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CompletedNCT06019728SHORTENUpdated Oct 21, 2025Results posted

A Prospective Study to Investigate Safety and Tolerability of Shorter Infusion of Fabrazyme

A Phase 4 interventional study of AGALSIDASE BETA (GZ419828) and Acetaminophen in Fabry's Disease, sponsored by Sanofi. Completed at 5 sites in United States. Open to participants aged 2 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-10-21.

Sponsored by Sanofi · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
2 Years to 65 Years
Sex
All
01

Study summary

This Phase 4 study will evaluate the safety and tolerability of Fabrazyme at current approved dose with increases in the infusion rate and reduced infusion volume. This study aims to generate data to provide the guidance on how infusion rate can be safely increased and minimize the burden of the life-long treatment with Fabrazyme.

Read the detailed description

The total duration will be up to 7 months

02

Conditions studied

  • Fabry's Disease

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03

In context

Fabry Disease

242 studies on the registry are indexed under Fabry Disease; 54 are open to participants now.

This study's enrollment of 8 is below the median of 22 across 105 interventional studies indexed under Fabry Disease.

Browse Fabry Disease studies →

Lead sponsor

Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

- Participants with confirmed diagnosis of FD who are ≥2 and ≤65 years of age at the time of signing the informed consent form (ICF) or assent, if applicable.

  • Cohort 1: female participants with body weight ≥30 kg who have been treated with Fabrazyme for at least 3 months without IARs during the most recent 3 infusions.
  • Cohort 2: non-classic male participants with body weight ≥30 kg who have been treated with Fabrazyme for at least 3 months without IARs during the most recent 3 infusions.
  • Cohort 3: classic male participants with body weight ≥30 kg who have been treated with Fabrazyme for at least 3 months without IARs during the most recent 3 infusions.
  • Cohort 4: participants with body weight \<30 kg who have been treated with Fabrazyme for at least 3 months without IARs during the most recent 3 infusions.

Women of childbearing potential must use a highly effective method of contraception through the study.

Exclusion criteria

Exclusion Criteria:

  • Female participants who are pregnant or breastfeeding.
  • History of significant allergic disease or hypersensitivity to Fabrazyme or other medicinal products.
  • Contraindication to Fabrazyme or any of the premedications or rescue medications (diphenhydramine, loratadine, cetirizine, fexofenadine, acetaminophen, montelukast, dexamethasone).
  • Any other medical condition considered to make the increased infusion rate not tolerable at the Investigator's discretion.

The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    agalsidase beta

    agalsidase beta 1 mg/kg infusion once every other week

    Drug: AGALSIDASE BETA (GZ419828) · Drug: Acetaminophen · Drug: Diphenhydramine · Drug: Dexamethasone · Drug: Montelukast · Drug: Loratadine · Drug: Cetirizine · Drug: Fexofenadine

Interventions

  • DrugAGALSIDASE BETA (GZ419828)

    Pharmaceutical form: Lyophilized powder for reconstitution Route of administration: IV infusion

    Also known as: Fabrazyme

  • DrugAcetaminophen

    Tablet or solution; Oral

  • DrugDiphenhydramine

    Tablet or solution; Oral

  • DrugDexamethasone

    Tablet or solution; Oral

  • DrugMontelukast

    Tablet or chewable tablet or oral granules; Oral

  • DrugLoratadine

    Tablet or chewable tablet; Oral

  • DrugCetirizine

    Tablet or oral solution; Oral

  • DrugFexofenadine

    Tablet or oral suspension; Oral

06

What researchers measure

Primary outcomes

  1. Percent Reduction in Shortest Tolerated Infusion Duration From Pre-study Average of Recent 3 Infusions

    Percent reduction was with respect to the shortest tolerated infusion for the participant. The shortest infusion duration tolerated was the actual shortest duration (highest infusion rate) of a completed infusion tolerated by the participant without experiencing a second infusion associated reaction (IAR). The pre-study infusion duration was derived as the average of the duration of 3 most recent infusions the participant received prior to participating to this study. Percent reduction of infusion duration was calculated as: 100 x (average of pre-study infusion duration \[minutes\] - actual shortest infusion duration tolerated \[minutes\]) / average of pre-study infusion duration (minutes).

    Time frame: Up to 16 weeks

  2. Shortest Actual Tolerated Infusion Duration

    The shortest infusion duration tolerated was the actual shortest duration (highest infusion rate) of a completed infusion tolerated by the participant without experiencing a second IAR. IARs were events recorded as adverse event of special interest (AESI) and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

    Time frame: Up to 16 weeks

Secondary outcomes

  1. Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing Any Infusion Associated Reaction

    Number of participants who achieved the shortest planned duration of infusion time without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

    Time frame: Up to 16 weeks

  2. Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing a Second Infusion Associated Reaction

    Number of participants who achieved the shortest planned duration of infusion time without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

    Time frame: Up to 16 weeks

  3. Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing Any Infusion Associated Reaction

    Number of participants who tolerated the shortest planned duration of infusion time without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. Participants with an initial planned target duration \<90 minutes were considered a responder if they tolerated at least 1 infusion during the study treatment period with actual duration \<90 minutes.

    Time frame: Up to 16 weeks

  4. Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing a Second Infusion Associated Reaction

    Number of participants who tolerated the shortest planned duration of infusion time without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. Participants with an initial planned target duration \<90 minutes were considered a responder if they tolerated at least 1 infusion during the study treatment period with actual duration \<90 minutes.

    Time frame: Up to 16 weeks

  5. Number of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing Any Infusion Associated Reaction

    Number of participants who tolerated each planned infusion duration without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. The planned duration of infusion time was 120 minutes, 90 minutes, 60 minutes, 40 minutes, and 20 minutes.

    Time frame: Up to 16 weeks

  6. Number of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing a Second Infusion Associated Reaction

    Number of participants who tolerated each planned infusion duration without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. The planned duration of infusion time was 120 minutes, 90 minutes, 60 minutes, 40 minutes, and 20 minutes.

    Time frame: Up to 16 weeks

07

Results

Posted Oct 21, 2025

Participant flow

The study was conducted at 4 centers in United States. A total of 8 participants were screened from 10 November 2023 to 27 August 2024, of which none were screen failures.

Participant flow — Overall Study
MilestoneFabrazyme®
Started8
Completed8
Not completed0

Outcome measures

PrimaryPercent Reduction in Shortest Tolerated Infusion Duration From Pre-study Average of Recent 3 Infusions

Percent reduction was with respect to the shortest tolerated infusion for the participant. The shortest infusion duration tolerated was the actual shortest duration (highest infusion rate) of a completed infusion tolerated by the participant without experiencing a second infusion associated reaction (IAR). The pre-study infusion duration was derived as the average of the duration of 3 most recent infusions the participant received prior to participating to this study. Percent reduction of infusion duration was calculated as: 100 x (average of pre-study infusion duration \[minutes\] - actual shortest infusion duration tolerated \[minutes\]) / average of pre-study infusion duration (minutes).

Time frame:
Up to 16 weeks
Reported as:
Median · percent
Percent Reduction in Shortest Tolerated Infusion Duration From Pre-study Average of Recent 3 Infusions
percentFabrazyme®
Percent Reduction in Shortest Tolerated Infusion Duration From Pre-study Average of Recent 3 Infusions84.19 (80.56 to 86.32)
PrimaryShortest Actual Tolerated Infusion Duration

The shortest infusion duration tolerated was the actual shortest duration (highest infusion rate) of a completed infusion tolerated by the participant without experiencing a second IAR. IARs were events recorded as adverse event of special interest (AESI) and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

Time frame:
Up to 16 weeks
Reported as:
Median · minutes
Shortest Actual Tolerated Infusion Duration
minutesFabrazyme®
Shortest Actual Tolerated Infusion Duration20.00 (20.00 to 20.00)
SecondaryNumber of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing Any Infusion Associated Reaction

Number of participants who achieved the shortest planned duration of infusion time without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing Any Infusion Associated Reaction
ParticipantsFabrazyme®
Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing Any Infusion Associated Reaction8
SecondaryNumber of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing a Second Infusion Associated Reaction

Number of participants who achieved the shortest planned duration of infusion time without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing a Second Infusion Associated Reaction
ParticipantsFabrazyme®
Number of Participants Who Achieved the Shortest Planned Duration of Infusion Time Without Experiencing a Second Infusion Associated Reaction8
SecondaryNumber of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing Any Infusion Associated Reaction

Number of participants who tolerated the shortest planned duration of infusion time without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. Participants with an initial planned target duration \<90 minutes were considered a responder if they tolerated at least 1 infusion during the study treatment period with actual duration \<90 minutes.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing Any Infusion Associated Reaction
ParticipantsFabrazyme®
Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing Any Infusion Associated Reaction8
SecondaryNumber of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing a Second Infusion Associated Reaction

Number of participants who tolerated the shortest planned duration of infusion time without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. Participants with an initial planned target duration \<90 minutes were considered a responder if they tolerated at least 1 infusion during the study treatment period with actual duration \<90 minutes.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing a Second Infusion Associated Reaction
ParticipantsFabrazyme®
Number of Participants Who Tolerated Planned Infusion Duration Shorter Than 90 Minutes Without Experiencing a Second Infusion Associated Reaction8
SecondaryNumber of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing Any Infusion Associated Reaction

Number of participants who tolerated each planned infusion duration without experiencing any IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. The planned duration of infusion time was 120 minutes, 90 minutes, 60 minutes, 40 minutes, and 20 minutes.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing Any Infusion Associated Reaction
ParticipantsFabrazyme®
120 minutes6
90 minutes7
60 minutes8
40 minutes8
20 minutes8
SecondaryNumber of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing a Second Infusion Associated Reaction

Number of participants who tolerated each planned infusion duration without experiencing a second IAR is reported. ARs were events recorded as AESI and were defined as AEs the Investigator considered related to Fabrazyme® infusion, that occurred on same day as infusion and only after infusion had begun. The planned duration of infusion time was 120 minutes, 90 minutes, 60 minutes, 40 minutes, and 20 minutes.

Time frame:
Up to 16 weeks
Reported as:
Count of participants · Participants
Number of Participants Who Tolerated Each Planned Infusion Duration Without Experiencing a Second Infusion Associated Reaction
ParticipantsFabrazyme®
120 minutes6
90 minutes7
60 minutes8
40 minutes8
20 minutes8

Adverse events

Collected over Adverse events and all-cause mortality were collected from the first dose of study treatment (Day 1) up to 16 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fabrazyme®0/8 (0%)0/8 (0%)2/8 (25%)
Most frequent other events
Most frequent other events
EventFabrazyme®
InfluenzaInfections and infestations1/8
NasopharyngitisInfections and infestations1/8
Globotriaosylsphingosine IncreasedInvestigations1/8

Baseline characteristics

The Intent-to-treat (ITT) analysis set included all participants who were enrolled and allocated to study treatment.

Age, Continuous
Age, Continuous(years)Fabrazyme®
Mean40.0 ± 17.40
Sex: Female, Male
Sex: Female, Male(Participants)Fabrazyme®
Female3
Male5
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Fabrazyme®
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White6
More than one race0
Unknown or Not Reported2
08

Study locations

5 sites
  • UCLA Medical Center Site Number : 1003
    Santa Monica, California 90404, United States
  • Emory University School of Medicine Site Number : 1005
    Atlanta, Georgia 30322-1007, United States
  • Infusion Associates Site Number : 1001
    Grand Rapids, Michigan 49525, United States
  • Metropolitan Hospital Center Site Number : 1004
    New York, New York 10021, United States
  • Lysosomal and Rare Disorders Research and Treatment Center, Inc Site Number : 1002
    Fairfax, Virginia 22030, United States
09

References and documents

Study documents

  • Study protocol · Jul 9, 2024
  • Statistical analysis plan · Oct 22, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06019728
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Aug 31, 2023
Start date
Nov 10, 2023
Primary completion
Oct 25, 2024
Completion
Oct 25, 2024
Results posted
Oct 21, 2025
Last update
Oct 21, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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