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10.1186/s13023-018-0813-7

http://scihub22266oqcxt.onion/10.1186/s13023-018-0813-7
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suck abstract from ncbi


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pmid29703262
      Orphanet+J+Rare+Dis 2018 ; 13 (1 ): 68
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  • Migalastat improves diarrhea in patients with Fabry disease: clinical-biomarker correlations from the phase 3 FACETS trial #MMPMID29703262
  • Schiffmann R ; Bichet DG ; Jovanovic A ; Hughes DA ; Giugliani R ; Feldt-Rasmussen U ; Shankar SP ; Barisoni L ; Colvin RB ; Jennette JC ; Holdbrook F ; Mulberg A ; Castelli JP ; Skuban N ; Barth JA ; Nicholls K
  • Orphanet J Rare Dis 2018[Apr]; 13 (1 ): 68 PMID29703262 show ga
  • BACKGROUND: Fabry disease is frequently characterized by gastrointestinal symptoms, including diarrhea. Migalastat is an orally-administered small molecule approved to treat the symptoms of Fabry disease in patients with amenable mutations. METHODS: We evaluated minimal clinically important differences (MCID) in diarrhea based on the corresponding domain of the patient-reported Gastrointestinal Symptom Rating Scale (GSRS) in patients with Fabry disease and amenable mutations (N?=?50) treated with migalastat 150 mg every other day or placebo during the phase 3 FACETS trial (NCT00925301). RESULTS: After 6 months, significantly more patients receiving migalastat versus placebo experienced improvement in diarrhea based on a MCID of 0.33 (43% vs 11%; p?=?.02), including the subset with baseline diarrhea (71% vs 20%; p?=?.02). A decline in kidney peritubular capillary globotriaosylceramide inclusions correlated with diarrhea improvement; patients with a reduction >?0.1 were 5.6 times more likely to have an improvement in diarrhea than those without (p?=?.031). CONCLUSIONS: Migalastat was associated with a clinically meaningful improvement in diarrhea in patients with Fabry disease and amenable mutations. Reductions in kidney globotriaosylceramide may be a useful surrogate endpoint to predict clinical benefit with migalastat in patients with Fabry disease. TRIAL REGISTRATION: NCT00925301 ; June 19, 2009.
  • |1-Deoxynojirimycin/*analogs & derivatives/therapeutic use [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Biomarkers/metabolism [MESH]
  • |Diarrhea/*drug therapy [MESH]
  • |Fabry Disease/*drug therapy/metabolism [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Kidney/metabolism/pathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Mutation/genetics [MESH]
  • |Trihexosylceramides [MESH]


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