Evidence map›Paper›PMID 27834756›Full record

Trial reportJournal of medical genetics2017

Oral pharmacological chaperone migalastat compared with enzyme replacement therapy in Fabry disease: 18-month results from the randomised phase III ATTRACT study.

Derralynn A Hughes, Kathleen Nicholls, Suma P Shankar, Gere Sunder-Plassmann, David Koeller, Khan Nedd, Gerard Vockley, Takashi Hamazaki, Robin Lachmann, Toya Ohashi and 28 more

Erratum issued 3 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 194 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 6 pooled it
19.5field-weighted citation impact, top 1% 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.

NCT00925301 phase3completednot on this map

A Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Efficacy, Safety and Pharmacodynamics of AT1001 in Patients With Fabry Disease and AT1001-Responsive GLA Mutations

TypeinterventionalSponsorAmicus TherapeuticsRan2009 to 2014Enrolled67ConditionsFabry DiseaseArmsmigalastat hydrochloride, Placebo
NCT03683966 unknown statusnot on this map

A Structured Survey Among Fabry Patients With a Focus on Adherence to Therapy, Quality of Life and Pain Control

TypeobservationalSponsorWuerzburg University HospitalRan2017 to 2023Enrolled30ConditionsRare Diseases, Fabry Disease, Adherence, Medication, Quality of Life
NCT03838237 completednot on this mapstarted 2018, after this paper: background citation

Effect of Migalastat on Cardiac Involvement in Fabry Disease

TypeobservationalSponsorOspedale San DonatoRan2018 to 2021Enrolled18ConditionsFabry Disease, Heart DiseasesArmsCardiological evaluation
3 · Its place in the literature

Who cites it

194 citing papers in PubMed, 6 syntheses or guidelines pooled it, 380 citations in OpenAlex.

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134 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors at 20 institutions in 10 countries.

Derralynn A HughesDepartment of Haematology, Royal Free London NHS Foundation Trust and University College London, London, UK.
Kathleen NichollsDepartment of Nephrology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Suma P ShankarSection of Vitreoretinal Surgery & Diseases, Emory University, Atlanta, Georgia, USA.
Gere Sunder-PlassmannDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Vienna, Austria.
David KoellerDoernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon, USA.
Khan NeddInfusion Associates, Grand Rapids, Missouri, USA.
Gerard VockleyChildren's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Takashi HamazakiInfusion Associates, Grand Rapids, Missouri, USA.
Robin LachmannCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, London, UK.
Toya OhashiJikei University Hospital, Tokyo, Japan.
Iacopo OlivottoDepartmento Cuore e vasi, A.O.U. Careggi Firenze, Firenze, Italy.
Norio SakaiOsaka City University Hospital, Osaka-shi, Japan.
Patrick DeeganLysosmal Disorders Unit, Department of Medicine, Addenbrooke's Hospital, Cambridge, UK.
David DimmockGenetics Center MS716, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.
François EyskensUniveritair Ziekenhaus Anterpen, Edegem, Belgium.
Dominique P GermainDivision of Medical Genetics, University of Versailles, Paris-Saclay University and Assistance Publique-Hôpitaux de Paris, Paris, France.
Ozlem Goker-AlpanO & O Alpan LLC, Springfield, Virginia, USA.
Eric HachullaService de Médecine, Hôpital Claude Huriez-CHRU Lille, Lille, France.
Ana JovanovicDepartment of Endocrinology and Metabolic Medicine, Salford Royal NHS Foundation Trust, Salford, UK.
Charles M LourencoHospital das Clínicas FMUSP-Ribeirão Preto, São Paulo, Ribeirão Preto, Brazil.
Ichiei NaritaNiigata University Graduate School of Medicine and Dental Sciences, Niigata, Japan.
Mark ThomasRoyal Perth Hospital, Perth, New South Wales, Australia.
William R WilcoxDepartment of Genetics, Emory University School of Medicine, Atlanta, Georgia, USA.
Daniel G BichetClinical Research Division, Hôpital du Sacré-Coeur de Montreal, University of Montreal, Montreal, Quebec, Canada.
Raphael SchiffmannInstitute of Metabolic Disease, Baylor Research Institute, Dallas, Texas, USA.
Elizabeth LudingtonAgility Clinical Inc., Carlsbad, California, USA.
Christopher ViereckAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
John KirkAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Julie YuAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Franklin JohnsonAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Pol BoudesCymaBay Therapeutics, Inc., Newark, California, USA.
Elfrida R BenjaminAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
David J LockhartTranscripTx, Inc., Sunnyvale, California, USA.
Carrolee BarlowParkinson's Institute and Clinical Center, Sunnyvale, California, USA.
Nina SkubanAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Jeffrey P CastelliAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Jay BarthAmicus Therapeutics Inc., Cranbury, New Jersey, USA.
Ulla Feldt-RasmussenDepartment of Medical Endocrinology, Rigshospital, Copenhagen University Hospital, Copenhagen, Denmark.
Amicus Therapeutics (United States) · USEmory University · USOsaka City University Hospital · JPAddenbrooke's Hospital · GBAzienda Ospedaliero-Universitaria Careggi · ITChildren's Hospital of Pittsburgh · USChildren's Hospital of Wisconsin · USClinics Hospital of Ribeirão Preto · BRCopenhagen University Hospital · DKCymaBay Therapeutics (United States) · USDoernbecher Children's Hospital · USHôpital Claude Huriez · FRHôpital du Sacré-Cœur de Montréal · CAInfusion Associates · USMedical University of Vienna · ATNiigata University · JPO&O Alpan (United States) · USParkinson's Institute and Clinical Center · USRoyal Free London NHS Foundation Trust · GBRoyal Perth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFabry disease is an X-linked lysosomal storage disorder caused by

methodsThe main objective of the 18-month, randomised, active-controlled ATTRACT study was to assess the effects of migalastat on renal function in patients with Fabry disease previously treated with ERT. Effects on heart, disease substrate, patient-reported outcomes (PROs) and safety were also assessed.

resultsFifty-seven adults (56% female) receiving ERT (88% had multiorgan disease) were randomised (1.5:1), based on a preliminary cell-based assay of responsiveness to migalastat, to receive 18 months open-label migalastat or remain on ERT. Four patients had non-amenable mutant forms of α-Gal based on the validated cell-based assay conducted after treatment initiation and were excluded from primary efficacy analyses only. Migalastat and ERT had similar effects on renal function. Left ventricular mass index decreased significantly with migalastat treatment (-6.6 g/m

conclusionsMigalastat offers promise as a first-in-class oral monotherapy alternative treatment to intravenous ERT for patients with Fabry disease and amenable mutations. TRIAL REGISTRATION NUMBER: NCT00925301; Pre-results.

Indexed as

1-DeoxynojirimycinAdministration, OralAdolescentAdultAgedalpha-GalactosidaseEnzyme Replacement TherapyFabry DiseaseFemaleHumansLysosomesMaleMiddle AgedMolecular ChaperonesTreatment Outcome1-Deoxynojirimycinalpha-GalactosidasemigalastatMolecular Chaperonesenzyme replacement therapyFabry diseaselyso-Gb3lysosomal storage disorderPharmacological chaperone

Identifiers

PMID27834756
PMCPMC5502308
OpenAlexW2551668015

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.