Long-term enzyme therapy benefits in alpha-mannosidosis

Journal of Inborn Errors of Metabolism and Screening (SAGE), Volume 6, 2018.

What this study looked at

Alpha-mannosidosis is a rare lysosomal storage disorder in which a missing enzyme allows mannose-rich glycoproteins to build up in the tissues, leading to problems that can include intellectual disability, hearing and speech difficulties, recurrent infections, skeletal abnormalities and muscle weakness. This study used two standard questionnaires to assess disability, pain and overall health in patients taking velmanase alfa, an enzyme replacement therapy, as part of a phase III trial.

Key takeaways

  • Without treatment, the long-term outlook for most patients is poor, with progressive neuromuscular, skeletal and intellectual decline and growing dependence in daily life.
  • Patients receiving up to 48 months of velmanase alfa showed improving trends in health-related quality of life.
  • They also experienced reductions in disability and pain over the same period.

Why it matters

By focusing on everyday living rather than laboratory markers, the study offers evidence that sustained enzyme therapy can ease the disability and pain that shape quality of life for patients and their families.

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