Evidence map›Paper›PMID 34828739›Full record

ArticleChildren (Basel, Switzerland)2021

Importance of Timely Treatment Initiation in Infantile-Onset Pompe Disease, a Single-Centre Experience.

Javier de Las Heras, Ainara Cano, Ana Vinuesa, Marta Montes, María Unceta Suarez, Arantza Arza, Saioa Jiménez, Elena Vera, Marta Del Hoyo, Miriam Gendive and 11 more

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. 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

21 authors at 5 institutions in 1 country.

Javier de Las HerasDivision of Pediatric Metabolism, CIBER-ER, Cruces University Hospital, 48903 Barakaldo, Spain.ORCID 0000-0001-5663-537X
Ainara CanoBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Ana VinuesaDivision of Pediatric Metabolism, CIBER-ER, Cruces University Hospital, 48903 Barakaldo, Spain.ORCID 0000-0002-4850-4481
Marta MontesDivision of Pediatric Metabolism, CIBER-ER, Cruces University Hospital, 48903 Barakaldo, Spain.
María Unceta SuarezBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.ORCID 0000-0001-8176-6750
Arantza ArzaBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Saioa JiménezDepartment of Pediatrics, Araba University Hospital, 01009 Vitoria, Spain.
Elena VeraDepartment of Pediatrics, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain.
Marta Del HoyoDepartment of Pediatrics, Araba University Hospital, 01009 Vitoria, Spain.
Miriam GendiveDepartment of Pediatrics, Araba University Hospital, 01009 Vitoria, Spain.
Lizar AguirreDepartment of Pediatrics, Araba University Hospital, 01009 Vitoria, Spain.
Gisela MuñozBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Javier FernándezBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Cynthia Ruiz-EspinozaBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
María Ángeles FernándezBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
José Miguel GaldeanoBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Irene RodríguezDepartment of Cardiology, Cruces University Hospital, 48903 Barakaldo, Spain.
Lourdes RománBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Amaya Rodríguez-SernaBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Begoña LoureiroBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.
Itziar AstigarragaBiocruces Bizkaia Health Research Institute, 48903 Bizkaia, Spain.ORCID 0000-0002-5012-0137
BioCruces Health research Institute · ESHospital Universitario Araba · ESUniversity of the Basque Country · ESCentre for Biomedical Network Research on Rare Diseases · ESHospital de Cruces · ES

Funding

Basque Government IT1281-19
6 · The paper itself

Abstract

Classic infantile Pompe disease (IPD) is a rare lysosomal storage disorder characterized by severe hypertrophic cardiomyopathy and profound muscle weakness. Without treatment, death occurs within the first 2 years of life. Although enzyme replacement therapy (ERT) with alglucosidase alfa has improved survival, treatment outcome is not good in many cases and is largely dependent on age at initiation. The objective of the study was (a) to analyse the different stages in the diagnosis and specific treatment initiation procedure in IPD patients, and (b) to compare clinical and biochemical outcomes depending on age at ERT initiation (<1 month of age vs. <3 months of age). Here, we show satisfactory clinical and biochemical outcomes in two IPD patients after early treatment initiation before 3 months of life with immunomodulatory therapy in the ERT-naïve setting, with a high ERT dose from the beginning. Despite the overall good evolution, the patient who initiated treatment <1 month of life presented even better outcomes than the patient who started treatment <3 months of life, with an earlier normalization of hypertrophic cardiomyopathy, along with CK normalization, highlighting the importance of early treatment initiation in this progressive disease before irreversible muscle damage has occurred.

Indexed as

early diagnosisenzyme replacement therapyimmune tolerance inductionimmunomodulationinfantile Pompe diseasePompe disease

Identifiers

PMID34828739
PMCPMC8620435
OpenAlexW3212851349

What OpenQuestion holds

Textmetadata
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.