Evidence map›Paper›PMID 34161616›Full record

Trial reportAmerican journal of hematology2021

Clinical outcomes after 4.5 years of eliglustat therapy for Gaucher disease type 1: Phase 3 ENGAGE trial final results.

Pramod K Mistry, Elena Lukina, Hadhami Ben Turkia, Suma P Shankar, Hagit Baris Feldman, Marwan Ghosn, Atul Mehta, Seymour Packman, Heather Lau, Milan Petakov and 8 more

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in American journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.6field-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

27 citing papers in PubMed, 41 citations in OpenAlex.

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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

18 authors at 17 institutions in 12 countries.

Pramod K MistryYale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-3447-6421
Elena LukinaNational Research Center for Hematology, Moscow, Russia.ORCID 0000-0002-8774-850X
Hadhami Ben TurkiaHôpital La Rabta, Tunis, Tunisia.
Suma P ShankarEmory University, Atlanta, Georgia, USA.
Hagit Baris FeldmanThe Genetics Institute, Tel Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Marwan GhosnHôtel-Dieu de France University Hospital, Beirut, Lebanon.
Atul MehtaThe Royal Free Hospital, London, UK.
Seymour PackmanUCSF School of Medicine, San Francisco, California, USA.
Heather LauNew York University School of Medicine, New York, New York, USA.
Milan PetakovClinical Center of Serbia, Belgrade University Medical School, Belgrade, Serbia.
Sarit AssoulineJewish General Hospital, Montreal, Quebec, Canada.
Manisha BalwaniIcahn School of Medicine at Mt. Sinai Hospital, New York, New York, USA.ORCID 0000-0001-8047-5011
Sumita DandaChristian Medical College, Vellore, India.
Evgueniy HadjievUniversity Hospital Alexandrovska, Sofia, Bulgaria.
Andres OrtegaOCA Hospital, Monterrey, Mexico.
Meredith C FosterSanofi Genzyme, Cambridge, Massachusetts, USA.
Sebastiaan J M GaemersSanofi Genzyme, Amsterdam, The Netherlands.
M Judith PeterschmittSanofi Genzyme, Cambridge, Massachusetts, USA.
Sanofi (United States) · USAlexandrovska Hospital · BGChristian Medical College, Vellore · INEmory University · USHôpital La Rabta · TNHôtel-Dieu de France · LBJewish General Hospital · CAMount Sinai Hospital · USNational Medical Research Center for Hematology · RUNew York University · USSanofi (Netherlands) · NLTecnológico de Monterrey · MXTel Aviv University · ILThe Royal Free Hospital · GBUniversity of Belgrade · RSUniversity of California, San Francisco · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Eliglustat, an oral substrate reduction therapy, is approved for eligible adults with Gaucher disease type 1. In the Phase 3 ENGAGE trial of previously untreated adults with Gaucher disease type 1, eliglustat-treated patients had statistically significant improvements in organ volumes and hematologic parameters compared with placebo in the 9-month primary analysis. We report final outcomes by time on eliglustat among all patients who participated in the ENGAGE trial and extension. No patient deteriorated clinically or withdrew due to adverse events; 39/40 patients entered the open-label extension period and 34/40 (85%) remained in the trial until completion or switching to commercial eliglustat after its approval (2.3-6 years). Clinically meaningful improvements in Gaucher disease manifestations were seen in all patients concomitant with reductions in pathological lipid substrate levels (glucosylceramide and glucosylsphingosine). Among patients with 4.5 years of eliglustat exposure, mean spleen volume decreased by 66% (from 17.1 to 5.8 multiples of normal [MN], n = 13), mean liver volume decreased by 23% (from 1.5 to 1.1 MN, n = 13), mean hemoglobin increased 1.4 g/dl (from 11.9 to 13.4 g/dl, n = 12), mean platelet count increased by 87% (from 67.6 to 122.6 × 10

Indexed as

AdultDouble-Blind MethodEnzyme InhibitorsFemaleGaucher DiseaseHumansLiverMaleOrgan SizePlacebo EffectPyrrolidinesSpleenTreatment OutcomeYoung AdulteliglustatEnzyme InhibitorsPyrrolidines

Identifiers

PMID34161616
PMCPMC8457136
OpenAlexW3174342652

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.