Evidence map›Paper›PMID 28535791›Full record

Trial reportOrphanet journal of rare diseases2017

Clinical outcomes in a subpopulation of adults with Morquio A syndrome: results from a long-term extension study of elosulfase alfa.

D Hughes, R Giugliani, N Guffon, S A Jones, K E Mengel, R Parini, R Matousek, S M Hawley, A Quartel

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Orphanet journal of rare diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT00787995 terminatednot on this map

A Multicenter, Multinational, Longitudinal Clinical Assessment Study of Subjects With Mucopolysaccharidosis IVA (Morquio Syndrome)

TypeobservationalSponsorBioMarin PharmaceuticalRan2008 to 2014Enrolled353ConditionsMPS IV A, Mucopolysaccharidosis IVA, Morquio A Syndrome
NCT01415427 phase3completednot on this map

A Multicenter, Multinational, Extension Study to Evaluate the Long-Term Efficacy and Safety of BMN 110 in Patients With Mucopolysaccharidosis IVA (Morquio A Syndrome)

TypeinterventionalSponsorBioMarin PharmaceuticalRan2011 to 2016Enrolled173ConditionsMucopolysaccharidosis IV A, Morquio A Syndrome, MPS IVAArmsBMN 110 - Weekly, BMN 110 - Every Other Week
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
    Review
  3. Article
  4. Article
  5. Molecular therapy. Methods & clinical development · 2025
    Article
  6. Successful (and Unsuccessful) Recruitment Approaches and Participant Loss in a Down Syndrome Survey.American journal on intellectual and developmental disabilities · 2025
    Article
  7. Lentiviral Vector-MediatedHuman gene therapy · 2024
    Article
  8. Article
  9. Health in Down syndrome: creating a conceptual model.Journal of intellectual disability research : JIDR · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Observational
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

9 authors at 7 institutions in 6 countries.

D HughesRoyal Free London NHS Foundation Trust and University College London, London, UK. rmgvdah@ucl.ac.uk.
R GiuglianiMedical Genetics Service, Hospital de Clínicas de Porto Alegre and Department of Genetics/Universidade Federal do Rio Grande do Sul and Instituto Nacional de Genética Médica Populacional, Porto Alegre, Brazil.
N GuffonHôpital Femme Mère Enfant, Reference Centre of Inherited Metabolic Diseases, Hospices Civils de Lyon, Lyon, France.
S A JonesManchester Centre for Genomic Medicine, St Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, University of Manchester, Manchester, UK.
K E MengelVilla Metabolica, Centre for Pediatric and Adolescent Medicine, University of Mainz Medical Center, Mainz, Germany.
R PariniFondazione Monza e Brianza per il Bambino e la sua Mamma, Azienda Ospedaliera San Gerardo, Monza, Italy.
R MatousekBioMarin Pharmaceutical Inc, Novato, CA, USA.
S M HawleyBioMarin Pharmaceutical Inc, Novato, CA, USA.
A QuartelBioMarin Pharmaceutical Inc, Novato, CA, USA.
BioMarin (United States) · USAzienda Ospedaliera San Gerardo · ITHospices Civils de Lyon · FRUniversidade Federal do Rio Grande do Sul · BRUniversity College London · GBUniversity Medical Center of the Johannes Gutenberg University Mainz · DEUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis post hoc subanalysis examined outcomes in adult patients with Morquio A (mucopolysaccharidosis IVA) who received enzyme replacement therapy (ERT) with elosulfase alfa over a 120-weeks period. Patients ≥18 years of age evaluated in an open-label, long-term extension study of elosulfase alfa (modified per protocol [MPP], n = 32; intent-to-treat [ITT], n = 37; MOR-005; NCT01415427) were compared with the ≥18-year-old untreated population with 2-years follow-up from a Morquio A natural history study (n = 10; MorCAP; NCT00787995). The MOR-005 MPP population excluded patients who underwent orthopedic surgical procedures or were noncompliant with study protocol (defined as missing ≥20% of ERT infusions). No MorCAP patients underwent orthopedic surgical procedures during the relevant time period. Endurance was assessed by the 6-min walk test (6MWT) and 3-min stair climb test (3MSCT). Activities of daily living (ADLs) were assessed by the MPS Health Assessment Questionnaire (MPS HAQ).

resultsLeast squares (LS) mean (SE) 6MWT distances increased by 34.9 (11.7) m (MPP) and 30.5 (10.8) m (ITT) by week 120; LS mean (SE) change in 3MSCT at week 120 was 6.7 (1.8) stairs/min (MPP) and 5.9 (1.7) stairs/min (ITT). MorCAP patients showed no improvement in 6MWT distance or 3MSCT over a similar period of time. Pulmonary function measures remained unchanged in both MOR-005 and MorCAP adults. All MPS HAQ domain scores improved in MOR-005 adults, whereas MorCAP adults had unchanged caregiver assistance and mobility outcomes and worsened self-care outcomes.

conclusionsLong-term ERT in adult patients with Morquio A was associated with increased endurance and improvement in performance of ADLs.

trial registrationTrial Registration NCT01415427 . Name of registry: Long-Term Efficacy and Safety Extension Study of BMN 110 in Patients With Mucopolysaccharidosis IVA (Morquio A Syndrome). Registered 8 August 2011, retrospectively registered.

Indexed as

InternationalityAdultChondroitinsulfatasesDouble-Blind MethodDrug Administration ScheduleFemaleHumansLongitudinal StudiesMaleMucopolysaccharidosis IVSelf CareTreatment OutcomeYoung AdultChondroitinsulfatasesGALNS protein, humanAdulthoodAdultsAdvanced diseaseElosulfase alfaEnzyme replacement therapyLong-termMorquio syndrome AMucopolysaccharidosis IVA

Identifiers

PMID28535791
PMCPMC5442692
OpenAlexW2620033390

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.