Evidence map›Paper›PMID 27761411›Full record

ArticleMolecular genetics and metabolism reports2016

30 months follow-up of an early enzyme replacement therapy in a severe Morquio A patient: About one case.

J Do Cao, A Wiedemann, T Quinaux, S F Battaglia-Hsu, L Mainard, R Froissart, C Bonnemains, S Ragot, B Leheup, P Journeau and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics and metabolism reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

27 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Natural History of Morquio A Syndrome.Journal of inherited metabolic disease · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Identification of Surrogate Biomarkers for Mucopolysaccharidosis Type IVA.International journal of molecular sciences · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Mucopolysaccharidosis IVA: Diagnosis, Treatment, and Management.International journal of molecular sciences · 2020
    Review
  19. Article
  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

11 authors at 1 institution in 1 country.

J Do CaoReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
A WiedemannReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
T QuinauxReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
S F Battaglia-HsuReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
L MainardRadiology Department, University Children's Hospital, Vandoeuvre-les-Nancy, France.
R FroissartBiochemistry and Molecular Biology, University Hospital, Lyon, France.
C BonnemainsReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
S RagotRehabilitation center, University Children's Hospital, Vandoeuvre-les-Nancy, France.
B LeheupGenetic Department, University Children's Hospital, Vandoeuvre-les-Nancy, France.
P JourneauPediatric Orthopedic surgery department, University Children's Hospital, Vandoeuvre-les-Nancy, France.
F FeilletReference Center for Inborn Errors of Metabolism, University Children's Hospital, 5 rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
Hospices Civils de Lyon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients under 5 years were not evaluated in the phase-3 study for enzyme replacement therapy (ERT) in MPS IV A. Here we describe the evolution of a severe Morquio A pediatric patient who was diagnosed at 19 months old and treated by ERT at 21 months old for the next 30 months. Applying the standard ERT protocol on this very young patient appeared to reduce his urinary excretion of glycosaminoglycans (GAGs); the improvements in both the 6 minute-walk test (6MWT) and the stair climb test, however, were no different than those reported in the nature history study. Additionally, this young patient experienced many ERT-associated side effects, and as a result a specific corticosteroid protocol (1 mg/kg of betamethasone the day before and 1 h before the ERT infusion) was given to avoid adverse events. Under these treatments, the height of this patient increased during the first year of the ERT although no more height gain was observed thereafter for 18 months. However, despite of ERT, his bone deformities (including severe pectus carinatum) actually worsened and his medullar cervical spine compression showed no improvement (thus needed decompression surgery).

conclusionearly ERT treatment did not improve the bone outcome in this severe MPS IV A patient after the 30 months-long treatment. A longer term follow up is required to further assess the efficacy of ERT on both the motor and the respiratory function of the patient.

Identifiers

PMID27761411
PMCPMC5065040
OpenAlexW2530403529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.