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Physician Initiated Expanded Access Request for Migalastat in Individual Patients With Fabry Disease

Physician Initiated Expanded Access Request for Treatment Use of Migalastat Hydrochloride (AT1001), an Investigational Treatment for Individual Patients With Fabry Disease (AT1001-188)

Status
AVAILABLE
Phases
Unknown
Study type
Expanded Access
Source
ClinicalTrials.gov
Registry ID
NCT01476163
Enrollment
Unknown
Registered
2011-11-22
Start date
Unknown
Completion date
Unknown
Last updated
2025-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fabry Disease

Keywords

AT1001, migalastat, Fabry disease, Fabry, Amicus, lysosomal disease, lysosomal disorder

Brief summary

This program allows physicians to request permission from Amicus Therapeutics (Amicus) for treatment access to migalastat hydrochloride (HCl) for specific patients with Fabry disease. Treatment is open label.

Detailed description

This Physician Initiated Request program allows physicians to request permission from Amicus to receive migalastat HCl for specific patients with Fabry disease who have a mutation amenable to this treatment, who do not have access to commercial Galafold or available treatment alternatives, or do not meet requirements for participation in an existing migalastat clinical study. Up to 20 patients worldwide may be treated. Patients must meet specific criteria to receive Amicus permission for participation. Key criteria for participation include: At least 2 years old; Confirmed GLA gene mutation shown to be responsive to migalastat; Have no treatment option because either unsuitable for enzyme replacement therapy (ERT) or unable to access ERT.

Interventions

150 mg capsule

20 mg dispersible tablets; dosing will be based on body weight

Sponsors

Amicus Therapeutics
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
ALL
Age
2 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Confirmed GLA mutation predicted to be responsive migalastat in the human embryonic kidney (HEK-293) cell-based assay * At least 2 years of age * Strong clinical indication for treatment of Fabry disease * No other treatment option including either unsuitable for ERT or unable to access ERT * Appropriate female and male contraception * Willing to receive treatment with migalastat HCl via this program including having signed an authorization for sharing clinical data

Exclusion criteria

* Scheduled for renal or other organ transplant or replacement therapy * Receiving GLYSET® (miglitol), ZAVESCA® (miglustat) or enzyme replacement therapy FABRAZYME® (agalsidase beta), REPLAGAL™ (agalsidase alpha), or Elfabrio® (pegunigalsidase alfa) * Contraindication to migalastat, i.e., sensitivity to other iminosugar such as miglustat, miglitol * Treated with another investigational drug within 30 days of start of migalastat HCl treatment * Unable to comply with study requirements or deemed otherwise unsuitable for study entry in the opinion of the investigator.

Contacts

Primary ContactAmicus Therapeutics Patient Advocacy
patientadvocacy@amicusrx.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026