Evidence map›Paper›PMID 40598289›Full record

ArticleOrphanet journal of rare diseases2025

Unmet needs of adults living with mucopolysaccharidosis II: data from the Hunter Outcome Survey.

Joseph Muenzer, Hernan Amartino, Roberto Giugliani, Paul Harmatz, Shuan-Pei Lin, Bianca Link, David Molter, Uma Ramaswami, Maurizio Scarpa, Jaco Botha and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03292887 (Hunter Outcome Survey), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03292887 completednot on this map

Hunter Outcome Survey: A Global, Multi-Center, Long-Term, Observational Registry of Patients With Hunter Syndrome (Mucopolysaccharidosis Type II, MPS II)

Typeobservational_patient_registrySponsorShireRan2005 to 2023Enrolled1,443ConditionsHunter Syndrome
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

12 authors.

Joseph MuenzerUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, 27514, USA. muenzer@med.unc.edu.ORCID http://orcid.org/0000-0002-4035-6592
Hernan AmartinoHospital Universitario Austral, Buenos Aires, Argentina.
Roberto GiuglianiDepartment of Genetics UFRGS, Medical Genetics Service HCPA, INAGEMP, DASA Genomica and Casa Dos Raros, Porto Alegre, Brazil.
Paul HarmatzUCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Shuan-Pei LinMackay Memorial Hospital, Taipei, Taiwan.
Bianca LinkUniversity Children's Hospital, Zurich, Switzerland.
David MolterWashington University School of Medicine, St. Louis, MO, USA.
Uma RamaswamiLysosomal Storage Disorders Unit, Royal Free London NHS Foundation Trust, London, UK.
Maurizio ScarpaUdine University Hospital, Udine, Italy.
Jaco BothaTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Jennifer AudiTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Barbara K BurtonAnn & Robert H Lurie Children's Hospital of Chicago, Northwestern University, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMucopolysaccharidosis II (MPS II) is a rare, life-limiting lysosomal storage disease caused by deficient iduronate-2-sulfatase activity. The current standard of care for MPS II is intravenous enzyme replacement therapy (ERT), which has been shown to improve somatic signs and symptoms and to increase life expectancy by approximately 12 years. This study reported on the somatic disease burden and clinical requirements of adult male patients in the Hunter Outcome Survey (ClinicalTrials.gov Identifier: NCT03292887).

resultsOf the 373 patients in the analysis, 88 (23.6%) had cognitive impairment and 332 (89.0%) had received ERT. Almost half of all ERT-treated patients (47.0%) had undergone surgery in adulthood; the most common surgery was hernia repair (17.8% of patients). Over one-third (38.6%) reported hearing aid use. The median 6-min walk test distance for 151 treated patients was 436.0 m at the latest assessment after 18 years of age. Cardiovascular signs and symptoms were present in 71.6% (192/268) of patients and 27.3% (60/220) reported oxygen dependency after 18 years of age. Approximately half (50.9%) of ERT-treated patients experienced at least one serious adverse event in adulthood, with the most common being respiratory disorders. Intravenous ERT was well tolerated, with a rate of serious infusion-related reactions in adulthood of 0.03 per 10 patient-years.

conclusionsOverall, adult patients with neuronopathic and non-neuronopathic MPS II had a high disease burden and requirement for surgeries, emphasizing the need to continue multidisciplinary management and regular assessments in adulthood. Further research into the differences in care needs of adult patients with MPS II is warranted. Trial registration NCT03292887 .

Indexed as

Mucopolysaccharidosis IIAdolescentAdultEnzyme Replacement TherapyFemaleHumansIduronate SulfataseMaleMiddle AgedSurveys and QuestionnairesYoung AdultIduronate SulfataseAdultsCognitive ImpairmentHunter SyndromeMucopolysaccharidosis type IINeuronopathicNon-neuronopathic

Identifiers

PMID40598289
PMCPMC12211871

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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.