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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.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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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

Other trials in Taiwan

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 groups in NCT06052800
Study groupRoleWhat they receive
Cohort 1Patients with Galactosidase Alpha gene (GLA) IVS4 who have already received agalsidase beta treatment
Cohort 2Patients with GLA IVS4 who will initiate agalsidase beta treatment
Cohort 3Enzyme 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.

  1. 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

  2. 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)
  1. 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

  2. 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

  3. 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

  4. 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.

  1. First posted25 Sep 2023
  2. Study start13 Sep 2023
  3. Primary completion6 Nov 2026 (estimated)
  4. Study completion6 Nov 2026 (estimated)

Resources

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
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

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