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Last Updated: April 29, 2025

CLINICAL TRIALS PROFILE FOR AGALSIDASE BETA


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Biosimilar Clinical Trials for agalsidase beta

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT05843916 ↗ Switch Over Study of Biosimilar AGA for Fabry Disease Recruiting Bio Sidus SA Phase 3 2022-12-13 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®.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 1 of 1 entries

All Clinical Trials for agalsidase beta

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00084084 ↗ Replagal Enzyme Replacement Therapy for Children With Fabry Disease Completed Shire Phase 2 2004-06-10 Primary Objective(s): - To assess the safety of Replagal at a dose of 0.2 mg/kg administered over 40 (+/-10) minutes in children with Fabry disease - To assess the effect of Replagal on heart rate variability in patients 7 to 17 years of age Secondary Objective(s): - To determine the pharmacokinetics of Replagal at baseline and after the initiation of enzyme replacement therapy (ERT) - To determine exploratory measurements of efficacy including renal function (ie, estimated glomerular filtration rate [eGFR] and creatinine clearance), clinical outcomes (in Cohorts 1 and 2), and sweating and left ventricular mass index (LVMI) (Cohort 1, Phase 1 only)
NCT00075244 ↗ Alternative Dosing and Regimen of Replagal to Treat Fabry Disease Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 2004-01-01 The main goal of this study is to assess the pharmacodynamic effects of different or more frequent doses of Replagal compared to the standard dosing regimen. Replagal is a genetically engineered form of alpha-Galactosidase A, an enzyme that normally breaks down a fatty substance called globotriaosylceramide (Gb(3)). In patients with Fabry disease, GB(3) does not function properly and therefore builds up causing problems with the kidneys, heart, nerves, and blood vessels. Male patients 18 years of age or older with Fabry disease who are not on dialysis and have not received a kidney transplant may be eligible for this study. Participants are randomly assigned to receive one of the following five regimens of Replagal infusions, given through a vein over 20 to 80 minutes: 0.1 mg/kg body weight every week 0.2 mg/kg body weight every week 0.2 mg/kg body weight every other week 0.4 mg/kg body weight every week 0.4 mg/kg body wieght every other week In the US, the infusions are given at the NIH Clinical Center. Vital signs are measured before, immediately after, and 1 hour after each infusion. Baseline evaluations are done on an inpatient or outpatient basis. Baseline tests include a check of vital signs (temperature, respiratory rate, pulse rate, and blood pressure); physical examination; laboratory tests; and review of treatment side effects. Evaluations are also done at every infusion visit, and 1 week and 1 month after the last infusion. Safety evaluations are done periodically and include vital sign measurements, physical examination, blood and urine tests, review of drug side effects, electrocardiogram (ECG), Holder monitor (2 hour ECG), and QSART (NIH only). The QSART (quantitative sudomotor axon reflex test) measures the amount of sweat in a particular area of skin, mostly the forearm. For this test, a cup partly filled with a liquid is strapped on the arm. A weak electric current is turned on, stimulating the sweat glands, and the amount of sweat produced is measured. There is a tingling sensation when the current is turned on. Patients who complete the study will be offered the opportunity of receiving Replagal for 6 months in an extension study.
NCT00068107 ↗ Dosing Study of Replagal in Patients With Fabry Disease Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 2003-09-01 This study will determine the safety and effectiveness of increasing Replagal infusions in certain patients with Fabry disease. Replagal is a genetically engineered form of Alpha-galactosidase A, an enzyme that normally breaks down a fatty substance called globotriaosylceramide (Gb3). In patients with Fabry disease, Alpha-galactosidase A does not function properly and, therefore, Gb3 builds up, causing problems with the kidneys, heart, nerves, and blood vessels. Patients with Fabry disease who are participating in NIH protocol 00-N-0185 or 02-N-0220 may be eligible for this study. This includes patients who are currently taking Replagal but whose kidney function continues to worsen, or patients who have certain test results that are much improved after Replagal infusion. Participants will receive Replagal infusions (0.2 mg/kg body weight) through a vein once a week (as opposed to the previous dosage of once every 2 weeks) for up to 2 years. The first infusion, and some others, are given at the NIH Clinical Center, but most are administered by the patient's local doctor. Vital signs are measured before, immediately after, and 1 hour after each infusion. Baseline evaluations are done on an inpatient basis at the NIH Clinical Center over a 1-week period before and after the first Replagal infusion and at 6-month intervals during the study. Tests include a check of vital signs (temperature, respiratory rate, pulse rate, and blood pressure); weight measurement; physical and neurological examinations; routine blood and urine tests; 24-hour urine collection; electrocardiogram; and review of treatment side effects. In addition, the following tests are done: - Quantitative sensory testing: This is a non-invasive test to measure the ability to sense warm, cold and vibration in the hand and foot. - QSART: This test measures the amount of sweat in a particular area of skin that did not sweat enough. A small amount of a medicine called acetylcholine is put on the skin and made to enter the skin using a very small electric current. - Doppler skin blood flow: This test measures blood flow to the blood vessels of the skin. A machine takes pictures of blood flow in the skin of the forearm using a laser beam. Pictures are taken before and during application of medicines that cause blood vessels to dilate. Acetylcholine is used on one forearm and nitroprusside is used on the other. The medication is made to enter the skin using a small el...
NCT00068107 ↗ Dosing Study of Replagal in Patients With Fabry Disease Completed Baylor Research Institute Phase 2 2003-09-01 This study will determine the safety and effectiveness of increasing Replagal infusions in certain patients with Fabry disease. Replagal is a genetically engineered form of Alpha-galactosidase A, an enzyme that normally breaks down a fatty substance called globotriaosylceramide (Gb3). In patients with Fabry disease, Alpha-galactosidase A does not function properly and, therefore, Gb3 builds up, causing problems with the kidneys, heart, nerves, and blood vessels. Patients with Fabry disease who are participating in NIH protocol 00-N-0185 or 02-N-0220 may be eligible for this study. This includes patients who are currently taking Replagal but whose kidney function continues to worsen, or patients who have certain test results that are much improved after Replagal infusion. Participants will receive Replagal infusions (0.2 mg/kg body weight) through a vein once a week (as opposed to the previous dosage of once every 2 weeks) for up to 2 years. The first infusion, and some others, are given at the NIH Clinical Center, but most are administered by the patient's local doctor. Vital signs are measured before, immediately after, and 1 hour after each infusion. Baseline evaluations are done on an inpatient basis at the NIH Clinical Center over a 1-week period before and after the first Replagal infusion and at 6-month intervals during the study. Tests include a check of vital signs (temperature, respiratory rate, pulse rate, and blood pressure); weight measurement; physical and neurological examinations; routine blood and urine tests; 24-hour urine collection; electrocardiogram; and review of treatment side effects. In addition, the following tests are done: - Quantitative sensory testing: This is a non-invasive test to measure the ability to sense warm, cold and vibration in the hand and foot. - QSART: This test measures the amount of sweat in a particular area of skin that did not sweat enough. A small amount of a medicine called acetylcholine is put on the skin and made to enter the skin using a very small electric current. - Doppler skin blood flow: This test measures blood flow to the blood vessels of the skin. A machine takes pictures of blood flow in the skin of the forearm using a laser beam. Pictures are taken before and during application of medicines that cause blood vessels to dilate. Acetylcholine is used on one forearm and nitroprusside is used on the other. The medication is made to enter the skin using a small el...
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for agalsidase beta

Condition Name

13311002468101214Fabry DiseaseFabry's DiseaseProteinuriaAnderson-Fabry Disease[disabled in preview]
Condition Name for agalsidase beta
Intervention Trials
Fabry Disease 13
Fabry's Disease 3
Proteinuria 1
Anderson-Fabry Disease 1
[disabled in preview] 0
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Condition MeSH

1710024681012141618Fabry DiseaseProteinuria[disabled in preview]
Condition MeSH for agalsidase beta
Intervention Trials
Fabry Disease 17
Proteinuria 1
[disabled in preview] 0
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Clinical Trial Locations for agalsidase beta

Trials by Country

+
Trials by Country for agalsidase beta
Location Trials
United States 37
Canada 8
Japan 7
Australia 6
Argentina 3
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Trials by US State

+
Trials by US State for agalsidase beta
Location Trials
Maryland 5
Georgia 3
Virginia 3
Kansas 2
Massachusetts 2
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Clinical Trial Progress for agalsidase beta

Clinical Trial Phase

35.7%28.6%28.6%7.1%011.522.533.544.55Phase 4Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for agalsidase beta
Clinical Trial Phase Trials
Phase 4 5
Phase 3 4
Phase 2 4
[disabled in preview] 1
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Clinical Trial Status

56.3%25.0%12.5%6.2%0123456789CompletedRecruitingUnknown status[disabled in preview]
Clinical Trial Status for agalsidase beta
Clinical Trial Phase Trials
Completed 9
Recruiting 4
Unknown status 2
[disabled in preview] 1
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Clinical Trial Sponsors for agalsidase beta

Sponsor Name

trials011223344Genzyme, a Sanofi CompanyNational Institute of Neurological Disorders and Stroke (NINDS)Amicus Therapeutics[disabled in preview]
Sponsor Name for agalsidase beta
Sponsor Trials
Genzyme, a Sanofi Company 4
National Institute of Neurological Disorders and Stroke (NINDS) 3
Amicus Therapeutics 2
[disabled in preview] 1
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Sponsor Type

52.6%31.6%15.8%0-101234567891011IndustryOtherNIH[disabled in preview]
Sponsor Type for agalsidase beta
Sponsor Trials
Industry 10
Other 6
NIH 3
[disabled in preview] 0
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Agalsidase Beta: Clinical Trials, Market Analysis, and Projections

Introduction to Agalsidase Beta

Agalsidase beta, marketed as Fabrazyme, is an enzyme replacement therapy (ERT) used to treat Fabry disease, a rare genetic disorder caused by the deficiency of the enzyme alpha-galactosidase A. Here, we will delve into the recent clinical trials, market analysis, and future projections for this critical treatment.

Clinical Trials Update

Phase III BALANCE Study

One of the most significant recent developments is the completion of the Phase III BALANCE clinical trial. This 24-month, randomized, double-blind, active-control study compared the efficacy and safety of pegunigalsidase alfa (PRX-102) against agalsidase beta in adult Fabry patients with deteriorating renal function.

  • Primary Endpoint: The study demonstrated that PRX-102 was non-inferior to agalsidase beta in controlling the decline in estimated glomerular filtration rate (eGFR), a key measure of Fabry disease progression[1][4].
  • Tolerability and Immunogenicity: The trial showed a favorable tolerability and immunogenicity profile for PRX-102, which is crucial for long-term treatment[1].
  • Patient Outcomes: Out of 78 randomized patients, the study reported low discontinuation rates, with no deaths and only a few adverse events, indicating the safety of both treatments[1].

Market Analysis

Current Market Size and Growth

The global market for Fabrazyme (agalsidase beta) is substantial and growing. As of 2023, the market size was estimated at USD 1.2 billion and is projected to reach approximately USD 2.5 billion by 2032, growing at a Compound Annual Growth Rate (CAGR) of 8.2% during the forecast period[2].

Drivers of Growth

  • Increasing Prevalence and Diagnosis: The rising awareness and improved diagnostic techniques for Fabry disease have led to an increase in identified cases, driving the demand for Fabrazyme[2].
  • Advancements in Biotechnology: Continuous advancements in enzyme replacement therapies and biotechnology further support the growth of the Fabrazyme market[2].

Distribution Channels and End-Users

  • Distribution Channels: The market is primarily driven by hospital pharmacies, followed by retail and online pharmacies. These channels are expected to continue their dominance due to the specialized nature of the treatment[2].
  • End-Users: Hospitals and specialty clinics are the main end-users, reflecting the need for specialized care and monitoring for Fabry disease patients[2].

Market Projections

Global Forecast

The global Fabrazyme market is expected to see significant growth over the next decade. Here are some key projections:

  • Regional Growth: The market is expected to grow across various regions, including North America, Europe, Asia Pacific, and Latin America. The Asia Pacific region, in particular, is anticipated to show robust growth due to increasing healthcare expenditure and awareness[2].
  • Dosage Forms: The injection form of Fabrazyme is expected to remain the dominant dosage form, given its efficacy and the nature of the treatment[2].

Competitive Landscape

While agalsidase beta remains a leading treatment, new therapies are emerging:

  • Pegunigalsidase Alfa (PRX-102): This new ERT has shown promising results in clinical trials, including a favorable tolerability profile and the potential for less frequent administration (once every two weeks compared to bimonthly for existing ERTs)[1][5].
  • Lucerastat: An oral glucosylceramide synthase (GCS) inhibitor in Phase III trials, though its efficacy and primary endpoints are still under scrutiny by key opinion leaders[5].

Key Takeaways

  • Clinical Efficacy: Agalsidase beta has consistently demonstrated its efficacy in reducing symptoms and slowing the progression of Fabry disease.
  • Market Growth: The global market for Fabrazyme is projected to grow significantly, driven by increasing prevalence, improved diagnostics, and advancements in biotechnology.
  • Competitive Landscape: New therapies like pegunigalsidase alfa are emerging, offering potential improvements in treatment frequency and tolerability.

FAQs

What is the current market size of Fabrazyme (agalsidase beta)?

The global market size for Fabrazyme was estimated at USD 1.2 billion in 2023[2].

What is the projected growth rate of the Fabrazyme market?

The market is projected to grow at a CAGR of 8.2% from 2023 to 2032[2].

What are the main distribution channels for Fabrazyme?

The main distribution channels are hospital pharmacies, followed by retail and online pharmacies[2].

How does pegunigalsidase alfa compare to agalsidase beta in clinical trials?

Pegunigalsidase alfa has shown non-inferiority to agalsidase beta in controlling eGFR decline and offers a favorable tolerability profile and potentially less frequent administration[1][4].

What are the key drivers of the Fabrazyme market growth?

The key drivers include the increasing prevalence and diagnosis of Fabry disease, advancements in biotechnology, and improved diagnostic techniques[2].

Sources

  1. Protalix BioTherapeutics and Chiesi Global Rare Diseases Announce Topline Results from the 24-Month Phase III BALANCE Clinical Trial of PRX-102 for the Treatment of Fabry Disease. Chiesirarediseases.com.
  2. Fabrazyme (agalsidase beta) Market Report | Global Forecast From .... Dataintelo.com.
  3. Fabry Disease Treatment Market Size and Forecast 2028. Techsciresearch.com.
  4. Chiesi Global Rare Diseases Announces Publication of Results from Phase 3 BALANCE Study in Fabry Disease. Chiesirarediseases.com.
  5. Novel therapies and increased early diagnosis will drive Fabry .... Clinicaltrialsarena.com.

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