Evidence map›Paper›PMID 41284148›Full record

ArticleBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2026

Can Alpha-Glucosidase Activity in Plasma or Leukocytes Serve as a Biomarker for Future Gene Therapy in Classic Infantile Pompe Disease?

Martha C Faraguna, Daniël A M Lambregts, Ina Barzel, Ed H Jacobs, Marianne Hoogeveen-Westerveld, Nadine A M E van der Beek, W W M Pim Pijnappel, Serena Gasperini, Tim Preijers, Johanna M P van den Hout and 1 more

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Article in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Martha C FaragunaDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Daniël A M Lambregts *Department of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Ina Barzel *Department of Hospital Pharmacy, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ed H JacobsCenter for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Marianne Hoogeveen-WesterveldCenter for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Nadine A M E van der BeekDepartment of Neurology, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
W W M Pim PijnappelDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Serena GasperiniPediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Tim PreijersDepartment of Hospital Pharmacy, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Johanna M P van den HoutDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands. j.vandenhout@erasmusmc.nl.ORCID http://orcid.org/0000-0001-8091-263X
Ans T van der PloegDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Funding

Health Holland TKI subsidy project n. EMCLSHPC24044
6 · The paper itself

Abstract

We studied alpha-glucosidase activity in plasma and leukocytes after an infusion of 40 mg/kg of recombinant alglucosidase alpha in patients with classic infantile Pompe disease to assess the pharmacokinetics and identify potential surrogate efficacy markers of gene therapy in patients on enzyme replacement therapy. Samples were collected by pharmacokinetic curves (n = 5) and random samples (n = 21 patients). Alpha-glucosidase activity was measured in plasma (substrate 4-methylumbelliferyl-α-D-glucopyranoside, MU) and leukocytes (substrate glycogen, Gn, and MU). Plasma peak concentration occurred at the end of the infusion, reaching concentrations > 5000 and > 100,000 times higher than the control and untreated patient levels, with a median half-life of 3.1 h (1.3-4.2 h). In leukocytes, plasma peak concentration occurred 24 h after the start of enzyme replacement therapy; plasma peak concentration did not exceed the control level (0.7 [Gn] and 0.9 [MU] times higher than controls). The estimated half-life was 2-4 days. Seven days after enzyme replacement therapy, median enzyme activity was 1.3 times higher than the control levels in plasma and within the control range in leukocytes; after 14 days, median values in plasma and leukocytes were below the control level. These findings suggest alpha-glucosidase activity in plasma and leukocytes may serve as an efficacy marker for gene therapy studies in patients with classic infantile Pompe disease receiving enzyme replacement therapy. Similar studies with next-generation enzyme replacement therapy are advised.

Indexed as

alpha-GlucosidasesGenetic TherapyGlycogen Storage Disease Type IILeukocytesBiomarkersChild, PreschoolEnzyme Replacement TherapyFemaleHalf-LifeHumansInfantMaleRecombinant Proteinsalpha-GlucosidasesBiomarkersGAA protein, humanRecombinant Proteins

Identifiers

PMID41284148
PMCPMC12790504

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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.