TheraRadar
Data updated: May 26, 2026

NAGLAZYME (galsulfase)

Rare Disease Approved 2005-05-31

NAGLAZYME is indicated for the treatment of Mucopolysaccharidosis VI; Maroteaux-Lamy Syndrome.

Source: FDA Label • BIOMARIN • Hydrolytic Lysosomal Glycosaminoglycan-specific Enzyme

How NAGLAZYME Works

Mucopolysaccharidosis VI is characterized by a deficiency in the enzyme N-acetylgalactosamine 4-sulfatase, which leads to the accumulation of the substrate dermatan sulfate throughout the body. Naglazyme provides an exogenous version of this enzyme that is taken up into lysosomes, likely through binding with mannose-6-phosphate receptors. Once inside the lysosomes, the drug increases the catabolism of glycosaminoglycans (GAG). This process helps reduce the accumulation of GAG that otherwise leads to widespread tissue and organ dysfunction.

2
Indications
--
Phase 3 Trials
1
Priority Reviews
20
Years on Market

Details

Status
Prescription
First Approved
2005-05-31
Patent Cliff
2012
Revenue
$130M (Q4-2025)

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Patent cliff and revenue data

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Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: GALSULFASE

NAGLAZYME Approval History

2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
8 FDA actions from 2005 to 2024 · 1 indication expansions
Sep 2024 SUPPL
Label · Labeling
Jul 2024 SUPPL
Label · Labeling
Dec 2019 SUPPL
Label · Labeling

What NAGLAZYME Treats

2 indications

NAGLAZYME is approved for 2 conditions since its original approval in 2005. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Mucopolysaccharidosis VI
  • Maroteaux-Lamy Syndrome
Source: FDA Label

NAGLAZYME Boxed Warning

HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate NAGLAZYME in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. If a severe hypersensitivity react...

NAGLAZYME Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

MoA expansion candidates

3

Same target(s), different indications — where else is this mechanism being explored?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NAGLAZYME FDA Label Details

Indications & Usage

FDA Label (PDF)

NAGLAZYME is indicated for the treatment of Mucopolysaccharidosis VI; Maroteaux-Lamy Syndrome.

⚠️ BOXED WARNING

WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration...

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Deep insights for NAGLAZYME

Revenue Insights

  • Q4-2025: $130M
  • Historical trend analysis

Patent Timeline

  • Cliff: 2012
  • Generic/biosimilar risk

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • Competitor tracking
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.