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Full Prescribing Information (PDF)

Your patients might be concerned that their condition will prevent them from continuing in all of their normal, day-to-day activities. Try to reassure your patients (and their families) that their feelings are not unusual. Some of their questions may include the following:

What is MPS I?

What will happen now?

What can you do to help my child?

Why don’t my doctors know about this condition? What other doctors will I need to see?

What can health care professionals do to help me and my child?

What is the chance this will happen again?


It may be difficult to explain the role of Aldurazyme® (laronidase) to patients. When discussing Aldurazyme with your patients, you may want to cover the following discussion points:

MPS I is a lifelong disease [1]. Regular replacement of the alpha-L-iduronidase enzyme with Aldurazyme helps prevent the buildup of GAG. [2]
You might explain to patients that, in order to continue to benefit from the treatment, patients may need to receive intravenous infusions for the rest of their lives, even though they may feel better. Once therapy stops, levels of GAG may build up again and symptoms may return.

Regular therapy is essential
You could also explain in patient terms that people with MPS I are deficient in the enzyme alpha-L-iduronidase, which is responsible for breaking down the accumulation of GAG[1]. When administered to patients, Aldurazyme enzyme replacement therapy acts like alpha-L-iduronidase and breaks down that accumulation of GAG. If the therapy is stopped, GAG may once again build up, creating a recurrence of signs and symptoms. [2]

Continuing therapy
It is important to encourage patients to stay on therapy. You may want to emphasize that MPS I is a lifelong disorder, and that Aldurazyme is not a cure. It is important to understand your patient’s expectations, and help them maintain therapeutic compliance in order to continue to benefit.

Expectations of therapy
Patients and their families may have high hopes for quick results with Aldurazyme therapy. Consider offering explanations on how results may vary depending on the types of symptoms experienced by patients. Different organ systems can respond at different rates and can demonstrate a range of improvement, if any at all.


References:
1. Neufeld EF, Muenzer J. The mucopolysaccharidoses. In: Scriver CR, Beaudet AL, Sly WS, Valle D, Childs B, Kinzler KW, et al, editors. The Metabolic and Molecular Bases of Inherited Disease. Vol. III. 8th ed. New York: McGraw-Hill; 2001. p. 3421-8.

2. Aldurazyme® [package insert]. Novato, CA: BioMarin Pharmaceutical Inc.; 2003 (lines 25-87).


Region/Country
This site is intended for use in the United States. Please visit the Genzyme site for your country or region.
Aldurazyme has been shown to improve pulmonary function and walking capacity in people with MPS I.
MPS I is a progressive, debilitating and often life-threatening disease. Tell us how you found this site and you may help others locate critical information about MPS I and its treatment.

ALDURAZYME® (laronidase) is indicated for patients with Hurler and Hurler-Scheie forms of Mucopolysaccharidosis I (MPS I) and for patients with the Scheie form who have moderate to severe symptoms.  The risks and benefits of treating mildly affected patients with the Scheie form have not been established.

 

ALDURAZYME has been shown to improve pulmonary function and walking capacity.  ALDURAZYME has not been evaluated for effects on the central nervous system manifestations of the disorder.

 

Important Safety Information

 

WARNING

Risk of anaphylaxis.

Life-threatening anaphylactic reactions have been observed in some patients during ALDURAZYME infusions.  Therefore, appropriate medical support should be readily available when ALDURAZYME is administered.  Patients with compromised respiratory function or acute respiratory disease may be at risk of serious acute exacerbation of their respiratory compromise due to infusion reactions, and require additional monitoring.

 

Life-threatening anaphylactic reactions have been observed in some patients during or up to 3 hours after ALDURAZYME infusions. Reactions have included: respiratory failure, respiratory distress, stridor, tachypnea, bronchospasm, airway obstruction, hypoxia, hypotension, bradycardia, and urticaria. Interventions have included: resuscitation, mechanical ventilatory support, emergency tracheotomy, hospitalization, and treatment with inhaled beta-adrenergic agonists, epinephrine, and intravenous corticosteroids.

 

In clinical trials and postmarketing safety experience with ALDURAZYME, approximately 1% of patients experienced severe or serious allergic reactions. In patients with MPS I, pre-existing upper airway obstruction may have contributed to the severity of some reactions. Due to the potential for severe allergic reactions, appropriate medical support should be readily available when ALDURAZYME is administered. Because of the potential for recurrent reactions, some patients who experience initial severe reactions may require prolonged observation. The risks and benefits of re-administering ALDURAZYME following an anaphylactic or severe allergic reaction should be considered.

 

Patients with an acute illness at the time of ALDURAZYME infusion may be at greater risk for infusion-related reactions. Careful consideration should be given to the patient’s clinical status prior to administration of ALDURAZYME.

 

Patients should receive antipyretics and/or antihistamines prior to infusion. If an infusion reaction occurs, regardless of pretreatment, decreasing the infusion rate, temporarily stopping the infusion, and/or administration of additional antipyretics and/or antihistamines may ameliorate the symptoms.

 

The most common adverse reactions associated with ALDURAZYME treatment in the clinical studies were upper respiratory tract infection, rash, and injection site reaction  The most common adverse reactions requiring intervention were infusion-related reactions involving flushing, fever, headache, and rash. 

 

In postmarketing experience with ALDURAZYME, severe and serious infusion-related reactions have been reported, some of which were life-threatening.  The most frequently reported adverse reactions included: chills, vomiting, nausea, arthralgia, diarrhea, tachycardia, abdominal pain, blood pressure increased, and oxygen saturation decreased. 

 

Approximately 91% of patients treated with ALDURAZYME in clinical studies were positive for antibodies to laronidase. The clinical significance of antibodies to ALDURAZYME is not known, including the potential for product neutralization. Adverse events should be reported promptly to Genzyme Medical Information at 800-745-4447, option 2. ALDURAZYME is available by prescription only. To learn more, please see the full prescribing information (PDF) including boxed warning, visit www.ALDURAZYME.com or contact Genzyme at 1-800-745-4447.


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