New enzyme therapy shows promise for Long-Term fabry disease management
NCT ID NCT03566017
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at the long-term safety of pegunigalsidase alfa, an enzyme replacement therapy, in 97 adults with Fabry disease. Participants received the drug intravenously every two weeks for up to several years. The main goal was to track side effects and see how well the drug was tolerated over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- pegunigalsidase alfa (a lab-made enzyme replacement therapy)
- What this could lead to
- If successful, this could confirm that pegunigalsidase alfa is a safe long-term treatment option for managing Fabry disease and slowing kidney damage.
- What could go wrong
- This is an open-label extension study with no placebo group, so results are less definitive. Side effects are possible, and the drug may not work for everyone.
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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97 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Jan 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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18 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Completion of study PB-102-F20, study PB-102-F30, or at least 48 months in study PB-102-F03. 2. The participant signed informed consent. 3. Female participants and male participants whose co-partners were of child-bearing potential agreed to use a medically acceptable method of contraception. These included combined (estrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, or transdermal) supplemented with a barrier method (preferably male condom), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, or implantable) supplemented with a barrier method (preferably male condom), intrauterine device, intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner, or sexual abstinence. Contraception had to be used for 2 weeks after treatment termination. Exclusion Criteria: Presence of any medical, emotional, behavioral, or psychological condition that, in the judgment of the Investigator, would interfere with patient compliance with the requirements of the study.
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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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Academisch Medisch Centrum
Amsterdam, 1105 AZ, Netherlands
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Addenbrooke's Hospital
Cambridge, CB2 0QQ, United Kingdom
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Azienda Ospedaliera Universitaria "Federico II"
Naples, Via Pansini, 80131, Italy
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Capital District Health Authority
Halifax, Nova Scotia, B3H 1V8, Canada
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Emory University School of Medicine
Atlanta, Georgia, 30322, United States
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General Hospital Slovenj Gradec
Slovenj Gradec, 2380, Slovenia
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Haukeland University Hospital Klinisk Forskningspost
Bergen, 5021, Norway
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Hospital Raymond-Poincaré
Garches, 92380, France
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Hospital de Dia Quiron Zaragoza
Zaragoza, 50012, Spain
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Infusion Associates
Grand Rapids, Michigan, 49525, United States
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Institute of Metabolic Disease
Dallas, Texas, 75246, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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O+O Alpan LLC
Fairfax, Virginia, 22030, United States
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Phoenix Children's Hospital
Phoenix, Arizona, 85016, United States
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Renal Disease Research Institute, LLC - Dallas
Dallas, Texas, 75235, United States
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Royal Melbourne Hospital
Parkville, Victoria, 3050, Australia
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Salford Royal
Salford, Greater Manchester, M6 8HD, United Kingdom
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Semmelweis Egyetem
Budapest, 1083, Hungary
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The Royal Free Hospital
London, NW3 2QG, United Kingdom
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Turku University Central Hospital
Turku, FI-20521, Finland
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UAB Medicine
Birmingham, Alabama, 35233, United States
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University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital
Edgbaston, Birmingham, B152TH, United Kingdom
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University of California Irvine Center
Orange, California, 92868, United States
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University of California San Diego
La Jolla, California, 92037, United States
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University of Florida
Gainesville, Florida, 32610, United States
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University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
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University of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
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University of Utah Hospitals & Clinics
Salt Lake City, Utah, 84108, United States
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Vseobecna fakultni nemocnice v Praze
Prague, Czech Republic, 12808, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a One-Time gene therapy fix fabry disease for years?
- Can a new pill stop fatty buildup in fabry disease?
- Gene Therapy's lasting promise: can one infusion safely control fabry disease for years?
- Can early enzyme therapy save kidneys in fabry disease?
- Can continued lucerastat access help fabry patients?
- Can a single gene infusion rewrite the story of fabry disease?