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Data updated: Mar 10, 2026

POMBILITI

CIPAGLUCOSIDASE ALFA-ATGA
Rare Disease Approved 2023-09-28

POMBILITI (cipaglucosidase alfa-atga) is a hydrolytic lysosomal glycogen-specific enzyme indicated for use in combination with the enzyme stabilizer Opfolda. It is approved for the treatment of adult patients with late-onset Pompe disease, specifically those weighing at least 40 kg. This therapeutic regimen is intended for patients who are not showing clinical improvement on their current enzyme replacement therapy.

Source: FDA Label • AMICUS THERAP US

How POMBILITI Works

Pompe disease is caused by a deficiency of the enzyme lysosomal acid alpha-glucosidase (GAA), which results in the accumulation of glycogen within lysosomes. Cipaglucosidase alfa-atga provides an exogenous source of GAA that binds to cell surface receptors and is transported into the lysosomes to cleave accumulated glycogen. The drug is administered with miglustat, which binds to and stabilizes the enzyme in the blood to reduce its inactivation after infusion.

Source: FDA Label
1
Indication
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2023-09-28
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: CIPAGLUCOSIDASE ALFA-ATGA

POMBILITI Approval History

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What POMBILITI Treats

1 indications

POMBILITI is approved for 1 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Pompe Disease
Source: FDA Label

POMBILITI Boxed Warning

SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS Hypersensitivity Reactions Including Anaphylaxis Patients treated with POMBILITI have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Appropriate medical support measures, including cardiopulmonary resuscitation equipment, should be readily available during POMBILITI administration. If a severe hypersensitivity reaction (e.g., anaph...

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

POMBILITI FDA Label Details

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Indications & Usage

FDA Label (PDF)

POMBILITI is indicated, in combination with Opfolda, for the treatment of adult patients with late-onset Pompe disease (lysosomal acid alpha-glucosidase [GAA] deficiency) weighing ≥40 kg and who are not improving on their current enzyme replacement therapy (ERT). POMBILITI is a hydrolytic lysosomal glycogen-specific enzyme indicated, in combination with Opfolda, an enzyme stabilizer, for the treatment of adult patients with late-onset Pompe disease (lysosomal acid alpha-glucosidase [GAA] deficiency) weighing ≥40 kg and who are not improving on their current enzyme replacement therapy (ERT).

⚠️ BOXED WARNING

WARNING: SEVERE HYPERSENSITIVITY REACTIONS, INFUSION-ASSOCIATED REACTIONS, and RISK OF ACUTE CARDIORESPIRATORY FAILURE IN SUSCEPTIBLE PATIENTS Hypersensitivity Reactions Including Anaphylaxis Patients treated with POMBILITI have experienced life-threatening hypersensitivity reactions, including anap...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.