Evidence map›Paper›PMID 27553181›Full record

Trial reportJournal of inherited metabolic disease2016

Impact of long-term elosulfase alfa treatment on respiratory function in patients with Morquio A syndrome.

Christian J Hendriksz, Kenneth I Berger, Rossella Parini, Moeenaldeen D AlSayed, Julian Raiman, Roberto Giugliani, John J Mitchell, Barbara K Burton, Norberto Guelbert, Fiona Stewart and 5 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of inherited metabolic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  20. Enzyme replacement therapy: efficacy and limitations.Italian journal of pediatrics · 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

15 authors at 12 institutions in 6 countries.

Christian J HendrikszThe Mark Holland Metabolic Unit, Salford Royal NHS Foundation Trust, Ladywell NW2- 2nd Floor Room 112 Salford, Manchester, M6 8HD, UK. cfya@sky.com.
Kenneth I BergerNew York University School of Medicine, André Cournand Pulmonary Physiology Laboratory, Bellevue Hospital, New York, NY, USA.
Rossella PariniAzienda Ospedaliera San Gerardo, Monza, Italy.
Moeenaldeen D AlSayedKing Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Julian RaimanHospital for Sick Children, Toronto, ON, Canada.
Roberto GiuglianiMed Genet Serv HCPA, Dep Genet UFRGS & INAGEMP, Porto Alegre, Brazil.
John J MitchellMontreal Children's Hospital, Montreal, QC, Canada.
Barbara K BurtonLurie Children's Hospital & NWU Feinberg, Chicago, IL, USA.
Norberto GuelbertHospital de Niños de Cordoba, Cordoba, Argentina.
Fiona StewartBelfast City Hospital, Belfast, NI, UK.
Derralynn A HughesRoyal Free London NHS Foundation Trust & UC, London, UK.
Robert MatousekBioMarin Pharmaceutical Inc., Novato, CA, USA.
Elaina JureckiBioMarin Pharmaceutical Inc., Novato, CA, USA.
Celeste DeckerBioMarin Pharmaceutical Inc., Novato, CA, USA.
Paul R HarmatzUCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
BioMarin (United States) · USAzienda Ospedaliera San Gerardo · ITBelfast City Hospital · GBHospital for Sick Children · CAKing Faisal Specialist Hospital & Research Centre · SALurie Children's Hospital · USMontreal Children's Hospital · CANational Institute on Population Medical Genetics · BRNew York University · USRoyal Free London NHS Foundation Trust · GBSalford Royal NHS Foundation Trust · GBUCSF Benioff Children's Hospital · US

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
NCATS NIH HHS UL1 TR000004
6 · The paper itself

Abstract

objectiveTo present long-term respiratory function outcomes from an open-label, multi-center, phase 3 extension study (MOR-005) of elosulfase alfa enzyme replacement therapy (ERT) in patients with Morquio A syndrome.

methodsIn part 1 of MOR-005, patients initially randomized to ERT in the 24-week pivotal study (MOR-004) remained on their regimen (2.0 mg/kg/week or every other week); placebo patients were re-randomized to one of the two regimens. During part 2, all patients received elosulfase alfa 2.0 mg/kg/week. Respiratory function was one of the efficacy endpoints evaluated in MOR-005. Change from MOR-004 baseline to 120 weeks of treatment for the combined population was determined and compared with results from untreated patients from a Morquio A natural history study (MorCAP).

resultsMaximum voluntary ventilation (MVV) improved up to week 72 and then stabilized; forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV

conclusionsLong-term ERT is associated with sustained improvements in respiratory function in Morquio A. In younger patients (≤14 years), some improvement may be ascribed to growth. In older patients, other mechanisms, e.g., decreased glycosaminoglycan storage, are likely involved.

Indexed as

AdolescentAdultAgedChildChild, PreschoolChondroitinsulfatasesDouble-Blind MethodEnzyme Replacement TherapyFemaleForced Expiratory VolumeHumansLong-Term CareMaleMiddle AgedMucopolysaccharidosis IVRespirationChondroitinsulfatasesGALNS protein, human

Identifiers

PMID27553181
PMCPMC5065598
OpenAlexW2511032019

What OpenQuestion holds

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Registered trials

None linked

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.