Miplyffa (arimoclomol)
The first FDA-approved medicine for NPC, taken with miglustat to help fragile NPC1 protein keep working.
How it works
Miplyffa helps the cell’s rescue crew — heat-shock proteins — stay on duty. Those proteins act like chaperones. They try to fold and protect the damaged NPC1 protein so more of it can reach the lysosome and move cholesterol out.
It is approved together with miglustat for neurological symptoms of NPC in people 2 years and older.
Who it is for
Adults and children 2 years and older, used with miglustat.
What it does not do
It does not rewrite the NPC1 gene or restore a fully healthy protein. It is a treatment, not a cure.
What this treatment does
Four short pictures of the idea. Play through, or tap a step. This is a teaching picture, not a medical simulation.
Step 1 of 4 · The problem
NPC1 is there, but it is fragile
In many children the NPC1 protein is made, then falls apart. Cholesterol stays trapped in the lysosome.
Official information
Educational only. Ask an NPC specialist what is right for a specific child or adult. Official sites and FDA pages are the source of prescribing information.
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