Early treatment with alglucosidase alpha prolongs long-term survival of infants with Pompe disease.

Published

Journal Article

In a previous 52-wk trial, treatment with alglucosidase alpha markedly improved cardiomyopathy, ventilatory function, and overall survival among 18 children <7 mo old with infantile-onset Pompe disease. Sixteen of the 18 patients enrolled in an extension study, where they continued to receive alglucosidase alpha at either 20 mg/kg biweekly (n = 8) or 40 mg/kg biweekly (n = 8), for up to a total of 3 y. These children continued to exhibit the benefits of alglucosidase alpha at the age of 36 mo. Cox regression analyses showed that over the entire study period, alglucosidase alpha treatment reduced the risk of death by 95%, reduced the risk of invasive ventilation or death by 91%, and reduced the risk of any type of ventilation or death by 87%, compared with an untreated historical control group. Cardiomyopathy continued to improve and 11 patients learned and sustained substantial motor skills. No significant differences in either safety or efficacy parameters were observed between the 20 and 40 mg/kg biweekly doses. Overall, long-term alglucosidase alpha treatment markedly extended survival as well as ventilation-free survival and improved cardiomyopathy.

Full Text

Duke Authors

Cited Authors

  • Kishnani, PS; Corzo, D; Leslie, ND; Gruskin, D; Van der Ploeg, A; Clancy, JP; Parini, R; Morin, G; Beck, M; Bauer, MS; Jokic, M; Tsai, C-E; Tsai, BWH; Morgan, C; O'Meara, T; Richards, S; Tsao, EC; Mandel, H

Published Date

  • September 2009

Published In

Volume / Issue

  • 66 / 3

Start / End Page

  • 329 - 335

PubMed ID

  • 19542901

Pubmed Central ID

  • 19542901

Electronic International Standard Serial Number (EISSN)

  • 1530-0447

Digital Object Identifier (DOI)

  • 10.1203/PDR.0b013e3181b24e94

Language

  • eng

Conference Location

  • United States