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Unmet Need

There is a need for a treatment that can slow down disease progression in ARG1-D

The symptoms and progressive manifestations of ARG1-D are challenging and burdensome for patients and their families1,2

The current standard of care for ARG1-D does not affect endogenousarginine production, and is thus not sufficient for sustainably normalisingplasma arginine levels over time3

The current guideline treatment goal for plasma arginine of 200 μmol/L is above the upper limit of normal and may not fully reverse ongoingmanifestations of ARG1-D4

*Normal range plasma arginine; 40-115 μmol/L, as defined in the PEACE trial

Guideline
  1. Carvalho DR, et al. Clinical Features and Neurologic Progression of Hyperarginemia Pediatr Neurol. 2012;46:369-374. 
  2. Jain-Ghai S, et al. Arginase I deficiency: Severe infantile presentation with hyperammonemia: More common than reported?  Mol Genet Metab. 2011;104:107-111.
  3. Burrage LC, et al. Human recombinant arginase enzyme reduces plasma arginine in mouse models of arginase deficiency. Hum Mol Genet. 2015 Nov 15;24(22):6417-6427.
  4. Häberle J, et al. Suggested guidelines for the diagnosis and management of urea cycle disorders: First revision. J Inherit Metab Dis. 2019;1–39.

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