Evidence map›Paper›PMID 38802634›Full record

Trial reportAdvances in therapy2024

Qualitative Study of the Patient Experience with Venglustat for Gaucher Disease Type 3 in a Phase 2 Open-Label, Multicenter, Multinational Study (LEAP).

Raphael Schiffmann, Eugen Mengel, Mary Wallace, Camille Rochmann, James Turnbull, Robert Krupnick, Chad Gwaltney, Ruth Pulikottil-Jacob, Isabela Batsu, Riliang Zheng and 1 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02843035 (A 4-part, Open-label, Multicenter, Multinational Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic, and Exploratory Efficacy of Venglustat in Combination With Cerezyme in Adult Patients With Gaucher Disease Type 3 With Venglustat Monotherapy Extension), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02843035 phase2active not recruitingnot on this map

A 4-part, Open-label, Multicenter, Multinational Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic, and Exploratory Efficacy of Venglustat in Combination With Cerezyme in Adult Patients With Gaucher Disease Type 3 With Venglustat Monotherapy Extension

TypeinterventionalSponsorGenzyme, a Sanofi CompanyRan2017 to 2026Enrolled12ConditionsGaucher Disease Type 1, Gaucher Disease Type 3Armsvenglustat (GZ402671), imiglucerase
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Raphael SchiffmannInstitute of Metabolic Disease, Baylor Scott & White Research Institute, Dallas, TX, USA.ORCID 0000-0003-2437-0252
Eugen MengelCenter for Pediatric and Adolescent Medicine Villa Metabolica, University Medical Center Mainz, Mainz, Germany.ORCID 0000-0001-8967-2951
Mary WallaceInstitute of Metabolic Disease, Baylor Scott & White Research Institute, Dallas, TX, USA.
Camille RochmannSanofi, Chilly-Mazarin, France.
James TurnbullIQVIA, New York, NY, USA.
Robert KrupnickIQVIA, Boston, MA, USA.
Chad GwaltneyGwaltney Consulting, Westerly, RI, USA.
Ruth Pulikottil-JacobSanofi UK Berkshire, 410 Thames Valley Park Dr, Earley, Reading, RG6 1PT, UK. ruth.jacob@sanofi.com.
Isabela BatsuSanofi, Bridgewater, NJ, USA.
Riliang ZhengSanofi, Cambridge, MA, USA.
Alaa HamedSanofi, Cambridge, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGaucher disease type 3 (GD3) is a genetic, progressive lysosomal storage disorder characterized by visceral manifestations and chronic neurologic symptoms (e.g., horizontal ophthalmoplegia/supranuclear gaze palsy, ataxia, dystonia). The investigational agent venglustat is being studied in combination with imiglucerase as potential treatment for systemic and neuronopathic manifestations of GD3 in a single-arm, open-label, phase 2 trial (LEAP; N = 11). To understand perceived changes in GD3 symptoms from the perspectives of patients, caregivers, and clinicians, we conducted a qualitative case study of selected LEAP participants.

methodsFour patients in LEAP (age range, 20-28 years), four of their caregivers, and three clinicians involved in LEAP were interviewed individually by moderators using semi-structured guides. Clinicians' perceptions were based on observation of interviewed patients and those in LEAP who were not interviewed, as well as information provided by other staff involved in LEAP, patients, and caregivers.

resultsReported changes in GD3 symptoms varied among patients and among reporters. Only eye movement was spontaneously mentioned as improved by at least one patient, caregiver, and clinical expert. Symptom improvement also varied in terms of time to improvement. Within the first weeks, improvements were seen in understanding new information or complex instructions, remembering the weekday, eye movement, tremor, and seizures. Changes in alertness, engagement and responsiveness, memory, and concentration appeared after months or a year. Most caregivers and all clinical experts reported greater patient independence (e.g., increased ability to perform activities of daily living or travel independently during the trial) as a perceived treatment effect on a GD3 impact. For one patient who perceived benefits from venglustat therapy, pharmacokinetic analyses during LEAP found low to undetectable venglustat levels in their plasma and cerebrospinal fluid.

conclusionOutcomes from this study provide insights into GD3 symptoms and the early signaling of changes reported during venglustat therapy.

trial registrationClinicalTrials.gov identifier, NCT02843035.

Indexed as

Gaucher DiseaseQualitative ResearchAdultCaregiversEnzyme Replacement TherapyFemaleGlucosylceramidaseHumansMaleTreatment OutcomeYoung AdultGlucosylceramidaseCaregiver experienceCase studyGaucher disease type 3Patient experiencePerceptionQualitative studyQuality of lifeVenglustat

Identifiers

PMID38802634
PMCPMC11213771

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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.