October 17, 2025

Enzyme replacement therapy

  • The first and only enzyme replacement therapy for the treatment of a very rare and complex blood disorder has been approved by the US Food and Drug Administration.
  • Adzynma, the first recombinant (genetically engineered) protein product indicated for on-demand enzyme replacement therapy (ERT) in adult and pediatric patients with congenital thrombotic thrombocytopenic purpura (cTTP) has been approved for Takeda Pharmaceuticals U.S.A. Inc.

ABOUT ERT

  • Enzyme replacement therapy is typically used to replace a missing or deficient enzyme in a person with an inherited enzyme deficiency syndrome.
  • The replacement enzyme derived from human, animal or plant cells is administered directly into the bloodstream of patient through fluids.

ABOUT CTTP

  • cTTP is a rare and life-threatening blood clotting disorder.
  • It is caused by a disease-causing mutation in the ADAMTS13 gene, which is responsible for making an enzyme, also named ADAMTS13, that regulates blood clotting.
  • A deficiency in this enzyme causes blood clots to form in the small blood vessels throughout the body.
  • Symptoms of this rare disorder typically develop in infancy or early childhood, but in some cases may develop in adulthood and may first manifest during pregnancy.
  • Individuals with cTTP may experience severe bleeding episodes, strokes and damage to vital organs.
  • If left untreated, the disease can be fatal.
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