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Table 1 Patient Characteristics

From: Effects of immunomodulation in classic infantile Pompe patients with high antibody titers

 

Patient 1

Patient 2a

Patient 3

Baseline and initial response

 Age at start (in months)

2.4

5.8

1.9

 Mutations

c.2481 + 102_2646 + 31del538

c.del525T

c.del525T

c.2481 + 102_2646 + 31del538

c.del525T

c.del525T

 CRIM status

Positive

Negative

Negative

 Ventilatory support

No

No

No

 LVMI at start in g/m2 (z-score)

237 (22.5)

265 (26.1)

200 (17.8)

 Time to LVMI normalization (z-score)

9 months (1.75)

6 months (1.43)

9 months (0.1)

 Age pull to stand (in months)

11.6

14.8

9.2

 Age walking (in months)

15

21.3

11.7

 NGT at start

No

Yes

Yes

 Age at which NGT ended (in months)

N.A

21

9

 Total number of IARs (total severe IARs)

70 (6)

22 (5)

16 (0)

 Age at last IAR (in years)

4.0

3.5

2.1

At start of secondary immunomodulation

 Age in years

6.6

3.5

2.3

 Ventilatory support

No

No

No

 LVMI in g/m2 (z-score)

70.6 (0.4)

63.2 (0.5)

83.9 (3.1)

 Best motor function

Sitting

Walking

Walking

 Antibody titer

1:156,250

1:156,250

1:781,250

 Enzyme activity in cell lysates

50%

60%

100%

At study end

 Age in years

9.1

5.6

3.8

 Ventilatory support

No

No

No

 LVMI in g/m2 (z-score)

82.5 (1.3)

65 (0.7)

55 (−0.5)

 Best motor function

Sitting

Walking

Walking

 NGT/PEG (age in years)

Yes (7.0)

No

No

 Last antibody titer (time since last RTX in years)

1:31,250 (0.5)

1:31,250 (2)

1:1561,250 (1.5)

 Enzyme activity in cell lysates

100%

100%

100%

 B-cell normalization/time since last RTX in months

Yes/14

No/5c

Yes/6

Yes/3

 Last B-cell levelb

0

0.85*109/L

0.48*109/L

 IARs since start of immunomodulation

No

No

No

  1. CRIM cross-reactive immunologic material, LVMI left ventricular mass index, NGT nasogastric tube, IAR infusion-associated reaction, PEG percutaneous endoscopic gastrostomy tube, RTX Rituximab
  2. aPatient 2 initially received immunomodulation in an ERT naïve setting.
  3. bB- cell normal range; for age 2–5 years normal range of 0.2–2.1*10E9, for age 5–10 years normal range of 0.2–1.6*10E9
  4. cAfter an initial round of immunomodulation patient 2 received a second round of immunomodulation 2 years later because of high rhGAA antibodies