País: Australia
Idioma: inglés
Fuente: Department of Health (Therapeutic Goods Administration)
Miglustat
Actelion Pharmaceuticals Australia Pty Limited
Medicine Registered
Zavesca ® miglustat PRODUCT INFORMATION ZAVESCA ® (MIGLUSTAT) 100MG CAPSULES NAME OF THE MEDICINE Miglustat DESCRIPTION Miglustat is an orally active, non-peptide, N-alkylated imino sugar, which is a synthetic analogue of D-glucose. It is a white to off-white crystalline solid and is highly water soluble (›1000mg/mL as a free base). The chemical name of miglustat is 1, 5- (butylimino)-1,5-dideoxy-D-glucitol. Molecular structure N OH OH HO Me HO Molecular formula: C 10 H 21 NO 4 Molecular mass: 219.28 CAS Number 72599-27-0 Each capsule contains: Active: 100 mg miglustat Inactives: sodium starch glycollate, povidone, magnesium stearate Capsule shell: gelatin, titanium dioxide (E171), black printing ink PHARMACOLOGY PHARMACODYNAMICS TYPE 1 GAUCHER DISEASE Type 1 Gaucher disease is an inherited metabolic disorder caused by a functional deficiency of β-glucocerebrosidase, the enzyme that mediates the degradation of the glycosphingolipid; glucocerebroside. The failure to degrade glucocerebroside results in the lyosomal storage of this material within tissue macrophages, leading to widespread pathology. Macrophages containing stored glucocerebroside are typically found in the liver, spleen, and bone marrow and occasionally in lung, kidney and intestine. Secondary haematogical consequences include severe anaemia and thrombocytopenia in addition to the characteristic progressive hepatosplenomegaly. Skeletal complications include osteonecrosis and osteopenia with secondary pathological fractures and associated pain; all of which can cause significant morbidity. 1/16 Zavesca ® miglustat Miglustat acts as a competitive and reversible inhibitor of glucosylceramide synthase, the enzyme responsible for the first and committed step in the synthesis of most glycosphingolipids. The goal of treatment with miglustat is to reduce the rate Leer el documento completo