{"id":113,"date":"2024-11-20T16:00:55","date_gmt":"2024-11-20T16:00:55","guid":{"rendered":"https:\/\/www.brineura.com\/en-us\/?page_id=113"},"modified":"2026-03-12T13:44:48","modified_gmt":"2026-03-12T13:44:48","slug":"treatment","status":"publish","type":"page","link":"https:\/\/www.brineura.com\/en-us\/treatment\/","title":{"rendered":"Treatment"},"content":{"rendered":"<div id=\"acf-block-673e068b7aa50\" class=\"block boxed-content boxed-content-no-bg\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\">\n\t\t\t\t\t\t\t\t\n<div id=\"acf-block-673e068b7abbd\" class=\"block-wysiwyg\">\n            <h1>Brineura<sup>&#xAE;<\/sup> (cerliponase alfa) is the only treatment that directly addresses the underlying cause of CLN2 disease by helping to replace the TPP1 enzyme<sup>1<\/sup><\/h1>\n<p>Brineura<sup>&#xAE;<\/sup>&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">(<span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Cerliponase alfa&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;A drug form of human TPP1, the enzyme that is absent, missing, or not working properly in patients with CLN2 disease. It is the generic name for Brineura&reg; (cerliponase alfa), which is approved to slow loss of ability to walk or crawl (ambulation) in symptomatic pediatric patients 3 years of age and older with lateinfantile CLN2 disease.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>cerliponase alfa<\/span>)<\/span> is a type of treatment called <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Enzyme&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;Proteins that cause reactions to occur in cells.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>enzyme<\/span> replacement therapy. Brineura helps to replace the TPP1 enzyme, the enzyme that is missing or not working properly in children with <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;CLN2 disease&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;A rare autosomal recessive disorder where lysosomes in the brain don&rsquo;t have enough of the TPP1 enzyme to break down materials in cells.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>CLN2 disease<\/span>.<sup>1<\/sup><\/p>\n    <\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7ac11\" class=\"block boxed-content block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\">\n\t\t\t\t\t\t\t\t\n<div id=\"acf-block-673e21cf05973\" class=\"block-wysiwyg\">\n            <h2>Brineura was evaluated in 24 children with CLN2 disease in a clinical study and its follow-up study<sup>1<\/sup><\/h2>\n<p>Each child&#x2019;s ability to walk, with or without assistance, was evaluated over approximately 2 years. Their results were compared with records of untreated patients who experienced the rapid, predictable loss of mobility that occurs in <span class=\"copy-accent-highlight tooltips tooltipstered\">CLN2 disease<\/span>.<sup>1<\/sup><\/p>\n    <\/div>\n\n<div id=\"acf-block-673e068b7afed\" class=\"image-text-block content-align-center bottom-border\">\n        <div class=\"content-block\">\n                            <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7afed\" class=\"image-text-block content-align-center bottom-border\">\n            <div class=\"image-block medium\">\n            <figure>\n                <div class=\"image image-rounded\">\n                    <img decoding=\"async\" class=\"\" src=\"https:\/\/www.brineura.com\/en-us\/wp-content\/uploads\/sites\/2\/2024\/11\/patient-treatment-chart-1.png?v=0.41\" alt=\"\"\/>                <\/div>\n            <\/figure>\n        <\/div>\n        <div class=\"content-block\">\n                    <h3>Children in the study ranged from 3 to 8 years old. The average age at first symptom was 3.4 years (ranged from 2.5 to 6.3 years)<sup>1,2<\/sup>\n<\/h3>\n                            <\/div>\n<\/div>\n\n<div id=\"acf-block-673e21cf05dbf\" class=\"block-wysiwyg\">\n            <h5>Children in the&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">extension study<\/span>&#xA0;were evaluated at approximately 2 years; the study is still ongoing<sup>1<\/sup><\/h5>\n    <\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7b4dc\" class=\"block wrapped-content bg-band bg-band-white block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-673e068b7b514\" class=\"block-wysiwyg\">\n            <h2>The CLN2 Clinical Rating Scale was used to measure how Brineura works<sup>1<\/sup><\/h2>\n<p>Children&#x2019;s ability to walk and crawl was measured using the&#xA0;<strong><span class=\"copy-accent-highlight tooltips tooltipstered\"><span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;CLN2 Clinical Rating Motor Domain Scale&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;This scale was designed specifically for CLN2 disease and evaluates motor function. It can also help doctors determine how well treatment with Brineura is working.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>CLN2 Clinical Rating Motor Domain Scale<\/span><\/span>.<\/strong> Scores range from 3 (normal) to 0 (loss of walking\/crawling abilities).<sup>1<\/sup>&#xA0;Within each score, there may be some differences in the way each child shows their ability to walk or crawl.<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e21cf06025\" class=\"block wrapped-content block-zero-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<figure id=\"acf-block-673e21cf061f6\">\n    <div class=\"image image-rounded image-align-left\">\n                    <img decoding=\"async\" class=\"\" src=\"https:\/\/www.brineura.com\/en-us\/wp-content\/uploads\/sites\/2\/2026\/01\/7074695_001__us_brineura_website_chart_image_rt2.png?v=0.41\" alt=\"\"\/>            <\/div>\n            <figcaption>*In some children, walking abilities were never completely normal and were rated as a 2.\n<p><\/p>\nAdapted from: Steinfeld R, et al. <i>Am J Med Genet<\/i>. 2002:112:347-354.\n<\/figcaption>\n    <\/figure>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c3a8\" class=\"block wrapped-content bg-band bg-band-white block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-673e068b7c3d9\" class=\"block-wysiwyg\">\n            <h2>Brineura helped maintain children&#x2019;s ability to walk, with or without assistance, over approximately 2 years of treatment<sup>1<\/sup><\/h2>\n\n\n<p>In the clinical study, decline was defined as a sustained drop of 2 points or a score of 0 on the&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">CLN2 Clinical Rating Scale<\/span>.<sup>1<\/sup><\/p>\n\n\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e21cf062d2\" class=\"block wrapped-content block-zero-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<figure id=\"acf-block-673e21cf0631e\">\n    <div class=\"image image-rounded image-align-left\">\n                    <img decoding=\"async\" class=\"\" src=\"https:\/\/www.brineura.com\/en-us\/wp-content\/uploads\/sites\/2\/2024\/11\/chart9-D.png?v=0.41\" alt=\"\"\/>            <\/div>\n    <\/figure>\n\n<div id=\"acf-block-673e21cf06343\" class=\"block-wysiwyg\">\n            <ul>\n<li>The only Brineura-treated patient who experienced a 2-point decline in their ability to walk or crawl discontinued from the study after 1&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\"><span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Infusion&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;A way in which drugs are delivered into the veins, or ventricles.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>infusion<\/span><\/span><sup>1<\/sup><\/li>\n<li>Ten children treated with the full dose of Brineura dropped 1 point on the&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">CLN2 Clinical Rating Scale<sup>5<\/sup><\/span><\/li>\n<\/ul>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-68f0c047f4179\" class=\"block wrapped-content\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-68f0c047f41a0\" class=\"block-wysiwyg\">\n            <h2 class=\"p1\">In another study of 14 children, which included children under 3 years of age, Brineura helped maintain children&#x2019;s ability to ambulate over approximately 3 years treatment<sup>1<\/sup><\/h2>\n<p class=\"p1\">None of the 14 Brineura-treated patients had a 2-point decline or score of 0 in the CLN2 Clinical Rating Motor Domain Scale at the last assessment (169 weeks) compared with 65% of untreated patients.<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c3a8\" class=\"block wrapped-content bg-band bg-band-white block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-673e068b7c3d9\" class=\"block-wysiwyg\">\n            <p>Layla is a patient with&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">CLN2 disease<\/span>. She&#x2019;s been on treatment with Brineura since 2015.<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c667\" class=\"block quote quote-image block-zero-top\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"box\">\n\t\t\t\t<div class=\"quote-content\">\n\t\t\t\t    \t\t\t\t\t    <div class=\"quote-image\" style=\"background-image: url(https:\/\/www.brineura.com\/en-us\/wp-content\/uploads\/sites\/2\/2024\/11\/patient-treatment-pic-1.png?v=0.41);\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"content-block\">\n\t\t\t\t\t\t<blockquote>\n\t\t\t\t\t\t    \t\t\t\t\t\t\t    <p>Layla is touching lives&#x2014;not only has she touched other people&#x2019;s lives, I feel like she&#x2019;s made me a better person. I feel like I&#x2019;m way more empathetic&#x2026;Learning and going through this is something that really makes you realize what&#x2019;s important.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t    <cite>&#x2014;Maria, <span>Layla&#x2019;s mom<\/span><\/cite>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c3a8\" class=\"block wrapped-content bg-band bg-band-white block-zero-bottom block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-673e068b7c3d9\" class=\"block-wysiwyg\">\n            <h2 class=\"align-center\">Possible side effects of Brineura<sup>1<\/sup><\/h2>\n<p>Like all medicines, Brineura can cause side effects. Talk to your healthcare team immediately if your child experiences any side effects.<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-6968dc30f113a\" class=\"block wrapped-content block-tight-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-6968dc30f1175\" class=\"block-wysiwyg\">\n            <ul>\n<li><strong>Severe and life-threatening allergic reactions, including anaphylaxis, can occur during Brineura infusions and up to 24 hours after <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Infusion&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;A way in which drugs are delivered into the veins, or ventricles.&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>infusion<\/span><\/strong><\/li>\n<li>The most frequent adverse reactions reported in patients less than 3 years of age were similar to those observed in patients 3 years of age and greater except for <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Hypersensitivity&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;&amp;lt;!-- wp:paragraph --&amp;gt;A set of reactions produced by the immune system, including fever, vomiting, irritability, and severe or serious allergic reactions (called anaphylaxis).&amp;lt;br\/&amp;gt;&amp;lt;!-- \/wp:paragraph --&amp;gt;&lt;\/div&gt;\"  data-mobile-support=\"0\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>hypersensitivity<\/span> reactions, which were reported in 5 of 8 (63%) in patients less than 3 years of age compared with 0 of 6 in patients greater than 3 years of age<\/li>\n<li>Your child&#x2019;s doctor will tell you about the symptoms of life-threatening hypersensitivity reactions, including anaphylaxis and when to seek immediate medical care:\n<ul>\n<li>Signs of anaphylaxis can include cough, rash, throat tightness, hives, flushing, changes in skin color, low blood pressure, shortness of breath, chest pain, and gastrointestinal symptoms such as nausea, abdominal pain, retching, and vomiting<\/li>\n<li>The most common manifestations observed with hypersensitivity included fever with vomiting, increased white blood cell count in the fluid of the brain, or irritability. Such symptoms resolved over time or with administration of antipyretics, antihistamines and\/or corticosteroids<\/li>\n<li>Symptoms of severe hypersensitivity reactions (eg, anaphylaxis) included rapid heartbeat, throat tightness, coughing, wheezing, trouble breathing, rash, diarrhea, hypotension, increased body temperature and vomiting<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>The most common side effects reported during Brineura&#xA0;<span class=\"copy-accent-highlight tooltips tooltipstered\">infusions<\/span>&#xA0;included<sup>1<\/sup>:<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c8b4\" class=\"block cards cards-2-col block-zero-top block-zero-bottom\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-673e068b7cf2f\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                \n                                                                                                            <ul>\n<li>Fever<\/li>\n<li>Problems with the electrical activity of the heart<\/li>\n<li>Decreased or increased protein in the fluid of the brain<\/li>\n<li>Vomiting<\/li>\n<li>Seizures<\/li>\n<li>Device-related complications<\/li>\n<li>Allergic reaction (<span class=\"copy-accent-highlight tooltips tooltipstered\">hypersensitivity<\/span>)<\/li>\n<li>Collection of blood outside of blood vessels (hematoma)<\/li>\n<\/ul>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7cfc9\" class=\"card\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                \n                                                                                                            <ul>\n<li>Headache<\/li>\n<li>Irritability<\/li>\n<li>Increased white blood cell count in the fluid of the brain<\/li>\n<li>Device-related infections<\/li>\n<li>Slow heart rate<\/li>\n<li>Feeling jittery<\/li>\n<li>Low blood pressure<\/li>\n<\/ul>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c3a8\" class=\"block wrapped-content bg-band bg-band-white block-zero-top block-remove-top-padding block-remove-bottom-padding\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-673e068b7c3d9\" class=\"block-wysiwyg\">\n            <p class=\"align-center\"><strong>If your child is acting differently or if you have any concerns, talk to your healthcare team immediately.<\/strong><\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7c8b4\" class=\"block cards cards-3-col\">\n\t<div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t\t<div class=\"cards-title\">\n\t\t\t    \t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"cards-wrapper\">\n\t\t\t    \n<div id=\"acf-block-673e068b7cf2f\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                \n                                                                                                            <h5>Connect with BioMarin to register for Brineura updates<\/h5>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-arrow\" href=\"https:\/\/www.brineura.com\/en-us\/register\/\" target=\"_self\">Register now<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7cfc9\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                \n                                                                                                            <h5>Explore resources to help you and your family<\/h5>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-arrow\" href=\"https:\/\/www.brineura.com\/en-us\/resources\/\" target=\"_self\">Find out more<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7d066\" class=\"card card-fixed-button\" data-muted-autoplay=\"false\">\n        <div class=\"card-content\">\n                \n                                                                                                            <h5>Discover the path toward treatment with Brineura<\/h5>\n                                                                                                                                                                                                                                                                        \n                                                                                        <\/div>\n                                <div class=\"card-actions\">\n                            \n                            <p><a class=\"button button-arrow\" href=\"https:\/\/www.brineura.com\/en-us\/getting-started\/\" target=\"_self\">Getting Started<\/a><\/p>\n                                                                                    <\/div>\n<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n<div id=\"acf-block-673e068b7d3f6\" class=\"block references\">\n    <div class=\"wrapper\">\n\t\t<div class=\"inner-wrapper\">\n\t\t    \t\t\t    <h4>References:\n<\/h4>\n\t\t\t\t\t\t                <ol>\n                                                                                                                        <li><span>Brineura [package insert]. Novato, CA: BioMarin Pharmaceutical Inc; 2024.\n<\/span><\/li>\n                                                                                                                                                <li><span>Wyrwich KW, Schulz A, Nickel M, et al. An adapted clinical measurement tool for the key symptoms of CLN2 disease. <em>J Inborn Errors Metab Screen<\/em>. 2018;6:1-7.\n<\/span><\/li>\n                                                                                                                                                <li><span>Schulz A, Ajayi T, Specchio N, et al. Study of intraventricular cerliponase alfa for CLN2 disease. <em>N Engl J Med<\/em>. 2018;378(20):1898-1907.\n<\/span><\/li>\n                                                                                                                                                <li><span>Steinfeld R, Heim P, von Gregory H, et al. Late infantile neuronal ceroid lipofuscinosis: quantitative description of the clinical course in patients with CLN2 mutations. <em>Am J Med Genet<\/em>. 2002;112:347-354.\n<\/span><\/li>\n                                                                                                                                                <li><span>Data on file, BioMarin Pharmaceutical Inc.\n<\/span><\/li>\n                                                            <\/ol>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-113","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Treatment - BioMarin Brineura Patient EN-US<\/title>\n<meta name=\"description\" content=\"Brineura\u00ae (cerliponase alfa) is a type of treatment called enzyme replacement therapy. 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