Long-Term Outcomes of Disease Modifying Therapies in Gaucher Disease

© 2024. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation..

OBJECTIVES: To study clinical response to treatment with enzyme replacement therapy (ERT) and substrate reduction therapy (SRT) in a cohort of Gaucher disease.

METHODS: Retrospective data of 8 patients of Gaucher disease was compiled. The treatment included all three currently available enzyme replacement therapies as well as substrate reduction therapy with Eliglustat. The relevant blood investigations were done in follow-up visits. The assessment of the effects of long-term treatment over varying periods up to 13 y was done with various issues related to the course of therapy documented.

RESULTS: Improvement in hematological parameters was seen in all patients. Reduction of spleen size occurred in 7 of 8 patients (87.5%). One patient had 2 successful pregnancies while on therapy. A distinct patient with type 3 Gaucher disease developed complication in the form of Gaucheroma within the spleen.

CONCLUSIONS: Awareness about the disease and the efficacy of the therapies amongst pediatricians will help in early diagnosis and better outcomes. The available therapies have changed the outcome of the patients and improved the quality of life in patients with Gaucher disease. The data of Indian patients is important at this juncture when under Rare Disease Policy, government funding has become available for ERT for Gaucher disease patients in India.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Indian journal of pediatrics - (2024) vom: 05. Feb.

Sprache:

Englisch

Beteiligte Personen:

Manisha, Rani [VerfasserIn]
Phadke, Shubha R [VerfasserIn]

Links:

Volltext

Themen:

Enzyme replacement therapy
Gaucher disease
Gaucheroma
Journal Article
Lysosomal storage disorder
Pregnancy
Substrate reduction therapy

Anmerkungen:

Date Revised 05.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s12098-023-04986-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368046478