Evidence map›Paper›PMID 30546086›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Evidence- and consensus-based recommendations for the use of pegvaliase in adults with phenylketonuria.

Nicola Longo, David Dimmock, Harvey Levy, Krista Viau, Heather Bausell, Deborah A Bilder, Barbara Burton, Christel Gross, Hope Northrup, Fran Rohr and 7 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 4% 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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Review
  6. Article
  7. Molecular therapy. Advances · 2026
    Article
  8. Review
  9. Article
  10. Current state of the treatment landscape of phenylketonuria.Orphanet journal of rare diseases · 2025
    Review
  11. Lessons learned from 5 years of pegvaliase in US clinics: A case series.Molecular genetics and metabolism reports · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  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

17 authors at 12 institutions in 1 country.

Nicola LongoDivision of Medical Genetics, University of Utah, Salt Lake City, UT, USA. Nicola.Longo@hsc.utah.edu.ORCID http://orcid.org/0000-0002-3677-1216
David DimmockRady Children's Institute for Genomic Medicine, San Diego, CA, USA.
Harvey LevyDivision of Genetics and Genomics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Krista ViauDivision of Genetics and Genomics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Heather BausellDivision of Clinical Nutrition & Genetics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Deborah A BilderDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Barbara BurtonDepartment of Medical Genetics, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Christel GrossDepartment of Pediatrics, University of Florida, Gainesville, FL, USA.
Hope NorthrupDivision of Medical Genetics, Department of Pediatrics, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Fran RohrNutrition Center, Boston Children's Hospital, Boston, MA, USA.
Stephanie SacharowDivision of Genetics and Genomics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Amarilis Sanchez-ValleDivision of Genetics and Metabolism, University of South Florida, Tampa, FL, USA.
Mary StuyDepartment of Medical and Molecular Genetics, IU School of Medicine, Indianapolis, IN, USA.
Janet ThomasSection of Clinical Genetics and Metabolism, University of Colorado School of Medicine, Aurora, CO, USA.
Jerry VockleyDepartment of Pediatrics University of Pittsburgh School of Medicine, Department of Human Genetics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Roberto ZoriDivision of Genetics and Metabolism, University of Florida, Gainesville, FL, USA.
Cary O HardingDepartments of Molecular and Medical Genetics and Pediatrics, Oregon Health & Science University, Portland, OR, USA.
Boston Children's Hospital · USUniversity of Florida · USUniversity of Utah · USChildren’s Institute · USIndiana University School of MedicineLurie Children's Hospital · USNorthwestern University · USOregon Health & Science University · USThe University of Texas Health Science Center at Houston · USUniversity of Colorado Denver · USUniversity of Pittsburgh · USUniversity of South Florida · US

Funding

Novel therapy for monoamine neurotransmitter deficiency in PKUR01NS080866 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI HARDING, CARY O. · 2012 to 2020
$3.3M
NINDS NIH HHS R01 NS080866
6 · The paper itself

Abstract

purposePhenylketonuria (PKU) is a rare metabolic disorder that requires life-long management to reduce phenylalanine (Phe) concentrations within the recommended range. The availability of pegvaliase (PALYNZIQ™, an enzyme that can metabolize Phe) as a new therapy necessitates the provision of guidance for its use.

methodsA Steering Committee comprising 17 health-care professionals with experience in using pegvaliase through the clinical development program drafted guidance statements during a series of face-to-face meetings. A modified Delphi methodology was used to demonstrate consensus among a wider group of health-care professionals with experience in using pegvaliase.

resultsGuidance statements were developed for four categories: (1) treatment goals and considerations prior to initiating therapy, (2) dosing considerations, (3) considerations for dietary management, and (4) best approaches to optimize medical management. A total of 34 guidance statements were included in the modified Delphi voting and consensus was reached on all after two rounds of voting.

conclusionHere we describe evidence- and consensus-based recommendations for the use of pegvaliase in adults with PKU. The manuscript was evaluated against the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument and is intended for use by health-care professionals who will prescribe pegvaliase and those who will treat patients receiving pegvaliase.

Indexed as

AdolescentAdultChildDose-Response Relationship, DrugHumansMiddle AgedPhenylalaninePhenylalanine Ammonia-LyasePhenylketonuriasRecombinant ProteinsYoung AdultpegvaliasePhenylalaninePhenylalanine Ammonia-LyaseRecombinant Proteinsanaphylaxis managementdietary managementhypophenylalaninemiaPALYNZIQ, pegvaliase

Identifiers

PMID30546086
PMCPMC6752676
OpenAlexW2905358512

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.