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First Therapy Approved for Dangerous Metabolic Disorder

Approval was based on a 48-week trial in 46 participants that showed a significant reduction in cornstarch requirements, Ultragenyx said.

  • On Wednesday, the FDA granted accelerated approval to Ultragenyx Pharmaceutical Inc.'s GENGLYCOS for patients eight years and older with glycogen storage disease type Ia, marking the company's first-ever gene therapy approval.
  • Patients with GSDIa, an ultra-rare metabolic disorder caused by G6Pase enzyme deficiency, require a relentless, round-the-clock regimen of raw cornstarch to manage blood sugar and avoid potentially life-threatening hypoglycemia episodes.
  • Data from the 48-week Phase 3 GlucoGene trial in 46 participants showed a statistically significant reduction in cornstarch requirements , though ALT/AST enzyme elevations occurred in 71% of treated patients.
  • Ultragenyx set a U.S. list price of $2.7 million per patient for the therapy, which will be available through a national network of Qualified Treatment Centers within 30 to 60 days.
  • Accelerated approval requires confirmatory clinical benefit data, with Ultragenyx agreeing to monitor 50 patients and 20 control patients; Analyst Sami Corwin models $362 million in peak sales for the therapy.
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Reuters broke the news in London, United Kingdom on Wednesday, August 19, 2026.
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