Evidence map›Paper›PMID 26993266›Full record

Trial reportJournal of medical genetics2016

Time to treatment benefit for adult patients with Fabry disease receiving agalsidase β: data from the Fabry Registry.

Alberto Ortiz, Ademola Abiose, Daniel G Bichet, Gustavo Cabrera, Joel Charrow, Dominique P Germain, Robert J Hopkin, Ana Jovanovic, Aleš Linhart, Sonia S Maruti and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of medical genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00196742 (Fabry Disease Registry Protocol), which is not on this map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT00196742 recruitingnot on this map

Fabry Disease Registry Protocol

Typeobservational_patient_registrySponsorGenzyme, a Sanofi CompanyRan2001 to 2034Enrolled9,000ConditionsFabry Disease
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
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  17. The Identification of a Novel Pathogenic Variant of theInternational journal of molecular sciences · 2025
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15 more citing papers are in PubMed but not listed here.

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

18 authors at 15 institutions in 9 countries.

Alberto OrtizUnidad de Dialisis, IIS-Fundacion Jimenez Diaz/UAM, IRSIN, Madrid, Spain.
Ademola AbioseNorth Ohio Heart Center, Westlake, Ohio, USA.
Daniel G BichetHôpital du Sacré-Coeur de Montréal and University of Montreal, Montreal, QC, Canada.
Gustavo CabreraGrupo Medico Del Viso, Buenos Aires, Argentina.
Joel CharrowDivision of Genetics, Birth Defects, and Metabolism, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Dominique P GermainDivision of Medical Genetics, University of Versailles-St Quentin en Yvelines, Versailles, France Assistance Publique-Hôpitaux de Paris, Garches, France.
Robert J HopkinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Ana JovanovicDepartment of Endocrinology and Metabolic Medicine, Salford Royal NHS Foundation Trust, Salford, UK.
Aleš LinhartDepartment of Internal Medicine, School of Medicine, Charles University, Prague, Czech Republic.
Sonia S MarutiGenzyme, a Sanofi Company, Cambridge, Massachusetts, USA.
Michael MauerDepartments of Pediatrics and Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
João P OliveiraDepartment of Genetics, São João Hospital Centre & Faculty of Medicine, University of Porto, Porto, Portugal I3S-Institute for Research and Innovation in Health, University of Porto, Porto, Portugal.
Manesh R PatelDivision of Cardiovascular Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Juan PoliteiDepartment of Neurology, Fundacion Para el Estudio de Enfermedades Neurometabolicas (FESEN), Buenos Aires, Argentina.
Stephen WaldekUniversity of Sunderland, Sunderland, UK.
Christoph WannerDivision of Nephrology, University Clinic, University of Würzburg, Würzburg, Germany.
Han-Wook YooDepartment of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
David G WarnockDivision of Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Asan Medical Center · KRCharles University · CZCincinnati Children's Hospital Medical Center · USDuke University · USHospital Universitario Fundación Jiménez Díaz · ESNorthwestern University · USOhio Heart & Vascular Center · USSalford Royal NHS Foundation Trust · GBUniversidade do Porto · PTUniversité de Montréal · CAUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity of Alabama at Birmingham · USUniversity of Minnesota · USUniversity of Sunderland · GBUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAgalsidase β is a form of enzyme replacement therapy for Fabry disease, a genetic disorder characterised by low α-galactosidase A activity, accumulation of glycosphingolipids and life-threatening cardiovascular, renal and cerebrovascular events. In clinical trials, agalsidase β cleared glycolipid deposits from endothelial cells within 6 months; clearance from other cell types required sustained treatment. We hypothesised that there might be a 'lag time' to clinical benefit after initiating agalsidase β treatment, and analysed the incidence of severe clinical events over time in patients receiving agalsidase β.

methodsThe incidence of severe clinical events (renal failure, cardiac events, stroke, death) was studied in 1044 adult patients (641 men, 403 women) enrolled in the Fabry Registry who received agalsidase β (average dose 1 mg/kg every 2 weeks) for up to 5 years.

resultsThe incidence of all severe clinical events was 111 per 1000 person-years (95% CI 84 to 145) during the first 6 months. After 6 months, the incidence decreased and remained stable within the range of 40-58 events per 1000 patient-years. The largest decrease in incidence rates was among male patients and those aged ≥40 years when agalsidase β was initiated.

conclusionsContrary to the expected increased incidence of severe clinical events with time, adult patients with Fabry disease had decreased incidence of severe clinical events after 6 months treatment with agalsidase β 1 mg/kg every 2 weeks. TRIAL REGISTRATION NUMBER: NCT00196742.

Indexed as

Adultalpha-GalactosidaseEnzyme Replacement TherapyFabry DiseaseFemaleGlycolipidsHumansIncidenceIsoenzymesMaleMiddle AgedRegistriesTime-to-TreatmentTreatment Outcomeagalsidase betaalpha-GalactosidaseGlycolipidsIsoenzymesCardiovascular MedicineClinical geneticsGetting Research into Practice

Identifiers

PMID26993266
PMCPMC4941144
OpenAlexW2302389118

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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.