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Agalsidase beta

Phase 4FDA approved

Fabry Disease | Monoclonal antibody | Rare Disease |Sanofi|Trials Updated: Jun 29, 2016

Agalsidase beta development status

FDA approval on record Apr 24, 2003 as Fabrazyme
Approval holderGenzyme
ApplicationBLA103979
Highest phase Phase 4 (NCT01650779)
Phase scored for SNYPhase 3
Registered trials 8 across 3 sponsors since Apr 2004

Label indication FABRAZYME ® is indicated for the treatment of adult and pediatric patients 2 years of age and older with confirmed Fabry disease. FABRAZYME is a hydrolytic lysosomal neutral glycosphingolipid-specific enzyme indicated for the treatment of adult and pediatric patients 2 years of age and older with confirmed Fabry disease. ( 1 ) FDA label

Agalsidase beta target and mechanism

ModalityMonoclonal antibody

Also known as Agalsidase beta (GZ419828), Fabrazyme, Recombinant human α-galactosidase A (r-hαGAL)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials4
Total Enrollment126

FDA Designations

No designations recorded

Agalsidase beta clinical trials

Agalsidase beta · 4 trials · 1 indication

Phase 3 2Phase 2 2
NCT00701415A Study of Two Fabrazyme (Agalsidase Beta) Dosing Regimens in Treatment-naïve, Male Pediatric Patients Without Severe SymptomsFabry Disease
COMPLETED31 Analytics
NCT00074971A Study of the Safety and Efficacy of Fabrazyme in Patients With Fabry DiseaseFabry Disease
COMPLETED58 Analytics
PHASE3COMPLETED
A Study of Two Fabrazyme (Agalsidase Beta) Dosing Regimens in Treatment-naïve, Male Pediatric Patients Without Severe Symptoms
Fabry DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study of the Safety and Efficacy of Fabrazyme in Patients With Fabry Disease
Fabry DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Skin Globotriaosylceramide (GL-3) Clearance From Superficial Skin Capillary Endothelium
Baseline, Week 52, Week 156 and Week 260

Skin biopsies were taken at Baseline, Week 52, Week 156 and Week 260 or early withdrawal and analyzed for cellular GL-3 accumulation (inclusions) by light microscopy. Each biopsy was scored for GL-3 accumulation on a severity score-scale of none, mild, moderate, severe (0-1-2-3). Scores are categorized as normal (score = 0) or abnormal (score = 1, 2 or 3). Data was summarized in terms of number of participants with none/trace, mild, moderate and severe biopsy scores.

Safety and efficacy
Morphologic assessment of GL-3 inclusions in the capillary endothelium (vasculature) of the kidney
Globotriaosylceramide (GL-3) Clearance in Kidney Interstitial Capillary Endothelium
Throughout study; 96 weeks

Kidney biopsies were taken at Baseline, Week 24, and Week 96 and analyzed for cellular GL-3 accumulation (inclusions) by light microscopy. Each biopsy was evaluated by pathologists for the total number of vessels with GL-3 accumulation on an inclusion severity score of 0 (none/trace), 1 (mild), 2 (moderate), and 3 (severe).

Globotriaosylceramide (GL-3) Clearance in Capillary Endothelium in the Skin
Baseline, Week 24 and Week 48

Skin biopsies were taken at Baseline, Week 24 and Week 48 and analyzed for cellular GL-3 accumulation (inclusions) by light microscopy. Each biopsy was evaluated by pathologists for the total number of vessels with GL-3 accumulation on an inclusion severity score of 0 (none/trace), 1 (mild), 2 (moderate), and 3 (severe).

Secondary Endpoints

Percent Change From Baseline in GL-3 Clearance From Plasma
Baseline, Week 12, 28, 40, 52, 80, 104, 132, 156, 184, 208, 236 and 260
Percent Change From Baseline in GL-3 Clearance From Urine
Baseline, Week 12, 28, 40, 52, 80, 104, 132, 156, 184, 208, 236 and 260
Changes in McGill Pain Questionnaire
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fabrazyme 0.5 mg/kgEXPERIMENTALFabrazyme 0.5 mg/kg was administered every 2 weeks (up to 131 infusion) up to 260 weeks, the total infusion time was not less than 45 minutes. In case of significant progression of Fabry disease, the dose was increased to 1.0 mg/kg every 2 weeks.
Fabrazyme 1.0 mg/kgEXPERIMENTALFabrazyme 1.0 mg/kg was administered every 4 weeks (up to 66 infusion) up to 260 weeks, the total infusion time was not less than 90 minutes. In case of significant progression of Fabry disease, the dose was increased to 1.0 mg/kg every 2 weeks.
FabrazymeEXPERIMENTALOpen-label study. Patients received 1.0 mg/kg Fabrazyme every two weeks for approximately six months followed by 0.3 mg/kg Fabrazyme every two weeks for approximately 18 months.

Interventions

NameTypeDescription
Agalsidase betaBIOLOGICALPowder for concentrate for solution for infusion 1.0 mg/kg/4 weeks
Fabrazyme (agalsidase beta)DRUG -
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Eligibility Criteria

Age Range5 Years to 18 Years
SexMALE
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * The participant and/or participant's parent(s)/legal guardian(s) must provide written informed assent/consent prior to any protocol-related procedures being performed. * The participant must had a confirmed diagnosis of Fabry disease as documented by leukocyte α-Galactosidase ...

Countries:United StatesArgentinaBrazilCanadaCzechiaNetherlandsNorwayPolandUnited KingdomFrancePuerto RicoEstoniaSlovakia
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Frequently asked questions about Agalsidase beta

What is Agalsidase beta used for in Fabry Disease?

Agalsidase beta is an investigational drug being studied for the treatment of Fabry Disease, a rare genetic disorder. It is currently in Phase 3 clinical development. The drug is being evaluated in patients with this condition to assess its safety and efficacy.

Who makes Agalsidase beta?

Agalsidase beta is being developed by Sanofi, a global biopharmaceutical company. Sanofi is listed on the stock exchange under the ticker symbol SNY. The company is conducting clinical trials to evaluate the drug's potential in treating Fabry Disease.

What phase is Agalsidase beta in?

Agalsidase beta is currently in Phase 3 clinical development. It is an investigational drug and has not yet been approved by regulatory authorities. The drug is being studied for the treatment of Fabry Disease in clinical trials.

What clinical trials is Agalsidase beta in?

Agalsidase beta has one completed Phase 3 clinical trial with the identifier NCT00701415. This trial studied two dosing regimens of the drug in treatment-naive, male pediatric patients with Fabry Disease. The trial enrolled 31 participants across multiple countries.

Is Agalsidase beta the same as GZ419828?

Yes, Agalsidase beta is also known as GZ419828. This alternative name may be used in some clinical or research contexts. The drug is being developed by Sanofi for the treatment of Fabry Disease.