Evidence map›Paper›PMID 41246852›Full record

Trial reportMolecular genetics & genomic medicine2025

Historical Control Analysis Demonstrates Greater Long-Term Reduction in Plasma Globotriaosylceramide (Gb3) by Venglustat Compared With Placebo or Agalsidase Beta in Male Patients With Classic Fabry Disease.

Dominique P Germain, Pronabesh DasMahapatra, Shiguang Liu, Patrick Deegan, Alberto Ortiz, Vijay Modur, William R Wilcox

Abstract readRandomized Controlled TrialClinical Trial, Phase IIClinical Trial, Phase III
In one paragraph

Trial report in Molecular genetics & genomic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
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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

7 authors.

Dominique P GermainDivision of Medical Genetics, University of Versailles, Montigny, France.ORCID https://orcid.org/0000-0002-8355-007X
Pronabesh DasMahapatraSanofi, Cambridge, Massachusetts, USA.
Shiguang LiuSanofi, Cambridge, Massachusetts, USA.
Patrick DeeganLysosomal Disorders Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Alberto OrtizResearch Institute-Fundacion Jimenez Diaz, Autónoma University (IIS-FJD UAM), Madrid, Spain.
Vijay ModurSanofi, Cambridge, Massachusetts, USA.
William R WilcoxDivision of Medical Genetics, Department of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, USA.

Funding

Sanofi
6 · The paper itself

Abstract

purposeTo evaluate the disease biomarker response of venglustat in patients with Fabry disease (FD), utilizing data from a single-arm phase 2 study of venglustat and a placebo-controlled phase 3 study of agalsidase beta through historical control and case-matched analyses.

methodsEleven venglustat-treated male patients with classic FD in the phase 2 study were matched with placebo- or agalsidase beta-treated patients from the phase 3 study based on propensity scores at baseline. Changes from baseline in plasma globotriaosylceramide (GL-3 or Gb3) concentrations were analyzed at approximately 6-36 months.

resultsVenglustat treatment resulted in greater significant reductions in plasma GL-3 concentrations at 6 months from baseline vs. placebo (mean difference -2.56 μg/mL, p < 0.001), and at 24 and 36 months from baseline vs. agalsidase beta (mean difference -1.8 μg/mL, p < 0.05 and -2.35 μg/mL, p < 0.01, respectively). GL-3 concentrations continued to decline with venglustat for up to 3 years without plateauing.

conclusionsVenglustat showed significantly greater reductions in plasma GL-3 concentrations than placebo after 6 months and agalsidase beta after 24 and 36 months. These findings support the potential of long-term venglustat treatment to reduce GL-3 accumulation in patients with classic FD. Further studies are needed to confirm clinical benefit.

Indexed as

alpha-GalactosidaseFabry DiseaseTrihexosylceramidesAdultAgedBiomarkersHumansIsoenzymesMaleMiddle AgedTreatment Outcomeagalsidase betaalpha-GalactosidaseBiomarkersglobotriaosylceramideIsoenzymesTrihexosylceramidesFabry diseaseglucosylceramide synthaseglycosphingolipid synthesislysosomal disordersubstrate reduction therapyvenglustat

Identifiers

PMID41246852
PMCPMC12620990

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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.