Evidence map›Paper›PMID 30775256›Full record

ReviewMolecular genetics and metabolism reports2019

The effect of enzyme replacement therapy on clinical outcomes in male patients with Fabry disease: A systematic literature review by a European panel of experts.

Dominique P Germain, Perry M Elliott, Bruno Falissard, Victor V Fomin, Max J Hilz, Ana Jovanovic, Ilkka Kantola, Aleš Linhart, Renzo Mignani, Mehdi Namdar and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Molecular genetics and metabolism reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
19.3field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 231 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Progress and Challenges in the Treatment of Fabry Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  11. Article
  12. Observational
  13. Review
  14. Phenotypic Evolution in Fabry Disease: Our Experience in Indian Cohort.Indian journal of clinical biochemistry : IJCB · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review

30 more citing papers are in PubMed but not listed here.

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

16 authors at 15 institutions in 9 countries.

Dominique P GermainFrench Referral Center for Fabry disease, Division of Medical Genetics and INSERM U1179, University of Versailles, Paris-Saclay University, Montigny, France.
Perry M ElliottUniversity College London and Barts Heart Centre, London, United Kingdom.
Bruno FalissardINSERM U1018, University of Paris-Sud, University of Paris-Descartes, Paris, France.
Victor V FominDepartment of Internal Diseases No.1, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Max J HilzDepartment of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany.
Ana JovanovicMark Holland Metabolic Unit, Salford Royal NHS Foundation Trust, Salford, United Kingdom.
Ilkka KantolaDivision of Medicine, Turku University Hospital, University of Turku, Turku, Finland.
Aleš LinhartSecond Department of Medicine - Department of Cardiovascular Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Renzo MignaniDepartment of Nephrology, Infermi Hospital, Rimini, Italy.
Mehdi NamdarService de Cardiologie, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
Albina NowakDepartment of Internal Medicine, University Hospital of Zurich and University of Zurich, Zurich, Switzerland.
João-Paulo OliveiraDepartment of Genetics, São João Hospital Centre and Faculty of Medicine and "Instituto de Investigação e Inovação em Saúde (iS3)", University of Porto, Porto, Portugal.
Maurizio PieroniCardiovascular Department, San Donato Hospital, Arezzo, Italy.
Miguel Viana-BaptistaServiço de Neurologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental; CEDOC Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa, Portugal.
Christoph WannerDivision of Nephrology, University Clinic, University of Würzburg, Würzburg, Germany.
Marco SpadaDepartment of Paediatrics, University of Torino, Torino, Italy.
Inserm · FRBritish Heart Foundation · GBCharles University · CZFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHôpital Beau-Séjour · CHi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTOspedale Infermi di Rimini · ITOspedale San Donato · ITSalford Royal NHS Foundation Trust · GBSechenov University · RUTurku University Hospital · FIUniversidade Nova de Lisboa · PTUniversity Hospital of Zurich · CHUniversity of Turin · ITUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnzyme replacement therapy (ERT) with recombinant human α-galactosidase has been available for the treatment of Fabry disease since 2001 in Europe and 2003 in the USA. Treatment outcomes with ERT are dependent on baseline patient characteristics, and published data are derived from heterogeneous study populations.

methodsWe conducted a comprehensive systematic literature review of all original articles on ERT in the treatment of Fabry disease published up until January 2017. This article presents the findings in adult male patients.

resultsClinical evidence for the efficacy of ERT in adult male patients was available from 166 publications including 36 clinical trial publications. ERT significantly decreases globotriaosylceramide levels in plasma, urine, and in different kidney, heart, and skin cell types, slows the decline in estimated glomerular filtration rate, and reduces/stabilizes left ventricular mass and cardiac wall thickness. ERT also improves nervous system, gastrointestinal, pain, and quality of life outcomes.

conclusionsERT is a disease-specific treatment for patients with Fabry disease that may provide clinical benefits on several outcomes and organ systems. Better outcomes may be observed when treatment is started at an early age prior to the development of organ damage such as chronic kidney disease or cardiac fibrosis. Consolidated evidence suggests a dose effect. Data described in male patients, together with female and paediatric data, informs clinical practice and therapeutic goals for individualized treatment.

Indexed as

ACEi, angiotensin-converting enzyme inhibitoradult male patientsagalsidase alfaagalsidase betaANS, autonomic nervous systemARB, angiotensin receptor blockerBPI, Brief Pain InventoryCES-D, Center for Epidemiologic Studies Depression ScaleCNS, central nervous systemCR, case reportCT, clinical trialECG, electrocardiogram/electrocardiographyeGFR, estimated glomerular filtration rateenzyme replacement therapyEOW, every other weekERT, enzyme replacement therapyFabry diseaseGFR, glomerular filtration rateGI, gastrointestinalGL-3, globotriaosylceramideIENFD, intra-epidermal nerve fibre densityIVST, intraventricular septum thicknessLPWT, left posterior wall thicknessLVEDD, left ventricular end-diastolic diameterLVEF, left ventricular ejection fractionLVH, left ventricular hypertrophyLVMi, left ventricular mass indexLVM, left ventricular massLVWT, left ventricular wall thicknesslyso-GL-3, globotriaosylsphingosineMG, mixed genderMRI, magnetic resonance imagingMWT, maximal wall thicknessNYHA, New York Heart AssociationOS, observational studyPNS, peripheral nervous systemQoL, quality of lifeRCT, randomized controlled trialSF-36, 36-item Short Form Health Surveysystematic literature reviewTIA, transient ischaemic attackWMH, white matter hyperintensities.

Identifiers

PMID30775256
PMCPMC6365982
OpenAlexW2802547448

What OpenQuestion holds

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LicenceCC BY
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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.