Display options
Share it on

Mol Genet Metab Rep. 2016 Jun 27;8:17-9. doi: 10.1016/j.ymgmr.2016.06.003. eCollection 2016 Sep.

Clinical response to eliglustat in treatment-naïve patients with Gaucher disease type 1: Post-hoc comparison to imiglucerase-treated patients enrolled in the International Collaborative Gaucher Group Gaucher Registry.

Molecular genetics and metabolism reports

Jennifer Ibrahim, Lisa H Underhill, John S Taylor, Jennifer Angell, M Judith Peterschmitt

Affiliations

  1. Sanofi Genzyme, 500 Kendall Street, Cambridge, MA 02142, USA.

PMID: 27408819 PMCID: PMC4927653 DOI: 10.1016/j.ymgmr.2016.06.003

Abstract

Eliglustat is a recently approved oral therapy in the United States and Europe for adults with Gaucher disease type 1 who are CYP2D6 extensive, intermediate, or poor metabolizers (> 90% of patients) that has been shown to decrease spleen and liver volume and increase hemoglobin concentrations and platelet counts in untreated adults with Gaucher disease type 1 and maintain these parameters in patients previously stabilized on enzyme replacement therapy. In a post-hoc analysis, we compared the results of eliglustat treatment in treatment-naïve patients in two clinical studies with the results of imiglucerase treatment among a cohort of treatment-naïve patients with comparable baseline hematologic and visceral parameters in the International Collaborative Gaucher Group Gaucher Registry. Organ volumes and hematologic parameters improved from baseline in both treatment groups, with a time course and degree of improvement in eliglustat-treated patients similar to imiglucerase-treated patients.

Keywords: Acid-β-glucosidase deficiency; Eliglustat; Enzyme replacement therapy; Gaucher disease type 1; Imiglucerase; Substrate reduction therapy

References

  1. JAMA. 2015 Feb 17;313(7):695-706 - PubMed
  2. Blood. 2010 Aug 12;116(6):893-9 - PubMed
  3. Semin Hematol. 2004 Oct;41(4 Suppl 5):15-22 - PubMed
  4. Lancet. 2008 Oct 4;372(9645):1263-71 - PubMed
  5. Arch Pathol Lab Med. 2008 May;132(5):851-3 - PubMed
  6. Clin Pharmacol Ther. 2013 May;93(5):402-8 - PubMed
  7. Lancet. 2015 Jun 13;385(9985):2355-62 - PubMed
  8. Eur J Pediatr. 2013 Apr;172(4):447-58 - PubMed
  9. Drugs Future. 2010 Aug 1;35(8):613-620 - PubMed

Publication Types