Tividenofusp alfa, sold under the brand name Avlayah, is an enzyme replacement therapy used for the treatment of Hunter syndrome. Tividenofusp alfa is a hydrolytic lysosomal glycosaminoglycan-specific enzyme. The most common side effects include upper respiratory tract infection, ear infection, fever, anemia, cough, vomiting, diarrhea, rash, COVID-19, runny nose, nasal congestion, fall, headache, skin abrasion, and hives. Tividenofusp alfa was approved for medical use in the United States in March 2026.
Medical uses Tividenofusp alfa is indicated for the treatment of neurologic manifestations of Hunter syndrome (mucopolysaccharidosis type II) when initiated in presymptomatic or symptomatic children weighing at least 5 kg (11 lb) prior to advanced neurologic impairment. Hunter syndrome is a rare inherited lysosomal disorder in which sugar molecules called glycosaminoglycans build up within the cells' lysosomes. This substrate accumulation affects physical and mental development by causing abnormalities in the skeleton, heart, respiratory system, brain, and other organs.
Adverse effects The US prescription label includes a boxed warning for allergic reactions including anaphylaxis. The most common side effects include upper respiratory tract infection, ear infection, fever, anemia, cough, vomiting, diarrhea, rash, COVID-19, runny nose, nasal congestion, fall, headache, skin abrasion, and hives.
Society and culture
Legal status Tividenofusp alfa was approved for medical use in the United States in March 2026. The US Food and Drug Administration (FDA) granted the application for tividenofusp alfa breakthrough therapy, fast track, priority review, and orphan drug designations. The FDA granted accelerated approval for Avlayah to Denali Therapeutics.
Names Tividenofusp alfa is the international nonproprietary name. Tividenofusp alfa is sold under the brand name Avlayah.
References
External links Clinical trial number NCT04251026 for "A Study of Tividenofusp Alfa (DNL310) in Pediatric Participants With Hunter Syndrome" at ClinicalTrials.gov
