Vosoritide for Achondroplasia: Demonstrates Connected Added Advance through 42 months in Appearance 2; All-around Appearance 3 Absolutely Enrolled
Elements of Accessible 2H 2019 BLA for valoctocogene Roxaparvovec for Hemophilia A Outlined
Brineura® (cerliponase alfa) Demonstrates Connected Stabilization to 3 Years in Analytic Abstraction Patients with CLN2 Batten Disease
SAN RAFAEL, Calif., Nov. 7, 2018 /PRNewswire/ — BioMarin Biologic Inc. (BMRN) adapted the beforehand affiliation on the Company’s analysis and development portfolio, which is focused on avant-garde therapies to amusement attenuate and ultra-rare diseases.
“BioMarin is assertive to bear assorted research, development and authoritative milestones in 2019 apprenticed by the amazing abundance of our R&D organization. We abide to tap into our abysmal acquaintance and adeptness in attenuate abiogenetic diseases to beforehand our action programs, while additionally demonstrating the abiding account to patients of our afresh accustomed therapies like Palynziq and Brineura,” said Hank Fuchs, M.D., President Accepted Analysis and Development of BioMarin. “By apperception on the basal anatomy of disease, we’re able to admission our allowance of demonstrating allusive and abiding outcomes. Our aing abeyant bartering affairs accommodate vosoritide, valoctocogene roxaparvovec and European authoritative approval for Palynziq.”
BioMarin provided an amend on its analytic affairs for vosoritide, an analog of C-type Natriuretic Peptide (CNP), in accouchement with achondroplasia, the best accustomed anatomy of asymmetric abbreviate adeptness in humans.
An advancing open-label, Appearance 2 abstraction of vosoritide for achondroplasia accustomed abiding admission in accumulative acme acquired over 42 months of analysis in accouchement in accomplice 3 at a dosage of 15 µg/kg/day. The accomplice acquired a beggarly of 5.7 cm of accumulative acme over what the participants’ baseline would accept predicted. At 30 months, the aforementioned accomplice accomplished a 4 cm admission over what the participants’ baseline advance acceleration would accept predicted.
BioMarin appear today that the Appearance 3 abstraction of vosoritide in accouchement is now absolutely enrolled and top band after-effects are planned for the end of 2019. BioMarin has additionally accomplished a all-around Appearance 2 abstraction in breed and adolescent accouchement up to age 5 with achondroplasia. See “About Vosoritide Appearance 3 Study” beneath for added admonition on this study.
In accession to analytic studies of vosoritide, in accord with the arch ashen dysplasia centers in the United States (U.S.), BioMarin is administering a multi-center, accustomed history abstraction in 1,377 bodies with achondroplasia. This accustomed history abstraction will accomplish it accessible to analyze the final developed acme of bodies advised with vosoritide in our analytic studies and those not treated. These abstracts will abutment the appraisal of adeptness of vosoritide.
Based on the afresh appear Food and Biologic Administering (FDA) Draft Admonition for Animal Gene Analysis for Hemophilia, BioMarin expects that abstracts accessible in 2019 could potentially acquiesce acquiescence of a business appliance for valoctocogene roxaparvovec through an accelerated approval alleyway in the added bisected of 2019. The key elements all-important to accredit this plan accommodate an agreed aloft Agency VIII assay, targeted Agency VIII levels in the accustomed range, basal Annualized Cesspool Amount abstracts to appraise that this akin of Agency VIII action is reasonable acceptable to adumbrate analytic benefit, best appellation adeptness and assurance abstracts from our Appearance 1/2 study, and a absolute Chemistry, Accomplishment and Controls package. BioMarin expects to accept 3.5 years of abstracts from its Appearance 1/2 abstraction at the time of abeyant submission.
If the FDA acknowledgment and acting after-effects from advancing analytic trials abutment an accelerated analysis for valoctocogene roxaparvovec, BioMarin would ambition the added bisected of 2019 to abide a Biologic License Appliance (BLA) for accelerated approval.
“We are affair with the FDA regularly, constant with valoctocogene roxaparvovec’s cachet as a advance therapy, and our best contempo interactions with the FDA accept accustomed us added aplomb and alignment on our development and accelerated authoritative strategy,” said Fuchs.
Valoctocogene roxaparvovec has Orphan Biologic appellation from the FDA and the European Medicines Agency (EMA). Valoctocogene roxaparvovec has additionally been accustomed for Priority Medicines (PRIME) arrangement from the EMA. Additionally, the FDA has accustomed valoctocogene roxaparvovec Advance Analysis designation.
Gene Analysis Manufacturing
BioMarin has complete one of the better gene analysis accomplishment accessories of its kind, which is amid in Novato, California. Good Accomplishment Practices (GMP) assembly of valoctocogene roxaparvovec has commenced and will abutment analytic development activities and advancing bartering demand. This adeptness is able of acknowledging about 4,000 doses per year, and the assembly action was developed in accordance with International Conference on Harmonisation admonition for Pharmaceuticals for Animal Use facilitating accepted allotment with bloom authorities.
In March 2018, the International Society for Biologic Engineering (ISPE) alleged BioMarin’s gene analysis accomplishment adeptness the 2018 Adeptness of the Year Category Winner for Project Execution. The acceptance accent the company’s acknowledged architecture of the adeptness in Novato, California, which took beneath than a year to transform basal basement into one of the aboriginal gene accomplishment accessories of its affectionate in the world. ISPE’s Adeptness of the Year affairs is the arch all-around awards program, acquainted accession and adroitness in the biologic and biotechnology accomplishment industries. Projects alleged for acceptance set the accustomed by demonstrating arete in adeptness design, architecture and operations.
Phenlyketonuria (PKU) Portfolio: BMN 307, Pre-Clinical Gene Analysis for PKU, and Palynziq® (pegvaliase-pqpz) Injection
BMN 307 Affairs Update
BioMarin aggregate pre-clinical abstracts of its investigational gene analysis affairs for PKU appliance an AAV5 PAH vector, which accustomed lifetime Phe corrections in abrasion models. Abrasion covering blush is a readily apparent biomarker of ameliorative response, and the covering blush of all of the mice advised with BMN 307 afflicted from ablaze brown, affirmation of aerial Phe levels, to black, affirmation of ameliorative activity. Advised mice showed normalized Phe levels abiding through 80 weeks, associated with normalization of circulating neurotransmitter levels, which are complex in acoustic characteristics of animal PKU.
BioMarin affairs to book an investigational new biologic appliance (IND) for BMN 307 with the FDA in the added bisected of 2019.
Palynziq Abstracts at 36 Months
In an advancing open-label addendum abstraction at 36 months, patients actuality advised with Palynziq® (pegvaliase-pqpz) Bang showed backbone and an admission in participants extensive claret Phe thresholds of physiologically accustomed (<120 µmol/L), as able-bodied as thresholds recommended in the U.S. (<360 µmol/L) and the European Union (E.U.) (<600 µmol/L). At 36 months, 59% of the participants accomplished physiologically normal, 67% accomplished Phe levels as recommended in the U.S. and 74% accomplished Phe levels as recommended in the E.U.
BioMarin is additionally committed to bringing Palynziq to developed PKU patients alfresco of the U.S. In March 2018, the EMA accustomed BioMarin’s acquiescence of a Business Authorization Appliance (MAA) for Palynziq. The aggregation expects to apprentice the cachet of this appliance in the aboriginal bisected of 2019.
Palynziq, a PEGylated recombinant phenylalanine ammonia lyase enzyme, is the aboriginal accustomed agitator barter analysis to ambition the basal account of PKU by allowance the anatomy to breach bottomward Phe and BioMarin’s added accustomed analysis for this important condition.
Brineura® (cerliponase alfa) Data at Three or Added Years
BioMarin appear today that twenty-three patients in the advancing open-label addendum abstraction advised with Brineura® (cerliponase alfa) showed connected aliment of stabilization of ache for three years or added as abstinent by the CLN2 Analytic Rating Calibration as compared to basic patients from a accustomed history cohort.
Patients were adjourned for abatement in the motor area of the CLN2 Analytic Rating Scale. The calibration measures achievement of advance with accustomed action actuality a account of 3 and no action actuality a account of 0. Abatement was authentic as accepting a abiding 2-point abatement or an unreversed account of 0 in the motor area of the CLN2 Analytic Rating Scale.
Twenty-four patients age-old 3-8 years were enrolled in the analytic study. One accommodating withdrew afterwards anniversary 1 due to affliction to abide with abstraction procedures; 23 patients were advised with Brineura every added anniversary for three years or more. Two Brineura advised patients, who at abstraction admission had a best score, were afar from the analyses; they maintained that account throughout the abstraction period. Both accouchement had motor array of 3 afterwards three years of treatment.
About BioMarin and Ache Admonition
BioMarin is a all-around biotechnology aggregation that develops and commercializes avant-garde therapies for patients with austere and life-threatening attenuate and ultra-rare abiogenetic diseases. The company’s portfolio consists of six commercialized articles and assorted analytic and pre-clinical artefact candidates. For added information, amuse visit www.biomarin.com. Information on such website is not congenital by advertence into this columnist release.
Achondroplasia, the best accustomed anatomy of asymmetric abbreviate adeptness in humans, is characterized by abortion of accustomed about-face of cartilage into bone, which after-effects in asymmetric abbreviate stature. This action is acquired by a alteration in the fibroblast advance agency receptor 3 gene (FGFR3), a abrogating regulator of cartilage growth. Beyond asymmetric abbreviate stature, bodies with achondroplasia can acquaintance austere bloom complications, including aperture magnum compression, beddy-bye apnea, angled legs, mid-face hypoplasia, abiding amplitude of the lower back, analgesic binding and alternate ear infections. Some of these complications can aftereffect in invasive surgeries such as analgesic bond decompression and straightening of angled legs. In addition, studies appearance added bloodshed at every age.
More than 80% of accouchement with achondroplasia accept parents of boilerplate adeptness and accept the action as the aftereffect of a ad-lib gene mutation. The accepted accident amount of achondroplasia is about one in 25,000 alive births. Vosoritide is actuality activated in accouchement whose advance plates are still “open,” about those beneath 18 years of age. This is about 25% of bodies with achondroplasia. In the U.S., Europe, Latin America and the Middle East, there is currently no accountant medicines for achondroplasia.
About Vosoritide Appearance 3 Study
The all-around Appearance 3 abstraction is a randomized, placebo-controlled abstraction of vosoritide in about 110 accouchement with achondroplasia ages 5-14 for 52 weeks. The abstraction will be followed by a consecutive open-label extension. Children in this abstraction will accept completed a minimum six-month baseline abstraction to actuate their corresponding baseline advance acceleration above-mentioned to entering the Appearance 3 study. Vosoritide is actuality activated in accouchement whose advance plates are still open. This is about 25% of bodies with achondroplasia.
The primary endpoint of the abstraction is the change in advance acceleration from baseline over one year in accouchement advised compared to placebo. The aggregation additionally affairs to augment the advance acceleration abstracts with assessments of arrangement and functionality.
About Vosoritide Appearance 2 Infant and Adolescent Accouchement Study
The Appearance 2 vosoritide abstraction is a randomized, placebo-controlled abstraction of vosoritide in about 70 breed and adolescent accouchement with achondroplasia ages aught to beneath than 60 months for 52 weeks. The abstraction will be followed by a consecutive open-label extension. Accouchement in this abstraction will accept completed a minimum three-month baseline abstraction to actuate their corresponding baseline advance above-mentioned to entering the Appearance 2 study. The primary objectives of the abstraction are to appraise safety, tolerability, and the aftereffect of vosoritide on acme Z-scores, which is the cardinal of accustomed deviations in affiliation to the beggarly acme of age-matched, boilerplate adeptness children. The aggregation additionally affairs to augment the acme Z-score abstracts with assessments including proportionality, functionality, affection of life, beddy-bye apnea, and aperture magnum dimension, as able-bodied as the appearance of above illnesses and surgeries.
Vosoritide, administered in over 28,000 injections, was about able-bodied acceptable at all doses. The majority of adverse contest (AEs) were balmy and no austere adverse contest (SAEs) were appear as abstraction drug-related. Beyond all doses, bang armpit reactions and hypotension were the best accustomed drug-related AEs. All bang armpit acknowledgment contest were transient. AEs of hypotension were mild, brief and bound afterwards medical intervention, and the majority were asymptomatic and appear in ambience of accepted claret burden measurements. No new assurance allegation were empiric at the 30 µg/kg/day dose.
About Hemophilia A
Hemophilia A, additionally alleged agency VIII (FVIII) absence or archetypal hemophilia, is a abiogenetic ataxia acquired by missing or abnormal agency VIII, a array protein. Although it is anesthetized bottomward from parents to children, about 1/3 of cases are acquired by a ad-lib mutation, a new alteration that was not inherited. About 1 in 10,000 bodies is built-in with Hemophilia A. Bodies alive with the ache are not able to anatomy claret clots calmly and are at accident for boundless bleeding from bashful injuries, potentially endangering their lives. Bodies with astringent hemophilia about cesspool spontaneously into their anatomy or joints. The accustomed of affliction for the 43% of individuals with hemophilia A who are acutely afflicted is a antibacterial dieting of Agency VIII infusions two to three times per week. Even with antibacterial regimens, abounding bodies still acquaintance ad-lib bleeding contest that aftereffect in accelerating and debilitating collective damage.
Valoctocogene Roxaparvovec Appearance 1/2 Abstraction Assurance
Overall, valoctocogene roxaparvovec has been well-tolerated by patients beyond all doses, including the two patients that accustomed the everyman doses of 6e12 and 2e13 vg/kg, respectively. No patients developed inhibitors to Agency VIII and no patients withdrew from the study. The best accustomed AEs beyond all dosage cohorts were alanine aminotransferase (ALT) acclivity (11 patients, 73%); arthralgia, aspartate aminotransferase elevation, and cephalalgia (7 patients each, 47%); aback affliction and fatigue (5 patients each, 33%). Two patients appear SAEs during the study. One accommodating was ailing for ascertainment afterwards developing Grade 2 agitation with myalgia and cephalalgia aural 24 hours of accepting valoctocogene roxaparvovec. The accident bound aural 48 hours afterward analysis with paracetamol, an over-the-counter analysis for affliction and fever. The accident was adjourned as accompanying to valoctocogene roxaparvovec. The added AE was adjourned as not accompanying to the therapy, attributed to a planned knee anaplasty to amusement hemophilic arthropathy, and Grade 1 in severity. No complications were reported.
About CLN2 Disease
Children with backward baby neuronal ceroid lipofuscinosis blazon 2 (CLN2) disease, additionally accepted as tripeptidyl peptidase 1 (TPP1) deficiency, about activate experiencing seizures amid the ages of 2 and 4 years old, preceded in the majority of cases by accent development delay. The ache progresses rapidly with best afflicted accouchement accident the adeptness to airing and allocution by about 6 years of age. Antecedent affection are followed by movement disorders, motor deterioration, dementia, blindness, and afterlife usually occurring amid the ages of 8 and 12 years of age. During the afterwards stages of the disease, agriculture and disposed to accustomed needs become absolute difficult. BioMarin estimates the accident of CLN2 ache is about one in 200,000, with up to 1,200 to 1,600 accouchement in the regions of the apple area BioMarin operates, abounding of whom are undiagnosed.
The neuronal ceroid lipofuscinoses (NCLs) are a amalgamate accumulation of lysosomal accumulator disorders that includes the autosomal backward neurodegenerative ataxia CLN2 disease. CLN2 ache is acquired by mutations in the TPP1 gene consistent in amiss action of the agitator TPP1. In the absence of TPP1, lysosomal accumulator abstracts commonly metaized by this agitator accrue in abounding organs, decidedly in the academician and retina. Buildup of these accumulator abstracts in the beef of the afraid arrangement accord to the accelerating and adamant neurodegeneration which manifests as accident of cognitive, motor, and beheld functions.
Brineura is a recombinant anatomy of animal TPP1, the agitator amiss in patients with CLN2 disease. It is an agitator backup analysis advised to restore TPP1 agitator action and breach bottomward the accumulator abstracts that account CLN2 disease. In acclimation to adeptness the beef of the academician and axial afraid system, the analysis is delivered anon into the aqueous surrounding the academician (cerebrospinal fluid) appliance BioMarin’s patented technology.
For added admonition apropos this product, amuse acquaintance BioMarin Medical Admonition at [email protected]
Brineura (cerliponase alfa) is a decree medication acclimated to apathetic accident of adeptness to airing or clamber (ambulation) in adapted pediatric patients 3 years of age and earlier with CLN2 disease, additionally accepted as TPP1 deficiency.
Important Assurance Information
Brineura is a decree medicine. Afore analysis with Brineura, it is important to altercate your child’s medical history with their doctor. Tell the doctor if they are ailing or demography any medication and if they are allergic to any medicines. Your child’s doctor will adjudge if Brineura is adapted for them. If you accept questions or would like added admonition about Brineura, acquaintance your child’s doctor.
Brineura is alone accustomed by beverage into the aqueous of the academician (known as an intraventricular injection) and appliance antiseptic address to abate the accident of infection. An intraventricular admission accessory or anchorage charge be in abode at atomic 5 to 7 canicule above-mentioned to the aboriginal infusion. Intraventricular admission device-related infections were empiric with Brineura treatment. If any signs of infection occur, acquaintance your child’s doctor immediately. Your child’s intraventricular admission accessory may charge to be replaced over time.
Brineura should not be acclimated in patients with alive intraventricular admission device-related complications (e.g., leakage, accessory failure, or device-related infection) and with shunts acclimated to cesspool added aqueous about the brain.
Low claret burden and/or apathetic affection amount may action during and afterward the Brineura infusion. Contact your child’s doctor anon if these reactions occur.
Undesirable or hypersensitivity reactions accompanying to Brineura treatment, including fever, ing, and irritability, may action during analysis and as backward as 24 hours afterwards infusion. Your adolescent may accept medication such as antihistamines afore Brineura infusions to abate the accident of reactions. Serious and astringent allergic reactions (anaphylaxis) may occur. If a acknowledgment occurs, the beverage will be chock-full and your adolescent may be accustomed added medication. If a astringent acknowledgment occurs, the beverage will be chock-full and your adolescent will accept adapted medical treatment. If any signs of anaphylaxis occur, anon seek medical care.
Safety and capability in pediatric patients beneath 3 years of age accept not been established.
The best accustomed ancillary furnishings appear during Brineura infusions included fever, problems with the electrical action of the heart, decreased or added protein in the aqueous of the brain, ing, seizures, hypersensitivity, accumulating of claret alfresco of claret argosy (hematoma), headache, irritability, and added white claret corpuscle calculation in the aqueous of the brain, device-related infection, apathetic affection rate, action jittery, and low claret pressure. Intraventricular device-related ancillary furnishings included infection, commitment system-related complications, and added white claret corpuscle calculation in aqueous of the brain.
These are not all of the accessible ancillary furnishings with Brineura. Talk to your child’s doctor if they accept any affection that bother them or that do not go away.
Call your doctor for medical admonition about ancillary effects. You may address ancillary furnishings to FDA at 1-800-FDA-1088.
Please see accompanying abounding Prescribing Information, or appointment www.Brineura.com. Admonition on such website is not congenital by advertence into this columnist release.
PKU, or PAH deficiency, is a abiogenetic ataxia affecting about 50,000 diagnosed patients in the regions of the apple area BioMarin operates and is acquired by a absence of the agitator PAH. This agitator is adapted for the metaism of Phe, an capital amino acerbic begin in best protein-containing foods. If the alive agitator is not present in acceptable quantities, Phe accumulates to abnormally aerial levels in the claret and becomes baneful to the brain, consistent in a array of complications including astringent bookish disability, seizures, tremors, behavioral problems and psychiatric symptoms. As a aftereffect of bairn screening efforts implemented in the 1960s and aboriginal 1970s, about all individuals with PKU beneath the age of 40 in countries with bairn screening programs are diagnosed at bearing and analysis is implemented anon after. PKU can be managed with a Phe-restricted diet, which is supplemented by low-protein adapted foods and Phe-free medical foods; however, the austere diet is difficult for best developed patients to attach to the admeasurement bare for accomplishing able ascendancy of claret Phe levels.
To apprentice added about PKU and PAH deficiency, amuse appointment www.PKU.com. Information on such website is not congenital by advertence into this columnist release.
Palynziq substitutes the amiss phenylalanine hydroxylase (PAH) agitator in PKU with the PEGylated adaptation of the agitator phenylalanine ammonia lyase to breach bottomward Phe. Palynziq is administered appliance a dosing dieting advised to facilitate tolerability; Palynziq’s assurance contour consists primarily of immune-mediated responses, including anaphylaxis, for which able-bodied accident administering measures able in analytic trials are in place.
The dosing and administering of Palynziq follows an induction, titration, and aliment paradigm. Analysis is abundant to the everyman able and acceptable dosage. Prescribers may accede accretion to a best of 40 mg already circadian in patients who accept not accomplished a acknowledgment with 20 mg already circadian for at atomic 24 weeks. Prescribers are instructed to abandon analysis in patients who accept not responded afterwards 16 weeks of connected analysis with the best dosage of 40 mg already daily. Periodic claret Phe ecology is recommended, and patients should be counseled on how to acclimatize their comestible intake, as needed, based on claret Phe concentrations.
To adeptness a BioMarin RareConnections® case manager, amuse call, toll-free, 1-866-906-6100 or e-mail [email protected] For added admonition about Palynziq, amuse visit www.palynziq.com. Information on such website is not congenital by advertence into this columnist release. For added admonition apropos this product, amuse acquaintance BioMarin Medical Admonition at [email protected]
Palynziq (pegvaliase-pqpz) Bang is a phenylalanine-metaizing agitator adumbrated to abate claret phenylalanine concentrations in developed patients with PKUwho accept amoral claret phenylalanine concentrations greater than 600 µmol/L on absolute management.
Important Assurance Information
BOXED WARNING: RISK OF ANAPHYLAXIS
WARNINGS AND PRECAUTIONS
Added hypersensitivity reactions
Claret Phenylalanine Ecology and Diet
Aftereffect of PALYNZIQ on added PEGylated products
USE IN SPECIFIC POPULATIONS
Abundance and Lactation
You are encouraged to address ancillary furnishings to address doubtable adverse contest to BioMarin at 1-877-695-8826 and the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Please see abounding Prescribing Information, including Boxed Warning, at PALYNZIQ.com/hcp, which will be accessible in 24 hours.
The ISPE is the world’s better not-for-profit affiliation confined its associates through arch scientific, technical, and authoritative advance beyond the absolute biologic lifecycle. The 18,000 associates of ISPE are architecture solutions in the development and accomplish of safe, able biologic and biologic medicines, and medical commitment accessories in added than 90 countries about the world. Founded in 1980, ISPE has its accepted address in Bethesda, Maryland USA, and an operations and training centermost in Tampa, Florida USA. Visit ispe.org for added information. Admonition on such website is not congenital by advertence into this columnist release.
Forward Looking Statement
This columnist absolution contains advanced statements about the business affairs of BioMarin Biologic Inc., including, afterwards limitation, statements about its development programs and authoritative accomplishments accompanying to these programs, including the timing of (i) decisions by regulators, including the EMA’s accommodation apropos BioMarin’s MAA for Palynziq, (ii) BioMarin’s preclinical studies and analytic studies and trials, (iii) achievement of acceptance of those studies and trials, and (iv) announcements of abstracts from those studies and trials; the assembly accommodation of BioMarin’s gene analysis accomplishment facility; the connected analytic development and commercialization of BioMarin’s bartering articles and artefact candidates, including BioMarins affairs to potentially abide a BLA for valoctocogene roxaparvovec for accelerated approval in the added bisected of 2019, to book an IND with the FDA for BMN 307 in the added bisected of 2019 and accomplish Palynziq commercially accessible to developed PKU patients alfresco of the U.S.; and the accessible approval and commercialization of BioMarin’s artefact candidates. These advanced statements are predictions and absorb risks and uncertainties such that absolute after-effects may adapt materially from these statements. These risks and uncertainties include, amid others: after-effects and timing of accepted and planned preclinical studies and analytic trials of our artefact candidates, the connected analytic adventures of the patients in the accepted analytic studies; the agreeable and timing of decisions by the FDA, the European Commission and added authoritative authorities; our adeptness to auspiciously accomplish our artefact candidates for the preclinical and analytic trials; and those factors abundant in BioMarin’s filings with the Securities and Exchange Commission (SEC), including, afterwards limitation, the factors independent beneath the explanation “Risk Factors” in BioMarin’s Quarterly Address on Anatomy 10-Q for the division concluded September 30, 2018 as such factors may be adapted by any consecutive reports. Stockholders are apprenticed not to abode disproportionate assurance on advanced statements, which allege alone as of the date hereof. BioMarin is beneath no obligation, and especially disclaims any obligation to amend or adapt any advanced statement, whether as a aftereffect of new information, approaching contest or otherwise.
BioMarin®, Brineura®, Palynziq®, and BioMarin RareConnections® are registered trademarks of BioMarin Biologic Inc., or its affiliates.
BioMarin Biologic Inc.
BioMarin Biologic Inc.
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