cipaglucosidase alfa

Table of contents


On 15 December 2022, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Pombiliti1, intended for the treatment of glycogen storage disease type II (Pompe disease). The applicant for this medicinal product is Amicus Therapeutics Europe Limited.

Pombiliti will be available as a 105 mg powder for concentrate for solution for infusion. The active substance of Pombiliti is cipaglucosidase alfa, a recombinant human acid α-glucosidase (ATC code: A16AB23), which is an enzyme replacement therapy that provides an exogenous source of acid α-glucosidase.

The benefit of Pombiliti is its ability to improve the motor function (six‑minute walk distance) of patients with late-onset Pompe disease when used in combination with miglustat. The most common side effects are infusion-associated reactions such as chills, dizziness, urticaria, flushing, somnolence, anaphylaxis, chest discomfort, cough, infusion site swelling, and pain.

The full indication is:

Pombiliti (cipaglucosidase alfa) is a long-term enzyme replacement therapy used in combination with the enzyme stabiliser miglustat for the treatment of adults with late-onset Pompe disease (acid α‑glucosidase [GAA] deficiency).

Treatment should be supervised by a physician experienced in the management of Pompe disease or other inherited metabolic or neuromuscular diseases.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published in the European public assessment report (EPAR) and made available in all official European Union languages after the marketing authorisation has been granted by the European Commission.

1 This product was designated as an orphan medicine during its development. EMA will now review the information available to date to determine if the orphan designation can be maintained


Key facts

Agency product number
International non-proprietary name (INN) or common name
  • cipaglucosidase alfa
Active substance
  • Cipaglucosidase alfa
Therapeutic area
Glycogen Storage Disease Type II

This medicine was designated an orphan medicine. This means that it was developed for use against a rare, life-threatening or chronically debilitating condition or, for economic reasons, it would be unlikely to have been developed without incentives. For more information, see Orphan designation.

Date opinion adopted
Company name
Amicus Therapeutics Europe Limited
Application type
Initial authorisation

How useful was this page?

Add your rating
1 rating