Evidence map›Paper›PMID 23494656›Full record

Trial reportJournal of inherited metabolic disease2013

Enzyme replacement therapy for alpha-mannosidosis: 12 months follow-up of a single centre, randomised, multiple dose study.

L Borgwardt, C I Dali, J Fogh, J E Månsson, K J Olsen, H C Beck, K G Nielsen, L H Nielsen, S O E Olsen, H M F Riise Stensland and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of inherited metabolic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01268358 (A Single Center, Open-label, Dose Escalation Study of the Safety and Pharmacokinetics of rhLAMAN), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01268358 phase1completednot on this map

A Single Center, Open-label, Dose Escalation Study of the Safety and Pharmacokinetics of rhLAMAN (Recombinant Human Alpha-mannosidase or Lamazym) for the Treatment of Patients With Alpha-mannosidosis.

TypeinterventionalSponsorZymenex A/SRan2010 to 2011Enrolled10ConditionsAlpha MannosidosisArmsLamazym
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Characterizing circulating biomarkers for childhood dementia disorders: A scoping review of clinical trials.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Relationship betweenJIMD reports · 2023
    Article
  12. Article
  13. Systematic Review of Early Phase Pediatric Clinical Pharmacology Trials.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Retinal and optic nerve degeneration in α-mannosidosis.Orphanet journal of rare diseases · 2018
    Article
  20. Alpha-Mannosidosis: Therapeutic Strategies.International journal of molecular sciences · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 11 institutions in 7 countries.

L BorgwardtDepartment of Clinical Genetics, Centre for Inherited Metabolic Disorders, Copenhagen University hospital, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark, line.gutte.borgwardt@rh.regionh.dk.
C I Dali
J Fogh
J E Månsson
K J Olsen
H C Beck
K G Nielsen
L H Nielsen
S O E Olsen
H M F Riise Stensland
O Nilssen
F Wibrand
A M Thuesen
T Pearl
U Haugsted
P Saftig
J Blanz
S A Jones
A Tylki-Szymanska
N Guffon-Fouiloux
M Beck
A M Lund
Rigshospitalet · DKCopenhagen University Hospital · DKKiel University · DEUiT The Arctic University of Norway · NOChildren's Memorial Health Institute · PLHôpital Edouard Herriot · FROdense University Hospital · DKSahlgrenska University Hospital · SESt Mary's Hospital · GBUniversitäts-Kinderklinik Würzburg · DEZymenex (Denmark) · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlpha-mannosidosis (OMIM 248500) is a rare lysosomal storage disease (LSD) caused by alpha-mannosidase deficiency. Manifestations include intellectual disabilities, facial characteristics and hearing impairment. A recombinant human alpha-mannosidase (rhLAMAN) has been developed for weekly intravenous enzyme replacement therapy (ERT). We present the preliminary data after 12 months of treatment.

methodsThis is a phase I-II study to evaluate safety and efficacy of rhLAMAN. Ten patients (7-17 y) were treated. We investigated efficacy by testing motor function (6-minutes-Walk-Test (6-MWT), 3-min-Stair-Climb-Test (3-MSCT), The Bruininks-Oseretsky Test of Motor Proficiency (BOT2), cognitive function (Leiter-R), oligosaccharides in serum, urine and CSF and Tau- and GFA-protein in CSF.

resultsOligosaccharides: S-, U- and CSF-oligosaccharides decreased 88.6% (CI -92.0 -85.2, p < 0.001), 54.1% (CI -69.5- -38.7, p < 0,001), and 25.7% (CI -44.3- -7.1, p < 0.05), respectively. Biomarkers: CSF-Tau- and GFA-protein decreased 15%, p < 0.009) and 32.5, p < 0.001 respectively. Motor function: Improvements in 3MSCT (31 steps (CI 6.8-40.5, p < 0.01) and in 6MWT (60.4 m (CI -8.9 -51.1, NS) were achieved. Cognitive function: Improvement in the total Equivalence Age of 4 months (0.34) was achieved in the Leiter R test (CI -0.2-0.8, NS).

conclusionsThese data suggest that rhLAMAN may be an encouraging new treatment for patients with alpha-mannosidosis.The study is designed to continue for a total of 18 months. Longer-term follow-up of patients in this study and the future placebo-controlled phase 3 trial are needed to provide greater support for the findings in this study.

Indexed as

Enzyme Replacement TherapyAdolescentalpha-Mannosidasealpha-MannosidosisChildCognitionDose-Response Relationship, DrugExercise TestFollow-Up StudiesHumansPsychomotor PerformanceRecombinant ProteinsTreatment Outcomealpha-MannosidaseRecombinant Proteins

Identifiers

PMID23494656
OpenAlexW2169964507

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.