Evidence map›Paper›PMID 37242808›Full record

ArticlePharmaceutics2023

An Innovative Tool for Evidence-Based, Personalized Treatment Trials in Mucopolysaccharidosis.

Anna-Maria Wiesinger, Brian Bigger, Roberto Giugliani, Christina Lampe, Maurizio Scarpa, Tobias Moser, Christoph Kampmann, Georg Zimmermann, Florian B Lagler

RetractedOpen access · goldAbstract readRetracted Publication
In one paragraph

Article in Pharmaceutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 5 countries.

Anna-Maria WiesingerInstitute of Congenital Metabolic Diseases, Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0002-2471-752X
Brian BiggerEuropean Reference Network for Hereditary Metabolic Diseases, MetabERN, 33100 Udine, Italy.ORCID 0000-0002-9708-1112
Roberto GiuglianiDepartment of Genetics, Medical Genetics Service and Biodiscovery Laboratory, Portal Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Casa dos Raros, Porto Alegre 90610-261, Brazil.ORCID 0000-0001-9655-3686
Christina LampeEuropean Reference Network for Hereditary Metabolic Diseases, MetabERN, 33100 Udine, Italy.
Maurizio ScarpaEuropean Reference Network for Hereditary Metabolic Diseases, MetabERN, 33100 Udine, Italy.ORCID 0000-0002-0382-3251
Tobias MoserDepartment of Neurology, Christian Doppler University Hospital, Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0002-5397-5595
Christoph KampmannDepartment of Pediatric Cardiology, University Hospital Mainz, 55131 Mainz, Germany.
Georg ZimmermannTeam Biostatistics and Big Medical Data, IDA Lab Salzburg, Paracelsus Medical University, 5020 Salzburg, Austria.ORCID 0000-0002-8282-1034
Florian B LaglerInstitute of Congenital Metabolic Diseases, Paracelsus Medical University, 5020 Salzburg, Austria.
Paracelsus Medical University · ATJohannes Gutenberg University Mainz · DEUniversidade Federal do Rio Grande do Sul · BRUniversitätsklinikum Gießen und Marburg · DEUniversity of Manchester · GBUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucopolysaccharidosis (MPS) is a group of rare metabolic diseases associated with reduced life expectancy and a substantial unmet medical need. Immunomodulatory drugs could be a relevant treatment approach for MPS patients, although they are not licensed for this population. Therefore, we aim to provide evidence justifying fast access to innovative individual treatment trials (ITTs) with immunomodulators and a high-quality evaluation of drug effects by implementing a risk-benefit model for MPS. The iterative methodology of our developed decision analysis framework (DAF) consists of the following steps: (i) a comprehensive literature analysis on promising treatment targets and immunomodulators for MPS; (ii) a quantitative risk-benefit assessment (RBA) of selected molecules; and (iii) allocation phenotypic profiles and a quantitative assessment. These steps allow for the personalized use of the model and are in accordance with expert and patient representatives. The following four promising immunomodulators were identified: adalimumab, abatacept, anakinra, and cladribine. An improvement in mobility is most likely with adalimumab, while anakinra might be the treatment of choice for patients with neurocognitive involvement. Nevertheless, a RBA should always be completed on an individual basis. Our evidence-based DAF model for ITTs directly addresses the substantial unmet medical need in MPS and characterizes a first approach toward precision medicine with immunomodulatory drugs.

Indexed as

decision analysis frameworkimmunomodulationindividual treatment trialsmucopolysaccharidosispersonalized medicinerisk–benefit assessment

Identifiers

PMID37242808
PMCPMC10221776
OpenAlexW4377822719

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.