Evidence map›Paper›PMID 32373469›Full record

ArticleMolecular genetics and metabolism reports2020

Earlier and higher dosing of alglucosidase alfa improve outcomes in patients with infantile-onset Pompe disease: Evidence from real-world experiences.

Yin-Hsiu Chien, Wen-Hui Tsai, Chaw-Liang Chang, Pao-Chin Chiu, Yen-Yin Chou, Fuu-Jen Tsai, Siew-Lee Wong, Ni-Chung Lee, Wuh-Liang Hwu

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.9field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  9. Dose-intensive therapy (DIT) for infantile Pompe disease: A pilot study.Molecular genetics and metabolism reports · 2025
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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

9 authors at 7 institutions in 1 country.

Yin-Hsiu ChienDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
Wen-Hui TsaiDepartment of Pediatrics, Chi Mei Medical Center, Tainan, Taiwan.
Chaw-Liang ChangDepartment of Pediatrics, Cathay General Hospital, Hsinchu, Taiwan.
Pao-Chin ChiuDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Yen-Yin ChouDepartment of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan.
Fuu-Jen TsaiDepartment of Pediatrics, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Siew-Lee WongDepartment of Pediatrics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
Ni-Chung LeeDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
Wuh-Liang HwuDepartment of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan.
National Taiwan University Hospital · TWCathay General Hospital · TWChia-Yi Christian Hospital · TWChi Mei Medical Center · TWChina Medical University · TWKaohsiung Veterans General Hospital · TWNational Cheng Kung University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEnzyme replacement therapy (ERT), the only approved therapy for infantile-onset Pompe disease (IOPD), had heterogeneous clinical effects due to factors such as severity, age at first treatment, dosage, and dosing regimens. We report the clinical and biochemical outcomes of a cohort of IOPD patients identified through newborn screening, and evaluating the dosage effect. STUDY

designA retrospective observational study was designed to describe the long-term clinical and biochemical outcomes of a uniform cohort of IOPD patients who have been treated with high-dosage of ERT.

resultsTwenty-eight patients received alglucosidase alpha at either the labeled dosage followed by a high dosage (

conclusionLow CK and uGlc4 levels were correlated with favorable response to ERT in IOPD patients, although CK may be more fluctuated than uGlc4. High-dose ERT instituted immediately at newborn screening seems to give the best outcome, and a dosage increase is necessary upon - or, even better, before - a rise in biomarker levels.

Indexed as

CK, creatine kinaseCRIM, cross-reactive immunological materialDosageEarly treatmentEnzyme replacement therapyERT, enzyme replacement therapyGAA, acid alpha-glucosidaseGMFM, Gross Motor Function MeasureIOPD, infantile-onset PDITI, immune tolerance inductionNBS, newborn screeningNewborn screeningPDMS-2, Peabody Developmental Motor Scale, Second EditionPD, Pompe diseasePompe diseaseuGlc4, urine glucose tetrasaccharide

Identifiers

PMID32373469
PMCPMC7193123
OpenAlexW3023415919

What OpenQuestion holds

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LicenceCC BY
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.