Evidence map›Paper›PMID 25801797›Full record

Trial reportAmerican journal of hematology2015

Velaglucerase alfa (VPRIV) enzyme replacement therapy in patients with Gaucher disease: Long-term data from phase III clinical trials.

Derralynn A Hughes, Derlis E Gonzalez, Elena A Lukina, Atul Mehta, Madhulika Kabra, Deborah Elstein, Isaac Kisinovsky, Pilar Giraldo, Ashish Bavdekar, Thomas N Hangartner and 3 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in American journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00635427 (An Open-Label Extension Study of Gene-Activated® Human Glucocerebrosidase), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

NCT00635427 phase3completednot on this map

An Open-Label Extension Study of Gene-Activated® Human Glucocerebrosidase (GA-GCB) Enzyme Replacement Therapy in Patients With Type 1 Gaucher Disease

TypeinterventionalSponsorShireRan2008 to 2012Enrolled95ConditionsGaucher Disease, Type 1ArmsVPRIV®
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
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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.

Derralynn A HughesDepartment of Haematology, Royal Free Hospital, London, United Kingdom.
Derlis E GonzalezInstituto Privado de Hematología e Investigación Clínica - IPHIC, Asunción, Paraguay.
Elena A LukinaDepartment of Orphan Diseases, Hematology Research Center, Moscow, Russia.
Atul MehtaDepartment of Haematology, Royal Free Hospital, London, United Kingdom.
Madhulika KabraPediatrics Department, All India Institute of Medical Sciences, New Delhi, India.
Deborah ElsteinGaucher Clinic, Shaare Zedek Medical Center, affiliated with the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Isaac KisinovskyHematology Department, Your Health SA, Buenos Aires, Argentina.
Pilar GiraldoMedicina Metabólica Hereditaria, Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Zaragoza, Spain.
Ashish BavdekarPediatric Gastroenterology Department, King Edward Memorial Hospital Research Centre, Pune, India.
Thomas N HangartnerDepartment of Biomedical, Industrial, & Human Factors Engineering, Wright State University, Dayton, Ohio.
Nan WangBiostatistics & Statistical Programming Department, Shire, Lexington, Massachusetts.
Eric CrombezRare Disease Unit, Shire, Lexington, Massachusetts.
Ari ZimranGaucher Clinic, Shaare Zedek Medical Center, affiliated with the Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 1 Gaucher disease is an inherited lysosomal enzyme deficiency with variable age of symptom onset. Common presenting signs include thrombocytopenia, anemia, hepatosplenomegaly, bone abnormalities, and, additionally in children, growth failure. Fifty-seven patients aged 3-62 years at the baseline of two phase III trials for velaglucerase alfa treatment were enrolled in the single extension study. In the extension, they received every-other-week velaglucerase alfa intravenous infusions for 1.2-4.8 years at 60 U/kg, although 10 patients experienced dose reduction. No patient experienced a drug-related serious adverse event or withdrew due to an adverse event. One patient died following a convulsion that was reported as unrelated to the study drug. Only one patient tested positive for anti-velaglucerase alfa antibodies. Combining the experience of the initial phase III trials and the extension study, significant improvements were observed in the first 24 months from baseline in hematology variables, organ volumes, plasma biomarkers, and, in adults, the lumbar spine bone mineral density Z-score. Improvements were maintained over longer-term treatment. Velaglucerase alfa had a good long-term safety and tolerability profile, and patients continued to respond clinically, which is consistent with the results of the extension study to the phase I/II trial of velaglucerase alfa. EudraCT number 2008-001965-27; www.clinicaltrials.gov identifier NCT00635427.

Indexed as

Enzyme Replacement TherapyAdolescentAdultBone DensityChemokines, CCChildChild, PreschoolDrug Administration ScheduleFemaleGaucher DiseaseGlucosylceramidaseHexosaminidasesHumansImmunoglobulin GInjections, IntravenousMaleCCL18 protein, humanChemokines, CCchitotriosidaseGlucosylceramidaseHexosaminidasesImmunoglobulin GVelaglucerase alfa, human

Identifiers

PMID25801797
PMCPMC4654249

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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.