A Study to Learn About the Safety and Effects of the Study Drug PRX-102 in Children and Adolescents With Fabry Disease

Eligibility Criteria

• * Participants with the provision of informed consent from their legal guardians
• * Boys and girls aged 2 to 7 years (Cohort A), 8 to 12 years (Cohort B), or 13 to \<18 years (Cohort C).
• * Confirmed diagnosis of Fabry disease
• * Presence of at least one of the following characteristic features of Fabry disease: neuropathic pain, cornea verticillata, and/or clustered angiokeratoma.
• * History of Fabry pain: Fabry crises OR chronic pain.
• * Clinical condition that, in the investigator's opinion, requires ERT treatment.
• * Estimated glomerular filtration rate (eGFR) at screening \< 80 mL/min/1.73 m2.
• * History of type I hypersensitivity reactions (anaphylactic or anaphylactoid life-threatening reaction) to other ERT treatment for Fabry disease or any component of the study drug.
• * Initiation of treatment with an angiotensin-converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARB) or a dose change in ongoing treatment in the four weeks before screening.
• * Urine protein to creatinine ratio (UPCR) \> 0.5 g/g (0.5 mg/mg or 500 mg/g) if not treated with an ACE inhibitor or ARB.
• * Currently taking another investigational drug for any condition.
• * History of acute kidney injury in the 12 months before screening, including specific kidney diseases (e.g., acute interstitial nephritis, acute glomerular and vasculitic renal diseases); non-specific conditions (e.g., ischaemia, toxic injury); or extrarenal pathology (e.g., prerenal azotaemia, acute postrenal obstructive nephropathy).
• * History of renal dialysis or kidney transplantation.
• * History of or current malignancy requiring treatment.
• * Severe cardiomyopathy or significant unstable cardiac disease within six months before screening.
• * A positive test for Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2) within three months before screening.
• * Presence of any medical, emotional, behavioural, or psychological condition that, in the Investigator's judgement, could interfere with the subject's compliance with the requirements of the study.
• * Female
• * Non-classic form of Fabry disease
• * Receipt of treatment for Fabry disease within six months before screening
• * Positive for anti-PRX-102 antibodies at screening
• * Unwilling to discontinue current ERT treatment for Fabry disease before baseline.
• * Females: Pregnant or lactating, or of childbearing potential with a fertile male partner and unwilling to use a highly reliable method of contraception from the informed consent signature until 30 days after the last infusion.