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Quality of LifeNCT04002531

A One Visit Follow Up of Adults With Fabry Disease Who Started Long-term Enzyme Replacement Therapy As Children

A study testing General and Neurological examination, Vital signs and 12 lead electrocardiogram in people with Quality of Life and Renal Insufficiency, run by Baylor Research Institute at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this study is to obtain follow up data on a cohort of well-studied patients with Fabry disease who have been on ERT since childhood for a total of about 15 years. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
General and Neurological examination, Vital signs and 12 lead electrocardiogram
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
1 siteUnited States
Study dates
10 Nov 2018to 13 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

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

Who may be able to join

  • Patients who participated in TKT029 and who are willing and able to come to Dallas for 1 visit for standard of care testing.
  • Sign the protocol informed consent form
  • Have been on continuous commercial ERT since TKT029 has ended

Who cannot join

  • Patients who are unable to understand the nature, scope, and possible consequences of the study.
  • Patient does not give his written informed consent to participate in this study
  • Patient is unable to comply with the protocol, e.g., uncooperative with protocol schedule, refusal to agree to all of the study procedures.
  • Patient has been off ERT for an extended period of time as assessed by the investigator.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Baylor University Medical Center

    Dallas, Texas, 75246

Other trials in United States

About this study

The objective of this study is to obtain follow up data on a cohort of well-studied patients with Fabry disease who have been on ERT since childhood for a total of about 15 years.

Read the detailed description

The long-term effect of initiating ERT in childhood is unknown. Prospective studies of Children with Fabry disease on 0.2 mg/kg agalsidase alfa every other week were performed. The patients were 7-17 years of age at initial study enrollment. The first open-label protocol was TKT023, a 6 months study (August 12, 2002-October 20, 2004) that was followed by an extension study TKT029 (June 10, 2004-June 15, 2011; ClinicalTrials.gov identifier NCT00084084). Since completing TKT029, all US patients were switched to commercial agalsidase beta. Therefore, these patients have now been treated for about 15 years.This study involves a one-visit follow up on these patients using the same protocol-driven studies as were used in TKT029. The long-term follow up data gathered will consist of a rare description of the disease profile in patients who were treated with ERT since childhood.

Being tested
General and Neurological examination, Vital signs, 12 lead electrocardiogram, Echocardiogram, Blood draw
Medical subject headings
Renal Insufficiency, Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • General and Neurological examinationOther

    Also called MD assessment

    Information about your general health, neurological symptoms and current medications with be collected

  • Vital signsOther

    Also called Blood pressure, heart rate, respiratory rate

    Height, weight, blood pressure, heart rate, and respiratory rate and temperature will be measured.

  • 12 lead electrocardiogramProcedure or surgery

    Also called EKG, ECG

    A non-invasive test that measures the electrical activity of the heart

  • EchocardiogramProcedure or surgery

    Also called Cardiac echo

    A non-invasive sonogram of the heart

  • Blood drawProcedure or surgery

    Also called Blood collection, phlebotomy, lab test

    Blood will be drawn to evaluate general health and renal function (kidney health)

  • Urine collectionProcedure or surgery

    Urine will be collection to evaluate renal function (kidney health)

  • 2-hour Holter MonitorProcedure or surgery

    Also called Holter

    A non-invasive test that measures the electrical activity of the heart continuously over 2 hours

  • Brief Pain Inventory questionnaireOther

    Also called BPI, Pain questionnaire

    A questionnaire about daily pain

  • Quality of Life questionnaireOther

    Also called SF 36

    A questionnaire about the impact of disease on their activities of daily living and quality of life

Study groups in NCT04002531
Study groupRoleWhat they receive
Single VisitOther1. General and neurological examination 2. Vital signs including height, weight, blood pressure, pulse, temperature 3. 12 lead ECG 4. 2 hour Holter monitor for heart rate variability 5. Echocardiogram 6. Renal function will be assessed by the eGFR. The eGFR will be calculated from serum creatinine using CKD-EPI equation. 7. CBC with differential 8. Complete metabolic panel 9. Urinalysis 10. Urine Albumin/creatinine ratio. 11. Urine and plasma samples for biomarkers (Gb3, lyso-Gb3) that will be stored in -80 freezer and assayed in our lab. 12. Brief Pain Inventory questionnaire. 13. Quality of Life Questionnaires (SF36)
Receives: Other: General and Neurological examination; Other: Vital signs; Procedure: 12 lead electrocardiogram; Procedure: Echocardiogram; Procedure: Blood draw; Procedure: Urine collection; Procedure: 2-hour Holter Monitor; Other: Brief Pain Inventory questionnaire; Other: Quality of Life questionnaire

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. estimated Glomerular Filtration Rate (eGFR)

    Change in eGFR since previous participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" - NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

Secondary outcomes (8)
  1. Left Ventricular Mass Index

    LVMI measured in g/m2 by echocardiogram and compared to LVMI results obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  2. Heart rate variability assessment

    2 hour holter monitor and compared to holter monitor results obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  3. Urine albumin/creatinine ratio

    Biomarker of renal function and compared to urine albumin/creatinine ratios obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  4. Plasma Lyso-Gb3

    Biomarker of disease and compared to plasma Lyso-Gb3 results obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  5. Plasma Gb3 and compared to plasma Gb3 results obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Biomarker of disease

    Measured: Study involves one visit only - assessed Baseline Visit

  6. Urine Lyso-Gb3

    Biomarker of disease and compared to urine Lyso-Gb3 results obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  7. Short-form Brief Pain Inventory (BPI)

    Questionnaire designed to assess current level of pain from 0-10. 0 reflects no pain and 10 being the worst possible pain. Results will be compared to pediatric pain assessments obtained during participation in study "Replagal Enzyme Replacement Therapy for Children With Fabry Disease" NCT00084084

    Measured: Study involves one visit only - assessed Baseline Visit

  8. Qualify of Life - Your Health and Well-being

    Self-evaluation that describes current physical and emotional health. Questionnaire asks User to rate how Fabry disease impacts User's overall physical and emotional well-being. Questionnaire uses multiple scales to rate User's ability to perform activities of daily life, identify changes in overall health, and identify how changes in physical health and disease has impacted User's emotional well-being. User will be asked to answer multiple questions using the following scales: Poor/Fair/Good/Very good/excellent, Much better than 1 week ago/Somewhat better than 1 week ago/The same as 1 week ago/Somewhat worse than 1 week ago/Much worse than 1 week ago, Limited a lot/Limited a little/Not limited at all, All of the time/Most of the time/Some of the time/A little of the time/None of the time, Not at all/Slightly/Moderately/Quite a bit/Extremely, None/Very mild/Mild/Moderate/Severe/Very severe, Definitely true/Mostly true/Don't know/Mostly false/Definitely false.

    Measured: Study involves one visit only - assessed Baseline Visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2019
  2. Study start10 Nov 2018
  3. Primary completion13 Dec 2019
  4. Study completion13 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
Specific group of adults with Fabry disease who received Replagal infusions as children
Masking
None (open label)
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04002531
Sponsor's protocol ID
018-706
Status last verified
Jul 2020
First submitted
25 Mar 2019
Last updated
4 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Schiffmann R. Fabry disease. Pharmacol Ther. 2009 Apr;122(1):65-77. doi: 10.1016/j.pharmthera.2009.01.003. Epub 2009 Feb 8.

    PubMed 19318041
  • Schiffmann R, Ries M. Fabry Disease: A Disorder of Childhood Onset. Pediatr Neurol. 2016 Nov;64:10-20. doi: 10.1016/j.pediatrneurol.2016.07.001. Epub 2016 Jul 29.

    PubMed 27555236
  • Echevarria L, Benistan K, Toussaint A, Dubourg O, Hagege AA, Eladari D, Jabbour F, Beldjord C, De Mazancourt P, Germain DP. X-chromosome inactivation in female patients with Fabry disease. Clin Genet. 2016 Jan;89(1):44-54. doi: 10.1111/cge.12613. Epub 2015 Jun 22.

    PubMed 25974833
  • Dobyns WB. The pattern of inheritance of X-linked traits is not dominant or recessive, just X-linked. Acta Paediatr Suppl. 2006 Apr;95(451):11-5. doi: 10.1111/j.1651-2227.2006.tb02383.x.

    PubMed 16720459
  • MacDermot KD, Holmes A, Miners AH. Natural history of Fabry disease in affected males and obligate carrier females. J Inherit Metab Dis. 2001;24 Suppl 2:13-4; discussion 11-2. doi: 10.1023/a:1012447102358. No abstract available.

    PubMed 11758673
  • Schiffmann R, Warnock DG, Banikazemi M, Bultas J, Linthorst GE, Packman S, Sorensen SA, Wilcox WR, Desnick RJ. Fabry disease: progression of nephropathy, and prevalence of cardiac and cerebrovascular events before enzyme replacement therapy. Nephrol Dial Transplant. 2009 Jul;24(7):2102-11. doi: 10.1093/ndt/gfp031. Epub 2009 Feb 13.

    PubMed 19218538
  • Kwon JM, Matern D, Kurtzberg J, Wrabetz L, Gelb MH, Wenger DA, Ficicioglu C, Waldman AT, Burton BK, Hopkins PV, Orsini JJ. Consensus guidelines for newborn screening, diagnosis and treatment of infantile Krabbe disease. Orphanet J Rare Dis. 2018 Feb 1;13(1):30. doi: 10.1186/s13023-018-0766-x.

    PubMed 29391017
  • Meikle PJ, Hopwood JJ, Clague AE, Carey WF. Prevalence of lysosomal storage disorders. JAMA. 1999 Jan 20;281(3):249-54. doi: 10.1001/jama.281.3.249.

    PubMed 9918480
  • Schiffmann R, Hughes DA, Linthorst GE, Ortiz A, Svarstad E, Warnock DG, West ML, Wanner C; Conference Participants. Screening, diagnosis, and management of patients with Fabry disease: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference. Kidney Int. 2017 Feb;91(2):284-293. doi: 10.1016/j.kint.2016.10.004. Epub 2016 Dec 18.

    PubMed 27998644
  • Schiffmann R, Pastores GM, Lien YH, Castaneda V, Chang P, Martin R, Wijatyk A. Agalsidase alfa in pediatric patients with Fabry disease: a 6.5-year open-label follow-up study. Orphanet J Rare Dis. 2014 Nov 26;9:169. doi: 10.1186/s13023-014-0169-6.

    PubMed 25425121

Questions about this trial

What is this clinical trial studying?

A study testing General and Neurological examination, Vital signs and 12 lead electrocardiogram in people with Quality of Life and Renal Insufficiency, run by Baylor Research Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

estimated Glomerular Filtration Rate (eGFR) (time frame: Study involves one visit only - assessed Baseline Visit). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04002531, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2026.

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