Miglustat

Evidence Level: L5 Predicted Indications: 51

Quick Overview

Item Value
Drug Name Miglustat
DrugBank ID DB00419
Brand Names (EU) Opfolda
Evidence Level L5
Predicted Indications 51
Top Prediction Score 99.88%

Approved Indication (EMA)

Opfolda (miglustat) is an enzyme stabiliser of cipaglucosidase alfa long-term enzyme replacement therapy in adults with late-onset Pompe disease (acid ?- glucosidase [GAA] deficiency).


Predicted New Indications

TxGNN model predictions for potential drug repurposing:

Rank Indication Score Source
1 Gaucher disease 99.88% DL
2 autosomal ichthyosis syndrome with fatal disease course 99.83% DL
3 cholesteryl ester storage disease 99.82% DL
4 Krabbe disease 99.78% DL
5 metachromatic leukodystrophy 99.77% DL
6 Wolman disease with hypolipoproteinemia and acanthocytosis 99.76% DL
7 encephalopathy due to prosaposin deficiency 99.75% DL
8 Tay-Sachs disease 99.75% DL
9 benign neoplasm of adrenal gland 99.74% DL
10 recessive X-linked ichthyosis 99.73% DL
11 fatty acid hydroxylase-associated neurodegeneration 99.72% DL
12 lysosomal acid lipase deficiency 99.70% DL
13 cholesterol metabolism disease 99.69% DL
14 adult Krabbe disease 99.69% DL
15 polycystic kidney disease 3 with or without polycystic liver disease 99.67% DL
16 long chain 3-hydroxyacyl-CoA dehydrogenase deficiency 99.66% DL
17 multiple mitochondrial dysfunctions syndrome 99.63% DL
18 cerebrotendinous xanthomatosis 99.60% DL
19 Dorfman-Chanarin disease 99.60% DL
20 fatty acyl-CoA reductase 1 deficiency 99.58% DL

Showing top 20 of 51 predictions.


About TxGNN Predictions

Prediction Sources

Source Description
KG Knowledge Graph - Network topology-based associations
DL Deep Learning - Neural network score prediction

Evidence Levels

Level Definition
L1 Multiple Phase 3 RCTs / Systematic Reviews
L2 Single RCT or multiple Phase 2 trials
L3 Observational studies / Large case series
L4 Preclinical / Mechanistic / Case reports
L5 AI prediction only (current)

Clinical Validation Needed

Research Use Only: These predictions are computational hypotheses that require clinical validation. They should NOT be used for clinical decision-making.

Next Steps for Validation

  1. Literature Review: Search PubMed for existing evidence
  2. Clinical Trial Search: Check ClinicalTrials.gov for ongoing studies
  3. Mechanistic Analysis: Evaluate biological plausibility
  4. Preclinical Studies: Conduct in vitro/in vivo validation
  5. Clinical Trials: Design and conduct human studies

Data Access


Citation

If using this data, please cite:

@article{huang2023txgnn,
  title={A foundation model for clinician-centered drug repurposing},
  author={Huang, Kexin and others},
  journal={Nature Medicine},
  year={2023},
  doi={10.1038/s41591-023-02233-x}
}

Disclaimer: This report is for research purposes only and does not constitute medical advice. Drug repurposing predictions require rigorous clinical validation before any therapeutic application.

Copyright © 2026 EuTxGNN Project. For research purposes only. Not medical advice.