==== Reference: Usmani SS, Bedi G, Samuel JS, Singh S, Kalra S, Kumar P, et al. (2017) THPdb: Database of FDA-approved peptide and protein therapeutics. PLoS ONE 12(7) e0181748.====

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Primary information
ThPP IDTh1085
Therapeutic Peptide/Protein NameAgalsidase beta
SequenceLDNGLARTPTMGWLHWERFMCNLDCQEEPDSCISEKLFMEMAELMVSEGW view full sequnce in fasta
Functional ClassificationIa
Molecular Weight45351.6
Chemical FormulaC2029H3080N544O587S27
Isoelectric Point5.17
Hydrophobicity-0.307
Melting Point (℃)N.A.
Half Life45-102 min
DescriptionRecombinant human alpha-galactosidase-A produced in CHO cells. The mature protein comprises 2 subunits of 398 residues.
Indication/DiseaseFor treatment of Fabry's disease (alpha-galactosidase A deficiency)
PharmacodynamicsUsed in the treatment of Fabry disease, an X-linked genetic disorder of glycosphingolipid metabolism. The disease is characterized by a deficiency of the lysosomal enzyme alpha-galactosidase A, which leads to progressive accumulation of glycosphingolipids, predominantly GL-3, in many body tissues. Clinical manifestations of Fabry disease include renal failure, cardiomyopathy, and cerebrovascular accidents. Fabrazyme is intended to provide an exogenous source of alpha-galactosidase A and to limit the accumulation of these glycolipids in the tissues. Studies show unconclusive evidence for the clinical efficacy of either agalasidase alfa or agalasidase beta in preventing morbidity.
Mechanism of ActionAlpha-galactosidase A catalyzes the hydrolysis of globotriaosylceramide (GL-3) and other a-galactyl-terminated neutral glycosphingolipids, such as galabiosylceramide and blood group B substances to ceramide dihexoside and galactose.
ToxicityN.A.
MetabolismN.A.
AbsorptionN.A.
Volume of DistributionN.A.
Clearance4.1 ± 1.2 mL/min/kg [adult patients with Fabry disease,0.3 mg/kg, 1 infusion] 4.6 ± 2.2 mL/min/kg [adult patients with Fabry disease, 0.3 mg/kg, 5 infusions] 2.1 ± 0.7 mL/min/kg [adult patients with Fabry disease, 1 mg/kg, 1 infusion] 3.2 ± 2.6 mL/min/kg [adult patients with Fabry disease, 1 mg/kg, 5 infusions] 0.8 ± 0.3 mL/min/kg [adult patients with Fabry disease, 3 mg/kg, 1 infusion] 0.8 ± 0.4 mL/min/kg [adult patients with Fabry disease, 3 mg/kg, 5 infusions] 1.8 ± 0.8 mL/min/kg [Pedi
CategoriesEnzyme Replacement Agents
Patents NumberCA2265464
Date of Issue27/06/11
Date of Expiry13/09/21
Drug InteractionN.A.
TargetN.A.
Information of corresponding available drug in the market
Brand NameFabrazyme
CompanyGenzyme Corp
Brand DiscriptionFabrazyme (agalsidase beta) is a recombinant human α-galactosidase A enzyme with the same amino acid sequence as the native enzyme. Purified agalsidase beta is a homodimeric glycoprotein with a molecular weight of approximately 100 kD. The mature protein is comprised of two subunits of 398 amino acids (approximately 51 kD), each of which contains three N-linked glycosylation sites. α-galactosidase A catalyzes the hydrolysis of globotriaosylceramide (GL-3) and other α-galactyl-terminated neutral glycosphingolipids, such as galabiosylceramide and blood group B substances to ceramide dihexoside and galactose. The specific activity of Fabrazyme (agalsidase beta) is approximately 70 U/mg (one unit is defined as the amount of activity that results in the hydrolysis of 1 rjmoie of a synthetic substrate, p-nitrophenyl-α-D-galactopyranoside, per minute under the assay conditions).Fabrazyme (agalsidase beta) is produced by recombinant DNA technology in a Chinese Hamster Ovary mammalian cell expression system.
Prescribed forRoutine prophylaxis to prevent or reduce the frequency of bleeding episodes.
Chemical NameN.A.
FormulationEach 5 mg vial contains 5.5 mg of agalsidase beta as well as 33.0 mg mannitol, 3.0 mg sodium phosphate monobasic monohydrate, and 8.8 mg sodium phosphate dibasic heptahydrate. Following reconstitution as directed, 5 mg of agalsidase beta (1 mL) may be extracted from each 5 mg vial.
Physcial AppearnceSterile, nonpyrogenic, white to off-white, lyophilized cake or powder for reconstitution with Sterile Water for Injection, uSp. Each 35 mg vial contains 37 mg of agalsidase beta as well as 222 mg mannitol, 20.4 mg sodium phosphate monobasic monohydrate, and 59.2 mg sodium phosphate dibasic heptahydr
Route of AdministrationN.A.
Recommended DosageN.A.
ContraindicationThis is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Side Effectsdifficulty breathing; closing of the throat; hives; rash; itching; fever; shaking; chest tightness; high or low blood pressure; fast heartbeats; muscle pain; stomach pain; nausea or vomiting; dizziness; numbness or tingling; and headache have occurred upon injection of agalsidase beta in many patients. Most patients treated with agalsidase beta develop antibodies to agalsidase beta and many will develop symptoms of an infusion reaction. A slow rate of injection of the medication and pretreatment with other medications may decrease.
Useful Linkhttp://www.rxlist.com/fabrazyme-drug.htm
PubMed ID19852524, 25010055, 24850233, 24718841, 24408305
3-D StructureTh1085 (View) or (Download)