Drug intelligence / Profile preview

pabinafusp alfa

Development stage
Phase 3
Lead developer
JCR Pharmaceuticals
Modality
Replacement Enzymes → Therapeutic Enzymes → Recombinant Proteins and Enzymes, Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes
Administration
Intravenous
01

Overview

Pabinafusp alfa is a recombinant fusion protein composed of human iduronate-2-sulfatase (IDS) genetically fused with a humanized anti-human transferrin receptor antibody. It is designed as an enzyme replacement therapy for mucopolysaccharidosis II (MPS II, also known as Hunter syndrome), a rare X-linked lysosomal storage disorder caused by deficiency of IDS. Unlike conventional ERTs, pabinafusp alfa can cross the blood-brain barrier via transferrin receptor-mediated transcytosis, enabling it to address both central nervous system and peripheral symptoms of MPS II. Clinical studies have shown that intravenous administration reduces heparan sulfate concentrations in cerebrospinal fluid and improves or stabilizes neurocognitive development in affected patients. Pabinafusp alfa was approved in Japan in March 2021 and represents the first BBB-penetrating enzyme therapy for neuronopathic MPS II[1][3][5][6][8].

Brand names
IZCARGO
Other names
pabinafusp alfaJR-141JR141JR 141IZCARGO
02

Targets

IGF2R (Cation-independent mannose-6-phosphate receptor)TFRC (Transferrin Receptor)

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