Evidence map›Paper›PMID 31863326›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

The safety and effectiveness of chenodeoxycholic acid treatment in patients with cerebrotendinous xanthomatosis: two retrospective cohort studies.

Aad Verrips, Maria Teresa Dotti, Andrea Mignarri, Bianca M L Stelten, Sue Verma, Antonio Federico

Open access · hybridAbstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.2field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Guideline
  2. Genetics of Cerebrotendinous Xanthomatosis.Molecular diagnosis & therapy · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
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  13. Article
  14. Review
  15. World journal of clinical cases · 2022
    Article
  16. Review
  17. Article
  18. Gene supplementation ofMolecular therapy. Methods & clinical development · 2021
    Article
  19. Article
  20. Review
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

6 authors at 3 institutions in 2 countries.

Aad VerripsCanisius-Wilhelmina Hospital, Nijmegen, the Netherlands. A.Verrips@cwz.nl.ORCID https://orcid.org/0000-0003-2163-1891
Maria Teresa DottiDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.ORCID https://orcid.org/0000-0001-5731-5642
Andrea MignarriDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.ORCID https://orcid.org/0000-0003-3516-7364
Bianca M L SteltenCatharina Hospital, Eindhoven, the Netherlands.ORCID https://orcid.org/0000-0003-0237-1406
Sue VermaLeadiant Biosciences Ltd., London, UK.ORCID https://orcid.org/0000-0002-7275-881X
Antonio FedericoDepartment of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.ORCID https://orcid.org/0000-0002-5246-1621
University of Siena · ITCanisius-Wilhelmina Ziekenhuis · NLRadboud University Nijmegen · NL

Funding

Leadiant Biosciences Ltd. N/A
6 · The paper itself

Abstract

objectiveTo evaluate the safety and effectiveness of chenodeoxycholic acid (CDCA) treatment in patients with cerebrotendinous xanthomatosis (CTX).

methodsTwo retrospective cohort studies were conducted in CTX patients who underwent CDCA treatment: one in the Netherlands (NL; CDCA-STUK-15-001) and one in Italy (IT; CDCA-STRCH-CR-14-001). Eligible patients were aged 2-75 years, had been diagnosed with CTX, and were treated with CDCA orally for ≥1 year. The impact of CDCA treatment on biochemical markers (including serum cholestanol levels) and disease signs and symptoms were assessed, in addition to the safety and tolerability of CDCA treatment.

resultsA total of 35 patients were screened in the NL study and were diagnosed with CTX at 25.6 (± 13.7 SD) years on average. These patients were treated with CDCA and followed up for a median of 9.00 (range: 0.4-26.3) years. In addition, 28 patients were enrolled in the IT study and were diagnosed at 35.0 (± 11.4 SD) years on average (median duration of CDCA treatment: 5.75 [range: 0.0-25.0] years). Signs and symptoms of disease resolved, improved, or remained stable in many patients, with concomitant improvements in biochemical marker levels (serum cholestanol, p < 0.001; 7α-hydroxy-4-cholesten-3-one, p < 0.001 [IT study]).

conclusionsThe outcomes of these retrospective cohort studies indicate that CDCA is effective in the long-term treatment of CTX, with an acceptable safety profile.

Indexed as

AdultBiomarkersChenodeoxycholic AcidCholestanolFollow-Up StudiesGastrointestinal AgentsHumansItalyMiddle AgedNetherlandsRetrospective StudiesTreatment OutcomeXanthomatosis, CerebrotendinousYoung AdultBiomarkersChenodeoxycholic AcidCholestanolGastrointestinal AgentsCerebrotendinous xanthomatosisChenodeoxycholic acidItalyMetabolic disordersThe Netherlands

Identifiers

PMID31863326
PMCPMC7160076
OpenAlexW2994955559

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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.