Asset profile

Migalastat · Galafold

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Fabry Disease

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Weak signal

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Competitive landscape

3 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 2 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Migalastat (Galafold): this drugApprovedSmall moleculeAlpha-galactosidase A (GLA / α-Gal A)
Agalsidase Beta (Fabrazyme)ApprovedProtein / enzyme therapeuticAlpha-galactosidase A (GLA / α-Gal A)
Pegunigalsidase AlfaApprovedProtein / enzyme therapeutic—
Isaralgagene CivaparvovecNot yet studiedGene therapy / editing—
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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(2 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (1)
December 2026 (1)
Phase 3Fabry DiseaseActive not recruiting
Est. primary completion 2026-12-31 · NCT04020055 · CT.gov ↗
What to watch
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2027 (1)
December 2027 (1)
Phase 3Fabry DiseaseRecruiting
Est. primary completion 2027-12 · NCT06904261 · CT.gov ↗
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (8)
Phase 2 (6)
Phase 1 (5)
Used as active comparator (1)