884: 883: 873: 849: 843: 842: 840: 838: 823: 817: 816: 814: 812: 797: 791: 790: 788: 786: 772: 766: 765: 763: 761: 756:. 8 January 2020 746: 740: 739: 737: 735: 718: 712: 711: 709: 707: 692: 686: 685: 683: 681: 666: 520: 500: 485: 479: 473: 467: 447: 446: 432: 430: 415: 395: 375: 355: 335: 315: 295: 285: 284: 270: 219: 216: 207: 204: 194: 191: 183: 180: 170: 167: 145: 107: 96: 93: 80: 66: 33: 26: 24: 1671: 1670: 1666: 1665: 1664: 1662: 1661: 1660: 1626: 1625: 1624: 1623: 1562: 1560: 1550: 1548: 1540: 1538: 1533: 1484:Sodium benzoate 1422: 1408:pabinafusp alfa 1398:elosulfase alfa 1364:Sebelipase alfa 1324:arylsulfatase B 1294:Agalsidase beta 1289:Agalsidase alfa 1178: 1137:and derivatives 1129: 1114: 1084: 1083: 1066: 1060: 1058: 1050: 1049: 1042: 1025: 1019: 1017: 1009: 1008: 999: 982: 941: 940: 936: 892: 891: 887: 864:(21): 14662–9. 851: 850: 846: 836: 834: 825: 824: 820: 810: 808: 801:"Cerdelga EPAR" 799: 798: 794: 784: 782: 774: 773: 769: 759: 757: 748: 747: 743: 733: 731: 720: 719: 715: 705: 703: 702:. 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Retrieved 831:the original 821: 809:. Retrieved 804: 795: 783:. Retrieved 779: 770: 758:. Retrieved 753: 744: 732:. Retrieved 730:. 9 May 2018 725: 716: 704:. Retrieved 699: 690: 678:. Retrieved 673: 664: 650:orphan drugs 646: 631: 630:(brand name 628:imiglucerase 623:Norman Radin 621: 605: 591:Genzyme Corp 578: 574: 573: 246: 160:Legal status 154:Legal status 86:License data 18: 1499:Teduglutide 1479:Sapropterin 1341:Idursulfase 1312:iduronidase 1262:Alglucerase 1220:Sacrosidase 1192:Amino acids 1174:Metreleptin 1135:Amino acids 1013:Just Reward 501: g·mol 393:CHEBI:82752 268:491833-29-5 249:-octanamide 230:Identifiers 72:MedlinePlus 44:Trade names 1630:Categories 1474:Nitisinone 1439:Eliglustat 1329:Galsulfase 1317:Laronidase 1248:Glycolipid 1202:Pegvaliase 1124:products ( 1122:metabolism 1020:17 January 785:30 January 760:30 January 656:References 583:medication 575:Eliglustat 506:3D model ( 494:Molar mass 353:DR40J4WA67 324:ChemSpider 259:CAS Number 239:IUPAC name 105:Eliglustat 23:Eliglustat 1504:Trientine 1469:Nedosiran 1464:Miglustat 1459:Lumasiran 1444:Givosiran 1372:Phosphate 1159:Glutamine 811:14 August 643:Economics 610:the oral 116:Routes of 64:Monograph 58:Drugs.com 1556:Medicine 1070:citation 1029:citation 978:25688781 929:22563139 880:10329660 780:DailyMed 734:13 April 706:24 March 680:10 April 632:Cerezyme 595:tartrate 579:Cerdelga 333:28475348 304:DrugBank 293:23652731 130:ATC code 123:By mouth 100:DailyMed 48:Cerdelga 1215:sucrase 1184:Enzymes 1149:Betaine 1061:18 July 969:4962880 920:3340614 837:18 July 618:History 581:, is a 499:404.551 461:Formula 313:DB09039 279:PubChem 185:: 146:) 140: ( 138:A16AX10 102::  78:a618038 1646:Sanofi 1542:Portal 1116:Other 976:  966:  927:  917:  878:  532:SMILES 404:ChEMBL 373:D09893 212:℞-only 210: 197: 187:℞-only 173: 98:  1585:is a 1577:This 1427:Other 1354:Lipid 754:(emc) 552:InChI 508:JSmol 384:ChEBI 1587:stub 1579:drug 1120:and 1076:link 1063:2015 1035:link 1022:2021 992:link 974:PMID 948:JAMA 925:PMID 876:PMID 839:2015 813:2024 787:2021 762:2021 736:2024 708:2024 682:2023 598:salt 364:KEGG 344:UNII 54:AHFS 1126:A16 964:PMC 956:doi 952:313 915:PMC 907:doi 866:doi 862:274 429:EPA 283:CID 199:POM 143:WHO 1632:: 1374:: 1356:: 1309:: 1254:: 1238:, 1234:, 1212:: 1194:: 1072:}} 1068:{{ 1043:^ 1031:}} 1027:{{ 1000:^ 988:}} 984:{{ 972:. 962:. 950:. 946:. 923:. 913:. 903:35 901:. 897:. 874:. 860:. 856:. 803:. 778:. 752:. 724:. 698:. 672:. 475:36 469:23 218:EU 206:US 193:UK 182:CA 175:S4 169:AU 95:US 1618:e 1611:t 1604:v 1593:. 1544:: 1490:) 1486:( 1366:) 1362:( 1343:) 1339:( 1331:) 1327:( 1319:) 1315:( 1301:) 1287:( 1279:) 1260:( 1250:/ 1242:) 1230:( 1222:) 1218:( 1204:) 1200:( 1128:) 1109:e 1102:t 1095:v 1078:) 1037:) 994:) 980:. 958:: 931:. 909:: 882:. 868:: 841:. 815:. 789:. 764:. 738:. 710:. 684:. 510:) 487:4 484:O 481:2 478:N 472:H 466:C 431:) 427:( 247:N 220:: 208:: 195:: 171:: 56:/

Index


Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a618038
License data
DailyMed
Eliglustat
Routes of
administration

By mouth
ATC code
A16AX10
WHO
Legal status
S4
℞-only
POM
℞-only
IUPAC name
CAS Number
491833-29-5
PubChem
23652731
DrugBank
DB09039
ChemSpider
28475348
UNII

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