Fabry DiseaseNCT07187440
A Study of Agalsidase Alfa Enyzme Replacement Therapy in Chinese Children and Adults With Fabry Disease
An observational study of Fabry Disease, run by Takeda at 18 sites in China.
Trial summary
Fabry Disease is a rare blood disorder that some people are born with. People with Fabry disease have low levels of an enzyme called alpha-galactosidase A. This enzyme helps to cut down fat-like substances. Without alpha-galactosidase A, large forms of these substances build up and clot in blood vessels. Read more about this study
- Who is it for?
- Ages 7 years and older
- Conditions the study is for
- Fabry Disease
- How many people
- 200 participants
- Where
- 18 sitesChina
- Study dates
- 1 Nov 2025to 30 Nov 2028
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 7 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Participants with Fabry disease who receive ERT with agalsidase alfa in routine clinical practice settings in China.
Who may be able to join
- Participants who meet all of the following criteria are eligible for this study:
- Participant is greater than or equal to (>= 7) years old.
- Participant with confirmed diagnosis of Fabry disease (by investigator).
- Participant never received or has received ERT (agalsidase alfa or agalsidase beta) within 12 weeks at most prior to enrolment.
- Participant who will receive ERT with agalsidase alfa in routine clinical practice settings.
- For >= 18 years old, participant should sign the informed consent form (ICF); for 8-17 years old, participant and his (her) parents/ legally authorized representative (LAR) should both sign the ICF; for < 8 years old, participant will give assent and his (her) parents/legally authorized representative should sign the ICF accordingly.
Who cannot join
- Participant will be excluded if they have documented New York Heart Association (NYHA) functional Class IV heart failure symptoms (Implantable cardioverter-defibrillator [ICD] implanted excluded), third-degree atrioventricular block (ICD implanted excluded), acute myocardial infarction within the last 3 months and severe stroke (NIH Stroke Scale [NIHSS] >= to 21).
- Participant has enrolled in Fabry disease interventional clinical trial currently.
- Other situations that the investigator considers not suitable for participation in this study.
Trial locations and contacts
18 sites in 1 country. Contact the study team or a site near you to ask about taking part.
18 sites in 1 country
China18 sites, 18 recruiting
- Not yet recruiting
Peking University First Hospital
Beijing, Beijing Municipality, 100034
Site Contact, 13681050902, kmmawei@sina.com
Wei Ma
- Recruiting
Peking University Third Hospital
Beijing, Beijing Municipality, 100191
Site Contact, 13501277176, chenbaoxia@163.com
Baoxia Chen
- Recruiting
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730
Site Contact, 13911667211, Shuyangzhang103@163.com
Shuyang Zhang
- Not yet recruiting
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
Site Contact, 18980601267, qzhang2000cn@163.com
Qing Zhang
- Recruiting
Fuzhou University Provincial Affiliated Hospital
Fuzhou, Fujian, 350001
Site Contact, 13509384950, ysguo1234@163.com
Yansong Guo
- Not yet recruiting
The Second Affiliated Hospital ZheJiang University School Of Medicine
Hangzhou, Guangdong, 310009
Site Contact, 13588035801, meixiangxiang@zju.edu.com
Meixiang Xiang
- Not yet recruiting
The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086
Site Contact, 15904608957, dxy_shennei@126.com
Xuanyi Du
- Not yet recruiting
The First Affiliated Hospital Of USTC (AnHui Provincial Hospital)
Hefei, Anhui, 230001
Site Contact, 13705511311, 13705511311@139.com
Kangyu Chen
- Recruiting
Affiliated Drum Tower Hospital, Medical School of Nanjing University
Nanjing, Jiangsu, 210008
Site Contact, 18115131666, wanglianglyy@163.com
Lian Wang
- Not yet recruiting
The First Affiliated Hospital With NanJing Medical University(JiangSu Province Hospital)
Nanjing, Jiangsu, 210029
Site Contact, 13611573111, xinli3267@yeah.net
Xinli Li
- Recruiting
ShanTou Central Hospital
Shantou, Guangdong, 515031
Site Contact, 18971490590, wangyingst@163.com
Ying Wang
- Not yet recruiting
The University Of Hong Kong-ShenZhen Hospital
Shenzhen, Guangdong, 518053
Site Contact, 18307556290, liumy@hku-szh.org
Mingya Liu
- Recruiting
The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, '050000
Site Contact, 13323218861, 2574459696@qq.com
Songyun Zhang
- Recruiting
The First Affiliated Hospital Of Soochow University
Suzhou, Jiangsu, 215006
Site Contact, 13962176725, 1575677620@qq.com
Bingyuan Zhou
- Not yet recruiting
Second Hospital Of ShanXi Medical University
Taiyuan, Shanxi, '030001
Site Contact, 13546355355, yangbxys@163.com
Bin Yang
- Not yet recruiting
TianJin Chest Hospital
Tianjin, Tianjin Municipality, 300222
Site Contact, 13002221869, chlfjp@sina.com
Jinping Feng
- Recruiting
The Second Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shaanxi, 710004
Site Contact, 13669131478, lemonwine@126.com
Li Wang
- Not yet recruiting
The First Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shaanxi, 710061
Site Contact, 13759930580, Luqun00@163.com
Qun Lu
About this study
Official title: A Prospective, Multi-center, Observational Study to Evaluate the Clinical Outcomes of Agalsidase Alfa Enzyme Replacement Therapy Among Chinese Patients With Fabry Disease in Real-world Clinical Practice
Fabry Disease is a rare blood disorder that some people are born with. People with Fabry disease have low levels of an enzyme called alpha-galactosidase A. This enzyme helps to cut down fat-like substances. Without alpha-galactosidase A, large forms of these substances build up and clot in blood vessels. Over time, this can affect vital organs (especially the heart, kidneys, and brain) causing serious health problems with advancing age. Agalsidase alfa (Replagal®) is a human enzyme made in the laboratory and may provide higher levels of alpha-galactosidase A. Replagal® works the same way as natural alpha-galactosidase A does.
The main aim of this study is to learn more about the treatment with Replagal® in Chinese children and adults with Fabry disease. The study aims to assess the heart and kidney function in people with Fabry disease who are routinely treated with Replagal®. Other aims are to learn about the change in heart and kidney function, impact on quality of life, how the treatment with Replagal® works for people with Fabry Disease, and how safe the treatment with Replagal® is in routine real-world settings.
Participants will receive with Replagal® per the routine treatment settings in China. No study-specific visits to the clinical are scheduled.
- Conditions
- Fabry Disease
- Being tested
- No intervention
- Keywords
- Drug Therapy
- Medical subject headings
- Fabry Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No interventionOther
This is a non-interventional study
| Study group | Role | What they receive |
|---|---|---|
| All Participants | Participants with Fabry disease will receive enzyme replacement therapy (ERT) with agalsidase alfa under routine clinical practice settings. Receives: Other: No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Annualized Rate of Change in Left Ventricular Mass Index (LVMI)
The annualized rate of change in LVMI will be estimated using linear mixed effects model.
Measured: Up to 18 months
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR)
Measured: Up to 18 months
Secondary outcomes (14)
Annualized Rate of Change in Left Ventricular Posterior Wall Dimensions (LVPWD)
Measured: Up to 18 months
Annualized Rate of Change in Ejection Fraction (EF)
Measured: Up to 18 months
Change From Baseline Over Time in LVMI
Measured: Baseline, up to 18 months
Change From Baseline Over Time in LVPWD
Measured: Baseline, up to 18 months
Change From Baseline Over Time in EF
Measured: Baseline, up to 18 months
Annualized Rate of Change in Urinary Albumin to Creatinine Ratio (UACR)
Measured: Up to 18 months
Annualized Rate of Change in Urine Protein Creatine Ratio (UPCR)
Measured: Up to 18 months
Change From Baseline Over Time in eGFR
Measured: Baseline, up to 18 months
Change From Baseline Over Time in UACR
Measured: Baseline, up to 18 months
Change From Baseline Over Time in UPCR
Measured: Baseline, up to 18 months
Change From Baseline Over Time in 24-hour (h) Urine Protein
Measured: Baseline, up to 18 months
Change From Baseline Over Time in 36-Item Short Form Health Survey (SF-36)
SF-36 is a questionnaire that evaluates a person's HRQOL. SF-36 includes 36 questions related to 8 health dimensions: physical functioning, role-physical (role limitations due to physical health problems), bodily pain, general health, vitality (energy/fatigue), social functioning, role-emotional (role limitations due to emotional problems), and mental health. Based on these 4 scales (physical functioning, role-physical, bodily pain, general health), the physical component summary (PCS) score is generated which ranges between 0 and 100, with higher scores indicating a better quality of life. A positive change from Baseline indicates improvement.
Measured: Baseline, up to 18 months
Change From Baseline Over Time in Mainz Severity Score Index (MSSI)
MSSI is an instrument for quantifying the overall severity of the signs and symptoms of Fabry disease. The MSSI assigns scores based on the presence and severity of signs and symptoms in four areas: general, neurologic, cardiovascular, and renal. Each of the signs and symptoms is weighted in accordance with its relationship to morbidity.
MSSI scoring ranges from 0 (healthy) to 76 (maximum severity), and it is divided into severity bands of mild (<20), moderate (20-40), and severe (>40) affliction. Higher score indicates more severity.
Measured: Baseline, up to 18 months
Number of Participants With Clinically Significant Adverse Events (AEs) With Agalsidase Alfa Treatment
Measured: Up to 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Sep 2025
- Study start1 Nov 2025
- Primary completion30 Nov 2028 (estimated)
- Study completion30 Nov 2028 (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 TakedaThe 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
- Prospective
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07187440
- Sponsor's protocol ID
- TAK-675-4013
- Status last verified
- Dec 2025
- First submitted
- 18 Sep 2025
- Last updated
- 2 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 2 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multi-center, Observational Study to Evaluate the Clinical Outcomes of Agalsidase Alfa Enzyme Replacement Therapy Among Chinese Patients With Fabry Disease in Real-world Clinical Practice
- ClinicalTrials.gov ID
- NCT07187440
- Acronym / sponsor ID
- TAK-675-4013
- Conditions
- Fabry Disease
- Keywords
- Drug Therapy
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 1 Nov 2025 (actual)
- Primary completion
- 30 Nov 2028 (estimated)
- Study completion
- 30 Nov 2028 (estimated)
- First posted
- 23 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Fabry Disease is a rare blood disorder that some people are born with. People with Fabry disease have low levels of an enzyme called alpha-galactosidase A. This enzyme helps to cut down fat-like substances. Without alpha-galactosidase A, large forms of these substances build up and clot in blood vessels. Over time, this can affect vital organs (especially the heart, kidneys, and brain) causing serious health problems with advancing age. Agalsidase alfa (Replagal®) is a human enzyme made in the laboratory and may provide higher levels of alpha-galactosidase A. Replagal® works the same way as natural alpha-galactosidase A does.
The main aim of this study is to learn more about the treatment with Replagal® in Chinese children and adults with Fabry disease. The study aims to assess the heart and kidney function in people with Fabry disease who are routinely treated with Replagal®. Other aims are to learn about the change in heart and kidney function, impact on quality of life, how the treatment with Replagal® works for people with Fabry Disease, and how safe the treatment with Replagal® is in routine real-world settings.
Participants will receive with Replagal® per the routine treatment settings in China. No study-specific visits to the clinical are scheduled.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| All Participants | – | Other: No interventionParticipants with Fabry disease will receive enzyme replacement therapy (ERT) with agalsidase alfa under routine clinical practice settings. |
Who may qualify
- Ages
- 7 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Participants with Fabry disease who receive ERT with agalsidase alfa in routine clinical practice settings in China.
Key inclusion criteria (6 listed)
- Participant is greater than or equal to (>= 7) years old.
- Participant with confirmed diagnosis of Fabry disease (by investigator).
- Participant never received or has received ERT (agalsidase alfa or agalsidase beta) within 12 weeks at most prior to enrolment.
- Participant who will receive ERT with agalsidase alfa in routine clinical practice settings.
- For >= 18 years old, participant should sign the informed consent form (ICF); for 8-17 years old, participant and his (her) parents/ legally authorized representative (LAR) should both sign the ICF; for < 8 years old, participant will give assent and his (her) parents/legally authorized representative should sign the ICF accordingly.
Key exclusion criteria (3 listed)
- Participant will be excluded if they have documented New York Heart Association (NYHA) functional Class IV heart failure symptoms (Implantable cardioverter-defibrillator [ICD] implanted excluded), third-degree atrioventricular block (ICD implanted excluded), acute myocardial infarction within the last 3 months and severe stroke (NIH Stroke Scale [NIHSS] >= to 21).
- Participant has enrolled in Fabry disease interventional clinical trial currently.
- Other situations that the investigator considers not suitable for participation in this study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No interventionThis is a non-interventional study | Other | All Participants |
Primary outcome
Annualized Rate of Change in Left Ventricular Mass Index (LVMI)
Time frame: Up to 18 months
The annualized rate of change in LVMI will be estimated using linear mixed effects model.
Annualized Rate of Change in Estimated Glomerular Filtration Rate (eGFR)
Time frame: Up to 18 months
14 secondary outcomes
Annualized Rate of Change in Left Ventricular Posterior Wall Dimensions (LVPWD)
Time frame: Up to 18 months
Annualized Rate of Change in Ejection Fraction (EF)
Time frame: Up to 18 months
Change From Baseline Over Time in LVMI
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in LVPWD
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in EF
Time frame: Baseline, up to 18 months
Annualized Rate of Change in Urinary Albumin to Creatinine Ratio (UACR)
Time frame: Up to 18 months
Annualized Rate of Change in Urine Protein Creatine Ratio (UPCR)
Time frame: Up to 18 months
Change From Baseline Over Time in eGFR
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in UACR
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in UPCR
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in 24-hour (h) Urine Protein
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in 36-Item Short Form Health Survey (SF-36)
Time frame: Baseline, up to 18 months
Change From Baseline Over Time in Mainz Severity Score Index (MSSI)
Time frame: Baseline, up to 18 months
Number of Participants With Clinically Significant Adverse Events (AEs) With Agalsidase Alfa Treatment
Time frame: Up to 18 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jan 2026.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Study Director study director
Takeda
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Fabry Disease, run by Takeda at 18 sites in China.
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 6 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 2 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in China. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Takeda Contact (+1-877-825-3327, medinfoUS@takeda.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Annualized Rate of Change in Left Ventricular Mass Index (LVMI) (time frame: Up to 18 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 Jan 2026.