Larazotide

Also known as: AT-1001 · larazotide acetate · INN-202

Not FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval Not FDA-approved No record in Drugs@FDA
Randomized controlled trials 5 of 58 publications on PubMed
Registered clinical trials 31 3 active
Adverse event reports 2 1 classified as serious
  • Larazotide is not an FDA-approved drug: Drugs@FDA has no record of it.
  • PubMed lists 58 publications mentioning it, including 5 randomized controlled trials and 8 animal-only studies.
  • ClinicalTrials.gov lists 31 registered studies testing it (3 active).
  • FDA's adverse event system (FAERS) holds 2 reports mentioning it; 1 classified as serious. Reports do not prove causation.

Research topics

  • Celiac Disease 30
  • Tight Junctions 18
  • Diet, Gluten-Free 15
  • Glutens 15
  • Permeability 15
  • Intestinal Mucosa 14
  • Haptoglobins 10
  • Protein Precursors 10
  • Gastrointestinal Microbiome 6
  • Caco-2 Cells 5

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

No application found in Drugs@FDA, FDA's database of approved drugs.

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 58
  • Human (MeSH) 38
  • Animal only 8
  • Clinical trials 5
  • Randomized controlled trials 5
  • Systematic reviews & meta-analyses 2
  • Case reports 0
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
31
Active
3
With posted results
12

Conditions studied

  • Fabry Disease 21
  • Celiac Disease 7
  • Long COVID 1
  • Long COVID-19 1
  • Post Acute COVID-19 Syndrome 1
  • Post Acute Sequelae of COVID-19 1
  • Covid19 1
  • Multisystem Inflammatory Syndrome in Children 1
  • Healthy 1
Study Status Phase Start
A Study of Patients With Fabry Disease (US Specific)
NCT06906367 Amicus Therapeutics
Recruiting — February 13, 2026
A Study of Migalastat in Pediatric Subjects (2 to <12 Yrs) With Fabry Disease and Amenable GLA Variants
NCT06904261 Amicus Therapeutics
Recruiting Phase 3 January 8, 2026
A Study to Evaluate Migalastat in Fabry Subjects With Amenable GLA Variant and Renal Disease
NCT04020055 Amicus Therapeutics
Active, not recruiting Phase 3 October 31, 2022
AT1001 for the Treatment of Long COVID
NCT05747534 Massachusetts General Hospital
Completed Phase 2 May 31, 2023
AT1001 for the Treatment of COVID-19 Related MIS-C
NCT05022303 Massachusetts General Hospital
Terminated Phase 2 October 1, 2021
Safety, Pharmacodynamics, and Efficacy of Migalastat in Pediatric Subjects (Aged >12 Years) With Fabry Disease
NCT04049760 Amicus Therapeutics Results posted
Completed Phase 3 October 11, 2019
Study to Evaluate the Efficacy and Safety of Larazotide Acetate for the Relief of CeD Symptoms
NCT03569007 9 Meters Biopharma, Inc.
Terminated Phase 3 May 29, 2019
Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of Migalastat in Pediatric Subjects (Aged 12 to <18 Years)
NCT03500094 Amicus Therapeutics Results posted
Completed Phase 3 September 27, 2018
Open-Label Extension Study of the Long-Term Effects of Migalastat HCL in Patients With Fabry Disease
NCT02194985 Amicus Therapeutics Results posted
Completed Phase 3 March 14, 2015
A Phase 1 Study To Evaluate the Safety of Migalastat Hydrochloride Given Intravenously to Healthy Volunteers
NCT02082327 Amicus Therapeutics
Completed Phase 1 Mar 2014
Show 21 more studies
Study Status Phase Start
A Double-blind Placebo-controlled Study to Evaluate Larazotide Acetate for the Treatment of Celiac Disease
NCT01396213 9 Meters Biopharma, Inc.
Completed Phase 2 November 7, 2011
Open-Label Phase 3 Long-Term Safety Study of Migalastat
NCT01458119 Amicus Therapeutics Results posted
Terminated Phase 3 October 14, 2011
Migalastat Food Effect Study
NCT01489995 Amicus Therapeutics
Completed Phase 1 Oct 2011
Study to Compare the Efficacy and Safety of Oral AT1001 and Enzyme Replacement Therapy in Patients With Fabry Disease
NCT01218659 Amicus Therapeutics Results posted
Completed Phase 3 September 8, 2011
A Phase I, Randomized, Single-Blind, Four-Period Cross-Over, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety and Pharmacokinetics of Single Oral Doses of GR181413A/AT1001 in Healthy Japanese Subjects
NCT01853852 Amicus Therapeutics
Completed Phase 1 Sep 2011
Safety and Pharmacokinetics of AT1001 (Migalastat HCl) in Healthy Subjects and Subjects With Impaired Renal Function
NCT01730469 Amicus Therapeutics
Completed Phase 1 Aug 2011
A Study to Assess the Absorption, Metabolism and Excretion of Migalastat Hydrochloride (AT1001-014)
NCT01730482 Amicus Therapeutics
Completed Phase 1 Aug 2011
Drug-Drug Interaction Study Between AT1001 (Migalastat Hydrochloride) and Agalsidase in Participants With Fabry Disease
NCT01196871 Amicus Therapeutics Results posted
Completed Phase 2 February 2, 2011
Study of the Effects of Oral AT1001 (Migalastat Hydrochloride) in Patients With Fabry Disease
NCT00925301 Amicus Therapeutics Results posted
Completed Phase 3 October 23, 2009
Study of the Efficacy of Larazotide Acetate to Treat Celiac Disease
NCT00889473 9 Meters Biopharma, Inc.
Completed Phase 2 Apr 2009
Randomized, Double-Blind, Placebo-Controlled Study of Larazotide Acetate in Subjects With Active Celiac Disease
NCT00620451 9 Meters Biopharma, Inc.
Completed Phase 2 Feb 2008
Open-label Long-term Safety Study of AT1001 (Migalastat Hydrochloride) in Participants With Fabry Disease Who Have Completed a Previous AT1001 Study
NCT00526071 Amicus Therapeutics Results posted
Terminated Phase 2 September 17, 2007
Study to Assess the Efficacy of Larazotide Acetate for the Treatment of Celiac Disease
NCT00492960 9 Meters Biopharma, Inc.
Completed Phase 2 Aug 2007
Safety and Tolerability Study of Larazotide Acetate in Celiac Disease Subjects
NCT00362856 9 Meters Biopharma, Inc.
Completed Phase 2 September 13, 2006
A 12-Week Safety and Pharmacodynamic Study of AT1001 (Migalastat Hydrochloride) in Female Participants With Fabry Disease
NCT00304512 Amicus Therapeutics Results posted
Completed Phase 2 September 7, 2006
A 12-Week Safety and Pharmacodynamic Study of AT1001 (Migalastat Hydrochloride) in Participants With Fabry Disease
NCT00283959 Amicus Therapeutics Results posted
Completed Phase 2 June 27, 2006
A 24-Week Safety and Pharmacodynamic Study of AT1001 (Migalastat Hydrochloride) in Participants With Fabry Disease
NCT00283933 Amicus Therapeutics Results posted
Completed Phase 2 May 9, 2006
Safety of Larazotide Acetate in Healthy Volunteers
NCT00386490 9 Meters Biopharma, Inc.
Completed Phase 1 January 10, 2006
A Study of AT1001 (Migalastat Hydrochloride) in Participants With Fabry Disease
NCT00214500 Amicus Therapeutics Results posted
Completed Phase 2 January 2, 2006
Safety Study of Larazotide Acetate to Treat Celiac Disease.
NCT00386165 9 Meters Biopharma, Inc.
Completed Phase 1 November 29, 2005
Physician Initiated Expanded Access Request for Migalastat in Individual Patients With Fabry Disease
NCT01476163 Amicus Therapeutics
Available — —

All 31 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
2
Serious
1
With death outcome
1

Most reported reactions

  • Acne 1
  • Amnesia 1
  • Anxiety 1
  • Aphasia 1
  • Asthenia 1
  • Atrial fibrillation 1
  • Cerebrovascular accident 1
  • Confusional state 1
  • Coronary artery disease 1
  • Cough 1
  • Dementia 1
  • Depression 1

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.