ClinicalTrials.gg
CompletedNCT05843916SMILEUpdated Feb 18, 2026Results posted

Switch Over Study of Biosimilar Agalsidase Beta for Fabry Disease

A Phase 3 interventional study of Recombinant human alpha galactosidase A (agalsidase beta) and Recombinant human alpha-galactosidase A (agalsidase beta) in Fabry Disease, sponsored by Bio Sidus SA. Completed at 5 sites in Argentina. Open to participants aged 16 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by Bio Sidus SA · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
16 Years to 60 Years
Sex
All
01

Study summary

BIO-AGA-Fase III-001 is a Phase III, prospective, multicenter, open-label, single-group, baseline-controlled, switch over clinical trial to evaluate the efficacy and safety of AGA BETA BS in patients with FD already treated and previously stabilized with Fabrazyme®.

Read the detailed description

BIO-AGA-Fase III-001 is a Phase III, prospective, multicenter, open-label, single-group, baseline-controlled, switch over clinical trial to evaluate the efficacy and safety of AGA BETA BS in patients with FD already treated and previously stabilized with Fabrazyme®.

The study will be conducted in 2 parts: a 5-week Lead-in period (period 1) and 54 week treatment period (period 2). During period 1 all participants will receive 2 intravenous (IV) infusions of Fabrazyme®, provided by Biosidus. After that, in period 2 all participants will switch treatment to AGA BETA BS.

A total of up to 20 participants are planned for the study.

•The primary objective of the study is to evaluate the equivalence in efficacy between AGA BETA BS and Fabrazyme® after 6 months of treatment in participants with Fabry disease previously stabilized with Fabrazyme, by measuring disease biomarker (mean serum Lyso-Gb3 marker ratio after 26 weeks of treatment, defined as serum level of the marker Lyso-Gb3 after 26 weeks (6 months) divided by serum level of the marker Lyso-Gb3 at baseline).

02

Conditions studied

  • Fabry Disease

Browse trials for

Keywords

  • Biosimilar
  • Fabry disease
  • Fabry
  • agalsidase beta
  • Switch over
03

In context

Fabry Disease

244 studies on the registry are indexed under Fabry Disease; 55 are open to participants now.

This study's enrollment of 20 is close to the median of 22 across 108 interventional studies indexed under Fabry Disease.

Browse Fabry Disease studies →

Lead sponsor

Bio Sidus SA is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Sex and Age

  1. Male or female participant with ≥16 and ≤60 years of age at the time of signing the 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 (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 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 (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

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, ) within 6 months prior to
  5. Participants who have unstable cardiac disease (such as but not limited to uncontrolled symptomatic arrhythmia, unstable angina, congestive heart failure 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 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.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Fabrazyme® then AGA BETA BS

    The study has a single-arm. First, all participants will receive 2 doses of Fabrazyme® with approximately 14 days between them, and afterwards all participants will switch treatment and receive AGA BETA BS for 54 weeks

    Drug: Recombinant human alpha galactosidase A (agalsidase beta) · Drug: Recombinant human alpha-galactosidase A (agalsidase beta)

Interventions

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Lyso Gb3 Serum Levels

    The primary objective of the study is to evaluate the equivalence in efficacy between AGA BETA BS and Fabrazyme® after 6 months of treatment in participants with Fabry disease previously stabilized with Fabrazyme, by measuring disease biomarker. Endpoint: Mean serum Lyso-Gb3 marker ratio after 26 weeks of treatment, defined as serum level of the marker Lyso-Gb3 after 26 weeks (6 months) divided by serum level of the marker Lyso-Gb3 at baseline.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®) and 26 weeks (after the switch to AGA BETA BS)

Secondary outcomes

  1. Change From Baseline in Lyso-Gb3 Serum Levels

    To evaluate the difference in efficacy between AGA BETA BS and Fabrazyme® after 1 year (54 weeks) of treatment in participants with Fabry disease previously stabilized with Fabrazyme®, by measuring disease biomarker. Endpoint: Mean serum Lyso-Gb3 marker ratio after 54 weeks of treatment, defined as serum level of the marker Lyso-Gb3 after 54 weeks (12 months) divided by serum level of the marker Lyso-Gb3 at baseline.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®) and 54 weeks (after the switch to AGA BETA BS)

  2. Change From Baseline in Pain Severity as Assessed by Brief Pain Inventory-short Form Pain Severity Items Scores

    To compare the pain severity before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the Brief Pain Inventory-short form (BPI). The Brief Pain Inventory (BPI) is a validated patient-reported outcome instrument assessing pain severity and pain-related interference with daily activities. Pain severity is assessed using four items rated on a 0-10 numeric rating scale (0 = no pain; 10 = pain as bad as imaginable), with the score calculated as the mean of items (range 0-10; higher scores indicate worse pain). Pain interference is assessed using seven items rated on a 0-10 numeric rating scale (0 = does not interfere; 10 = completely interferes), with the score calculated as the mean of items (range 0-10; higher scores indicate worse outcome). Endpoint: Change from baseline in pain severity as assessed by BPI-short form pain severity items scores after 26 and 54 weeks of treatment.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  3. Change From Baseline in Pain Interference as Assessed by BPI-short Form Pain Interference Items Scores

    To compare the impact of pain on daily functions before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the BPI (Brief Pain Inventory)-short form. The Brief Pain Inventory (BPI) is a validated patient-reported outcome instrument assessing pain severity and pain-related interference with daily activities. Pain severity is assessed using four items rated on a 0-10 numeric rating scale (0 = no pain; 10 = pain as bad as imaginable), with the score calculated as the mean of items (range 0-10; higher scores indicate worse pain). Pain interference is assessed using seven items rated on a 0-10 numeric rating scale (0 = does not interfere; 10 = completely interferes), with the score calculated as the mean of items (range 0-10; higher scores indicate worse outcome). Endpoint: Change from baseline in pain severity as assessed by BPI-short form pain severity items scores after 26 and 54 weeks of treatment.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  4. Change From Baseline in SF-36 Health Survey Scores

    To compare the participants' perception of their own health before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the Short Form-36 Health Survey (SF-36). The Short Form-36 Health Survey (SF-36) is a validated patient-reported outcome instrument consisting of 36 questions designed to assess health-related quality of life. The questionnaire generates scores across eight domains (physical functioning, role limitations due to physical health, pain, general health, energy/fatigue, social functioning, role limitations due to emotional problems, and emotional well being), each scored on a 0-100 scale. Domain scores are calculated according to standard scoring algorithms, with higher scores indicating better health status and quality of life. Endpoint: Change from baseline in SF-36 scores after 26 and 54 weeks of treatment.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  5. Mean Blood Urea Nitrogen (BUN) Levels at Specified Timepoints

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  6. Mean Estimated Glomerular Filtration Rate (eGFR) at Specified Timepoints

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  7. Mean Urine Albumin-to-Creatinine Ratio at Specified Timepoints

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  8. Mean Electrolyte and Phosphate Levels at Specified Timepoints

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  9. Mean Heart Rate From Electrocardiogram Assessments at Specified Timepoints

    Evaluation of Heart Rate based on the analysis of electrocardiogram exams performed at baseline, 26 weeks and 54 weeks.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  10. Mean PR, QRS, QT, QTcB, and QTcF Intervals at Specified Timepoints

    Evaluation of PR, QRS, QT , QTcB and QTcF intervals based on the analysis of electrocardiogram exams performed at baseline, 26 weeks and 54 weeks.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  11. Mean Left Ventricular Wall Thickness at Specified Timepoints

    Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  12. Mean Left Ventricular Mass Index at Specified Timepoints

    Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  13. Mean Left Ventricular Ejection Fraction at Specified Timepoints

    Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).

  14. Number of Participants With Positive Neutralizing Antibodies at Specified Timepoints

    Count of participants whose serum samples showed a neutralization percentage of agalsidase beta activity greater than 50%, the predefined threshold indicating a positive result for neutralizing antibodies. Neutralizing antibody activity was evaluated using blood samples collected at Baseline, Week 14, Week 26, and Week 54. Participants with neutralization values exceeding the 50% cutoff were classified as positive for neutralizing antibodies at each timepoint.

    Time frame: Baseline (after 5 week lead-in period on Fabrazyme®),14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).

07

Results

Posted Feb 18, 2026
Limitations and caveats
This switch-over study was conducted in a small, heterogeneous cohort typical of rare-disease research. Limitations include the absence of a parallel control group, limited sample size, and a follow-up duration that may be insufficient for long-term assessment in a chronic progressive disease. These constraints are inherent to studies in rare diseases and were anticipated a priori.

Participant flow

Lead in (Fabrazyme)
Participant flow — Lead in (Fabrazyme)
MilestoneFabrazyme Then AGA BETA BS
Started20
Completed19
Not completed1
Withdrew: Withdrawal by subject1
Treatment Period (AGA BETA BS)
Participant flow — Treatment Period (AGA BETA BS)
MilestoneFabrazyme Then AGA BETA BS
Started19
Completed18
Not completed1
Withdrew: Pregnancy1

Outcome measures

PrimaryChange From Baseline in Lyso Gb3 Serum Levels

The primary objective of the study is to evaluate the equivalence in efficacy between AGA BETA BS and Fabrazyme® after 6 months of treatment in participants with Fabry disease previously stabilized with Fabrazyme, by measuring disease biomarker. Endpoint: Mean serum Lyso-Gb3 marker ratio after 26 weeks of treatment, defined as serum level of the marker Lyso-Gb3 after 26 weeks (6 months) divided by serum level of the marker Lyso-Gb3 at baseline.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®) and 26 weeks (after the switch to AGA BETA BS)
Reported as:
Mean · Nmol/L
Change From Baseline in Lyso Gb3 Serum Levels
Nmol/LFabrazyme Then AGA BETA BS (Intention to Treat Population)Fabrazyme Then AGA BETA BS (Per Protocol Population)
Mean baseline Lyso-Gb34.99 ± 3.105.12 ± 3.15
Mean 26 weeks Lyso-Gb34.95 ± 3.315.14 ± 3.45
Statistical analysis
  • Fabrazyme Then AGA BETA BS (Intention to Treat Population) · t-test, 2 sided · Geometric mean ratio: 0.98 · 95% CI 0.90 to 1.07
  • Fabrazyme Then AGA BETA BS (Per Protocol Population) · t-test, 2 sided · Geometric mean ratio: 0.99 · 95% CI 0.90 to 1.08
SecondaryChange From Baseline in Lyso-Gb3 Serum Levels

To evaluate the difference in efficacy between AGA BETA BS and Fabrazyme® after 1 year (54 weeks) of treatment in participants with Fabry disease previously stabilized with Fabrazyme®, by measuring disease biomarker. Endpoint: Mean serum Lyso-Gb3 marker ratio after 54 weeks of treatment, defined as serum level of the marker Lyso-Gb3 after 54 weeks (12 months) divided by serum level of the marker Lyso-Gb3 at baseline.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®) and 54 weeks (after the switch to AGA BETA BS)
Reported as:
Mean · Nmol/L
Change From Baseline in Lyso-Gb3 Serum Levels
Nmol/LFabrazyme Then AGA BETA BS (Intention to Treat Population)Fabrazyme Then AGA BETA BS (Per Protocol Population)
Mean baseline Lyso-Gb34.99 ± 3.1025.12 ± 3.15
Mean 54 weeks Lyso-Gb34.69 ± 3.514.71 ± 3.61
Statistical analysis
  • Fabrazyme Then AGA BETA BS (Intention to Treat Population) · t-test, 2 sided · p = 0.01 · Geometric mean ratio: 0.88 · 95% CI 0.81 to 0.97
  • Fabrazyme Then AGA BETA BS (Per Protocol Population) · t-test, 2 sided · p = 0.01 · Geometric mean ratio: 0.88 · 95% CI 0.81 to 0.97
SecondaryChange From Baseline in Pain Severity as Assessed by Brief Pain Inventory-short Form Pain Severity Items Scores

To compare the pain severity before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the Brief Pain Inventory-short form (BPI). The Brief Pain Inventory (BPI) is a validated patient-reported outcome instrument assessing pain severity and pain-related interference with daily activities. Pain severity is assessed using four items rated on a 0-10 numeric rating scale (0 = no pain; 10 = pain as bad as imaginable), with the score calculated as the mean of items (range 0-10; higher scores indicate worse pain). Pain interference is assessed using seven items rated on a 0-10 numeric rating scale (0 = does not interfere; 10 = completely interferes), with the score calculated as the mean of items (range 0-10; higher scores indicate worse outcome). Endpoint: Change from baseline in pain severity as assessed by BPI-short form pain severity items scores after 26 and 54 weeks of treatment.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · Scores on a scale
Change From Baseline in Pain Severity as Assessed by Brief Pain Inventory-short Form Pain Severity Items Scores
Scores on a scaleFabrazyme Then AGA BETA BS
Baseline1.88 ± 2.02
26 weeks1.46 ± 2.04
54 weeks1.18 ± 2.24
Statistical analysis
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -0.42
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -0.61
SecondaryChange From Baseline in Pain Interference as Assessed by BPI-short Form Pain Interference Items Scores

To compare the impact of pain on daily functions before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the BPI (Brief Pain Inventory)-short form. The Brief Pain Inventory (BPI) is a validated patient-reported outcome instrument assessing pain severity and pain-related interference with daily activities. Pain severity is assessed using four items rated on a 0-10 numeric rating scale (0 = no pain; 10 = pain as bad as imaginable), with the score calculated as the mean of items (range 0-10; higher scores indicate worse pain). Pain interference is assessed using seven items rated on a 0-10 numeric rating scale (0 = does not interfere; 10 = completely interferes), with the score calculated as the mean of items (range 0-10; higher scores indicate worse outcome). Endpoint: Change from baseline in pain severity as assessed by BPI-short form pain severity items scores after 26 and 54 weeks of treatment.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · Scores on a scale
Change From Baseline in Pain Interference as Assessed by BPI-short Form Pain Interference Items Scores
Scores on a scaleFabrazyme Then AGA BETA BS
Baseline2.56 ± 3.03
26 weeks1.64 ± 2.36
54 weeks2.25 ± 2.8
Statistical analysis
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -0.83
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 0.03
SecondaryChange From Baseline in SF-36 Health Survey Scores

To compare the participants' perception of their own health before and after the treatment with AGA BETA BS in participants with Fabry disease previously stabilized with Fabrazyme®, as measured by the Short Form-36 Health Survey (SF-36). The Short Form-36 Health Survey (SF-36) is a validated patient-reported outcome instrument consisting of 36 questions designed to assess health-related quality of life. The questionnaire generates scores across eight domains (physical functioning, role limitations due to physical health, pain, general health, energy/fatigue, social functioning, role limitations due to emotional problems, and emotional well being), each scored on a 0-100 scale. Domain scores are calculated according to standard scoring algorithms, with higher scores indicating better health status and quality of life. Endpoint: Change from baseline in SF-36 scores after 26 and 54 weeks of treatment.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · Scores on a scale
Change From Baseline in SF-36 Health Survey Scores
Scores on a scaleFabrazyme Then AGA BETA BS
Physical Functioning Score - Mean Baseline79.5 ± 21.01
Physical Functioning Score - Mean 26 weeks78.7 ± 24.99
Physical Functioning Score - Mean 54 weeks76.7 ± 24.43
Role limitations due to physical health- Mean Baseline71.1 ± 41.05
Role limitations due to physical health-Mean 26 weeks73.7 ± 38.62
Role limitations due to physical health- Mean 54 weeks76.4 ± 42.42
Role limitations due to emotional problems-Mean Baseline50.88 ± 44.95
Role limitations due to emotional problems- Mean 26 weeks70.18 ± 45.67
Role limitations due to emotional problems- Mean 54 weeks62.96 ± 46.99
Energy/fatigue- Mean Baseline51.10 ± 21.38
Energy/fatigue- Mean 26 weeks60.30 ± 22.27
Energy/fatigue - Mean 54 weeks55 ± 16.36
Emotional well-being - Mean Baseline68.6 ± 20.54
Emotional well-being- Mean 26 weeks71.2 ± 17.21
Emotional well-being- Mean 54 weeks64.7 ± 15.84
Social functioning- Mean Baseline79.61 ± 19.92
Social functioning- Mean 26 weeks77.24 ± 27.22
Social functioning- Mean 54 weeks79.17 ± 20.29
Pain- Mean Baseline69.61 ± 27.03
Pain- Mean 26 weeks74.21 ± 25.90
Pain- Mean 54 weeks84.17 ± 23.87
General Health-Mean Baseline60.30 ± 22.28
General Health-Mean 26 weeks62.40 ± 20.77
General Health- Mean 54 weeks57.80 ± 24.27
Statistical analysis
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -0.8
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -2.8
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 2.6
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 6.9
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 19.30
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 14.82
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 9.2
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 3.90
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 2.50
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -2.2
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -2.37
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 0.69
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 4.61
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 15.69
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): 2.10
  • Fabrazyme Then AGA BETA BS · Mean Difference · Mean difference (final values): -2.8
SecondaryMean Blood Urea Nitrogen (BUN) Levels at Specified Timepoints
Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · mmol/L
Mean Blood Urea Nitrogen (BUN) Levels at Specified Timepoints
mmol/LFabrazyme Then AGA BETA BS
Mean Baseline Blood Urea Nitrogen5.03 ± 2.19
Mean 14 weeks Blood Urea Nitrogen4.70 ± 1.76
Mean 26 weeks Blood Urea Nitrogen4.34 ± 1.40
Mean 54 weeks Blood Urea Nitrogen4.78 ± 1.82
SecondaryMean Estimated Glomerular Filtration Rate (eGFR) at Specified Timepoints
Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · ml/min/1.73m2
Mean Estimated Glomerular Filtration Rate (eGFR) at Specified Timepoints
ml/min/1.73m2Fabrazyme Then AGA BETA BS
Mean Baseline eGFR106.05 ± 25.32
Mean 26 weeks eGFR107.99 ± 27.02
Mean 54 weeks eGFR100.47 ± 26.54
SecondaryMean Urine Albumin-to-Creatinine Ratio at Specified Timepoints
Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · g/mol
Mean Urine Albumin-to-Creatinine Ratio at Specified Timepoints
g/molFabrazyme Then AGA BETA BS
Mean Baseline Urine Albumin/Creatinine ratio9.26 ± 13.95
Mean 26 weeks Urine Albumin/Creatinine ratio9.14 ± 12.16
Mean 54 weeks Urine Albumin/Creatinine ratio9.8 ± 20.52
SecondaryMean Electrolyte and Phosphate Levels at Specified Timepoints
Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · mmol/L
Mean Electrolyte and Phosphate Levels at Specified Timepoints
mmol/LFabrazyme Then AGA BETA BS
Mean Baseline Sodium141.10 ± 3.16
Mean 14 weeks Sodium140.30 ± 2.91
Mean 26 weeks Sodium140.40 ± 2.89
Mean 54 weeks Sodium140.80 ± 4.71
Mean Baseline Potassium4.22 ± 0.41
Mean 14 weeks Potassium4.36 ± 0.45
Mean 26 weeks Potassium4.31 ± 0.37
Mean 54 weeks Potassium4.25 ± 0.58
Mean Baseline Magnesium0.84 ± 0.13
Mean 14 weeks Magnesium0.83 ± 0.11
Mean 26 weeks Magnesium0.83 ± 0.09
Mean 54 weeks Magnesium0.85 ± 0.12
Mean Baseline Calcium2.43 ± 0.14
Mean 14 weeks Calcium2.37 ± 0.12
Mean 26 weeks Calcium2.36 ± 0.14
Mean 54 weeks Calcium2.40 ± 0.13
Mean Baseline Chloride104.28 ± 4.26
Mean 14 weeks Chloride103.71 ± 3.51
Mean 26 weeks Chloride104.49 ± 4.82
Mean 54 weeks Chloride104.72 ± 5.24
Mean Baseline Bicarbonate24.18 ± 2.84
Mean 14 weeks Bicarbonate24.47 ± 2.33
Mean 26 weeks Bicarbonate24.25 ± 2.44
Mean 54 weeks Bicarbonate23.78 ± 2.50
Mean Baseline Phosphate1.12 ± 0.40
Mean 14 weeks Phosphate1.11 ± 0.28
Mean 26 weeks Phosphate1.21 ± 0.25
Mean 54 weeks Phosphate1.28 ± 0.22
SecondaryMean Heart Rate From Electrocardiogram Assessments at Specified Timepoints

Evaluation of Heart Rate based on the analysis of electrocardiogram exams performed at baseline, 26 weeks and 54 weeks.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · Beats/min
Mean Heart Rate From Electrocardiogram Assessments at Specified Timepoints
Beats/minFabrazyme Then AGA BETA BS
Baseline Mean ECG-assesed Heart Rate61.80 ± 10.06
26 weeks Mean ECG-assesed Heart Rate64.50 ± 10.93
54 weeks Mean ECG-assesed Heart Rate63.10 ± 12.43
SecondaryMean PR, QRS, QT, QTcB, and QTcF Intervals at Specified Timepoints

Evaluation of PR, QRS, QT , QTcB and QTcF intervals based on the analysis of electrocardiogram exams performed at baseline, 26 weeks and 54 weeks.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · msec
Mean PR, QRS, QT, QTcB, and QTcF Intervals at Specified Timepoints
msecFabrazyme Then AGA BETA BS
Mean Baseline PR interval130.30 ± 45.71
Mean 26 weeks PR interval119.2 ± 36.72
Mean 54 weeks PR interval127 ± 37.98
Mean Baseline QRS interval79.5 ± 10.05
Mean 26 weeks QRS interval80.50 ± 8.77
Mean 54 weeks QRS interval85.50 ± 16.40
Mean Baseline QT interval416.60 ± 36.95
Mean 26 weeks QT interval398.90 ± 46.90
Mean 54 weeks QT interval411.10 ± 37.79
Mean Baseline QTcB interval417.20 ± 22.05
Mean 26 weeks QTcB interval407.30 ± 34.80
Mean 54 weeks QTcB interval420.20 ± 41.39
Mean Baseline QTcF interval421.50 ± 28.04
Mean 26 weeks QTcF interval404.30 ± 42.06
Mean 54 weeks QTcF interval415.60 ± 35.21
SecondaryMean Left Ventricular Wall Thickness at Specified Timepoints

Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · mm
Mean Left Ventricular Wall Thickness at Specified Timepoints
mmFabrazyme Then AGA BETA BS
Mean Baseline Left Ventricle wall thickness9.04 ± 2.27
Mean 26 weeks Left Ventricle wall thickness8.38 ± 2.47
Mean 54 weeks Left Ventricle wall thickness9.65 ± 2.29
SecondaryMean Left Ventricular Mass Index at Specified Timepoints

Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · g/m²
Mean Left Ventricular Mass Index at Specified Timepoints
g/m²Fabrazyme Then AGA BETA BS
Mean Baseline Left Ventricular Mass Index85.50 ± 35.33
Mean 26 weeks Left Ventricular Mass Index95.96 ± 37.31
Mean 54 weeks Left Ventricular Mass Index110.13 ± 43.37
SecondaryMean Left Ventricular Ejection Fraction at Specified Timepoints

Evaluation of cardiac function based on the analysis of bidimensional echocardiogram exams performed at baseline, 26 weeks and 54 weeks.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®), 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Mean · percentage of ejection fraction
Mean Left Ventricular Ejection Fraction at Specified Timepoints
percentage of ejection fractionFabrazyme Then AGA BETA BS
Mean Baseline Left Ventricle Ejection Fraction65.16 ± 6.21
Mean 26 weeks Left Ventricle Ejection Fraction64.42 ± 7.27
Mean 54 weeks Left Ventricle Ejection Fraction63.28 ± 11.22
SecondaryNumber of Participants With Positive Neutralizing Antibodies at Specified Timepoints

Count of participants whose serum samples showed a neutralization percentage of agalsidase beta activity greater than 50%, the predefined threshold indicating a positive result for neutralizing antibodies. Neutralizing antibody activity was evaluated using blood samples collected at Baseline, Week 14, Week 26, and Week 54. Participants with neutralization values exceeding the 50% cutoff were classified as positive for neutralizing antibodies at each timepoint.

Time frame:
Baseline (after 5 week lead-in period on Fabrazyme®),14 weeks, 26 weeks and 54 weeks (after the switch to AGA BETA BS).
Reported as:
Count of participants · Participants
Number of Participants With Positive Neutralizing Antibodies at Specified Timepoints
ParticipantsFabrazyme Then AGA BETA BS
Baseline1
14 weeks1
26 weeks1
54 weeks1

Adverse events

Collected over 13 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lead-in Period (Fabrazyme)0/20 (0%)0/20 (0%)4/20 (20%)
Treatment Period (AGA BETA BS)0/19 (0%)5/19 (26.3%)17/19 (89.5%)
Most frequent serious events
Most frequent serious events
EventLead-in Period (Fabrazyme)Treatment Period (AGA BETA BS)
Renal AtrophyRenal and urinary disorders0/201/19
CholelithiasisHepatobiliary disorders0/201/19
Ischaemic StrokeNervous system disorders0/201/19
Atrial fibrillationCardiac disorders0/201/19
Chest painGeneral disorders0/201/19
Urinary tract infectionInfections and infestations0/201/19
Most frequent other events
Showing 10 of 45
Most frequent other events
EventLead-in Period (Fabrazyme)Treatment Period (AGA BETA BS)
InfluenzaInfections and infestations1/204/19
HeadacheNervous system disorders0/204/19
PharyngotonsillitisInfections and infestations0/203/19
Urinary tract infectionInfections and infestations0/203/19
Pyrexia (fever)General disorders1/203/19
BronchitisInfections and infestations0/202/19
Adverse drug reactionGeneral disorders0/202/19
ChillsGeneral disorders0/202/19
MyalgiaMusculoskeletal and connective tissue disorders0/202/19
Drug HypersensitivityImmune system disorders0/202/19

Baseline characteristics

Age, Continuous
Age, Continuous(years)Fabrazyme Then AGA BETA BS
Mean35.6 ± 12.6
Sex: Female, Male
Sex: Female, Male(Participants)Fabrazyme Then AGA BETA BS
Female15
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Fabrazyme Then AGA BETA BS
Hispanic or Latino20
Not Hispanic or Latino0
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Fabrazyme Then AGA BETA BS
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White20
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Fabrazyme Then AGA BETA BS
Argentina20
Height
Height(Centimeters)Fabrazyme Then AGA BETA BS
Mean162.2 ± 7.7
Weight
Weight(Kilograms)Fabrazyme Then AGA BETA BS
Mean69.9 ± 15.3
BMI
BMI(Kg/m2)Fabrazyme Then AGA BETA BS
Mean26.4 ± 6.2

1 further baseline measures are reported on the registry.

08

Study locations

5 sites
  • Instituto de Nefrología Pergamino S.R.L
    Pergamino, Buenos Aires 2700, Argentina
  • Centro Médico Santa María de la Salud
    San Isidro, Buenos Aires 1642, Argentina
  • Instituto de Investigaciones Clínicas Quilmes
    Buenos Aires, Argentina
  • Clínica Universitaria Reina Fabiola
    Córdoba, X5004, Argentina
  • Centro Oncológico Riojano Integral
    La Rioja, F5300, Argentina
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2022 to primary completion in Sep 2024, 21 months.

Results were first posted in Feb 2026, 1 year 4 months after primary completion.

Of 22 phase 3 interventional studies under Fabry Disease, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 64. This study's 21 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 28, 2022
First posted
May 6, 2023
StartActual
Dec 13, 2022
Primary completionActual
Sep 19, 2024
CompletionActual
Mar 31, 2025
Results first posted
Feb 18, 2026
Last update
Feb 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05843916
Lead sponsor
Bio Sidus SA
Collaborators
Amsterdam UMC, IQVIA Pty Ltd, IQVIA RDS Inc.
Responsible party
Sponsor
First posted
May 6, 2023
Start date
Dec 13, 2022
Primary completion
Sep 19, 2024
Completion
Mar 31, 2025
Results posted
Feb 18, 2026
Last update
Feb 18, 2026

Study contacts

Alberto A Fernández, MD
principal investigator · Instituto de Investigaciones Clínicas Quilmes

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Agalsidase beta

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