Evidence map›Paper›PMID 32324281›Full record

Observational studyJournal of inherited metabolic disease2020

Long-term survival outcomes of patients with Niemann-Pick disease type C receiving miglustat treatment: A large retrospective observational study.

Marc C Patterson, William S Garver, Robert Giugliani, Jackie Imrie, Helena Jahnova, F John Meaney, Yann Nadjar, Marie T Vanier, Patrick Moneuse, Olivier Morand and 3 more

Erratum issuedOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of inherited metabolic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
5.8field-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.

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

41 citing papers in PubMed, 67 citations in OpenAlex.

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  17. Sterol O-Acyltransferase 1 (International journal of molecular sciences · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 6 countries.

Marc C PattersonDivision of Child and Adolescent Neurology, Departments of Neurology, Pediatrics and Medical Genetics, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-1116-126X
William S GarverDepartment of Chemistry and Chemical Biology, University of New Mexico, Albuquerque, New Mexico, USA.
Robert GiuglianiMedical Genetics Service, Porto Alegre, Brazil.
Jackie ImrieNiemann-Pick UK, Washington, UK.
Helena JahnovaDepartment of Institute of Inherited Metabolic Disorders, Charles University, Prague, Czech Republic.
F John MeaneyDepartment of Pediatrics, University of Arizona, Tucson, Arizona, USA.
Yann NadjarDepartment of Neurology, Reference Center for Lysosomal Diseases (CRML), Hôpital de la Pitié-Salpêtrière, Paris, France.
Marie T VanierINSERM, Lyon, France.
Patrick MoneuseGlobal Business and Science Affairs, Actelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Olivier MorandGlobal Business and Science Affairs, Actelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Daniel RosenbergEpidemiology and Observational Studies, Actelion Pharmaceuticals Ltd., Allschwil, Switzerland.
Barbara SchwierinAzafaros B.V, Leiden, The Netherlands.
Benedicte HéronIdorsia Pharmaceuticals Ltd., Allschwil, Switzerland.
Actelion (Switzerland) · CHSorbonne Université · FRCharles University · CZInserm · FRLeiden University · NLMayo Clinic · USNational Niemann-Pick Disease Foundation · USUniversidade Federal do Rio Grande do Sul · BRUniversity of Arizona · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Miglustat has been indicated for the treatment of Niemann-Pick disease type C (NP-C) since 2009. The aim of this observational study was to assess the effect of miglustat on long-term survival of patients with NP-C. Data for 789 patients from five large national cohorts and from the NPC Registry were collected and combined. Miglustat-treated and untreated patients overall and within sub-groups according to age-at-neurological-onset, that is, early infantile-onset (<2 years), late infantile-onset (2 to <6 years), juvenile-onset (6 to <15 years), and adolescent/adult-onset (≥15 years) were analysed and compared. Survival was analysed from the time of first neurological manifestation (Neurological onset group, comprising 669 patients) and from diagnosis (Diagnosis group, comprising 590 patients) using a Cox proportional hazard model adjusted for various covariates. Overall, 384 (57.4%) patients in the Neurological onset group and 329 (55.8%) in the Diagnosis group were treated with miglustat. Miglustat treatment was associated with a significant reduction in risk of mortality in both groups (entire Neurological onset group, Hazard ratio [HR] = 0.51; entire Diagnosis group, HR = 0.44; both P < .001). The effect was observed consistently in all age-at-neurological-onset sub-groups (HRs = 0.3 to 0.7) and was statistically significant for late infantile-onset patients in both groups (Neurological onset group, HR = 0.36, P < .05; Diagnosis group, HR = 0.32, P < .01), and juvenile-onset patients in the Diagnosis group only (HR = 0.30, P < .05). Despite the limitations of the data that urge cautious interpretation, the findings are consistent with a beneficial effect of miglustat on survival in patients with NP-C.

Indexed as

1-DeoxynojirimycinAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEnzyme InhibitorsFemaleHumansInfantInfant, NewbornInternationalityMaleMiddle AgedNiemann-Pick Disease, Type C1-DeoxynojirimycinEnzyme InhibitorsmiglustatmiglustatNiemann-pick disease type CNP-CNPC registryobservational national cohortssurvivalZavesca

Identifiers

PMID32324281
PMCPMC7540716
OpenAlexW3017513903

What OpenQuestion holds

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LicenceCC BY
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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.