TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

XENPOZYME

OLIPUDASE ALFA-RPCP
Approved 2022-08-31

XENPOZYME (olipudase alfa-rpcp) is a hydrolytic lysosomal sphingomyelin-specific enzyme indicated for the treatment of acid sphingomyelinase deficiency (ASMD). The therapy is approved for use in both adult and pediatric patients to manage the non–central nervous system manifestations of the condition. By providing an exogenous source of the missing enzyme, it serves as a targeted treatment for this lysosomal storage disease.

Source: FDA Label • Sanofi

How XENPOZYME Works

ASMD is caused by a deficiency in the acid sphingomyelinase (ASM) enzyme, which is responsible for degrading sphingomyelin into ceramide and phosphocholine. This deficiency leads to an intra-lysosomal accumulation of sphingomyelin and other lipids in various body tissues. XENPOZYME provides an exogenous source of ASM to replace the deficient natural enzyme and facilitate lipid degradation. The medication is not expected to cross the blood-brain barrier or impact the central nervous system manifestations of the disease.

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

Details

Status
Prescription
First Approved
2022-08-31
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: OLIPUDASE ALFA-RPCP

XENPOZYME Approval History

Loading approval history...

What XENPOZYME Treats

1 indications

XENPOZYME is approved for 1 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Acid Sphingomyelinase Deficiency
Source: FDA Label

XENPOZYME Boxed Warning

HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS Patients treated with XENPOZYME have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Appropriate medical monitoring and support measures, including cardiopulmonary resuscitation equipment, should be readily available during XENPOZYME administration. If a severe hypersensitivity reaction (e.g., anaphylaxis) occurs, discontinue XENPOZYME immediately and initiate appropriate medical treatment. In patients with severe h...

🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

Loading...
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.

XENPOZYME FDA Label Details

Pro

Indications & Usage

FDA Label (PDF)

XENPOZYME is indicated for treatment of non–central nervous system manifestations of acid sphingomyelinase deficiency (ASMD) in adult and pediatric patients. XENPOZYME is a hydrolytic lysosomal sphingomyelin-specific enzyme indicated for treatment of non–central nervous system manifestations of acid sphingomyelinase deficiency (ASMD) in adult and pediatric patients.

⚠️ BOXED WARNING

WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS Patients treated with XENPOZYME have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Appropriate medical monitoring and support measures, including cardiopulmonary resuscitation equipment, should be readily ava...

Want competitive intelligence?

See who's developing similar drugs and track their progress

View Pipeline Dashboard

Data Sources

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