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Copper Histidinate Injection Suppliers & Bulk Manufacturers

Available Forms: Subcutaneous injection

Available Strengths: 250 mcg copper (as copper histidinate) per dose

Reference Brands: Zycubo (Sentynl Therapeutics)

Category: Orphan Drugs

Copper histidinate (Zycubo, Sentynl Therapeutics) is a subcutaneous copper replacement for children with Menkes disease, approved by the US FDA in January 2026 as the first treatment for the condition. PharmaTradz handles enquiries for authorised supply of the originator product (named-patient and import-permit orders), and connects developers and licensees preparing for patent and exclusivity expiry.

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Product Description:

Menkes disease is a rare inherited disorder, almost always in boys, caused by faults in the ATP7A gene. ATP7A moves copper out of the gut and into the brain, so children with Menkes disease cannot absorb dietary copper and copper-dependent enzymes fail. Without treatment, the disease causes seizures, loss of developmental skills, brittle "kinky" hair and early death. Copper histidinate gives copper by injection under the skin, bypassing the gut.

The US FDA approved copper histidinate as Zycubo in January 2026 for children with Menkes disease, the first approved treatment for it. Treatment works best when started very early, ideally in the first weeks of life, before brain damage has developed. Doses are given by subcutaneous injection, more often in the first year and then less often.

Sourcing and licensing notes. Zycubo is made only by Sentynl Therapeutics, a Zydus company, and has no generic. Supply outside the US is on a named-patient basis, which we confirm for each destination.

How Copper Histidinate Injection is supplied today, and licensing ahead of patent expiry

Where copper histidinate is approved

Checked 3 Oct 2026
MarketStatusBrand · regulator · date
United States Approved Zycubo · FDA · Jan 2026
Generic / biosimilar None None approved as of the check date

Not approved in your country? A hospital or doctor can often still import it for a named patient, through a special-access, import-permit or compassionate-use route. We confirm which route applies in your country and the documents needed before quoting. Ask about named-patient supply →

Named-patient import Where a patient needs the product in a market where it is not registered, named-patient import is the lawful route. It requires the treating physician's documentation and authorisation from the destination regulator. We handle this pathway. Named-patient access
Authorised distribution For registered markets, supply runs through the manufacturer's authorised distribution channel. We can identify the authorised route for your market and tell you whether the product is registered there at all. Innovator sourcing
A genericised alternative Where the clinical requirement is the drug class rather than this specific molecule, there is often an off-patent alternative that is faster to register and materially cheaper. Tell us the indication and target market and we will say plainly whether one exists. Discuss alternatives
Licensing and generic development Patents expire country by country, and in many countries development and dossier filing can start before expiry under research and regulatory-review exemptions. We connect manufacturers developing this molecule, dossier holders, licensees and tech-transfer partners for markets where it is, or will become, off-patent. Partner on this molecule
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Frequently Asked Questions

Treating children with Menkes disease, an inherited disorder in which the body cannot absorb and distribute copper.

Zycubo, from Sentynl Therapeutics. The US FDA approved it in January 2026.

Children with Menkes disease cannot absorb copper from the gut, so it has to be given by injection under the skin.

No. Zycubo is the only approved product. We handle authorised-supply enquiries for named-patient use.

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