Evidence map›Paper›PMID 30740733›Full record

Trial reportJournal of inherited metabolic disease2019

Results from a 78-week, single-arm, open-label phase 2 study to evaluate UX007 in pediatric and adult patients with severe long-chain fatty acid oxidation disorders (LC-FAOD).

Jerry Vockley, Barbara Burton, Gerard T Berry, Nicola Longo, John Phillips, Amarilis Sanchez-Valle, Pranoot Tanpaiboon, Stephanie Grunewald, Elaine Murphy, Alexandra Bowden and 5 more

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

Trial report in Journal of inherited metabolic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01886378 (An Open-label Phase 2 Study to Assess Safety and Clinical Effects of UX007 in Subjects With Long-Chain Fatty Acid Oxidation Disorders), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.7field-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.

NCT01886378 phase2completednot on this map

An Open-label Phase 2 Study to Assess Safety and Clinical Effects of UX007 in Subjects With Long-Chain Fatty Acid Oxidation Disorders (LC-FAOD)

TypeinterventionalSponsorUltragenyx Pharmaceutical IncRan2014 to 2016Enrolled29ConditionsLong-chain Fatty Acid Oxidation Disorders (LC-FAOD), Carnitine Palmitoyltransferase (CPT II) Deficiency, Very Long Chain Acyl-CoA Dehydrogenase (VLCAD) Deficiency, Longchain 3-hydroxy-acyl-CoA Dehydrogenase (LCHAD) DeficiencyArmsUX007
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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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

15 authors at 10 institutions in 2 countries.

Jerry VockleySchool of Medicine and Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Barbara BurtonAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Gerard T BerryBoston Children's Hospital, Boston, Massachusetts, USA.
Nicola LongoUniversity of Utah, Salt Lake City, Utah, USA.
John PhillipsVanderbilt University Medical Center, Nashville, Tennessee, USA.
Amarilis Sanchez-ValleUSF Health, Morsani College of Medicine, Tampa, Florida, USA.
Pranoot TanpaiboonChildren's National Health System, Washington, District of Columbia, USA.
Stephanie GrunewaldGreat Ormond Street, UCL Institute of Child Health, London, UK.
Elaine MurphyNational Hospital for Neurology and Neurosurgery, London, UK.
Alexandra BowdenUltragenyx Pharmaceutical Inc., Novato, California, USA.
Wencong ChenUltragenyx Pharmaceutical Inc., Novato, California, USA.
Chao-Yin ChenUltragenyx Pharmaceutical Inc., Novato, California, USA.
Jason CataldoUltragenyx Pharmaceutical Inc., Novato, California, USA.
Deborah MarsdenUltragenyx Pharmaceutical Inc., Novato, California, USA.
Emil KakkisUltragenyx Pharmaceutical Inc., Novato, California, USA.
Ultragenyx Pharmaceutical (United States) · USBoston Children's Museum · USChildren's National · USGreat Ormond Street Hospital · GBLurie Children's Hospital · USNational Hospital for Neurology and Neurosurgery · GBUniversity of Pittsburgh · USUniversity of South Florida · USUniversity of Utah · USVanderbilt University Medical Center · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Inborn Errors of Long Chain Fat MetabolismR01DK078775 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VOCKLEY, GERARD · 2008 to 2019
$4.5M
NCATS NIH HHS UL1 TR001102NCATS NIH HHS UL1 TR002538NIDDK NIH HHS R01 DK078775
6 · The paper itself

Abstract

Long-chain fatty acid oxidation disorders (LC-FAOD) are rare disorders characterized by acute crises of energy metabolism and severe energy deficiency that may present with cardiomyopathy, hypoglycemia, and/or rhabdomyolysis, which can lead to frequent hospitalizations and early death. An open-label Phase 2 study evaluated the efficacy of UX007, an investigational odd-carbon medium-chain triglyceride, in 29 subjects with severe LC-FAOD. UX007 was administered over 78 weeks at a target dose of 25-35% total daily caloric intake (mean 27.5%). The frequency and duration of major clinical events (hospitalizations, emergency room visits, and emergency home interventions due to rhabdomyolysis, hypoglycemia, and cardiomyopathy) occurring during 78 weeks of UX007 treatment was compared with the frequency and duration of events captured retrospectively from medical records for 78 weeks before UX007 initiation. The mean annualized event rates decreased from 1.69 to 0.88 events/year following UX007 initiation (p = 0.021; 48.1% reduction). The mean annualized duration rate decreased from 5.96 to 2.96 days/year (p = 0.028; 50.3% reduction). Hospitalizations due to rhabdomyolysis, the most common event, decreased from 1.03 to 0.63 events/year (p = 0.104; 38.7% reduction). Initiation of UX007 eliminated hypoglycemia events leading to hospitalization (from 11 pre-UX007 hospitalizations, 0.30 events/year vs. 0; p = 0.067) and intensive care unit (ICU) care (from 2 pre-UX007 ICU admissions, 0.05 events/year vs. 0; p = 0.161) and reduced cardiomyopathy events (3 events vs. 1 event; 0.07 to 0.02 events/year; 69.7% decrease). The majority of treatment-related adverse events (AEs) were mild to moderate gastrointestinal symptoms, including diarrhea, vomiting, and abdominal or gastrointestinal pain, which can be managed with smaller, frequent doses mixed with food.

Indexed as

AdolescentAdultCardiomyopathiesChildChild, PreschoolFatty AcidsFemaleHumansHypoglycemiaInfantInfant, NewbornLipid Metabolism, Inborn ErrorsMaleMiddle AgedOxidation-ReductionRetrospective StudiesFatty AcidsTriglycerides

Identifiers

PMID30740733
PMCPMC6348052
OpenAlexW2879079358

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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.