Actively Recruiting

Age: 18Years +
All Genders
NCT06663358

A Multi-Country Observational Study of Safety and Effectiveness of Elfabrio® in Fabry Patients

Led by Chiesi Farmaceutici S.p.A. · Updated on 2025-11-14

100

Participants Needed

10

Research Sites

260 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A multi-centre, multi-country, observational, non-interventional, retrospective and prospective (hybrid) study among Fabry disease participants treated with pegunigalsidase alfa (Elfabrio®) in routine clinical care.

CONDITIONS

Official Title

A Multi-Country Observational Study of Safety and Effectiveness of Elfabrio® in Fabry Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female aged > 18 years at the time of consent
  • Genetically confirmed diagnosis of Fabry disease
  • Currently taking or planning to take pegunigalsidase alfa as treatment for Fabry disease
  • No contraindications for cardiac magnetic resonance imaging (cMRI)
  • Signed informed consent form agreeing to study participation and electronic patient-reported outcomes
  • Cardiac Cohort: evidence of Fabry disease-related heart disease, including elevated left ventricular mass index, posterior septum wall thickness ≥13mm not explained by other causes, low native T1 mapping on cMRI, or typical Fabry-like scar on cMRI
  • Ability to receive cMRI with gadolinium enhancement as part of standard care
  • Estimated glomerular filtration rate (eGFR) >45 mL/min/1.73 m2 within prior 6 months
  • Naïve Cohort: most recent eGFR >45 mL/min/1.73 m2 within prior 6 months
  • Male participants in Naïve Cohort must have elevated plasma lysoGb3 within 6 months prior to enrollment
  • Long-Term Cohort: previously enrolled in open-label study CLI-06657AA1-04 using pegunigalsidase alfa at 1mg/kg every 2 weeks and initiated or planning to initiate commercial pegunigalsidase alfa
Not Eligible

You will not qualify if you...

  • Contraindications to MRI including hypersensitivity to gadolinium contrast not manageable by premedication
  • Pregnant at time of enrollment
  • Any medical, emotional, behavioral, or psychological condition that may interfere with study participation
  • Active participation in any interventional Fabry disease study
  • Treatment regimen at enrollment different from 1mg/kg every two weeks (participants can remain if regimen changes later)
  • Prior participation in a pegunigalsidase alfa trial using 2 mg/kg every 4 weeks
  • Cardiac Cohort: history of acute myocardial infarction or heart failure with left ventricular ejection fraction <35%
  • Cerebral vascular accident within prior 6 months
  • Chronic liver cirrhosis
  • Fabry-unrelated heart disease such as scarring from myocardial infarction or symptomatic coronary artery disease
  • Treatment with any investigational Fabry drug within 6 months or any investigational gene therapy for Fabry disease ever
  • Severe cardiac fibrosis defined as >3 segments with >50% fibrosis on late gadolinium enhancement cMRI
  • Naïve Cohort: prior exposure to Fabry disease therapies (Replagal®, Fabrazyme®, Galafold®)
  • Severe cardiac fibrosis as defined above on any prior cMRI

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 10 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Actively Recruiting

2

Emory University School of Medicine

Atlanta, Georgia, United States, 30322

Actively Recruiting

3

Northwestern University - Feinberg School of Medicine - Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States, 60611

Actively Recruiting

4

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States, 52242

Actively Recruiting

5

Infusion Associates

Grand Rapids, Michigan, United States, 49525

Actively Recruiting

6

Lysosomal & Rare Disorder Research & Treatment Center (LRDRTC)

Fairfax, Virginia, United States, 22030

Actively Recruiting

7

General Hospital Slovenj Gradec

Slovenj Gradec, Slovenia, 2380

Actively Recruiting

8

University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital

Edgbaston, Birmingham, United Kingdom, B152TH

Actively Recruiting

9

Salford Royal

Salford, Greater Manchester, United Kingdom, M6 8HD

Actively Recruiting

10

The Royal Free Hospital

London, United Kingdom, NW3 2QG

Actively Recruiting

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Research Team

M

Medical Information Chiesi

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

3

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A Multi-Country Observational Study of Safety and Effectiveness of Elfabrio® in Fabry Patients | DecenTrialz