Evidence map›Paper›PMID 24816856›Full record

Trial reportSkeletal radiology2014

Skeletal improvement in patients with Gaucher disease type 1: a phase 2 trial of oral eliglustat.

Ravi S Kamath, Elena Lukina, Nora Watman, Marta Dragosky, Gregory M Pastores, Elsa Avila Arreguin, Hanna Rosenbaum, Ari Zimran, Rasha Aguzzi, Ana Cristina Puga and 3 more

3 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Skeletal radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT00358150 phase2completednot on this map

A Phase 2, Open-Label, Multi-Center Study Evaluating the Efficacy, Safety and Pharmacokinetics of Genz-112638 in Gaucher Type 1 Patients

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2006 to 2015Enrolled26ConditionsGaucher Disease, Type 1, Cerebroside Lipidosis Syndrome, Glucocerebrosidase Deficiency Disease, Glucosylceramide Beta-Glucosidase Deficiency DiseaseArmsEliglustat tartrate
NCT00891202 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Confirming the Efficacy and Safety of Genz-112638 in Patients With Gaucher Disease Type 1 (ENGAGE)

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2009 to 2016Enrolled40ConditionsGaucher Disease, Type 1ArmsEliglustat tartrate, Placebo
NCT00943111 phase3completednot on this map

A Phase 3, Randomized, Multi-Center, Multi-National, Open-Label, Active Comparator Study to Evaluate the Efficacy and Safety of Genz-112638 in Patients With Gaucher Disease Type 1 Who Have Reached Therapeutic Goals With Enzyme Replacement Therapy (ENCORE)

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2009 to 2015Enrolled160ConditionsGaucher Disease, Type 1ArmsEliglustat tartrate, Imiglucerase
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Gaucher Disease in Bone: From Pathophysiology to Practice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Review
  13. Pharmacotherapy of Gaucher Disease: Current and Future Options.P & T : a peer-reviewed journal for formulary management · 2018
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Less Is More: Substrate Reduction Therapy for Lysosomal Storage Disorders.International journal of molecular sciences · 2016
    Review
  19. Profile of eliglustat tartrate in the management of Gaucher disease.Therapeutics and clinical risk management · 2016
    Review
  20. Article
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

13 authors at 9 institutions in 5 countries.

Ravi S KamathMassachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Elena Lukina
Nora Watman
Marta Dragosky
Gregory M Pastores
Elsa Avila Arreguin
Hanna Rosenbaum
Ari Zimran
Rasha Aguzzi
Ana Cristina Puga
Andrea M Norfleet
M Judith Peterschmitt
Daniel I Rosenthal
Genesys (United States) · USMassachusetts General Hospital · USHospital Ramos Mejía · ARInstituto Argentino de Diagnóstico y Tratamiento · ARMexican Social Security Institute · MXNew York University · USRambam Health Care Campus · ILRussian Academy of Sciences · RUShaare Zedek Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEliglustat is an investigational oral substrate reduction therapy for Gaucher disease type 1 (GD1). Its skeletal effects were evaluated by prospective monitoring of bone mineral density (BMD), fractures, marrow infiltration by Gaucher cells, focal bone lesions, and infarcts during an open-label, multi-site, single-arm phase 2 trial (NCT00358150). MATERIALS AND

methodsInstitutional review board approval and patient informed consent were obtained. Eliglustat (50 or 100 mg) was self-administered by mouth twice daily; 19 patients completed 4 years of treatment. All were skeletally mature (age range, 18-55 years). DXA and MRI assessments were conducted at baseline and annually thereafter. X-rays were obtained annually until month 24, and then every other year.

resultsLumbar spine BMD increased significantly (p = 0.02; n = 15) by a mean (SD) of 9.9% (14.2%) from baseline to year 4; corresponding T-scores increased significantly (p = 0.01) from a mean (SD) of -1.6 (1.1) to -0.9 (1.3). Mean femur T-score remained normal through 4 years. Femur MRI showed that 10/18 (56%) patients had decreased Gaucher cell infiltration compared to baseline; one patient with early improvement had transient worsening at year 4. There were no lumbar spine or femoral fractures and no reported bone crises during the study. At baseline, 8/19 (42%) patients had focal bone lesions, which remained stable, and 7/19 (37%) patients had bone infarctions, which improved in one patient by year 2. At year 4, one new asymptomatic, indeterminate bone lesion was discovered that subsequently resolved.

conclusionsEliglustat may be a therapeutic option for treating the skeletal manifestations of GD1.

Indexed as

Absorptiometry, PhotonAdministration, OralAdolescentAdultBone Demineralization, PathologicBone DensityEnzyme InhibitorsFemaleFemurFollow-Up StudiesFractures, BoneGaucher DiseaseHumansLumbar VertebraeMagnetic Resonance ImagingMaleeliglustatEnzyme InhibitorsPyrrolidines

Identifiers

PMID24816856
PMCPMC4141971
OpenAlexW2163036425

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.