Evidence map›Paper›PMID 36623499›Full record

ArticleInternational archives of allergy and immunology2023

Long-Term Experience with Anaphylaxis and Desensitization to Alglucosidase Alfa in Pompe Disease.

Hacer Ilbilge Ertoy Karagol, Asli Inci, Sinem Polat Terece, Ayse Kilic, Fevzi Demir, Dilek Yapar, Gizem Koken, Ilyas Okur, Fatih Suheyl Ezgu, Leyla Tumer and 2 more

Open access · hybridAbstract read
In one paragraph

Article in International archives of allergy and immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

12 authors at 2 institutions in 1 country.

Hacer Ilbilge Ertoy KaragolDepartment of Pediatric Allergy, Gazi University Faculty of Medicine, Ankara, Turkey.
Asli InciDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Sinem Polat TereceDepartment of Pediatric Allergy, Gazi University Faculty of Medicine, Ankara, Turkey.
Ayse KilicDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Fevzi DemirDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Dilek YaparDepartment of Biostatistics and Medical Informatics, Akdeniz University Faculty of Medicine, Antalya, Turkey.
Gizem KokenDepartment of Pediatric Allergy, Gazi University Faculty of Medicine, Ankara, Turkey.
Ilyas OkurDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Fatih Suheyl EzguDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Leyla TumerDepartment of Pediatric Metabolism and Nutrition, Gazi University Faculty of Medicine, Ankara, Turkey.
Arzu BakirtasDepartment of Pediatric Allergy, Gazi University Faculty of Medicine, Ankara, Turkey.
Gazi University Enzyme Replacement Therapy Hypersensitivity Study Group
Gazi University · TRAkdeniz University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePompe disease (PD) is an inherited lysosomal storage disease that progresses with glycogen accumulation in many tissues, due to the deficiency of the acid-alpha glucosidase enzyme. Recombinant alglucosidase alfa (rhGAA) is the only disease-specific treatment option, in the form of enzyme replacement therapy (ERT). Anaphylaxis can develop with rhGAA. There is no study evaluating anaphylaxis and its management in PD in the long term. We aimed to evaluate the development of anaphylaxis and rapid drug desensitization (RDD) with rhGAA in children with PD. MATERIALS AND

methodsAll children diagnosed and followed up in our institution with PD over 12 years between January 2009 and September 2021 were evaluated for development of anaphylaxis and RDD with rhGAA from medical records.

resultsFourteen patients, 64% of whom were female and diagnosed with PD (1 juvenile, 13 infantile types) during the study period included in the study. The median age at diagnosis was 3.2 months (1-40 months). The median follow-up time of the patients was 20 months (1-129 months). Thirteen patients were given rhGAA, one died before ERT. Four (30.8%) patients developed moderate to severe anaphylaxis, and RDD was applied with rhGAA. A total of 390 RDDs have been performed so far without any serious breakthrough reactions during all RDDs.

conclusionsAnaphylaxis with rhGAA is not rare and RDD with rhGAA is safe and effective in the long term.

Indexed as

AnaphylaxisGlycogen Storage Disease Type IIalpha-GlucosidasesChildEnzyme Replacement TherapyFemaleHumansInfantMalealpha-GlucosidasesGAA protein, humanAnaphylaxisPompe diseaseRapid drug desensitizationRecombinant alglucosidase alfa

Identifiers

PMID36623499
PMCPMC10137310
OpenAlexW4313855222

What OpenQuestion holds

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Registered trials

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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.