Evidence map›Paper›PMID 28762527›Full record

Trial reportAmerican journal of hematology2017

Outcomes after 18 months of eliglustat therapy in treatment-naïve adults with Gaucher disease type 1: The phase 3 ENGAGE trial.

Pramod K Mistry, Elena Lukina, Hadhami Ben Turkia, Suma P Shankar, Hagit Baris, Marwan Ghosn, Atul Mehta, Seymour Packman, Gregory Pastores, Milan Petakov and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in American journal of hematology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00891202 (A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Confirming the Efficacy and Safety of Genz-112638 in Patients With Gaucher Disease Type 1), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT00891202 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Confirming the Efficacy and Safety of Genz-112638 in Patients With Gaucher Disease Type 1 (ENGAGE)

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2009 to 2016Enrolled40ConditionsGaucher Disease, Type 1ArmsEliglustat tartrate, Placebo
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  6. Trial
  7. Article
  8. Article
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  11. Article
  12. An Overview of Gaucher Disease.Diagnostics (Basel, Switzerland) · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Gaucher disease - more than just a rare lipid storage disease.Journal of molecular medicine (Berlin, Germany) · 2022
    Review
  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

18 authors at 18 institutions in 13 countries.

Pramod K MistryDepartment of Internal Medicine and Pediatrics, Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-3447-6421
Elena LukinaDepartment of Orphan Diseases, National Research Center for Hematology, Moscow, Russia.
Hadhami Ben TurkiaDepartment of Pediatrics, Hôpital La Rabta, Tunis, Tunisia.
Suma P ShankarDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Hagit BarisRaphael Recanati Genetic Institute, Rabin Medical Center, Petach Tikvah, Israel.
Marwan GhosnDepartment of Hematology-Oncology, Hôtel-Dieu de France University Hospital, Beirut, Lebanon.
Atul MehtaDepartment of Haematology, The Royal Free Hospital, University College, London, UK.
Seymour PackmanDepartment of Pediatrics, UCSF School of Medicine, San Francisco, CA, USA.
Gregory PastoresDepartment of Neurology and Pediatrics, New York University School of Medicine, New York, NY, USA.
Milan PetakovDepartment of Neuroendocrinology, Clinical Center of Serbia, Belgrade University Medical School, Serbia.
Sarit AssoulineDepartment of Medicine, Division of Hematology, Jewish General Hospital, Montreal, Quebec, Canada.
Manisha BalwaniDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mt. Sinai Hospital, New York, NY, USA.
Sumita DandaDepartment of Medical Genetics, Christian Medical College, Vellore, Tamil Nadu, India.
Evgueniy HadjievMedical University - Sofia, Faculty of Medicine, Department of Internal diseases, UMHAT "Alexandrovska"- Clinic of Hematology, Sofia, Bulgaria.
Andres OrtegaOCA Hospital, Monterrey, Mexico.
Sebastiaan J M GaemersGlobal Pharmacovigilance, Sanofi Genzyme, Naarden, The Netherlands.
Regina TayagPrometrika, Cambridge, MA, USA.
M Judith PeterschmittRare Diseases Clinical Development, Sanofi Genzyme, Cambridge, MA, USA.
Centar za Promociju Nauke · RSChristian Medical College, Vellore · INEmory University · USGenesys (United States) · USHôpital La Rabta · TNHôtel-Dieu de France · LBJewish General Hospital · CAMedical University of Sofia · BGNational Medical Research Center for Hematology · RUNew York University · USPromega (United States) · USRafael Advanced Defense Systems (Israel) · ILSanofi (Netherlands) · NLSinai Hospital · USTecnológico de Monterrey · MXThe Royal Free Hospital · GBUniversity of California, San Francisco · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Understanding the skeletal phenotype of Gaucher diseaseR01AR065932 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MISTRY, PRAMOD K, ZAIDI, MONE · 2013 to 2017
$2.6M
NCATS NIH HHS UL1 TR001863NIAMS NIH HHS R01 AR065932
6 · The paper itself

Abstract

Eliglustat, an oral substrate reduction therapy, is a first-line treatment for adults with Gaucher disease type 1 (GD1) who are poor, intermediate, or extensive CYP2D6 metabolizers (>90% of patients). In the primary analysis of the Phase 3 ENGAGE trial (NCT00891202), eliglustat treatment for 9 months resulted in significant reductions in spleen and liver volumes and increases in hemoglobin concentration and platelet count compared with placebo. We report 18-month outcomes of patients who entered the trial extension period, in which all patients received eliglustat. Of 40 trial patients, 39 entered the extension period, and 38 completed 18 months. Absolute values and percent change over time were determined for spleen and liver volume, hemoglobin concentration, platelet count, bone mineral density, bone marrow burden, and Gaucher disease biomarkers. For patients randomized to eliglustat in the double-blind period, continuing treatment with eliglustat for 9 more months resulted in incremental improvement of all disease parameters. For patients randomized to placebo in the double-blind period, eliglustat treatment during the 9-month, open-label period resulted in significant decrease of spleen and liver volumes and significant increase of hemoglobin and platelets, with a similar rate of change to patients who had received eliglustat in the double-blind period. Eliglustat treatment was also associated with improvement in bone marrow burden score, bone mineral density, and established biomarkers of Gaucher disease, including reduction of the bioactive lipid, glucosylsphingosine. These findings underscore the efficacy of eliglustat in treatment-naïve patients. Eliglustat was well-tolerated, and there were no new safety concerns with longer-term exposure.

Indexed as

Enzyme Replacement TherapyEnzyme InhibitorsFollow-Up StudiesGaucher DiseaseGlucosylceramidaseHumansLiverOrgan SizePyrrolidinesSpleenTreatment OutcomeeliglustatEnzyme InhibitorsGlucosylceramidasePyrrolidines

Identifiers

PMID28762527
PMCPMC5656936
OpenAlexW2739756331

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.