Recent Updates
Recently added Catalysts

Replagal

Phase 3

Fabry Disease | Monoclonal antibody | Metabolic |Takeda Pharmaceutical Company Limited|Last Updated: Oct 8, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment114
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04974749A Study of REPLAGAL® in Treatment-naive Chinese Participants With Fabry DiseasePHASE3 COMPLETED 20May 1, 2022Jan 3, 2024Oct 8, 20246 China
NCT01124643Extension Study of TKT028 Evaluating Safety and Clinical Outcomes of Replagal® in Adult Patients With Fabry DiseasePHASE3 COMPLETED 35Apr 13, 2010Jul 8, 2013Jun 8, 20219 United States, Australia +5
NCT00864851Safety and Efficacy Study of Several Replagal Dosing Regimens on Cardiac Function in Adults With Fabry DiseasePHASE3 COMPLETED 44Dec 29, 2008Jul 5, 2012Jun 9, 202112 United States, Australia +6
NCT01363492Safety Study of Replagal® Therapy in Children With Fabry DiseasePHASE2 COMPLETED 15May 12, 2011Apr 17, 2013Jun 9, 20215 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Participants With Serious Treatment-emergent Adverse Events (TEAEs)
From start of study drug administration up to 14 days after end of treatment (EOT) [up to Week 54]

An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product and that did not necessarily have a causal relationship with this investigational product (IP) or medicinal product. Serious AE was any untoward medical occurrence (whether considered to be related to investigational product or not) that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital abnormality/birth defect, and was an important medical event. A TEAE was defined as any event emerging at or after the initiation of treatment with an IP or any existing event that worsened in either intensity or frequency following exposure to the IP until the end of the safety follow-up period.

Change From Baseline in Left Ventricular Mass Indexed to Height (LVMI)
Baseline to 12 months
Safety Evaluations
Baseline to 12 months
Change From Baseline to Month 12 in Left Ventricular Mass Indexed to Height (LVMI)
Baseline, Month 12 (Week 53)

Left ventricular mass (LVM) was measured through echocardiography.

Number of Serious Adverse Event (SAE)
Baseline to week 55
Number of Treatment Emergent Adverse Event (TEAE)
Baseline to week 55
Development of IgG Anti-Agalsidase Alfa Antibody
Baseline to Week 55

Reflects development of Anti-Agalsidase antibodies post baseline

Change From Baseline in Heart Rate Variability Parameter SDNN
Baseline to week 55
Change From Baseline in Heart Rate Variability Parameter rMSSD
Baseline to week 55
Change From Baseline in Heart Rate Variability Parameter pNN50
Baseline to week 55
Secondary Endpoints
Number of Participants With TEAEs
From start of study drug administration up to 14 days after EOT (up to Week 54)
Number of Participants With Infusion-related Reactions (IRRs)
From start of study drug administration up to Week 52
Number of Participants With Positive Anti-drug Antibodies (ADA) to REPLAGAL
Baseline up to Week 52
Unlock Study Endpoints
Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
REPLAGALEXPERIMENTALParticipants received REPLAGAL 0.2 milligrams per kilogram (mg/kg) body weight, intravenous (IV) infusion, every other week (EOW) from Day 1 (Week 0) up to Week 52.
Replagal 0.2 mg/kg EOWEXPERIMENTALIntravenous, 0.2mg/kg EOW
Replagal 0.2 mg/kg, IV, every other weekACTIVE_COMPARATORPatients randomized to receive Replagal 0.2 mg/kg via intravenous infusion every other week for 52 weeks.
Replagal 0.2 mg/kg, IV, weeklyACTIVE_COMPARATORPatients randomized to receive Replagal 0.2 mg/kg via intravenous infusion every week for 52 weeks.
Replagal 0.4 mg/kg, IV, weeklyACTIVE_COMPARATORPatients randomized to receive Replagal 0.4 mg/kg via intravenous infusion every week for 52 weeks.
Replagal 0.2 mg/kg every other week (EOW)EXPERIMENTAL -
Interventions
NameTypeDescription
REPLAGALBIOLOGICALREPLAGAL IV infusion.
Replagal (agalsidase alfa)BIOLOGICAL0.2 mg/kg administered over 40 minutes every other week (EOW)
Unlock Study Design Details
Eligibility Criteria
Age Range7 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Participant and/or legally authorized representative must voluntarily sign an Institutional Review Board/Independent Ethics Committee approved written informed consent form (ICF) after all relevant aspects of the study have been explained and discussed with the participant. Fo...

Countries:ChinaUnited StatesAustraliaCzechiaFinlandPolandSloveniaUnited KingdomParaguay
Unlock Eligibility Criteria