Evidence map›Paper›PMID 30264864›Full record

Trial reportAmerican journal of hematology2019

Outcomes after 8 years of eliglustat therapy for Gaucher disease type 1: Final results from the Phase 2 trial.

Elena Lukina, Nora Watman, Marta Dragosky, Heather Lau, Elsa Avila Arreguin, Hanna Rosenbaum, Ari Zimran, Meredith C Foster, Sebastiaan J M Gaemers, M Judith Peterschmitt

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00358150 (A Phase 2, Open-Label, Multi-Center Study Evaluating the Efficacy, Safety and Pharmacokinetics of Genz-112638 in Gaucher Type 1 Patients), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT00358150 phase2completednot on this map

A Phase 2, Open-Label, Multi-Center Study Evaluating the Efficacy, Safety and Pharmacokinetics of Genz-112638 in Gaucher Type 1 Patients

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2006 to 2015Enrolled26ConditionsGaucher Disease, Type 1, Cerebroside Lipidosis Syndrome, Glucocerebrosidase Deficiency Disease, Glucosylceramide Beta-Glucosidase Deficiency DiseaseArmsEliglustat tartrate
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Long-Term Evaluation of Biomarkers in the Czech Cohort of Gaucher Patients.International journal of molecular sciences · 2023
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  17. Review
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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

10 authors.

Elena LukinaDepartment of Orphan Diseases, National Research Center for Hematology, Moscow, Russia.ORCID 0000-0002-8774-850X
Nora WatmanDivision of Hematology, Hospital Ramos Mejia, Buenos Aires, Argentina.
Marta DragoskyDepartment of Hematology, IMAI-Research, Buenos Aires, Argentina.
Heather LauDepartment of Neurology, New York University School of Medicine, New York, New York.
Elsa Avila ArreguinDepartment of Hematology, Instituto Mexicano del Seguro Social Hospital de Especialidades, Col. La Raza, Mexico.
Hanna RosenbaumHematology Department, Rambam Medical Center, Haifa, Israel.
Ari ZimranGaucher Clinic, Department of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.ORCID 0000-0003-0077-8608
Meredith C FosterGlobal Medical Communications, Sanofi Genzyme, Cambridge, Massachusetts.
Sebastiaan J M GaemersGlobal Pharmacovigilance, Sanofi Genzyme, Naarden, The Netherlands.
M Judith PeterschmittRare Diseases Clinical Development, Sanofi Genzyme, Cambridge, Massachusetts.

Funding

Sanofi Genzyme
6 · The paper itself

Abstract

Eliglustat is a first-line oral therapy for adults with Gaucher disease type 1 (GD1) and poor, intermediate or extensive CYP2D6-metabolizer phenotypes (>90% of patients). We report the final results of a Phase 2 trial and extension (NCT00358150) in previously untreated adult GD1 patients who had splenomegaly with thrombocytopenia and/or anemia and received 50 or 100 mg eliglustat tartrate (equivalent to 42 or 84 mg eliglustat) twice daily for 8 years. In total, 19 of 26 patients completed the trial. After 8 years of eliglustat, mean spleen and liver volumes decreased by 69% and 34%, respectively. Mean hemoglobin concentration and platelet count increased by 2.2 g/dL and 113%, respectively. All patients met at least 3 of 4 therapeutic goals established for patients on long-term enzyme replacement therapy. Mean final values for patients with severe splenomegaly (n = 6), moderate-to-severe anemia (n = 6), or severe thrombocytopenia (n = 8) were similar to patients with milder disease at baseline and within long-term therapeutic goal thresholds. Biomarker median percent changes from baseline were -91% for chitotriosidase, -87% for CCL18, -92% for glucosylsphingosine, and -80% for plasma glucosylceramide. Mean lumbar spine T-score increased by 0.96, moving from the osteopenic to the normal range. Mean quality-of-life scores, mostly below normal at baseline, moved into ranges seen in healthy adults. Eliglustat was well-tolerated; 98% of adverse events were mild or moderate and 94% were considered unrelated to treatment. Clinically meaningful improvements in all parameters continued or were maintained over 8 years, with the largest margins of improvement seen in the most severely affected patients.

Indexed as

AdultBone DensityBone Diseases, MetabolicEnzyme InhibitorsFemaleFollow-Up StudiesGaucher DiseaseGlucosylceramidaseGlucosyltransferasesHematologic DiseasesHemoglobinsHepatomegalyHumansLiverMalePlatelet Countceramide glucosyltransferaseeliglustatEnzyme InhibitorsGBA protein, humanGlucosylceramidaseGlucosyltransferasesHemoglobinsPyrrolidines

Identifiers

PMID30264864
PMCPMC6587500

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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.