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Data updated: Mar 10, 2026

NEXVIAZYME

AVALGLUCOSIDASE ALFA-NGPT
Approved 2021-08-06

NEXVIAZYME (avalglucosidase alfa-ngpt) is a hydrolytic lysosomal glycogen-specific enzyme indicated for the treatment of late-onset Pompe disease. This therapy is approved for use in adult and pediatric patients aged one year and older who have a deficiency in lysosomal acid alpha-glucosidase (GAA). By addressing this inherited disorder of glycogen metabolism, the drug serves as an exogenous enzyme source to manage the underlying cause of the disease.

Source: FDA Label • Sanofi • Hydrolytic Lysosomal Glycogen-specific Enzyme

How NEXVIAZYME Works

Avalglucosidase alfa-ngpt provides an exogenous source of the acid α-glucosidase (GAA) enzyme, which is deficient in patients with Pompe disease. The drug utilizes mannose-6-phosphate (M6P) to bind to receptors on the cell surface, facilitating its internalization and transport into lysosomes. Once inside the lysosome, the drug undergoes proteolytic cleavage to increase its enzymatic activity. This active enzyme then cleaves and degrades accumulated glycogen into glucose, addressing the intralysosomal accumulation of glycogen.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
4
Years on Market

Details

Status
Prescription
First Approved
2021-08-06
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: AVALGLUCOSIDASE ALFA-NGPT

NEXVIAZYME Approval History

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What NEXVIAZYME Treats

1 indications

NEXVIAZYME is approved for 1 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Pompe Disease
Source: FDA Label

NEXVIAZYME Boxed Warning

SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS WARNING: SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS See full prescribing information for complete boxed warning. Hypersensitivity Reactions Including Anaphylaxis Appropriate medical monitoring and support measures, including cardiopulmonary resuscitation equipment, should be...

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NEXVIAZYME FDA Label Details

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Indications & Usage

FDA Label (PDF)

NEXVIAZYME is indicated for the treatment of patients 1 year of age and older with late-onset Pompe disease (lysosomal acid alpha-glucosidase [GAA] deficiency). NEXVIAZYME is a hydrolytic lysosomal glycogen-specific enzyme indicated for the treatment of patients 1 year of age and older with late-onset Pompe disease (lysosomal acid alpha-glucosidase [GAA] deficiency).

⚠️ BOXED WARNING

WARNING: SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS WARNING: SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS See full presc...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.