학술논문

Comprehensive long‐term efficacy and safety of recombinant human alpha‐mannosidase (velmanase alfa) treatment in patients with alpha‐mannosidosis
Document Type
article
Source
Journal of Inherited Metabolic Disease. 41(6)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Clinical Trials and Supportive Activities
Clinical Research
6.1 Pharmaceuticals
Evaluation of treatments and therapeutic interventions
Activities of Daily Living
Adolescent
Adult
Child
Enzyme Replacement Therapy
Europe
Female
Follow-Up Studies
Humans
Male
Quality of Life
Recombinant Proteins
Severity of Illness Index
Treatment Outcome
Young Adult
alpha-Mannosidase
alpha-Mannosidosis
Alpha-mannosidosis
Recombinant human alpha-mannosidase
Lysosomal storage disorder
Enzyme replacement therapy
Velmanase alfa
Integrated analysis
Genetics & Heredity
Genetics
Clinical sciences
Language
Abstract
IntroductionLong-term outcome data provide important insights into the clinical utility of enzyme replacement therapies. Such data are presented for velmanase alfa in the treatment of alpha-mannosidosis (AM).MethodsPatient data (n = 33; 14 adults, 19 paediatric) from the clinical development programme for velmanase alfa were integrated in this prospectively-designed analysis of long-term efficacy and safety. Patients who participated in the phase I/II or phase III trials and were continuing to receive treatment after completion of the trials were invited to participate in a comprehensive evaluation visit to assess long-term outcomes. Primary endpoints were changes in serum oligosaccharide and the 3-minute stair climb test (3MSCT).ResultsMean (SD) treatment exposure was 29.3 (15.2) months. Serum oligosaccharide levels were significantly reduced in the overall population at 12 months (mean change: -72.7%, P