- Article
- Source: Campus Sanofi
- May 8, 2026
Tolerability of Accelerated Agalsidase Beta Infusions in Fabry Disease: The SHORTEN Study Analysis
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Evaluating Safety and Tolerability of Differing Infusion |

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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 | ||
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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 | ||
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Study objective | ||
| • To evaluate safe infusion-rate escalation to reduce the long-term treatment burden of agalsidase beta.1,2 | ||
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Study design and eligibility criteria | ||
| The study was designed as a phase 4, open-label, single-arm, multicenter trial.1,2 | ||

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Patient population1 | |
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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.
- 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.
- 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.
MAT-BH-2600200 - v1- April2026