Fabry DiseaseNCT06052800
Agalsidase Beta Long-Term Treatment Outcome for Fabry Disease Patients With IVS4 Mutation in Taiwan
An observational study of Fabry Disease, run by Sanofi at 5 sites in Taiwan.
Trial summary
This is a national, multicenter, observational, cohort study designed to assess clinical outcomes upon agalsidase beta treatment, to characterize the clinical manifestations, and to collect the natural history on male and female Fabry disease adult patients who carry the GLA IVS4. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Fabry Disease
- How many people
- 78 participants
- Where
- 5 sitesTaiwan
- Study dates
- 13 Sep 2023to 6 Nov 2026
- How long will I take part?
- 18 Months
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: FD patients carrying the GLA IVS4 mutation, who are eligible for 1 of the cohorts (1, 2, 3).
Who may be able to join
- Provide signed informed consent.
- Cohort 1:
- Male or female Fabry disease patient with documented GLA IVS4 in medical record.
- Age ≥ 18 years old at the time of signing informed consent.
- The maximum proportion of female is 20% of cohort 1.
- Patient who has received agalsidase beta treatment for at least 6 months.
Show all 24Show fewer
- The data of LVMI, LPWT, IVST and blood lyso-Gb3 concentration are all available within 6 months prior to agalsidase beta treatment initiation.
- Cohort 2:
- Male or female Fabry disease patient with documented GLA IVS4 in medical record.
- Age ≥ 18 years old at the time of signing informed consent.
- The maximum proportion of female is 20% of cohort 2.
- Patient who plans to apply for the National Health Insurance Reimbursement for agalsidase beta medication.
- The data of LVMI, LPWT, IVST and blood lyso-Gb3 concentration are all available within 6 months prior to agalsidase beta treatment initiation.
- Cohort 3:
- Male or female Fabry disease patients with documented GLA IVS4 mutation in medical record.
- Male patient is aged ≥ 30 years old and female patient is aged ≥ 40 years old at the time of signing informed consent.
- The maximum proportion of female is 20% of cohort 3.
- Patient who has never received agalsidase alpha or agalsidase beta treatment (ERT-naïve).
- Elevated blood lyso-Gb3.
- At least ONE of the following conditions documented in medical record:
- cardiac parameter abnormalities (e.g. via imaging, electrophysiology, or biomarker);
- at least one FD-related sign/symptom.
- The data of LVMI, LPWT, IVST and blood lyso-Gb3 concentration are all available within 6 months.
- Patients who are expected not to receive ERT or FD-specific treatment per investigator's judgement.
Who cannot join
- Any condition that, in the opinion of the Investigator, may interfere with patient's participation in the study, such as life expectancy of less than 6 months (e.g. diagnosed with malignancy, CAD)
- Fabry patients who have severe heart disease (NYHA Class IV) or severe myocardial fibrosis per investigator judgement
- Known non-Fabry disease infiltrative cardiomyopathy including amyloidosis
- Known non-GLA genetic (e.g., sarcomeric, metabolic mutations) hypertrophic cardiomyopathy.
- Patients who are receiving any Fabry disease-specific treatment (enzyme replacement therapy, chaperone therapy, substrate reduction therapy, or gene therapy) other than agalsidase beta for Fabry disease
- Pregnancy or suspected pregnancy
- Patient diagnosed with moderate to severe dementia
- Unstable patient condition as judged by investigator (e.g., hypertension, diabetes, and systematic disease)
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
Taiwan5 sites
Investigational Site Number : 1580004
Taichung, 407219
Investigational Site Number : 1580005
Tainan, 704
Investigational Site Number : 1580001
Taipei, 100
Investigational Site Number : 1580003
Taipei, 104
Investigational Site Number : 1580002
Taipei, 112
About this study
Official title: An Observational Study of Enzyme Replacement Therapy-Naïve and Agalsidase Beta-Treated Fabry Disease Patients With GLA IVS4 919 G>A Mutation in Taiwan
This is a national, multicenter, observational, cohort study designed to assess clinical outcomes upon agalsidase beta treatment, to characterize the clinical manifestations, and to collect the natural history on male and female Fabry disease adult patients who carry the GLA IVS4.
This study aims to retrospectively and prospectively investigate the disease natural history, clinical manifestations, and the treatment outcomes upon agalsidase beta in Fabry disease (FD) patients carrying the GLA IVS4 mutation from medical records, physician assessments, and patient-reported outcomes.
Read the detailed description
Study Design Time Perspective: Retrospective and Prospective
- Conditions
- Fabry Disease
- Medical subject headings
- Fabry Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 | Patients with Galactosidase Alpha gene (GLA) IVS4 who have already received agalsidase beta treatment | |
| Cohort 2 | Patients with GLA IVS4 who will initiate agalsidase beta treatment | |
| Cohort 3 | Enzyme replacement therapy (ERT)-naive Fabry disease patients with GLA IVS4 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cohort 1: change of Left ventricular mass index (LVMI) as measured by echocardiography in agalsidase beta-treated patients
Measured: through study completion with a minimum of 2 years
Cohort 2: change of Left ventricular mass index (LVMI) as measured by echocardiography in agalsidase beta-treated patients
Measured: up to 1.5 years
Secondary outcomes (4)
Change of Left posterior wall thickness (LPWT) as measured by echocardiography
Measured: For cohort 1, through study completion with a minimum of 2 years For cohort 2, 1.5 years For cohort 3, through study completion with a minimum of 1.5 years
Change of Interventricular septal thickness (IVST) as measured by echocardiography
Measured: For cohort 1, through study completion with a minimum of 2 years For cohort 2, 1.5 years For cohort 3, through study completion with a minimum of 1.5 years
Change of blood Globotriaosylsphingosine (lyso-Gb3) concentration
Measured: For cohort 1, through study completion with a minimum of 2 years For cohort 2, 1.5 years For cohort 3, through study completion with a minimum of 1.5 years
Change of left ventricular mass index (LVMI) as measured by echocardiography in ERT-naive patients
Measured: For cohort 3, through study completion with a minimum of 1.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Sep 2023
- Study start13 Sep 2023
- Primary completion6 Nov 2026 (estimated)
- Study completion6 Nov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Fabry DiseaseStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Other
- Enrolment
- 78 participants (actual)
- Target duration
- 18 Months
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences and Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06052800
- Sponsor's protocol ID
- OBS17349
- Other IDs
- U1111-1287-7177
- Status last verified
- Oct 2026
- First submitted
- 13 Sep 2023
- Last updated
- 8 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- 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