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Fabry Disease Drug Pipeline Analysis Report 2025

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    Drug Pipelines

  • 200 Pages
  • June 2025
  • Region: Global
  • Expert Market Research
  • ID: 6102800
Fabry disease (FD) is a rare, inherited lysosomal storage disorder caused by a deficiency in the enzyme alpha-galactosidase A, leading to the accumulation of globotriaosylceramide (GL-3) in cells. This condition primarily affects multiple organs, including the kidneys, heart, and nervous system. Its overall prevalence is estimated to be 1 in 40,000 to 170,000 births. There is a high unmet clinical need for better therapies as current treatments, such as enzyme replacement therapies (ERT), have limitations. The growing focus on gene therapy is likely to drive significant Fabry disease pipeline growth in the coming years, offering hope for improved treatment outcomes.

Report Coverage

The Fabry Disease Drug Pipeline Insight Report by the publisher gives comprehensive insights into Fabry disease therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for Fabry disease. The Fabry disease report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The Fabry disease pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with Fabry disease treatment guidelines to ensure optimal care practices.

The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to Fabry disease.

Fabry Disease Drug Pipeline Outlook

Fabry disease is a rare genetic disorder caused by a deficiency of the enzyme alpha-galactosidase A, leading to the accumulation of globotriaosylceramide in cells. This buildup disrupts normal cell function and affects multiple organs, such as the kidneys, heart, and nervous system. The condition is inherited in an X-linked manner, resulting in a significant impact on males, but can also affect females.

Fabry disease is primarily treated by enzyme replacement therapy (ERT), which involves regular injections of the missing enzyme to reduce disease progression. Furthermore, pain management, kidney care, and cardiovascular treatments may be provided to address symptoms. Early diagnosis and intervention are essential to managing the condition and preventing serious complications.

Fabry Disease Epidemiology

The prevalence of classic Fabry disease is estimated to range from 1 in 40,000 to 170,000 births globally. In the United States, it affects approximately 1 in 17,000 to 1 in 117,000 males. In the United Kingdom, about 1 in 40,000 individuals are affected, with the condition impacting 1 in 17,000 Caucasian males. In India, approximately 70 million people are affected by rare genetic diseases, including Fabry disease.

Fabry Disease - Drug Pipeline Therapeutic Assessment

This section of the report covers the analysis of Fabry disease drug candidates based on several segmentations, including:

By Phase

  • Late-Stage Products (Phase 3 and Phase 4)
  • Mid-Stage Products (Phase 2)
  • Early-Stage Products (Phase I)
  • Preclinical and Discovery Stage Products

By Drug Class

  • Small Molecules
  • Biologics
  • Gene Therapy
  • Enzyme Replacement Therapy
  • Substrate Reduction Therapy

By Route of Administration

  • Oral
  • Parenteral
  • Others

Fabry Disease - Pipeline Assessment Segmentation, By Phases

The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to analysis, phase III covers a major share of the total Fabry disease clinical trials.

Fabry Disease - Pipeline Assessment Segmentation, By Drug Classes

The drug molecule categories covered under the Fabry disease pipeline analysis include small molecules, biologics, gene therapy, enzyme replacement therapy, and substrate reduction therapy. The Fabry disease report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for Fabry disease.

Fabry Disease Clinical Trials Therapeutic Assessment - Competitive Dynamics

The report for the Fabry disease drug pipeline covers the profile of key companies involved in clinical trials and their drugs under development. It provides a detailed Fabry disease therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is the list of a few players involved in Fabry disease clinical trials:
  • Sanofi
  • Idorsia Pharmaceuticals Ltd.
  • 4D Molecular Therapeutics
  • UniQure Biopharma B.V.
  • Bio Sidus SA
  • ISU Abxis Co., Ltd.
  • AceLink Therapeutics, Inc.
  • Chiesi Farmaceutici S.p.A.
  • Amicus Therapeutics
  • Sangamo Therapeutics

Fabry Disease Emerging Drugs Profile

This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for Fabry disease. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of Fabry disease drug candidates.

Drug: Pegunigalsidase Alfa

Pegunigalsidase alfa, a PEGylated enzyme replacement therapy, is being studied in a Phase III open-label extension trial sponsored by Chiesi Farmaceutici S.p.A. The objective of this study is to assess the long-term safety, tolerability, and efficacy of 1 mg/kg pegunigalsidase alfa, administered intravenously every two weeks to adult Fabry disease patients. This recombinant enzyme aims to improve pharmacokinetic stability and provide sustained therapeutic benefits for treating Fabry disease.

Drug: Lucerastat

Lucerastat is an oral glucosylceramide synthase inhibitor, designed to reduce Gb3 levels in key organs such as the kidneys and heart. Idorsia Pharmaceuticals Ltd. is sponsoring a Phase III study to evaluate the long-term safety and tolerability of Lucerastat in adult subjects with Fabry disease. The study aims to assess its potential as a long-term treatment option for Fabry disease, including its effects on kidney Gb3 inclusions.

Drug: AL01211

AL01211, developed by AceLink Therapeutics, Inc., is being evaluated in a Phase II study for males with classic Fabry disease who have never received treatment. The study aims to assess the drug's safety, pharmacodynamics, pharmacokinetics, and preliminary efficacy. AL01211, a potent glucosylceramide synthase (GCS) inhibitor, offers superior tissue penetration, particularly in the heart and kidneys, providing a more effective alternative to enzyme replacement therapy (ERT).

Reasons To Buy This Report

The Fabry Disease Drug Pipeline Insight Report provides a strategic overview of the latest and future landscape of treatments for Fabry disease. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from the essential insights into Fabry disease collaborations, regulatory environments, and potential growth opportunities.

Key Questions Answered in the Fabry Disease - Pipeline Insight Report

  • Which companies/institutions are leading the Fabry disease drug development?
  • What is the efficacy and safety profile of Fabry disease pipeline drugs?
  • Which company is leading the Fabry disease pipeline development activities?
  • What is the current Fabry disease commercial assessment?
  • What are the opportunities and challenges present in the Fabry disease drug pipeline landscape?
  • What is the efficacy and safety profile of Fabry disease pipeline drugs?
  • Which company is conducting major trials for Fabry disease drugs?
  • Which companies/institutions are involved in Fabry disease collaborations aimed at providing enhanced therapeutic alternatives for patients?
  • What are the geographies covered for clinical trials in Fabry disease?

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Table of Contents

1 Preface
1.1 Introduction
1.2 Objectives of the Study
1.3 Research Methodology & Assumptions
2 Executive Summary
3 Overview of Fabry Disease
3.1 Signs and Symptoms
3.2 Causes
3.3 Risk Factors
3.4 Diagnosis
3.5 Treatment
4 Patient Profile: Fabry Disease
4.1 Patient Profile Overview
4.2 Patient Psychology and Emotional Impact Factors
4.3 Risk Assessment and Treatment Success Rate
5 Fabry Disease: Epidemiology Snapshot
5.1 Fabry Disease Incidence by Key Markets
5.2 Fabry Disease - Patients Seeking Treatment in Key Markets
6 Fabry Disease: Market Dynamics
6.1 Market Drivers and Constraints
6.2 SWOT Analysis
7 Fabry Disease: Key Facts Covered
7.1 Top Countries Contributing to Clinical Trials in Asia-Pacific
7.2 Top Countries Contributing to Clinical Trials in Europe
7.3 Top Countries Contributing to Clinical Trials in North America
7.4 Top Countries Contributing to Clinical Trials in Other Regions
8 Fabry Disease, Drug Pipeline Assessment
8.1 Assessment by Treatment Type
8.2 Assessment by Route of Administration
8.3 Assessment by Drug Class
9 Drug Pipeline Comparative Analysis
9.1 List of Fabry Disease Pipeline Drugs
9.1.1 By Company
9.1.2 By Phase
9.1.3 By Indication
9.1.4 By Trial Status
9.1.5 By Funder Type
9.2 Attribute Scoring Analysis of Pipeline Drugs (Top Drugs)
10 Fabry Disease Drug Pipeline - Late-Stage Products (Phase III and IV) (Top Drugs)
10.1 Comparative Analysis for Late-Stage Drugs
10.1.1 Study Type
10.1.2 Recruitment Status
10.1.3 Company
10.1.4 Funder Type
10.2 Product Level Analysis*
10.2.1 Biological: Replagal
10.2.1.1 Product Description
10.2.1.2 Trial ID
10.2.1.3 Sponsor Name
10.2.1.4 Study Type
10.2.1.5 Drug Class
10.2.1.6 Eligibility Criteria
10.2.1.7 Study Record Dates
10.2.1.7.1 First Submitted
10.2.1.7.2 First Posted
10.2.1.7.3 Last Update Posted
10.2.1.7.4 Last Verified
10.2.1.8 Indication
10.2.1.9 Study Design
10.2.1.10 Recruitment Status
10.2.1.11 Enrollment (Estimated)
10.2.1.12 Location Countries
10.2.1.13 Recent Results
10.2.2 Drug: Pegunigalsidase Alfa
10.2.3 Drug: Lucerastat
10.2.4 Other Drugs
11 Fabry Disease Drug Pipeline - Mid-Stage Products (Phase II) (Top Drugs)
11.1 Comparative Analysis for Mid-Stage Drugs
11.1.1 Study Type
11.1.2 Recruitment Status
11.1.3 Company
11.1.4 Funder Type
11.2 Product Level Analysis*
11.2.1 Drug: AL01211
11.2.1.1 Product Description
11.2.1.2 Trial ID
11.2.1.3 Sponsor Name
11.2.1.4 Study Type
11.2.1.5 Drug Class
11.2.1.6 Eligibility Criteria
11.2.1.7 Study Record Dates
11.2.1.7.1 First Submitted
11.2.1.7.2 First Posted
11.2.1.7.3 Last Update Posted
11.2.1.7.4 Last Verified
11.2.1.8 Indication
11.2.1.9 Study Design
11.2.1.10 Recruitment Status
11.2.1.11 Enrollment (Estimated)
11.2.1.12 Location Countries
11.2.1.13 Recent Results
11.2.2 Other Drugs
12 Fabry Disease Drug Pipeline - Early-Stage Products (Phase I) (Top Drugs)
12.1 Comparative Analysis for Early-Stage Drugs
12.1.1 Study Type
12.1.2 Recruitment Status
12.1.3 Company
12.1.4 Funder Type
12.2 Product Level Analysis*
12.2.1 Drug: AMT-191
12.2.1.1 Product Description
12.2.1.2 Trial ID
12.2.1.3 Sponsor Name
12.2.1.4 Study Type
12.2.1.5 Drug Class
12.2.1.6 Eligibility Criteria
12.2.1.7 Study Record Dates
12.2.1.7.1 First Submitted
12.2.1.7.2 First Posted
12.2.1.7.3 Last Update Posted
12.2.1.7.4 Last Verified
12.2.1.8 Indication
12.2.1.9 Study Design
12.2.1.10 Recruitment Status
12.2.1.11 Enrollment (Estimated)
12.2.1.12 Location Countries
12.2.2 Biological: 4D-310
12.2.3 Other Drugs
13 Fabry Disease Drug Pipeline - Preclinical and Discovery Stage Products (Top Drugs)
13.1 Comparative Analysis for Preclinical and Discovery Stage Drugs
13.1.1 Study Type
13.1.2 Recruitment Status
13.1.3 Company
13.1.4 Funder Type
13.2 Product Level Analysis*
13.2.1 Drug 1
13.2.1.1 Product Description
13.2.1.2 Trial ID
13.2.1.3 Sponsor Name
13.2.1.4 Study Type
13.2.1.5 Drug Class
13.2.1.6 Eligibility Criteria
13.2.1.7 Study Record Dates
13.2.1.7.1 First Submitted
13.2.1.7.2 First Posted
13.2.1.7.3 Last Update Posted
13.2.1.7.4 Last Verified
13.2.1.8 Indication
13.2.1.9 Study Design
13.2.1.10 Recruitment Status
13.2.1.11 Enrollment (Estimated)
13.2.1.12 Location Countries
13.2.2 Other Drugs
14 Fabry Disease, Key Drug Pipeline Companies
14.1 Sanofi
14.1.1 Company Snapshot
14.1.2 Pipeline Product Portfolio
14.1.3 Financial Analysis
14.1.4 Recent News and Developments
14.2 Idorsia Pharmaceuticals Ltd.
14.2.1 Company Snapshot
14.2.2 Pipeline Product Portfolio
14.2.3 Financial Analysis
14.2.4 Recent News and Developments
14.3 4D Molecular Therapeutics
14.3.1 Company Snapshot
14.3.2 Pipeline Product Portfolio
14.3.3 Financial Analysis
14.3.4 Recent News and Developments
14.4 UniQure Biopharma B.V.
14.4.1 Company Snapshot
14.4.2 Pipeline Product Portfolio
14.4.3 Financial Analysis
14.4.4 Recent News and Developments
14.5 Bio Sidus SA
14.5.1 Company Snapshot
14.5.2 Pipeline Product Portfolio
14.5.3 Financial Analysis
14.5.4 Recent News and Developments
14.6 ISU Abxis Co., Ltd.
14.6.1 Company Snapshot
14.6.2 Pipeline Product Portfolio
14.6.3 Financial Analysis
14.6.4 Recent News and Developments
14.7 AceLink Therapeutics, Inc.
14.7.1 Company Snapshot
14.7.2 Pipeline Product Portfolio
14.7.3 Financial Analysis
14.7.4 Recent News and Developments
14.8 Chiesi Farmaceutici S.p.A.
14.8.1 Company Snapshot
14.8.2 Pipeline Product Portfolio
14.8.3 Financial Analysis
14.8.4 Recent News and Developments
14.9 Amicus Therapeutics
14.9.1 Company Snapshot
14.9.2 Pipeline Product Portfolio
14.9.3 Financial Analysis
14.9.4 Recent News and Developments
14.10 Sangamo Therapeutics
14.10.1 Company Snapshot
14.10.2 Pipeline Product Portfolio
14.10.3 Financial Analysis
14.10.4 Recent News and Developments
15 Regulatory Framework for Drug Approval, By Region16 Terminated or Suspended Pipeline Products