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Prescription medicine

Agalsidase beta Brand names: Fabrazyme

Agalsidase beta (Fabrazyme) is a prescription medicine with an FDA approval on record since 2003. No generic is listed in FDA's NDC Directory.

  • No generic listed
  • Boxed warning

Check it at the source: the agalsidase beta FDA label on DailyMed (effective August 22, 2025, Genzyme Corporation); the BLA 103979 record on Drugs@FDA; every agalsidase beta label on DailyMed.

Highlights of the record

FDA label of August 22, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Boxed warning

HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS.

Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate FABRAZYME in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. If a severe hypersensitivity reaction (e.g., anaphylaxis) occurs, discontinue FABRAZYME and immediately initiate appropriate medical treatment, including use of epinephrine. Inform patients of the symptoms of life-threatening hypersensitivity reactions, including anaphylaxis and to seek immediate medical care should symptoms occur. [see Warnings and Precautions (5.1) ]. WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS See full prescribing information for complete boxed warning Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate FABRAZYME in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. […]

Used for

From the label: indications and usage

FABRAZYME ® is indicated for the treatment of adult and pediatric patients 2 years of age and older with confirmed Fabry disease.

Forms and strengths

  • 5 mg/ml

Injection (powder) (lyophilized) for solution.

On the market

Earliest approval on file
April 24, 2003 Fabrazyme, Genzyme; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
9,189 through July 30, 2026

What is agalsidase beta used for?

From the label: indications and usage

FABRAZYME ® is indicated for the treatment of adult and pediatric patients 2 years of age and older with confirmed Fabry disease. FABRAZYME is a hydrolytic lysosomal neutral glycosphingolipid-specific enzyme indicated for the treatment of adult and pediatric patients 2 years of age and older with confirmed Fabry disease.

FDA pharmacologic class: Hydrolytic Lysosomal Neutral Glycosphingolipid-specific Enzyme.

Source: FDA drug label (Fabrazyme), Genzyme Corporation, effective August 22, 2025 (SPL set 988513ab-b06f-4dd0-93f7-d2d4531dcce4), via openFDA; the full label on DailyMed

Is there a generic for agalsidase beta (Fabrazyme)?

No generic agalsidase beta is approved (Drugs@FDA, October 8, 2026).

  • 2003 earliest approval on file

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the agalsidase beta label say about other medicines?

The agalsidase beta label names 1 other medicine in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Epinephrineboxed warningIf a severe hypersensitivity reaction (e.g., anaphylaxis) occurs, discontinue FABRAZYME and immediately initiate appropriate medical treatment, including use of epinephrine.

Check agalsidase beta against other medicines

Source: FDA drug label (Fabrazyme), Genzyme Corporation, effective August 22, 2025 (SPL set 988513ab-b06f-4dd0-93f7-d2d4531dcce4), via openFDA; the full label on DailyMed

What do FAERS reports show for agalsidase beta?

The FDA Adverse Event Reporting System holds 9,189 reports that list agalsidase beta among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 699 are coded as a death and 2,485 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Pyrexia (named in the label)523
  • Pain509
  • Malaise493
  • Chills (named in the label)476
  • Nausea (named in the label)468
  • Fatigue (named in the label)428
  • Dyspnoea (named in the label)423
  • Headache (named in the label)377

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Other hydrolytic lysosomal neutral glycosphingolipid-specific enzymes
the pharmacologic class, with prices and generics
Agalsidase beta side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other