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migalastat

Generic: MIGALASTAT HYDROCHLORIDE·Brand: GALAFOLD, Galafold

migalastat: developed by 1 company · 6 clinical trials tracked · 1 FDA decision.

migalastat evidence translation

What we can confirm

1 FDA record · 6 tracked trials

What it means

Source-backed records connect migalastat to FOLD; that link alone does not prove the drug works.

What to watch

Watch active trials and any change in FDA or trial status.
BioSniper AIPage evidence connected

Prepared research question

How could migalastat → FOLD affect its developer, and what evidence supports the link?

Run cited research

Traceable citations · Unknowns marked

See linked entities and source evidence3 indications · 2 study sponsors

Related indications

Fabry disease (treatment of adults with a confirmed diagnosis of Fabry disease and an amenable GLA variant; approved in some jurisdictions for adolescents 16 years and older, and in some jurisdictions for adolescents 12 years and older weighing 45 kg or more)Fabry disease in patients with amenable GLA variantsFabry Disease
Development Pipeline (2)
CompanyPhase
AMICUS THERAPEUTICS, INC. (FOLD)
Fabry disease (treatment of adults with a confirmed diagnosi…
Approved
AMICUS THERAPEUTICS, INC. (FOLD)
Fabry disease in patients with amenable GLA variants
Approved
Clinical Trials (6)

A Prospective, Observational Study of Patients With Fabry Disease (US Specific)

Recruiting

Primary endpoint: Annualized rate of change in Estimated Glomerular Filtration Rate (eGFR)

Observational450 targetStarted 2026-02Completion 2032-068 sites · United StatesAmicus Therapeutics

An Open-label Study of the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of 12 Month Treatment With Migalastat in Pediatric Subjects (Aged 2 to < 12 Years) With Fabry Disease and Amenable GLA Variants

NCT06904261·Phase 3·FOLD
Recruiting

Primary endpoint: Safety: Incidence of TEAEs, SAEs, and AEs leading to discontinuation of study drug

Interventionalopen8 targetStarted 2026-01Completion 2028-1211 sites · Belgium, Germany, Spain, United Kingdom…Amicus Therapeutics

A Global Prospective Observational Study of Women With Fabry Disease and Their Infants During Pregnancy and Breastfeeding

Recruiting

Primary endpoint: Number of major birth defects

Observational20 targetStarted 2025-03Completion 2030-021 site · United StatesAmicus Therapeutics

An Open-label Study to Evaluate the Safety and Pharmacokinetics of Migalastat HCl in Subjects With Fabry Disease and Amenable GLA Variants and Severe Renal Impairment or End-Stage Renal Disease Treated With Hemodialysis

NCT04020055·Phase 3·FOLD
Active, not recruiting

Primary endpoint: Maximum observed concentration (Cmax)

Interventionalopen14 targetStarted 2022-10Completion 2026-1212 sites · Australia, Japan, Portugal, Spain…Amicus Therapeutics

A Randomized, Open-label, Parallel-group, 18-month Phase 3 Study to Evaluate the Effect of Venglustat Compared With Usual Standard of Care on Left Ventricular Mass Index in Participants With Fabry Disease and Left Ventricular Hypertrophy

NCT05280548·Phase 3·SNY
Active, not recruiting

Primary endpoint: Slope of left ventricular mass index as measured by cardiac magnetic resonance imaging (MRI) (central reading)

InterventionalRandomizedopen104 targetStarted 2022-05Completion 2027-1250 sites · Austria, Canada, China, Czechia…Sanofi

A Long-term, Open-label Study to Evaluate the Safety, Pharmacodynamics, and Efficacy of Migalastat in Subjects > 12 Years of Age With Fabry Disease and Amenable GLA Variants

NCT04049760·Phase 3·FOLD
Completed

Primary endpoint: Incidence of Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and AEs (Adverse Events) Leading to Discontinuation of Study Drug

Interventionalopen16 enrolledStarted 2019-10Completion 2024-116 sites · United Kingdom, United StatesAmicus Therapeutics
FDA Decisions1 records
Approval1 INDICATIONS AND USAGE GALAFOLD is indicated for the treatment of adults with a confirmed diagnosis of Fabry disease and an amenable galactosidase alpha gene ( GLA ) variant based on in vitro assay data [see Dosage and Administration (2.1) and Clinical Pharmacology (12.1) ] . This indication is approved under accelerated approval based on reduction in kidney interstitial capillary cell globotriaosylceramide (KIC GL-3) substrate [see Clinical Studies (14) ] . Continued approval for this indicati(FOLD)FDA ↗
NDA208623Type 1 - New Molecular EntityOrphan DrugPriorityOralCapsule

Frequently asked questions

Who is developing migalastat?

migalastat is being developed by AMICUS THERAPEUTICS, INC..

How many clinical trials involve migalastat?

BioSniper tracks 6 clinical trials involving migalastat.

What is migalastat's latest FDA decision?

The most recent tracked FDA decision for migalastat is Approval for 1 INDICATIONS AND USAGE GALAFOLD is indicated for the treatment of adults with a confirmed diagnosis of Fabry disease and an amenable galactosidase alpha gene ( GLA ) variant based on in vitro assay data [see Dosage and Administration (2.1) and Clinical Pharmacology (12.1) ] . This indication is approved under accelerated approval based on reduction in kidney interstitial capillary cell globotriaosylceramide (KIC GL-3) substrate [see Clinical Studies (14) ] . Continued approval for this indicati, dated August 10, 2018.