• Inborn errors of metabolism

Fabrazyme Generic Name & Formulations

General Description

Agalsidase beta 5mg, 35mg; per vial; lyophilized cake or pwd for IV infusion after reconstitution and dilution; preservative-free.

Pharmacological Class

Recombinant human alpha-galactosidase A enzyme.

How Supplied

Single-use vial—1


Generic Availability


Fabrazyme Indications


Fabry disease.

Fabrazyme Dosage and Administration

Adults and Children

<2yrs: not established. Pretreat with antipyretic and antihistamine. Give by IV infusion. ≥2yrs: 1mg/kg every 2 weeks. Initially infuse at a rate of 0.25mg/min; if tolerated, may increase by increments of 0.05–0.08mg/min with each subsequent infusion. <30kg: max rate 0.25mg/min. ≥30kg: minimum duration is 1.5hrs. Slow rate if infusion reactions occur. Rechallenge: initially give a low dose and infusion rate (eg, 0.5mg/kg at 0.01mg/min); once tolerated, may increase dose to 1mg/kg, titrate rate slowly upwards (doubled every 30mins up to max 0.25mg/min); see full labeling.

Fabrazyme Contraindications

Not Applicable

Fabrazyme Boxed Warnings

Not Applicable

Fabrazyme Warnings/Precautions


Have appropriate medical support measures readily available; discontinue immediately if anaphylaxis or severe hypersensitivity reactions occur. Consider testing for IgE antibodies in patients who experienced suspected hypersensitivity reactions; if positive, may be rechallenged. Risk of infusion-associated reactions; if reaction occurs, decrease infusion rate, temporarily discontinue, and consider additional antipyretics, antihistamines, and/or steroids; if severe reactions occur, discontinue immediately. Compromised cardiac function; monitor closely. Pregnancy. Nursing mothers.

Fabrazyme Pharmacokinetics

See Literature

Fabrazyme Interactions

Fabrazyme Adverse Reactions

Adverse Reactions

Upper RTI, chills, pyrexia, headache, cough, paresthesia, fatigue, peripheral edema, dizziness, rash.

Fabrazyme Clinical Trials

See Literature

Fabrazyme Note


Register pregnant patients at www.registrynxt.com or call (800) 745-4447.

Fabrazyme Patient Counseling

See Literature