Product image of Naglazyme (Galsulfase) supplied by GNH India

Naglazyme

Active Ingredient:
Galsulfase
Origin:
EU

Naglazyme (Galsulfase)

Galsulfase, the active ingredient in Naglazyme, is an enzyme replacement therapy presented as a solution for injection for intravenous use. It replaces deficient N‑acetylgalactosamine‑4‑sulfatase activity, facilitating degradation of dermatan sulfate in patients with mucopolysaccharidosis type VI (Maroteaux‑Lamy syndrome).

GNH India supplies Naglazyme as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, providing products sourced from the European Union market under strict quality standards. The company ensures reliable access for rare‑disease therapies through regulated cold‑chain logistics.

Manufacturer / TM Owner

Biomarin International Limited

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Indications & Clinical Uses

Naglazyme is used in enzyme replacement therapy for lysosomal storage disorders.

  • Mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome): reduces accumulation of dermatan sulfate, helping maintain organ function.
  • Mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome): improves mobility and respiratory capacity.
  • Mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome): slows progression of skeletal abnormalities and supports cardiac health.

How It Works

  • Galsulfase is a recombinant form of human N‑acetylgalactosamine‑4‑sulfatase that replaces the deficient lysosomal enzyme in patients with MPS VI. The enzyme hydrolyzes sulfate groups from dermatan sulfate, restoring normal catabolism of glycosaminoglycans within lysosomes and reducing substrate accumulation in tissues.

Side Effects

Common Side Effects

  • Infusion-related reactions: flushing, chills, or rash.
  • Fever or chills.
  • Headache.
  • Nausea or vomiting.
  • Abdominal pain.
  • Mild fatigue.

Serious or Rare Side Effects

  • Anaphylaxis or severe hypersensitivity.
  • Significant liver enzyme elevation.
  • Thrombocytopenia.
  • Pulmonary hypertension.
  • Renal impairment.
  • Severe respiratory distress.

Precautions & Warnings

Naglazyme requires careful monitoring due to its biologic nature and potential immunogenicity.

  • Infusion reactions: observe patients during and after administration.
  • Liver function: assess baseline and periodic liver enzymes.
  • Cardiac status: monitor for signs of pulmonary hypertension.
  • Antibody formation: test for neutralizing antibodies if clinical response wanes.
  • Hypersensitivity: avoid in patients with known allergy to Galsulfase or any component of the formulation.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Naglazyme may interact with other biologic agents and vaccines.

Major Interactions (Avoid)

  • Concurrent enzyme replacement therapies: may increase immunogenic response.
  • Live attenuated vaccines: reduced efficacy; avoid administration during treatment.

Moderate Interactions (Monitor Closely)

  • Antihistamines: may mask early infusion reactions.
  • Systemic corticosteroids: could diminish antibody formation.
  • Other immunosuppressants: heightened infection risk.
  • Anticoagulants: monitor for bleeding if infusion causes vascular irritation.

Frequently Asked Questions

Naglazyme is prescribed for the treatment of mucopolysaccharidosis type VI, also known as Maroteaux‑Lamy syndrome. It provides the missing enzyme activity needed to break down dermatan sulfate, helping to manage the disease’s systemic manifestations.

Galsulfase is a recombinant form of human N‑acetylgalactosamine‑4‑sulfatase. When administered intravenously, it enters cells and reaches lysosomes, where it restores the enzymatic step that removes sulfate groups from dermatan sulfate, allowing normal degradation of this glycosaminoglycan.

The dosing regimen for Naglazyme is individualized. A qualified prescriber determines the appropriate dose and infusion schedule based on the patient’s weight, disease severity, and clinical response.

The safety of Naglazyme in pregnancy and lactation has not been established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and decisions are made in consultation with a specialist.

To request Naglazyme, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details, and necessary import documentation.

Naglazyme is the only enzyme replacement therapy specifically approved for MPS VI, directly supplying the deficient N‑acetylgalactosamine‑4‑sulfatase. Alternative approaches, such as hematopoietic stem cell transplantation, address the disease differently and carry distinct risk‑benefit profiles.

Naglazyme must be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use the product if it has been exposed to temperatures outside this range.

Naglazyme is given as an intravenous infusion. The solution is diluted according to the prescribing information and administered over a period defined by the treating physician, typically in a clinical setting equipped for infusion monitoring.

Serious risks include severe hypersensitivity reactions such as anaphylaxis, significant liver enzyme elevations, pulmonary hypertension, and renal impairment. Patients should be closely monitored during and after infusions for any signs of these events.

Naglazyme is contraindicated in individuals with a known hypersensitivity to Galsulfase or any excipients in the formulation. Caution is also advised for patients with uncontrolled cardiac disease, severe liver dysfunction, or active infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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