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Fabrazyme

Phase 4FDA approved 2003

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

Fabrazyme development status

FDA approval Apr 24, 2003
Approval holderGenzyme
ApplicationBLA103979
Highest phase Phase 4 (NCT00312767)
Phase scored for SNYPhase 3
Registered trials 18 across 4 sponsors since Dec 2003

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

Fabrazyme target and mechanism

ModalityMonoclonal antibody

Also known as Fabrazyme (agalsidase beta), AGALSIDASE BETA (GZ419828), agalsidase beta, r-hαGAL, r-haGAL, Agalsidase beta (recombinant form), Recombinant human α-galactosidase A (r-hαGAL)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials4
Total Enrollment126

FDA Designations

No designations recorded

Fabrazyme clinical trials

Fabrazyme · 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 Fabrazyme

What is Fabrazyme used for?

Fabrazyme is used to treat Fabry disease, a rare inherited lysosomal storage disorder. It is studied in both adult and pediatric patients with the condition, including males and mixed-sex populations across multiple countries. The clinical program covers patients as young as 7 years old.

Who makes Fabrazyme?

Fabrazyme is developed by Sanofi, which trades under the ticker SNY. Sanofi is the sponsor of the clinical trials evaluating the therapy in Fabry disease, a rare disease indication within the company's portfolio.

What phase is Fabrazyme in?

Fabrazyme has been evaluated in Phase 3 clinical development for Fabry disease. Three trials are registered in total, all of which are completed, including one Phase 3 study and two Phase 2 studies. No trials are currently active.

What clinical trials is Fabrazyme in?

Fabrazyme has been studied in three completed trials: NCT00074971, a Phase 3 study in adults across the United States, France, Netherlands, Puerto Rico, and the United Kingdom; NCT00196716, a Phase 2 study in Czechia, Estonia, Poland, and Slovakia; and NCT00074958, a Phase 2 pediatric study.

Is Fabrazyme the same as agalsidase beta?

Yes, Fabrazyme is also known as agalsidase beta. The two names refer to the same therapy developed by Sanofi for Fabry disease. Readers searching for agalsidase beta are looking at the same clinical program, which includes three completed trials in Fabry disease.