Pegunigalsidase alfa


Pegunigalsidase alfa, sold under the brand name Elfabrio, is an enzyme replacement therapy for the treatment of Fabry disease. It is a recombinant human α-galactosidase-A. It is a hydrolytic lysosomal neutral glycosphingolipid-specific enzyme.
The most common side effects are infusion-related reactions, hypersensitivity and asthenia.
Pegunigalsidase alfa was approved for medical use in both the European Union and the United States in May 2023.

Medical uses

Pegunigalsidase alfa is indicated for long-term enzyme replacement therapy in adults with a confirmed diagnosis of Fabry disease.

Society and culture

Legal status

In February 2023, the Committee for Medicinal Products for Human Use of the European Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Elfabrio, intended for the treatment of Fabry disease. The applicant for this medicinal product is Chiesi Farmaceutici S.p.A. Elfabrio was approved for medical use in the European Union in May 2023.