Metabolic

Fabry Disease

Also known as Alpha-galactosidase A deficiency, GLA deficiency, Anderson-Fabry disease

Fabry disease is a rare genetic disorder caused by mutations in the GLA gene, which encodes the enzyme alpha-galactosidase A. Without this enzyme, a fatty substance called globotriaosylceramide (Gb3) builds up in blood vessel walls and orga

ORPHA:324 ↗Gene GLAPrevalence 1-5 per 10,000 (Orphanet)Onset Adolescent, Adult, ChildhoodX-linked genetic

38

studies recruiting now

as of 7 Sept 2026

256

studies registered in total

as of 7 Sept 2026

10

countries with a recruiting site

as of 7 Sept 2026

1 Apr 2025

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 38 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

National Fabry Disease FoundationPatient association
Visit website ↗

Registry: Fabry Registry (Sanofi) · Join ↗. Registries connect patients to researchers and often hear about trials first.

About Fabry Disease

Fabry disease is a rare genetic disorder caused by mutations in the GLA gene, which encodes the enzyme alpha-galactosidase A. Without this enzyme, a fatty substance called globotriaosylceramide (Gb3) builds up in blood vessel walls and organs. This leads to pain crises, kidney failure, heart disease, and stroke, typically beginning in childhood.

Common clinical features

ArthralgiaMyalgiaAbdominal painTransient ischemic attackDecreased alpha-galactosidase A activityMucosal telangiectasiaeAbnormal glycosphingolipid metabolismCorneal opacity

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

5 approved treatments and 9 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Agalsidase Alfa (Replagal)Approved: Agalsidase Beta (Fabrazyme)Approved: Migalastat Hydrochloride (Galafold)Approved: Migalastat (At-1001, gr-181314a)Approved: Pegunigalsidase Alfa (Elfabrio)
Phase 3Venglustat
Phase 3Lucerastat
Phase 3Tilactase
Phase 2Dapagliflozin (Dapagliflozin component of br1019)
Phase 2Al-01211
Phase 1/2Apabetalone
Phase 1/2Voxeralgagene Autotemcel
Phase 1/2Duvalgagene Otiparvovec

+ 1 more in development

Before you apply

Things trial teams commonly ask about for Fabry Disease. Not eligibility rules; those are set by each study.

  • Enzyme replacement therapy (ERT) history is often an eligibility factor - some trials exclude patients already on ERT
  • GLA mutation type matters: classic versus late-onset variants may have separate trial arms
  • Kidney function (eGFR) and proteinuria levels are common baseline requirements

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).