|  | Clinical | Surrogate | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Disease | Estimated cost of treatment | Endpoint | Sample size | Time to see effect | Endpoint | Sample size | Time to see effect | ||||
 |  |  | I/II | III, IV | I/II |  |  | I/II | III | I/II | III |
α-Mannosidosis | $300,000 | 6 Minute Walk Test (6MWT) (meters) | 12 | 52 | 6 mos | 6 mos | Urinary Man2GlcNAc (mmol/mol creatinine) measured by HPLC | 10 | 20 | 3 mos | 6 mos |
Aspartyl- glycosaminuria | $300,000 | 6MWT (meters) | 12 | 45 | 6 mos | 6 mos | Urinary aspartylglucosamine (μmol/mmol creatinine) | 6 | 12 | 3 mos | 6 mos |
Galactosialidosis | $300,000 | 6MWT (meters) | 12 | 52 | 6 mos | 6 mos | Urinary oligosaccharides (nmol/mg creatinine) | 10 | 20 | 3 mos | 6 mos |
MPS IVA | $300,000 | 6MWT (meters) | 20 | 52 | 6 mos | 6 mos | Urinary keratan sulfate (ng/g creatinine) | 15 | 30 | 3 mos | 6 mos |
MPS VII | $300,000 | 6MWT (meters) | 10 | 45 | 6 mos | 6 mos | Urinary GAG (μg/mg creatinine) | 6 | 12 | 3 mos | 6 mos |
GM1 Gangliosidosis | $120,000 | Mullen Scales of Early Learning (MSEL) | 20 | 127 | 6 mos | 1 yr | CSF GM1 ganglioside (pmol/ml) | 15 | 30 | 3 mos | 6 mos |
LINCL | $200,000 | Modified Hamburg LINCL clinical rating scale | 10 | 30 | 6 mos | 1 yr | CSF neurofilament protein (ng/L) | 15 | 30 | 3 mos | 6 mos |
MLD | $200,000 | MSEL | 20 | 127 | 6 mos | 1 yr | CSF sulfatide (nmol/L) | 10 | 30 | 3 mos | 6 mos |
MPS IIIA | $200,000 | MSEL | 20 | 127 | 6 mos | 1 yr | CSF MPS (heparan sulfate) | 10 | 30 | 3 mos | 6 mos |
Niemann-Pick B | $300,000 | Forced vital capacity (FVC %) | 10 | 30 | 6 mos | 6 mos | Liver size (% change in liver size by MRI) | 10 | 30 | 6 mos | 6 mos |
LAL Deficiency | $300,000 | Survival | 15 | 30 | 6 mos | 1.5 yrs | Liver size (% change in liver size by MRI) | 10 | 30 | 6 mos | 6 mos |
Primary Hyperoxaluria | $300,000 | Renal failure | 20 | 183 | 6 mos | 2 yrs | Urinary oxalate (mg/1.73 m²/day) | 10 | 20 | 3 mos | 6 mos |
RDEB | $300,000 | Hospitalizations | 20 | 61 | 6 mos | 1 yr | Number of anchoring fibrils over 2 × 25 μm of lamina densa | 10 | 30 | 3 mos | 6 mos |
X-Linked HED | $100,000 | Episodes of severe illness | 20 | 87 | 6 mos | 1 yr | First molar tooth bud presence | 10 | 54 | 6 mos | 6 mos |
CDG-Ib | $50,000 | Thrombosis | 10 | 30 | 6 mos | 1 yr | Antithrombin III (%) | 6 | 12 | 6 mos | 6 mos |