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New fabry drug shows promise in small switch study
NCT ID NCT05843916
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tested a new version of the drug agalsidase beta (AGA BETA BS) in 20 people with Fabry disease who were already stable on the standard drug Fabrazyme. Participants switched to the new drug for 54 weeks to see if it worked just as well. The main goal was to keep a key disease marker (Lyso-Gb3) at the same level.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- agalsidase beta (AGA BETA BS)
- What this could lead to
- If successful, this could provide an alternative treatment option for Fabry disease patients currently on Fabrazyme.
- What could go wrong
- This is a small, early-stage trial with only 20 participants. It tests a biosimilar, not a new drug, so the benefits may be similar to existing treatment. Risks include infusion reactions or lack of long-term safety data.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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20 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Mar 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Sex and Age 1. Male or female participant with ≥16 and ≤60 years of age at the time of signing the informed consent form (ICF). Reproduction 2. Female participants who are not pregnant, breastfeeding, donating eggs (ova, oocytes), or considering becoming pregnant during the study and for 3 months after the last dose of study treatment. 3. All women of childbearing potential (WOCBP) must have a negative urine pregnancy test at the Screening visit and at Baseline visit (prior to the first dose of experimental intervention). 4. WOCBP must use one highly effective form of birth control contraception through the study and for 3 months after the last dose of study treatment. 5. Male participants who are not considering fathering a child during the study and for 3 months after the last dose of study treatment. 6. Male sexually active participant with female partner(s) of childbearing potential must agree to use male condoms during the study and for 3 months after the last dose of study treatment or have documented successful surgical sterilization. 7. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the ICF and in this protocol. 8. Confirmed previous diagnosis of FD. 1. Women: preferably present genetic testing showing pathogenic GLA mutation consistent with FD at screening. 2. Men: preferably present leukocyte α-Gal A activity below normal range and/ or pathogenic GLA mutation consistent with FD at screening. 3. Male with classic FD phenotype, female with classic FD and men with late onset may be included. 9. Participants who have been on stable Fabrazyme® treatment for at least 6 months prior to Baseline visit. 10. Patients that in the last 3 months before the baseline visit have been receiving ≥80% of Fabrazyme®'s labeled dose/kg, this calculation includes both infusions provided by Biosidus during the Lead in period. 11. Disease status considered clinically stabilized, at Investigators' discretion. 12. Estimated glomerular filtration rate (eGFR) ≥45 mL/minute/1.73 m2 by CKD-EPI equation at Screening visit. 13. If receiving pain killers, angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs), participants must be in a stable dose for ≥ 4 weeks. Exclusion Criteria: 1. Chronic kidney disease in stage 3b, 4, or 5. 2. History of dialysis, kidney transplant or participants who are on the waiting list for a kidney transplant. 3. Proteinuria ≥1 g/day at screening. 4. Participants who have suffered a clinical cardiovascular event (such as but not limited to myocardial infarction, transient ischemic attack) within 6 months prior to 5. Participants who have clinically significant unstable cardiac disease (such as but not limited to uncontrolled symptomatic arrhythmia, unstable angina, congestive heart failure New York Heart Association class III or IV). 6. Participants who have suffered a clinical cerebrovascular event (such as but not limited to stroke, transient ischemic attack) within 6 months prior to Screening visit. 7. History of anaphylaxis or other type I hypersensitivity reactions to agalsidase beta. 8. History of acute kidney injury in the 12 months prior to Screening visit (such as but not limited to acute interstitial nephritis, acute renal failure of glomerular origin or caused by vasculitis). 9. Presence of any medical, emotional, behavioral, or psychological condition that, according to the Investigator, would interfere with the participant's compliance with the requirements of the study. 10. Treatment initiation or change of dose of ACE inhibitors or ARBs in the 4 weeks before the screening. 11. Current participation in an interventional study, in which the participant received any drug within 90 days before the Screening visit.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centro Médico Santa María de la Salud
San Isidro, Buenos Aires, 1642, Argentina
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Centro Oncológico Riojano Integral
La Rioja, F5300, Argentina
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Clínica Universitaria Reina Fabiola
Córdoba, X5004, Argentina
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Instituto de Investigaciones Clínicas Quilmes
Buenos Aires, Argentina
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Instituto de Nefrología Pergamino S.R.L
Pergamino, Buenos Aires, 2700, Argentina
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