About Sucraid

What is Sucraid?

Sucraid is the only FDA-approved enzyme replacement therapy indicated for the treatment of genetically determined sucrase deficiency, which is a part of Congenital Sucrase-Isomaltase Deficiency (CSID).

In This Section

Sucraid is an enzyme replacement therapy that facilitates the breakdown of sucrose (sugar) into monosaccharides for absorption by the small intestine. It has been shown to help alleviate the gastrointestinal (GI) symptoms associated with CSID, and, as a result, patients can maintain a more normal diet that includes sucrose-containing foods.

  • Sucraid is dispensed in 118-mL translucent plastic bottles, packaged with two bottles per box
  • Each mL of solution contains 8,500 international units (IU) of sacrosidase
  • A 1-mL measuring scoop is provided with each bottle

Congenital Sucrase-Isomaltase Deficiency is an autosomal recessive disease of the small intestine, also known as Genetic Sucrase-Isomaltase Deficiency (GSID), which was first discovered by Weijers and colleagues in 1960. When first detected nearly 60 years ago, the disease was originally characterized by undetectable sucrase activity, a decrease in maltase activity to nearly one third the normal level, and a varying degree of isomaltase activity.1

Sucraid Bottles

Figure 1. How Sucraid is dispensed

How Does Sucraid Work?

Sucraid has been shown in clinical trials to be effective in the treatment of patients with CSID. The active ingredient in Sucraid is sacrosidase, a sucrase enzyme replacement that catalyzes the hydrolysis of sucrose into glucose and fructose, thereby facilitating absorption from the small intestine into the bloodstream. Sacrosidase is a potent and robust enzyme; on a per milliliter basis, sacrosidase is approximately 100-fold more potent than endogenous sucrase.2 It has been shown to be stable when stored at 4°C.3

Although Sucraid provides replacement therapy for deficient sucrase, it does not provide specific replacement therapy for deficient isomaltase.4 Therefore, Sucraid does not metabolize dietary starches (for example, potato, bread, or pasta) and restricting starch in the diet may still be necessary to minimize symptoms in patients with CSID who are starch intolerant. When starting therapy with Sucraid, patients who still have symptoms are advised to restrict dietary starch for two weeks and then gradually reintroduce starch while monitoring for gastrointestinal symptoms. Keeping a dietary diary for the first few weeks of therapy is also recommended.

How Sucraid Works

Figure 2. Role of Sucraid in the metabolism of sucrose and absorption of its metabolic products glucose and fructose across small intestine microvilli

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Important Safety Information for Sucraid® (sacrosidase) Oral Solution

  • Sucraid may cause a serious allergic reaction. Patients should stop taking Sucraid and get emergency help immediately if any of the following side effects occur: difficulty breathing, wheezing, or swelling of the face. Care should be taken when administering initial doses of Sucraid to observe any signs of acute hypersensitivity reaction.
  • Do not use Sucraid (sacrosidase) Oral Solution with patients known to be hypersensitive to yeast, yeast products, papain, or glycerin (glycerol).
  • Although Sucraid provides replacement therapy for the deficient sucrase, it does not provide specific replacement therapy for the deficient isomaltase.
  • Adverse reactions as a result of taking Sucraid may include worse abdominal pain, vomiting, nausea, diarrhea, constipation, difficulty sleeping, headache, nervousness, and dehydration.
  • Before prescribing Sucraid to diabetic patients, the physician should consider that Sucraid will enable sucrose hydrolysis and the absorption of those hydrolysis products, glucose and fructose.
  • The effects of Sucraid have not been evaluated in patients with secondary (acquired) disaccharidase deficiency.
  • DO NOT HEAT SOLUTIONS CONTAINING SUCRAID. Do not put Sucraid in warm or hot fluids. Do not reconstitute or consume Sucraid with fruit juice since the acidity of the juice may reduce the enzyme activity of Sucraid. Half of the reconstituted Sucraid should be taken at the beginning of the meal or snack and the other half during the meal or snack.
  • Sucraid should be refrigerated at 36°F-46°F (2°C-8°C) and should be protected from heat and light.

Indication

Sucraid®(sacrosidase) Oral Solution is an enzyme replacement therapy for the treatment of genetically determined sucrase deficiency, which is part of Congenital Sucrase-Isomaltase Deficiency (CSID).