دورية أكاديمية

Continued improvement in disease manifestations of acid sphingomyelinase deficiency for adults with up to 2 years of olipudase alfa treatment: open-label extension of the ASCEND trial.

التفاصيل البيبلوغرافية
العنوان: Continued improvement in disease manifestations of acid sphingomyelinase deficiency for adults with up to 2 years of olipudase alfa treatment: open-label extension of the ASCEND trial.
المؤلفون: Wasserstein MP; Children's Hospital at Montefiore and the Albert Einstein College of Medicine, 3411 Wayne Ave, 9th Floor, Bronx, NY, 10467, USA. melissa.wasserstein@einsteinmed.edu., Lachmann R; Charles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, London, UK., Hollak C; Department of Endocrinology and Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Barbato A; Department of Clinical Medicine and Surgery, University of Naples 'Federico II', Naples, Italy., Gallagher RC; Department of Pediatrics, The University of California San Francisco, San Francisco, CA, USA., Giugliani R; Postgraduate Program in Genetics and Molecular Biology, Med Genet Serv & DR Brasil, HCPA, INAGEMP, DASA, and Casa Dos Raros, UFRGS, Porto Alegre, Brazil., Guelbert NB; Reina Fabiola University Clinic, Córdoba, Argentina., Hennermann JB; Villa Metabolica, Center for Pediatric and Adolescent Medicine, University Medical Center, Mainz, Germany., Ikezoe T; Department of Hematology, Fukushima Medical University, Fukushima, Japan., Lidove O; Department of Internal Medicine, La Croix St Simon Hospital, Paris, France., Mabe P; Clinica Santa Maria, Santiago, Chile., Mengel E; Clinical Science for LSD, SpinCS, Hochheim, Germany., Scarpa M; Regional Coordinator Centre for Rare Diseases, University Hospital of Udine, 33100, Udine, Italy., Senates E; Istanbul Medeniyet University, Istanbul, Turkey., Tchan M; Department of Genetic Medicine, Westmead Hospital, Sydney, Australia., Villarrubia J; Hematology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain., Thurberg BL; Sanofi, Cambridge, MA, USA., Yarramaneni A; Sanofi, Bridgewater, NJ, USA., Armstrong NM; Sanofi, Cambridge, MA, USA., Kim Y; Sanofi, Paris, France., Kumar M; Sanofi, Bridgewater, NJ, USA.
المصدر: Orphanet journal of rare diseases [Orphanet J Rare Dis] 2023 Dec 02; Vol. 18 (1), pp. 378. Date of Electronic Publication: 2023 Dec 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101266602 Publication Model: Electronic Cited Medium: Internet ISSN: 1750-1172 (Electronic) Linking ISSN: 17501172 NLM ISO Abbreviation: Orphanet J Rare Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Niemann-Pick Disease, Type A* , Niemann-Pick Diseases*, Adult ; Humans ; Sphingomyelin Phosphodiesterase/therapeutic use ; Recombinant Proteins/therapeutic use
مستخلص: Background: Olipudase alfa is a recombinant human acid sphingomyelinase enzyme replacement therapy for non-central-nervous-system manifestations of acid sphingomyelinase deficiency (ASMD). The ASCEND randomized placebo-controlled trial in adults with ASMD demonstrated reductions in sphingomyelin storage, organomegaly, interstitial lung disease and impaired diffusion capacity of the lung (DL CO ), during the first year of olipudase alfa treatment. In an ongoing open-label extension of the ASCEND trial, individuals in the placebo group crossed over to olipudase alfa, and those in the olipudase alfa group continued treatment.
Results: Thirty-five of 36 participants continued in the extension trial, and 33 completed year 2. Change-from-baseline results are presented as least-square mean percent change ± SEM. Improvements in the cross-over group after 1 year of treatment paralleled those of the olipudase alfa group from the primary analysis, while clinical improvement continued for those receiving olipudase alfa for 2 years. In the cross-over group, percent-predicted DL CO increased by 28.0 ± 6.2%, spleen volume decreased by 36.0 ± 3.0% and liver volume decreased by 30.7 ± 2.5%. For those with 2 years of olipudase alfa treatment, the percent predicted DL CO increased by 28.5 ± 6.2%, spleen volume decreased by 47.0 ± 2.7%, and liver volume decreased by 33.4 ± 2.2%. Lipid profiles and elevated liver transaminase levels improved or normalized by 1 year and remained stable through 2 years of treatment. Overall, 99% of treatment-emergent adverse events were mild or moderate, with one treatment-related serious adverse event (extrasystoles; previously documented cardiomyopathy). No individual discontinued due to an adverse event.
Conclusion: Treatment with olipudase alfa is well tolerated and reduces manifestations of chronic ASMD with sustained efficacy. Trial registration NCT02004691 registered 9 December 2013, https://clinicaltrials.gov/ct2/show/NCT02004691.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Acid sphingomyelinase deficiency; Dose escalation; Lung diffusing capacity; Niemann–Pick type A/B; Niemann–Pick type B; Organomegaly; Recombinant human acid sphingomyelinase
سلسلة جزيئية: ClinicalTrials.gov NCT02004691
المشرفين على المادة: EC 3.1.4.12 (olipudase alfa)
EC 3.1.4.12 (Sphingomyelin Phosphodiesterase)
0 (Recombinant Proteins)
تواريخ الأحداث: Date Created: 20231202 Date Completed: 20231204 Latest Revision: 20231205
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10693698
DOI: 10.1186/s13023-023-02983-0
PMID: 38042851
قاعدة البيانات: MEDLINE
الوصف
تدمد:1750-1172
DOI:10.1186/s13023-023-02983-0