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Prescription medicine

Pegzilarginase Brand names: Loargys

Pegzilarginase (Loargys) is a prescription medicine. No generic is listed in FDA's NDC Directory.

  • No generic listed
  • Boxed warning

Check it at the source: the pegzilarginase FDA label on DailyMed (effective February 23, 2026); every pegzilarginase label on DailyMed.

Highlights of the record

FDA label of February 23, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Boxed warning

HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS.

Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate LOARGYS in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. If a severe hypersensitivity reaction (e.g. anaphylaxis) occurs, discontinue LOARGYS and immediately initiate appropriate medical treatment, including use of epinephrine. Inform patients of the symptoms of life-threatening hypersensitivity reactions, including anaphylaxis and to seek immediate medical care should symptoms occur [see Warnings and Precautions ( 5.1 )]. WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS See full prescribing information for complete boxed warning. Initiate LOARGYS in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. ( 5.1 ) If a severe hypersensitivity reaction (e.g. anaphylaxis) occurs, discontinue LOARGYS, and immediately initiate appropriate medical treatment, including use of epinephrine.

Used for

From the label: indications and usage

LOARGYS is indicated for the treatment of hyperargininemia in adult and pediatric patients 2 years of age and older with Arginase 1 Deficiency (ARG1-D), in conjunction with dietary protein restriction.

Forms and strengths

  • 2 mg/.4ml
  • 5 mg/ml

Injection.

On the market

Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
20 through July 30, 2026

What is pegzilarginase used for?

From the label: indications and usage

LOARGYS is indicated for the treatment of hyperargininemia in adult and pediatric patients 2 years of age and older with Arginase 1 Deficiency (ARG1-D), in conjunction with dietary protein restriction. This indication is approved under accelerated approval based on reduction of plasma arginine [see Clinical Studies ( 14 )]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial. LOARGYS is an arginine specific enzyme indicated for the treatment of hyperargininemia in adult and pediatric patients 2 years of age and older with Arginase 1 Deficiency (ARG1-D), in conjunction with dietary protein restriction. […]

Source: FDA drug label (Loargys), Immedica Pharma US Inc., effective February 23, 2026 (SPL set d5ceabf2-43a0-4746-9371-d98a39cf6cfc), via openFDA; the full label on DailyMed

Is there a generic for pegzilarginase (Loargys)?

No generic pegzilarginase is approved (Drugs@FDA, October 8, 2026).

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the pegzilarginase label say about other medicines?

The pegzilarginase label names 1 other medicine in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Epinephrineboxed warning… anaphylaxis) occurs, discontinue LOARGYS, and immediately initiate appropriate medical treatment, including use of epinephrine.

Check pegzilarginase against other medicines

Source: FDA drug label (Loargys), Immedica Pharma US Inc., effective February 23, 2026 (SPL set d5ceabf2-43a0-4746-9371-d98a39cf6cfc), via openFDA; the full label on DailyMed

What do FAERS reports show for pegzilarginase?

The FDA Adverse Event Reporting System holds 20 reports that list pegzilarginase among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 0 are coded as a death and 13 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Hyperammonaemia9
  • Ammonia Increased4
  • Somnolence4
  • Decreased Appetite3
  • Hyperammonaemic Crisis3
  • Pyrexia (named in the label)3
  • Aphthous Ulcer2
  • Arginine Level Decreased2

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Pegzilarginase side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other