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Pharmacological chaperone treatment with Cystadane in aspartylglucosaminuria: an open-label, phase Ib/II trial

Nature · By Minna Laine ·

The Brief

  • An open-label phase Ib/II clinical trial tested Cystadane (betaine) as a pharmacological chaperone in aspartylglucosaminuria.
  • The trial reports that betaine/Cystadane is safe to use.
  • Treatment significantly reduced urinary accumulation of glycoasparagines, according to the published abstract.

Why it matters

It provides early clinical evidence that an existing, orally used compound may be a candidate treatment for a rare inherited metabolic disorder, which matters for clinicians and researchers working on rare diseases.

Who’s affected

  • clinicians and researchers in rare inherited metabolic disorders
  • patients and families affected by aspartylglucosaminuria

Nature Communications, Published online: 11 November 2026; doi:10.1038/s41467-026-78752-x Here, this phase Ib/II interventional clinical trial shows that betaine/Cystadane is safe to use and significantly reduces urinary accumulation of glycoasparagines and increases…

Timeline

  1. Trial results published online in Nature Communications

  2. nature.com

    Pharmacological chaperone treatment with Cystadane in aspartylglucosaminuria: an open-label, phase Ib/II trial

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