Evidence map›Paper›PMID 39702264›Full record

SynthesisOrphanet journal of rare diseases2024

The clinical and biochemical effectiveness and safety of cholic acid treatment for bile acid synthesis defects: a systematic review.

Yasmin Polak, Laura van Dussen, E Marleen Kemper, Frédéric M Vaz, Femke C C Klouwer, Marc Engelen, Carla E M Hollak

Abstract readSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

7 authors.

Yasmin PolakDepartment of Pharmacy and Clinical Pharmacology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0009-0008-4730-354X
Laura van DussenMedicines for Society, Platform at Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
E Marleen KemperDepartment of Pharmacy and Clinical Pharmacology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Frédéric M VazDepartment of Laboratory Medicine and Pediatrics, Laboratory Genetic Metabolic Diseases, Amsterdam UMC, Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands.
Femke C C KlouwerDepartment of Pediatric Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Marc EngelenDepartment of Pediatric Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Carla E M HollakDepartment of Endocrinology and Metabolism, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. c.e.hollak@amsterdamumc.nl.

Funding

Postcodeloterij; This work is part of the platform Medicine for Society, for which funding is provided by the Postcodeloterij. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; Postcodeloterij; This work is part of the platform Medicine for Society, for which funding is provided by the Postcodeloterij. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data;
6 · The paper itself

Abstract

backgroundBile acid synthesis defects (BASDs) can be severely disabling involving the liver and nervous system, potentially due to elevated levels of toxic C

methodsA systematic review of MEDLINE, Embase and clinical trial registries (ClinicalTrials.gov, ICTRP registry) using controlled MeSH- and Emtree terms.

resultsFrom 526 articles 70 publications were deemed eligible for inclusion based on title and abstract. 14 publications were included after full-text assessment comprising case reports and -series with 1-35 patients (162 patients in total) receiving 1 week to 16,5 years of CA treatment. All presented data on effectiveness, 8 studies also presented data on safety. The included population concerned patients with Zellweger spectrum disorders (n = 73), 3β-Hydroxy-Δ5-C

conclusionMore controlled studies are required as the available data is insufficient to draw definite conclusions on the effectiveness and safety of CA treatment in BASD patients. Establishing an independent international disease registry could better utilize existing real-world data.

Indexed as

Bile Acids and SaltsCholic AcidHumansBile Acids and SaltsCholic AcidBile acid synthesis defectsCholic acidSingle enzyme defectsToxic bile acid intermediatesZellweger spectrum disorders

Identifiers

PMID39702264
PMCPMC11657003

What OpenQuestion holds

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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.