Evidence map›Paper›PMID 30385651›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

Dose-Dependent Effect of Enzyme Replacement Therapy on Neutralizing Antidrug Antibody Titers and Clinical Outcome in Patients with Fabry Disease.

Malte Lenders, Leon Paul Neußer, Michael Rudnicki, Peter Nordbeck, Sima Canaan-Kühl, Albina Nowak, Markus Cybulla, Boris Schmitz, Jan Lukas, Christoph Wanner and 2 more

Abstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Progress and Challenges in the Treatment of Fabry Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  10. Review
  11. Review
  12. Review
  13. Status and frontiers of Fabre disease.Orphanet journal of rare diseases · 2025
    Review
  14. Review
  15. Article
  16. Relevance of Neutralizing Antibodies for the Pharmacokinetics of Pegunigalsidase Alfa in Patients with Fabry Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Article
  17. Article
  18. [What is confirmed in the treatment of Fabry's disease?]Innere Medizin (Heidelberg, Germany) · 2024
    Review
  19. Article
  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

12 authors at 6 institutions in 4 countries.

Malte LendersInternal Medicine D, Department of Nephrology, Hypertension and Rheumatology and Eva.Brand@ukmuenster.de.
Leon Paul NeußerInternal Medicine D, Department of Nephrology, Hypertension and Rheumatology and.
Michael RudnickiDepartment of Internal Medicine IV - Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.
Peter NordbeckDepartment of Internal Medicine I, Comprehensive Heart Failure Center, and Fabry Center for Interdisciplinary Therapy, University Hospital and University of Wuerzburg, Wuerzburg, Germany.
Sima Canaan-KühlDivision of Nephrology, Department of Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany.
Albina NowakUniversity Heart Center, Cardiology Department, University Hospital of Zurich and University of Zurich, Zurich, Switzerland.
Markus CybullaCenter of Internal Medicine, Department of Nephrology and Rheumatology, Fachinternistische Gemeinschaftspraxis Markgraeflerland, Muellheim, Germany; and.
Boris SchmitzInstitute of Sports Medicine, Molecular Genetics of Cardiovascular Disease, University Hospital Muenster, Muenster, Germany.
Jan LukasAlbrecht Kossel Institute for Neuroregeneration, University Rostock Medical Center, Rostock, Germany.
Christoph WannerDepartment of Internal Medicine I, Comprehensive Heart Failure Center, and Fabry Center for Interdisciplinary Therapy, University Hospital and University of Wuerzburg, Wuerzburg, Germany.
Stefan-Martin BrandInstitute of Sports Medicine, Molecular Genetics of Cardiovascular Disease, University Hospital Muenster, Muenster, Germany.
Eva BrandInternal Medicine D, Department of Nephrology, Hypertension and Rheumatology and.
Hypertension Institute · USCharité - Universitätsmedizin Berlin · DEInnsbruck Medical University · ATPraxis für Humangenetik · DEUniversity Hospital of Zurich · CHUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of enzyme replacement therapy (ERT) to treat Fabry disease, caused by deficient lysosomal

methodsWe isolated ADAs from sera of 26 men with Fabry disease receiving ERT (for a median of 94 months) and determined the amount of agalsidase necessary for antibody saturation. Clinical and biochemical outcomes included measurements of eGFR, interventricular septum thickness, and lyso-Gb3.

resultsADA titers decreased significantly in all patients during infusion. Agalsidase-

conclusionsA not saturated ADA status during infusion is associated with progressive loss of eGFR and ongoing cardiac hypertrophy. Dose escalation can result in saturation of ADAs and decreasing lyso-Gb3 levels, but may lead to increased ADA titers.

Indexed as

AdultAgedalpha-GalactosidaseAntibodies, NeutralizingAntigen-Antibody ReactionsCohort StudiesDose-Response Relationship, DrugEnzyme Replacement TherapyFabry DiseaseHumansIsoenzymesMaleMiddle AgedModels, ImmunologicalYoung Adultagalsidase betaalpha-GalactosidaseAntibodies, NeutralizingIsoenzymeschronic kidney diseasecomplexesFabry diseaseglomerular filtration rateimmuneleft ventricular hypertrophy

Identifiers

PMID30385651
PMCPMC6287863
OpenAlexW2899172096

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.