Evidence map›Paper›PMID 30023300›Full record

ArticleMolecular genetics and metabolism reports2018

Elosulfase alfa for mucopolysaccharidosis type IVA: Real-world experience in 7 patients from the Spanish Morquio-A early access program.

Guillem Pintos-Morell, Javier Blasco-Alonso, María L Couce, Luís G Gutiérrez-Solana, Encarna Guillén-Navarro, Mar O'Callaghan, Mireia Del Toro

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Mucopolysaccharidosis IVA: Diagnosis, Treatment, and Management.International journal of molecular sciences · 2020
    Review
  12. Review
  13. 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

7 authors at 7 institutions in 1 country.

Guillem Pintos-MorellDepartment of Pediatrics, University Hospital and Research Institute Germans Trias i Pujol, Badalona, Universitat Autònoma de Barcelona, Spain.
Javier Blasco-AlonsoUnidad de Gastroenterología, Hepatología y Nutrición Infantil, Hospital Regional Universitario de Málaga, Spain.
María L CouceUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Service of Neonatology, Department of Pediatrics, Hospital Clínico Universitario de Santiago, CIBERER, University of Santiago de Compostela, Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain.
Luís G Gutiérrez-SolanaSection of Neuropediatrics, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Encarna Guillén-NavarroConsejería de Sanidad, IMIB-Arrixaca, Murcia, Spain. Grupo Clínico CIBERER-ISCIII, Spain.
Mar O'CallaghanDepartment of Neuropediatrics, Hospital Sant Joan de Déu, Esplugues, Barcelona, Spain.
Mireia Del ToroPediatric Neurology Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Centre for Biomedical Network Research on Rare Diseases · ESHospital Infantil Universitario Niño Jesús · ESHospital Regional Universitario de Málaga · ESHospital Sant Joan de Déu Barcelona · ESUniversidade de Santiago de Compostela · ESUniversitat Autònoma de Barcelona · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a growing interest in evaluating the effectiveness of enzyme replacement therapy (ERT) with elosulfase alfa in patients with mucopolysaccharidosis type IVA (MPS-IVA) under real-world conditions. We present the experience of seven pediatric MPS-IVA patients from the Spanish Morquio-A Early Access Program. Efficacy was evaluated based on the distance walked in the 6-min walking test (6-MWT) and the 3-min-stair-climb-test (3-MSCT) at baseline and after 8 months of ERT treatment. Additionally, urinary glycosaminoglycans were measured, and a molecular analysis of a GALNS mutation was performed. The health-related quality of life was evaluated using the EuroQoL (EQ)-5D-5 L. The distance walked according to the 6-MWT ranged from 0 to 325 m at baseline and increased to 12-300 m after 8 months with elosulfase alfa (the walked distance improved in all patients except one). An increase was observed for the two patients who had to use a wheelchair. Improvements were also observed for the 3-MSCT in four patients, whereas two patients showed no changes. Three patients showed an improvement in the EQ-VAS score, whereas the scores of three patients remained stable. Regarding urinary glycosaminoglycans measurements, an irregular response was observed. Our results showed overall improvement in endurance and functionality after 8 months of elosulfase alfa treatment in a heterogeneous subset of MPS IVA patients with severe clinical manifestations managed in a real-world setting.

Indexed as

Elosulfase alfaLysosomal storage disorderMorquio AMPS IVAQuality of lifeUrinary GAGs

Identifiers

PMID30023300
PMCPMC6047108
OpenAlexW2795472675

What OpenQuestion holds

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Registered trials

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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.