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PDUFAPDUFA Decision

GALAFOLD Pediatric Fabry sNDA PDUFA

FOLD·GALAFOLD·Fabry Disease·
current best date
NOV 15
2026
EXACT7 months
Takeaway

FDA decision deadline on extending GALAFOLD to pediatric Fabry patients aged 2 to <12 with amenable GLA mutations. GALAFOLD is currently approved for ages 12+; alternative ERT in same disease: Fabrazyme (Sanofi).

What’s at stake

market · comparables · base rate · prior moves
Market opportunity
company filings
Peer comparables
1 readout
ClinicalTrials.gov
Stage base rate
~100%
BIO Industry Analysis 2023 (2011–2020)
Avg prior-readout move
historical price reactions
Drug
small molecule
GALAFOLD
migalastat · INN
MoApharmacological chaperone of α-galactosidase A

GALAFOLD (migalastat) is an oral pharmacological chaperone developed by Amicus Therapeutics taken every other day for Fabry disease — an X-linked lysosomal storage disorder in which GLA mutations impair the alpha-galactosidase A (alpha-Gal A) enzyme, causing glycolipid accumulation in blood vessels, kidneys, heart, and nerves that leads to renal failure, cardiomyopathy, and early stroke. Rather than replacing the enzyme from outside the cell, migalastat enters cells and stabilizes specific misfolded mutant alpha-Gal A proteins, allowing them to reach the lysosome and function. GALAFOLD is approved for patients aged 12+ with amenable GLA mutations; Amicus is pursuing approval for children aged 2 to under 12.

Indication
Rare Disease
Fabry Disease
MeSH · D000795

No primer in glossary yet.

Source signal

This event was extracted from a primary disclosure. The full chain of citations is in the disclosure trail below.

Glossary · what this readout is measuring
1 term detected in the takeaway
  • PDUFAregulatory
    Prescription Drug User Fee Act

    The FDA's self-imposed review deadline for an NDA/BLA. Standard reviews are ~10 months from filing; priority reviews are ~6 months.

Competitive landscape

3 peers in Rare Disease · ranked by indication + modality match
DrugCompanyModalityMechanismPhaseNext catalyst
ELEVIDYSdelandistrogene moxeparvovecSRPTgene therapyAAVrh74-microdystrophin transferADCOM · May 26
VOXZOGOvosoritideBMRNpeptideCNP analog (FGFR3 antagonism)PDUFA · Nov 26
KRESLADImarnetegragene autotemcelRCKTgene therapylentiviral ITGB2 transfer (LAD-I)PDUFA · Oct 26

Prior FOLD reactions to PDUFA events

1 historical event · base rate, not prediction
Median 1W move
-39.1%
Median 1M move
-27.3%
Positive outcomes
0/ 1
0%
Negative outcomes
1/ 1
100%
DateHeadlineOutcome1W1M6M
Dec 2023GALAFOLD — PDUFA — CRL Issuednegative-39.1%-27.3%-40.6%

Historical FOLD stock reaction to past PDUFA catalysts. Past performance is not a forecast — base rates anchor expectations, not outcomes. Positive rate 0%.

Disclosure trail

1 observation · sorted by confidence
  1. Mar 30, 2026·1mo agopinned · highest confidence
    HIGH confPR
    top claim
    NOV 152026
    EXACT
    The FDA has accepted the sNDA for GALAFOLD in pediatric Fabry patients aged 2 to <12 with amenable mutations and assigned a PDUFA action date of November 15, 2026.
    conf 95%via llm

MethodologyEvery catalyst date is anchored to a primary source. Disclosures with confidence ≥ 0.85 auto-publish; the rest are reviewed by a human within 24 hours. We never interpret data — we organize public information.

Disclaimer·BioSight aggregates publicly available data (SEC EDGAR, ClinicalTrials.gov, FDA, company press releases) and is provided as is for informational purposes only. Nothing here is investment, financial, legal, tax, or medical advice, or an offer to buy or sell any security. We make no warranty as to accuracy, completeness, or timeliness; dates and filings may contain errors or be superseded without notice; past events do not predict future outcomes. To the maximum extent permitted by law, BioSight, its operators, contributors, and affiliates disclaim all liability for any loss or damage arising from use of or reliance on this site. You are solely responsible for your own investment decisions — consult a licensed professional before acting on any information.

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