New Drugs: Agalsidase Alfa

    October 2004 in “ Australian Prescriber
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    Studysummary This review discusses the lack of long-term clinical studies on metformin's cardiovascular benefits in women with polycystic ovary syndrome, highlighting lifestyle changes as a crucial management strategy for reducing associated risks. Our plain-language summary of this paper — not a Tressless recommendation.
    Agalsidase alfa, a recombinant form of a-galactosidase A, was approved in Australia for treating Fabry's disease. In a six-month trial with 26 men, it increased normal glomeruli in renal biopsies by 21%, compared to a 27% decrease in the placebo group, and reduced urinary globotriaosylceramide levels. Although infusion reactions were common, the treatment resulted in small but significant reductions in neuropathic pain, allowing some patients to stop using analgesics. However, the long-term clinical benefits and cost-effectiveness of agalsidase alfa were uncertain, necessitating further research to determine its optimal use.
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