Methods of treating Fabry patients having renal impairment
Provided are methods for treatment of Fabry disease in patients having HEK assay amenable mutations in α-galactosidase A. Certain methods comprise administering migalastat or a salt thereof every other day, such as administering about 150 mg of migalastat hydrochloride every other day.
1. A composition comprising migalastat bound to an α-galactosidase A protein comprising a HEK assay amenable mutation selected from the group consisting of: D55G, H125Y, Q157H, L166S, N215I, K240N, G261R, L275V, N278Y, W287L, K308E and P343T.
2. The composition of claim 1 , wherein the mutation is selected from the group consisting of: D55G, Q157H, L166S, N215I, K240N, G261R, L275V, N278Y, K308E and P343T.
3. The composition of claim 1 , wherein the mutation is selected from the group consisting of: Q157H, L166S and K240N.
4. The composition of claim 1 , wherein the mutation is selected from the group consisting of: D55G, H125Y, Q157H, L166S, N215I, K240N, G261R, L275V, N278Y, W287L and K308E.
5. The composition of claim 1 , wherein the mutation is selected from the group consisting of: D55G, H125Y, Q157H, L166S, K240N, G261R, L275V, N278Y, W287L and K308E.
6. The composition of claim 1 , wherein the mutation is selected from the group consisting of: D55G, Q157H, L166S, N215I, K240N, G261R, L275V, N278Y and K308E.
7. The composition of claim 1 , wherein the migalastat stabilizes the α-galactosidase A protein.
8. The composition of claim 1 , wherein the composition further comprises globotriaosylceramide (GL-3).
9. The composition of claim 1 , wherein the composition comprises white blood cells containing the migalastat bound to the α-galactosidase A protein.
10. The composition of claim 1 , wherein the composition comprises plasma containing the migalastat bound to the α-galactosidase A protein.
11. The composition of claim 10 , wherein the plasma contains migalastat at a concentration in the range of about 1 ng/mL to about 2191 ng/mL.
12. The composition of claim 10 , wherein the plasma further comprises globotriaosylsphingosine (lyso-Gb3).
13. The composition of claim 12 , wherein the plasma contains lyso-Gb3 at a concentration in the range of about 9.3 to about 13.1 nM/L.
14. The composition of claim 1 , wherein the composition comprises an organ containing migalastat bound to the α-galactosidase A protein.
15. The composition of claim 14 , wherein the organ comprises a heart.
16. The composition of claim 14 , wherein the organ comprises a kidney.
17. The composition of claim 14 , wherein the organ comprises skin.
18. The composition of claim 1 , wherein the composition comprises tissue containing migalastat bound to the α-galactosidase A protein.
19. The composition of claim 1 , wherein the composition comprises cells containing migalastat bound to the α-galactosidase A protein.