Evidence map›Paper›PMID 33163363›Full record

ArticleMolecular genetics and metabolism reports2020

Improvement of gastrointestinal symptoms in a significant proportion of male patients with classic Fabry disease treated with agalsidase beta: A Fabry Registry analysis stratified by phenotype.

Robert J Hopkin, Ulla Feldt-Rasmussen, Dominique P Germain, Ana Jovanovic, Ana Maria Martins, Kathleen Nicholls, Alberto Ortiz, Juan Politei, Elvira Ponce, Carmen Varas and 3 more

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Multidisciplinary Management of Fabry Disease: Current Perspectives.Journal of multidisciplinary healthcare · 2022
    Review
  8. Gastrointestinal Involvement in Anderson-Fabry Disease: A Narrative Review.International journal of environmental research and public health · 2021
    Review
  9. Article
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

13 authors at 11 institutions in 9 countries.

Robert J HopkinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Ulla Feldt-RasmussenDepartment of Medical Endocrinology and Metabolism, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Dominique P GermainFrench Referral Centre for Fabry disease, Division of Medical Genetics, Paris Saclay University, Garches, France.
Ana JovanovicThe Mark Holland Unit, Department of Endocrinology and Metabolic Medicine, Salford Royal NHS Foundation Trust, Salford, UK.
Ana Maria MartinsReference Center for Inborn Errors of Metabolism, Federal University of São Paulo, São Paulo, Brazil.
Kathleen NichollsDepartment of Nephrology, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia.
Alberto OrtizUnidad de Dialisis, IIS-Fundación Jiménez Díaz, UAM, IRSIN and REDINREN, Madrid, Spain.
Juan PoliteiNeurology Department, Fundación para el Estudio de las Enfermedades Neurometabólicas (FESEN), Buenos Aires, Argentina.
Elvira PonceGlobal Medical Affairs Rare Diseases, Sanofi Genzyme, Cambridge, MA, USA.
Carmen VarasFabry Disease Multidisciplinary Team, Hospital San Pablo de Coquimbo, Coquimbo, Chile.
Frank WeidemannMedical Clinic I, Klinikum Vest, Knappschaftskrankenhaus, Recklinghausen, Germany.
Meng YangEpidemiology & Biostatistics, Sanofi Genzyme, Cambridge, MA, USA.
William R WilcoxDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Sanofi (United States) · USCincinnati Children's Hospital Medical Center · USEmory University · USFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARHospital Universitario Fundación Jiménez Díaz · ESKnappschaftskrankenhaus Recklinghausen · DERigshospitalet · DKSalford Royal NHS Foundation Trust · GBUniversidade Federal de São Paulo · BRUniversité Paris-Saclay · FRUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFabry disease is an inherited disorder of glycolipid metabolism with progressive involvement of multiple organs, including the gastrointestinal tract, in classically affected male patients. Clinical presentations in males with later-onset Fabry phenotypes are more heterogeneous and largely dependent on the level of residual α-galactosidase A activity.

methodsWe assessed agalsidase beta treatment outcomes of gastrointestinal symptoms in adult males with classic or later-onset Fabry disease. Self-reports of abdominal pain and diarrhea ('present'/'not present' since previous assessment) at last clinical visit (≥0.5 year of follow-up) were compared with treatment-baseline.

resultsClassic male patients were considerably younger at first treatment than the fewer males with later-onset phenotypes (36 vs. ~47 years) and reported gastrointestinal symptoms more frequently at baseline (abdominal pain: 56% vs. 13%; diarrhea: 57% vs. 23%). As compared with baseline, significantly fewer classic patients reported abdominal pain after a median of 4.7 years of treatment (

conclusionsSustained treatment with agalsidase beta was associated with improvement in abdominal pain and diarrhea in a significant proportion of classic male Fabry patients. Males with later-onset phenotypes reported gastrointestinal symptoms much less frequently at baseline as compared with classic patients, and non-significant reductions were observed.

Indexed as

Abdominal painAgalsidase betaDiarrheaEOW, every other weekERT, enzyme replacement therapyFabry diseaseFabry RegistryGI, gastrointestinalGL-3, globotriaosylceramidelyso-GL-3, globotriaosylsphingosinePhenotypesα-Gal A, α-galactosidase A

Identifiers

PMID33163363
PMCPMC7606866
OpenAlexW3097583579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.