Lysosomal acid lipase (LAL) deficiency

Active Ingredient: Sebelipase alfa

Indication for Sebelipase alfa

Population group: only newborns (0 - 40 days old) , infants (40 days - 1 year old)

Sebelipase alfa is indicated for long-term enzyme replacement therapy (ERT) in patients of all ages with lysosomal acid lipase (LAL) deficiency.

For this indication, competent medicine agencies globally authorize below treatments:

1-3 mg/kg once weekly

Route of admnistration

Intravenous

Defined daily dose

1 - 3 mg per kg of body weight

Dosage regimen

From 1 To 3 mg per kg of body weight once every 7 day(s)

Detailed description

The recommended starting dose in infants (<6 months of age) presenting with rapidly progressive LAL deficiency is 1 mg/kg administered as an intravenous infusion once weekly. Dose escalation to 3 mg/kg once weekly should be considered based on clinical response.

Dosage considerations

The total volume of the infusion should be administered over approximately 2 hours. A 1-hour infusion may be considered after patient tolerability is established. The infusion period may be extended in the event of dose escalation.

Active ingredient

Sebelipase alfa

Sebelipase alfa is a recombinant human lysosomal acid lipase (rhLAL). Replacement of LAL enzyme activity leads to reductions in liver fat content and transaminases, and enables metabolism of cholesteryl esters and triglycerides in the lysosome, leading to reductions in lowdensity lipoprotein (LDL) cholesterol and non-high-density lipoprotein (HDL) cholesterol, triglycerides, and increases in HDL cholesterol. Improvement in growth occurs as a result of substrate reduction in the intestine.

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