Italian Journal of Pediatrics | |
Home treatment in paediatric patients with Hunter syndrome: the first Italian experience | |
Daniela Concolino2  Elio Dizione2  Antonino Lauricella2  Elisa Pascale2  Simona Sestito2  Italia Mascaro2  Ferdinando Ceravolo1  | |
[1] Present address: Operative Unit of Metabolic Disease, Bambino Gesù Children’s Hospital, Rome, Italy;Department of Paediatrics, University “Magna Graecia” of Catanzaro c/o Ospedale Civile A.Pugliese, Viale Pio X, 88100 Catanzaro, Italy | |
关键词: Home treatment (max 6); Mucopolysaccharidoses; Idursulfase; Enzyme replacement therapy; Hunter syndrome; | |
Others : 813250 DOI : 10.1186/1824-7288-39-53 |
|
received in 2013-06-03, accepted in 2013-09-03, 发布年份 2013 | |
【 摘 要 】
Hunter syndrome (mucopolysaccharidosis type II [MPS II], OMIM309900) is a rare X-linked lysosomal storage disorder caused by the deficiency of the enzyme iduronate-2-sulphatase, resulting in accumulation of glycosaminoglycans, progressive multisystem organ failure, and early death. Enzyme replacement therapy (ERT) with weekly intravenous infusions of idursulfase, a treatment for MPS II and commercially available since 2007, has been shown to improve certain symptoms and signs of the disease. The efficacy and safety data of this enzyme preparation have been widely reported and, after a change to the idursulfase Summary of Product Characteristics in March 2010, home ERT by infusion is now an option for selected patients. Previously reported experiences of home therapy in MPS II have shown increased treatment compliance and an improvement in quality of life for both patients and families. We report the results of the home therapy experience of 3 paediatric patients with MPS II in southern Italy. This pilot experience with home infusion is the first reported from Italy.
【 授权许可】
2013 Ceravolo et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140710000158389.pdf | 150KB | download |
【 参考文献 】
- [1]Martin R, Beck M, Eng C, Giugliani R, Harmatz P, Munoz V, Muenzer J: Recognition and diagnosis of mucopolysaccharidosis II (Hunter syndrome). Pediatrics 2008, 121:e377-e386.
- [2]Muenzer J, Wraith JE, Beck M, Giugliani R, Harmatz P, Eng CM, Vellodi A, Martin R, Ramaswami U, Gucsavas-Calikoglu M, Vijayaraghavan S, Wendt S, Puga AC, Ulbrich B, Shinawi M, Cleary M, Piper D, Conway AM, Kimura A: A phase II/III clinical study of enzyme replacement therapy with idursulfase in mucopolysaccharidosis II (Hunter syndrome). Genet Med 2006, 8:465-473.
- [3]Scarpa M, Almassy Z, Beck M, Bodamer O, Bruce IA, De Meirleir L, Guffon N, et al.: Mucopolysaccharidosis type II: European recommendations for the diagnosis and multidisciplinary management of a rare disease. Orphanet J Rare Dis 2011, 6:72. BioMed Central Full Text
- [4]Bagewadi S, Roberts J, Mercer J, Jones S, Stephenson J, Wraith JE: Home treatment with Elaprase and Naglazyme is safe in patients with mucopolysaccharidoses types II and VI, respectively. J Inherit Metab Dis 2008, 31:733-737.
- [5]Burton BK, Wiesman C, Paras A, Kim K, Katz R: Home infusion therapy is safe and enhances compliance in patients with mucopolysaccharidoses. Mol Genet Metab 2009, 97:234-236.
- [6]Burton BK, Guffon N, Roberts J, van der Ploeg AT, Jones SA: Home treatment with intravenous enzyme replacement therapy with idursulfase for mucopolysaccharidosis type II - data from the Hunter Outcome Survey. Mol Genet Metab 2010, 101:123-129.
- [7]Cox-Brinkman J, Timmermans RG, Wijburg FA, Donker WE, van de Ploeg AT, Aerts JM, Hollak CE: Home treatment with enzyme replacement therapy for mucopolysaccharidosis type I is feasible and safe. J Inherit Metab Dis 2007, 30:984.
- [8]Hung MC, Yan YH, Fan PS, Lin MS, Chen CR, Kuo LC, Yu CJ, Yao G, Hsieh CL, Wang JD: Measurement of quality of life using EQ-5D in patients on prolonged mechanical ventilation: comparison of patients, family caregivers, and nurses. Qual Life Res 2010, 19:721-727.
- [9]Kunz S: Psychometric properties of the EQ-5D in a study of people with mild to moderate dementia. Qual Life Res 2010, 19:425-434.