Evidence map›Paper›PMID 34113546›Full record

ArticleMolecular genetics and metabolism reports2021

A phase 1/2 open label nonrandomized clinical trial of intravenous 2-hydroxypropyl-β-cyclodextrin for acute liver disease in infants with Niemann-Pick C1.

Margaret Reynolds, Laura A Linneman, Sofia Luna, Barbara B Warner, Yumirle P Turmelle, Sakil S Kulkarni, Xuntian Jiang, Geetika Khanna, Marwan Shinawi, Forbes D Porter and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics and metabolism reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Cyclodextrin-based therapeutics delivery systems: A review of current clinical trials.Current research in pharmacology and drug discovery · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Margaret ReynoldsWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Laura A LinnemanWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Sofia LunaWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Barbara B WarnerWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Yumirle P TurmelleWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Sakil S KulkarniWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Xuntian JiangWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Geetika KhannaWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Marwan ShinawiWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Forbes D PorterEunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, DHHS, Bethesda, MD, United States of America.
Daniel S OryWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
F Sessions ColeWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Patricia I DicksonWashington University in St. Louis School of Medicine, St. Louis, MO, United States of America.
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JEFFREY D MILBRANDT · 2020 to 2026
$15.5M
Intravenous delivery of 2-hydroxypropyl-Beta-cyclodextrin for treatment of Niemann-Pick C diseaseU01HD090845 · NICHD · WASHINGTON UNIVERSITY · PI DICKSON, PATRICIA I · 2017 to 2022
$2.1M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NICHD NIH HHS P50 HD103525NICHD NIH HHS U01 HD090845
6 · The paper itself

Abstract

introductionNiemann-Pick C (NPC) is an autosomal recessive disease due to defective NPC1 or NPC2 proteins resulting in

methodsInfants received intravenous 2HPBCD twice a week for 6 weeks, followed by monthly infusion for 6-months. Primary outcome measure was reduction of plasma (3β,5α,6β-trihydroxy-cholan-24-oyl) glycine (TCG), a bile acid generated from cholesterol sequestered in lysosome.

resultsThree participants completed this protocol. A fourth patient received intravenous 2HPBCD under an emergency investigational new drug study but later expired from her underlying condition. The three protocol patients are living and have improved liver enzymes and TCG. No patient has experienced a drug-related adverse event.

conclusionIntravenous 2HPBCD was tolerated in three infants with liver disease due to NPC.

Indexed as

2-hydroxypropyl-β-cyclodextrin (2HPBCD)3β,5α,6β-trihydroxy-cholan-24-oyl)glycine (TCG)Clinical trialCyclodextrinNiemann Pick C

Identifiers

PMID34113546
PMCPMC8170172
OpenAlexW3171494824

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.