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About Iduronate-2-sulfatase

Iduronate-2-sulfatase (IDS) is a lysosomal enzyme that breaks down glycosaminoglycans (GAGs) by removing sulfate groups from iduronic acid. Its deficiency leads to GAG accumulation, causing a lysosomal storage disorder.

1
Approved Drugs
1
Companies
2
Indications
1
Therapeutic Areas
Broadest Approval
ELAPRASE
Takeda
2
approved indications

Top Iduronate-2-sulfatase Drugs

ELAPRASE
Takeda
2 indications · 2006
🏢

Takeda is the only company with an approved drug targeting IDS.

Iduronate-2-sulfatase Drug Modality Landscape

Modalities

Enzyme
1
100%

Routes of Administration

💉 IV
1
100%
💡

Only one approved drug targets Iduronate-2-sulfatase, using enzyme modality.

The lack of modality diversity suggests an opportunity for novel therapeutic approaches beyond enzyme replacement.

Biologics only

Iduronate-2-sulfatase Clinical Trials 11 trials

Phase 1-4 trials started in 2008 or later that test an FDA-approved drug acting on Iduronate-2-sulfatase. Source: ClinicalTrials.gov. How we count

11
Total Trials
3
Active
7
Completed
88%
Completion Rate

Completion by Phase

Phase Total Completed Stopped Active Completion
Phase 1 3 3 0 0 100%
Phase 2 4 2 0 2 100%
Phase 3 1 0 0 1 -
Phase 4 3 2 1 0 67%

Top Sponsors

Shire 4 100%
Takeda 4 67%
JCR Pharmaceuticals Co., Ltd. 1
Denali Therapeutics Inc. 1
Green Cross Corporation 1 100%

By Modality

Enzyme
11 88%
Source: ClinicalTrials.gov · Completion rate = completed ÷ (completed + terminated + withdrawn)

Phase 3 Readout Calendar Pro

3 Phase 3 trials testing approved Iduronate-2-sulfatase drugs across all sponsors.

Full calendar →
Q4 2027
JR-141
JCR Pharmaceuticals Co., Ltd. · Mucopolysaccharidosis II
Estimated · aging NCT04573023
Q4 2027
tividenofusp alfa
Denali Therapeutics Inc. · Mucopolysaccharidosis II
Estimated · stale NCT05371613
Q1 2029
Idursulfase-IT
Takeda · Hunter Syndrome
Estimated · aging NCT06031259

Coverage: trials whose intervention is an approved drug targeting Iduronate-2-sulfatase. Pre-approval candidates with development codes (e.g. AZD0901, MK-7240) are not yet linked. Anchored on CT.gov primary completion date.

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Competitive Landscape

  • • 1 companies competing
  • • Market share by company

Full Drug Portfolio

  • • All 1 approved drugs
  • • Approval dates & indications

Genetic Validation

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  • • Effect sizes & directions

Approval Timeline

  • • Full 1-drug timeline
  • • First-of-modality markers

Clinical Trials Analysis

  • • Sponsors: 5 (5 companies)
  • • Completion rates by condition
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How We Count Trials

  • Trials: phase 1-4 interventional trials on ClinicalTrials.gov that started in 2008 or later and test an FDA-approved drug acting on Iduronate-2-sulfatase. A trial counts if an approved drug acting on Iduronate-2-sulfatase is in any arm, including as a comparator, and a trial that tests two such drugs counts once. Trials that test only unapproved drugs are not counted. A trial listed as phase 1/2 counts as phase 1, and phase 2/3 as phase 2.
  • Active: recruiting, not yet recruiting, enrolling by invitation, or active and no longer recruiting.
  • Completion rate: of the trials that have ended, the share marked Completed rather than Terminated or Withdrawn. Completed means the trial ended as planned; it does not mean the drug worked. Suspended trials are not counted as ended.
  • Stopped: terminated or withdrawn. Trials stop for many reasons, including slow enrolment and business decisions, not only safety or efficacy.
  • Sponsors: the lead sponsor of each trial. Companies are the sponsors ClinicalTrials.gov classes as industry; the rest are universities, hospitals, cooperative groups, government bodies and individuals.