Skip To Main Content

Tolerability of Accelerated Agalsidase Beta Infusions in Fabry Disease: The SHORTEN Study Analysis

Evaluating Safety and Tolerability of Differing Infusion
rates of Agalsidase beta for Fabry Disease - An
Analysis from the SHORTEN study

 

Emerging evidence

 

• A Japanese post-marketing study showed patients <30 kg with classic FD tolerated 1 mg/kg/hour, completing infusions in 60 minutes.1

 

 

Unmet evidence gap

 

• Safety of <90-minute infusions is not well established.1

• Limited data on infusion-associated reactions and adverse events at higher rates.1

 

 

Study objective

 

• To evaluate safe infusion-rate escalation to reduce the long-term treatment burden of agalsidase beta.1,2

 

 

Study design and eligibility criteria

 

The study was designed as a phase 4, open-label, single-arm, multicenter trial.1,2

 

 

Patient population1

Inclusion criteria

Exclusion criteria

• Participants aged ≥2 to ≤65 years with confirmed FD
• Agalsidase beta–experienced patients
enrolled in Cohorts 1–4
- Cohort 1: n=3 females, body weight ≥30 kg
- Cohort 2: n=3 non-classic males, body
weight ≥30 kg
- Cohort 3: n=4 classic males, body weight ≥30 kg
- Cohort 4: n=4 patients, body weight <30 kg
- Cohort 5: Planned inclusion of ERT-naïve patients

• Pregnant or breastfeeding
women
• Known hypersensitivity or
contraindication to
agalsidase beta
• Any medical condition
considered to make
increased infusion rates
intolerable

 

Abbreviations

αGAL ERT: Alpha-galactosidase enzyme replacement therapy, FD: Fabry disease, mg/kg: milligrams per kilogram, FDA: Food and Drug Administration, lyso-GL3: globotriaosylsphingosine.

  1. Banikazemi M, Goker Alpan O, Nedd K, Sarkar M, Wilcox WR, Lee C. Safety and tolerability of accelerated agalsidase beta infusions (<20 min) in patients with Fabry disease: Results from the SHORTEN Study. Nephrol Dial Transplant. 2025; 40(Suppl 3):gfaf116.0144.

  2. Banikazemi M, Goker Alpan O, Nedd K, Sarkar M, Wilcox W, Lee C. A phase 4 study to evaluate the safety and tolerability of higher infusion rates of agalsidase beta to shorten the infusion duration in Fabry disease—Preliminary data. Nephrol Dial Transplant. 2025;40(Suppl 3):gfaf116.0144.

Related articles
MAT-BH-2600200 - v1- April2026