Evidence map›Paper›PMID 38873957›Full record

GuidelineEuropean journal of neurology2024

Start, switch and stop (triple-S) criteria for enzyme replacement therapy of late-onset Pompe disease: European Pompe Consortium recommendation update 2024.

Benedikt Schoser, Nadine A M E van der Beek, Alexander Broomfield, Esther Brusse, Jordi Diaz-Manera, Andreas Hahn, Thomas Hundsberger, Cornelia Kornblum, Michelle Kruijshaar, Pascal Laforet and 13 more

Abstract readPractice Guideline
In one paragraph

Guideline in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

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

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

  1. Guideline
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  8. Observational
  9. Article
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  11. Article
  12. Article
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  14. Article
  15. Observational
  16. Article
  17. Management of Pompe disease alongside and beyond ERT: a narrative review.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  18. Article
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  20. 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

23 authors.

Benedikt SchoserDepartment of Neurology, Friedrich-Baur-Institute, LMU Clinics Munich, Munich, Germany.ORCID 0000-0002-2757-8131
Nadine A M E van der BeekDepartment of Neurology, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-9161-3301
Alexander BroomfieldMetabolic Department, Great Ormond Street Hospital, London, UK.
Esther BrusseDepartment of Neurology, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Jordi Diaz-ManeraJohn Walton Muscular Dystrophy Research Center, Newcastle University Translational and Clinical Research Institute, Newcastle Upon Tyne, UK.ORCID 0000-0003-2941-7988
Andreas HahnDepartment of Child Neurology, Justus-Liebig-University Giessen, Giessen, Germany.
Thomas HundsbergerDepartment of Neurology, Cantonal Hospital St Gallen, St Gallen, Switzerland.ORCID 0000-0002-4419-2767
Cornelia KornblumNeuromuscular Diseases Section, Department of Neurology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-0111-7281
Michelle KruijshaarCenter for Lysosomal and Metabolic Diseases Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Pascal LaforetNeurology Department, Raymond Poincaré Hospital, Nord-Est-Ile-de-France Neuromuscular Reference Center, Garches, APHP, Paris, France.ORCID 0000-0002-4489-4718
Eugen MengelInstitute of Clinical Science in LSD, SphinCS, Hochheim, Germany.
Tiziana MonginiNeuromuscular Unit, Department of Neurosciences RLM, University of Torino, Torino, Italy.
David OrlikowskiClinical Investigation Center 1429 APHP/INSERM, UMR 1179, Hôpital Raymond Poincaré, Université de Versailles Saint Quentin/Paris Saclay, FHU PHENIX, Paris, France.
Giancarlo ParentiDepartment of Translational Medicine, Federico II University, Naples, Italy.
W W M Pim PijnappelDepartment of Clinical Genetics, Department of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-7042-2482
Mark RobertsManchester Centre for Clinical Neurosciences, Manchester, UK.
Thomas SchererDivision of Endocrinology, Innere III, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4980-706X
Antonio ToscanoERN-NMD Center of Messina for Rare Neuromuscular Disorders, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
John VissingCopenhagen Neuromuscular Center, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-6144-8544
Johanna M P van den HoutDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
Pieter A van DoornDepartment of Neurology, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-2584-3357
Stephan WenningerDepartment of Neurology, Friedrich-Baur-Institute, LMU Clinics Munich, Munich, Germany.ORCID 0000-0001-8407-3642
Ans T van der PloegDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-3359-1324

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTwo novel enzyme replacement therapies (ERTs), studied in phase 3 trials in late-onset Pompe patients, reached marketing authorization by the European Medicines Agency in 2022 and 2023. The European Pompe Consortium (EPOC) updates and extends the scope of the 2017 recommendations for starting, switching and stopping ERT.

methodsThe European Pompe Consortium consists of 25 neuromuscular and metabolic experts from eight European countries. This update was performed after an in-person meeting, three rounds of discussion and voting to provide a consensus recommendation.

resultsThe patient should be symptomatic, that is, should have skeletal muscle weakness or respiratory muscle involvement. Muscle magnetic resonance imaging findings showing substantial fat replacement can support the decision to start in a patient-by-patient scenario. Limited evidence supports switching ERT if there is no indication that skeletal muscle and/or respiratory function have stabilized or improved during standard ERT of 12 months or after severe infusion-associated reactions. Switching of ERT should be discussed on a patient-by-patient shared-decision basis. If there are severe, unmanageable infusion-associated reactions and no stabilization in skeletal muscle function during the first 2 years after starting or switching treatment, stopping ERT should be considered. After stopping ERT for inefficacy, restarting ERT can be considered. Six-monthly European Pompe Consortium muscle function assessments are recommended.

conclusionsThe triple-S criteria on ERT start, switch and stop include muscle magnetic resonance imaging as a supportive finding and the potential option of home infusion therapy. Six-monthly long-term monitoring of muscle function is highly recommended to cover insights into the patient's trajectory under ERT.

Indexed as

Enzyme Replacement TherapyGlycogen Storage Disease Type IIEuropeHumansenzyme replacement therapyEPOClate‐onsetPompe diseasetherapy switch

Identifiers

PMID38873957
PMCPMC11295151

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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.