Evidence map›Paper›PMID 42047222›Full record

Trial reportJournal of inherited metabolic disease2026

Adults With Acid Sphingomyelinase Deficiency Have Sustained Improvements in Clinical Outcomes With up to 5 Years of Olipudase Alfa Enzyme Replacement Therapy: ASCEND Trial Final Results.

Melissa P Wasserstein, Carla E Hollak, Antonio Barbato, Renata C Gallagher, Roberto Giugliani, Norberto Bernardo Guelbert, Julia B Hennermann, Takayuki Ikezoe, Robin Lachmann, Olivier Lidove and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of inherited metabolic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
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

21 authors.

Melissa P WassersteinChildren's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York, USA.
Carla E HollakDepartment of Endocrinology and Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-0464-1078
Antonio BarbatoDepartment of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy.ORCID https://orcid.org/0000-0002-4660-821X
Renata C GallagherDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.
Roberto GiuglianiUFRGS, HCPA, INAGEMP, DASA and Casa dos Raros, Porto Alegre, Brazil.
Norberto Bernardo GuelbertReina Fabiola University Clinic, Córdoba, Argentina.
Julia B HennermannVilla Metabolica, University Medical Center Mainz, Center for Pediatric and Adolescent Medicine, Mainz, Germany.ORCID https://orcid.org/0000-0003-2639-1233
Takayuki IkezoeDepartment of Hematology, Fukushima Medical University, Fukushima, Japan.
Robin LachmannCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, London, UK.
Olivier LidoveDepartment of Internal Medicine, GH Diaconesses Croix Sain-Simon Centre de Reference Maladies Lysosomales, Paris, France.
Paulina MabeClinica Santa Maria, Santiago de, Chile.
Eugen MengelClinical Science for LSD, SphinCS, Hochheim, Germany.
Maurizio ScarpaRegional Coordinator Centre for Rare Diseases, University Hospital of Udine, Udine, Italy.
Ebubekir SenatesIstanbul Medeniyet University, Istanbul, Turkey.
Michel TchanDepartment of Genetic Medicine, Westmead Hospital, Sydney, Australia.
Beth L ThurbergBeth Thurberg Orphan Science Consulting LLC, Newton, Massachusetts, USA.
Jesus VillarrubiaHematology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Nicole M ArmstrongSanofi, Cambridge, Massachusetts, USA.
Shashi BhushanSanofi, Cambridge, Massachusetts, USA.
Yong KimSanofi, Paris, France.
Monica KumarSanofi, Morristown, New Jersey, USA.

Funding

SUPPORT FOR THE ROSE F KENNEDY IDDRC P50P50HD105352 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SOPHIE MOLHOLM, Steven Upshaw Walkley · 2021 to 2026
$7.0M
NICHD NIH HHS P50 HD105352Sanofi
6 · The paper itself

Abstract

Acid sphingomyelinase deficiency (ASMD) is a rare debilitating lysosomal storage disease resulting in multisystemic disease manifestations, significant disease burden, and early mortality for some individuals. Enzyme replacement therapy (ERT) with olipudase alfa (Xenpozyme) is the first disease-specific treatment indicated for noncentral nervous system manifestations of ASMD in children and adults. During the 1-year primary analysis of the ASCEND placebo-controlled trial in 36 adults with ASMD, olipudase alfa treatment reduced sphingomyelin storage and was associated with clinically significant improvements relative to placebo in multiple endpoints. An open-label extension of the ASCEND trial followed 35 of 36 adults during olipudase alfa treatment for up to 5 years. Mean time on olipudase alfa was 4.2 ± 1.0 years; mean compliance was 90% ± 13%. During long-term olipudase alfa treatment, percent predicted diffusing capacity for carbon monoxide (DL

Indexed as

Enzyme Replacement TherapyNiemann-Pick Disease, Type ASphingomyelin PhosphodiesteraseAdultFemaleHumansMaleMiddle AgedRecombinant ProteinsTreatment OutcomeYoung Adultolipudase alfaRecombinant ProteinsSphingomyelin Phosphodiesterasechronic acid sphingomyelinase deficiencyhepatopathyinterstitial lung diseaseNiemann‐pick type A/BNiemann‐pick type Brecombinant human acid sphingomyelinasesplenomegaly

Identifiers

PMID42047222
PMCPMC13122735

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.