Evidence map›Paper›PMID 33875845›Full record

Trial reportGenetics in medicine : official journal of the American College of Medical Genetics2021

One-year results of a clinical trial of olipudase alfa enzyme replacement therapy in pediatric patients with acid sphingomyelinase deficiency.

George A Diaz, Simon A Jones, Maurizio Scarpa, Karl Eugen Mengel, Roberto Giugliani, Nathalie Guffon, Isabela Batsu, Patricia A Fraser, Jing Li, Qi Zhang and 1 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02292654 (A Phase 1/2, Multi-Center, Open-Label, Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Exploratory Efficacy of Olipudase Alfa in Pediatric Patients Aged <18 Years With Acid Sphingomyelinase Deficiency), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT02292654 phase1 / phase2completednot on this map

A Phase 1/2, Multi-Center, Open-Label, Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Exploratory Efficacy of Olipudase Alfa in Pediatric Patients Aged <18 Years With Acid Sphingomyelinase Deficiency

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2015 to 2019Enrolled20ConditionsSphingomyelin LipidosisArmsOlipudase alfa
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

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  5. Olipudase alfa IgE-mediated anaphylaxis prevented by omalizumab and tailored desensitization in a child with acid sphingomyelinase deficiency.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 4 countries.

George A DiazIcahn School of Medicine at Mount Sinai, New York, NY, USA. george.diaz@mssm.edu.ORCID 0000-0001-5688-9062
Simon A JonesSt Mary's Hospital, Manchester University Foundation Trust, University of Manchester, Manchester, UK.
Maurizio ScarpaRegional Coordinating Center for Rare Diseases, University Hospital Udine, Udine, Italy.
Karl Eugen MengelClinical Science for LSD, SpinCS, Hochheim, Germany.
Roberto GiuglianiDept Genetics, UFRGS, Medical Genetics Clinical Research Group, HCPA, and INAGEMP, Porto Alegre, Brazil.
Nathalie GuffonReference Center for Inherited Metabolic Disorders, Femme Mère Enfant Hospital, Lyon, France.
Isabela BatsuSanofi, Bridgewater, NJ, USA.
Patricia A FraserSanofi Genzyme, Inc, Cambridge, MA, USA.
Jing LiSanofi, Bridgewater, NJ, USA.
Qi ZhangSanofi, Bridgewater, NJ, USA.
Catherine Ortemann-RenonSanofi, Bridgewater, NJ, USA.
Sanofi (United States) · USHôpital Femme Mère Enfant · FRIcahn School of Medicine at Mount Sinai · USUniversity of Manchester · GBUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess olipudase alfa enzyme replacement therapy for non-central nervous system manifestations of acid sphingomyelinase deficiency (ASMD) in children.

methodsThis phase 1/2, international, multicenter, open-label trial (ASCEND-Peds/NCT02292654) administered intravenous olipudase alfa every 2 weeks with intrapatient dose escalation to 3 mg/kg. Primary outcome was safety through week 64. Secondary outcomes included pharmacokinetics, spleen and liver volumes, lung diffusing capacity (DL

resultsTwenty patients were enrolled: four adolescents (12-17 years), nine children (6-11 years), and seven infants/early child (1-5 years). Most adverse events were mild or moderate, including infusion-associated reactions (primarily urticaria, pyrexia, and/or vomiting) in 11 patients. Three patients had serious treatment-related events: one with transient asymptomatic alanine aminotransferase increases, another with urticaria and rash (antidrug antibody positive [ADA+]), and a third with an anaphylactic reaction (ADA+) who underwent desensitization and reached the 3 mg/kg maintenance dose. Mean splenomegaly and hepatomegaly improved by >40% (p < 0.0001). Mean % predicted DL

conclusionIn this study in children with chronic ASMD, olipudase alfa was generally well-tolerated with significant, comprehensive improvements in disease pathology across a range of clinically relevant endpoints.

Indexed as

Niemann-Pick Disease, Type AAdolescentChildChild, PreschoolEnzyme Replacement TherapyHumansInfantLiverRecombinant ProteinsSphingomyelin Phosphodiesteraseolipudase alfaRecombinant ProteinsSphingomyelin Phosphodiesterase

Identifiers

PMID33875845
PMCPMC8354848
OpenAlexW3154260989

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.