Evidence map›Paper›PMID 40162009›Full record

ArticleFrontiers in neurology2025

Real-world clinical outcomes of patients with CLN2 disease treated with cerliponase alfa.

Angela Schulz, Christoph Schwering, Eva Wibbeler, Lena Marie Westermann, Luca Hagenah, Susanne Lezius, Ashok Jha, Abigail Hunt, Peter Slasor, Pascal Reisewitz and 1 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Genetic Diagnosis in Epilepsy: Implications for Clinical Management.Current neurology and neuroscience reports · 2026
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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.

Angela SchulzDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christoph SchweringDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eva WibbelerDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lena Marie WestermannDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Luca HagenahDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Susanne LeziusInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ashok JhaBioMarin Pharmaceutical Inc., Novato, CA, United States.
Abigail HuntBioMarin Pharmaceutical Inc., Novato, CA, United States.
Peter SlasorBioMarin Pharmaceutical Inc., Novato, CA, United States.
Pascal ReisewitzBioMarin Pharmaceutical Inc., Novato, CA, United States.
Miriam NickelDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study assessed the real-world effectiveness and safety of the enzyme replacement therapy (ERT), cerliponase alfa, to treat neuronal ceroid lipofuscinosis type 2 (CLN2) disease. Methods: Data from the DEM-CHILD database were analyzed, comparing patients who initiated ERT outside clinical trials with natural history (NH) controls. Treated patients were matched 1:1 with NH controls on baseline age and combined motor-language (ML) score on the CLN2 clinical rating scale. Rate of ML score decline, time to unreversed 2-point decline or score of 0, and time to unreversed score of 0 were assessed. Safety was assessed in treated patients. Results: Twenty-four ERT-treated patients were eligible (mean [SD] follow-up: 106.7 [64.1] weeks); 21 matched to a NH control, with baseline mean (SD) age of 4.7 (1.9) years and mean (SD) ML score of 3.9 (1.6) points. ERT-treated patients had reduced likelihood of an unreversed ML 2-point decline or score of 0 (HR 0.08; 95% CI 0.02, 0.28; Discussion: Cerliponase alfa for real-world CLN2 disease treatment slowed decline in motor and language function and demonstrated an acceptable safety profile.

Indexed as

cerliponase alfaCLN2DEM-CHILDeffectivenessreal-world datasafety

Identifiers

PMID40162009
PMCPMC11951263

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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.