TABLE 1.
Differences between good and bad responders.
Parameter | Delta FVC ≥ 10% | N | Mean | SD | P‐value | Delta 6MWT ≥ 10% | N | Mean | SD | P‐value |
---|---|---|---|---|---|---|---|---|---|---|
Demographics | ||||||||||
Diagnosis age (years) | Improvement | 7 | 33.57 | 10.57 | 0.367 | Improvement | 6 | 38.83 | 17.62 | 0.336 |
Worsening | 5 | 41.80 | 11.74 | Worsening | 4 | 48.50 | 17.79 | |||
Weight at switch (kg) | Improvement | 7 | 76.85 | 17.19 | 0.410 | Improvement | 6 | 75.60 | 10.25 | 0.437 |
Worsening | 5 | 72.80 | 24.18 | Worsening | 4 | 67.67 | 19.66 | |||
ERT beginning age (years) | Improvement | 7 | 40.43 | 8.87 | 0.684 | Improvement | 6 | 43.00 | 15.95 | 0.331 |
Worsening | 5 | 44.00 | 10.42 | Worsening | 4 | 52.50 | 19.84 | |||
ERT switch age (years) | Improvement | 7 | 51.00 | 10.83 | 0.745 | Improvement | 6 | 54.33 | 14.86 | 0.257 |
Worsening | 5 | 52.80 | 13.88 | Worsening | 4 | 64.25 | 23.99 | |||
ERT duration before switch (years) | Improvement | 7 | 10.57 | 3.60 | 0.463 | Improvement | 6 | 11.33 | 4.89 | 1.000 |
Worsening | 5 | 8.80 | 3.83 | Worsening | 4 | 11.75 | 4.65 | |||
Respiratory parameters | ||||||||||
FVC at switch (L) | Improvement | 7 | 1.821 | 1.166 | 0.167 | Improvement | 6 | 1.883 | 1.179 | 0.548 |
Worsening | 5 | 2.652 | 0.970 | Worsening | 3 | 2.027 | 0.256 | |||
FVC at switch (% of the theorical values) | Improvement | 7 | 43.6 | 16.7 | 0.010 | Improvement | 6 | 49.4 | 16.3 | 0.795 |
Worsening | 5 | 79.8 | 25.3 | Worsening | 3 | 53.7 | 16.3 | |||
FVC in supine position (L) | Improvement | 2 | 1.195 | 0.629 | 0.333 | Improvement | 1 | 1.040 | ||
Worsening | 2 | 2.640 | 0.622 | Worsening | 2 | 1.950 | 0.438 | |||
FVC in supine position (% predicted) | Improvement | 2 | 37.50 | 14.85 | 0.333 | Improvement | 1 | 29.00 | ||
Worsening | 2 | 78.00 | 32.52 | Worsening | 2 | 59.00 | 15.56 | |||
Maximal inspiratory pressure (cmH20) | Improvement | 5 | 35.22 | 17.47 | 1.000 | Improvement | 5 | 48.05 | 35.71 | |
Worsening | 3 | 30.66 | 13.81 | Worsening | 1 | 33.00 | ||||
Maximal inspiratory pressure (% of theorical values) | Improvement | 5 | 40.80 | 17.20 | 0.905 | Improvement | 5 | 55.53 | 35.69 | |
Worsening | 4 | 42.18 | 17.26 | Worsening | 1 | 37.00 | ||||
Maximal expiratory pressure (cmH20) | Improvement | 5 | 48.05 | 24.95 | 0.857 | Improvement | 5 | 47.34 | 8.07 | |
Worsening | 2 | 37.46 | 16.33 | Worsening | 1 | 32.00 | ||||
Maximal expiratory pressure (% of theorical values) | Improvement | 5 | 44.40 | 26.89 | 1.000 | Improvement | 5 | 48.72 | 9.26 | |
Worsening | 3 | 44.34 | 10.01 | Worsening | 1 | 20.00 | ||||
Motor parameters | ||||||||||
6MWT at switch (m) | Improvement | 4 | 100.25 | 91.46 | 0.533 | Improvement | 5 | 161.20 | 111.20 | 0.571 |
Worsening | 2 | 245.50 | 181.73 | Worsening | 2 | 217.50 | 119.50 | |||
Motor functional measure dimension 1 | Improvement | 6 | 25.77 | 30.13 | 0.517 | Improvement | 5 | 30.26 | 32.40 | |
Worsening | 3 | 47.86 | 30.91 | Worsening | 1 | 66.67 | ||||
Motor functional measure dimension 2 | Improvement | 6 | 76.78 | 11.53 | 0.154 | Improvement | 5 | 76.67 | 24.42 | |
Worsening | 3 | 89.81 | 6.99 | Worsening | 1 | 100.00 | ||||
Motor functional measure dimension 3 | Improvement | 6 | 95.19 | 3.01 | 0.596 | Improvement | 5 | 95.44 | 5.43 | |
Worsening | 3 | 93.65 | 5.50 | Worsening | 1 | 100.00 | ||||
Total motor functional measure | Improvement | 6 | 61.64 | 16.08 | 0.381 | Improvement | 5 | 61.88 | 22.60 | |
Worsening | 3 | 73.61 | 12.43 | Worsening | 1 | 86.46 | ||||
Evolution parameters | ||||||||||
deltaFVC (Y2–Y1) (L) | Improvement | 6 | 0.018 | 0.248 | 0.126 | Improvement | 6 | 0.113 | 0.227 | 0.697 |
Worsening | 5 | 1.37 | 1.782 | Worsening | 3 | 0.377 | 0.49 | |||
slopeFVC (Y2–Y1) (%) | Improvement | 6 | −0.6 | 14.20 | 0.120 | Improvement | 6 | 8.40 | 10.10 | 0.905 |
Worsening | 5 | 43.8 | 51.70 | Worsening | 3 | 36.00 | 55.50 | |||
delta6MWT (Y2–Y1) (m) | Improvement | 3 | 47 | 11.79 | 0.400 | Improvement | 5 | 18.40 | 48.73 | 0.857 |
Worsening | 2 | 10 | 41.01 | Worsening | 2 | 67.50 | 55.86 | |||
slope6MWT (Y2–Y1) (%) | Improvement | 2 | 40.70 | 0.30 | 0.667 | Improvement | 5 | 10.40 | 48.30 | 1.000 |
Worsening | 2 | 8.40 | 0.19 | Worsening | 2 | 26.50 | 25.50 | |||
deltaFVC (Y1–Switch) (L) | Improvement | 7 | 0.179 | 0.220 | 0.383 | Improvement | 6 | 0.122 | 0.175 | 0.381 |
Worsening | 3 | 0.397 | 0.337 | Worsening | 3 | 0.027 | 0.103 | |||
slopeFVC (Y1–Switch) (%) | Improvement | 7 | 7.80 | 10.80 | 0.383 | Improvement | 6 | 4.40 | 12.60 | 0.548 |
Worsening | 3 | 16.60 | 14.30 | Worsening | 3 | 1.80 | 5.50 | |||
delta6mwt (Y1–Switch) (m) | Improvement | 3 | 126.41 | 90.41 | 0.800 | Improvement | 5 | 159.55 | 110.52 | 0.571 |
Worsening | 2 | 271.62 | 186.53 | Worsening | 2 | 215.98 | 118.75 | |||
slope6mwt (Y1–Switch) (%) | Improvement | 3 | 98.10 | 2.00 | 0.800 | Improvement | 5 | 98.40 | 2.00 | 0.857 |
Worsening | 2 | 99.10 | 0.04 | Worsening | 2 | 99.39 | 4.00 | |||
deltaFVC (Switch–Y+1) (L) | Improvement | 7 | −0.393 | 0.226 | 0.003 | Improvement | 5 | −0.23 | 0.352 | 0.556 |
Worsening | 5 | 0.376 | 0.170 | Worsening | 4 | −0.055 | 0.101 | |||
slopeFVC (Switch–Y+1) (%) | Improvement | 7 | −26.43 | 18.95 | 0.006 | Improvement | 5 | −13.20 | 18.46 | 0.461 |
Worsening | 5 | 14.60 | 5.94 | Worsening | 4 | −2.75 | 6.80 | |||
delta6MWT (Switch–Y+1) (m) | Improvement | 7 | 7.43 | 35.83 | 0.222 | Improvement | 6 | −31.33 | 25.00 | 0.010 |
Worsening | 2 | 9.50 | 0.71 | Worsening | 4 | 56.00 | 31.45 | |||
slope6MWT (Switch–Y+1) (%) | Improvement | 7 | −1.29 | 13.756 | 0.500 | Improvement | 6 | −28.00 | 28.66 | 0.014 |
Worsening | 2 | 5.50 | 3.536 | Worsening | 4 | 21.75 | 6.85 |
Note Values in bold type represent significant differences. Positive values indicate worsening with time. N varies with missing data.
Abbreviations: 6MWT, Six‐Minute Walk Test; ERT, enzyme replacement therapy; FVC, forced vital capacity; SD, standard deviation; Y1, 1 year before the switch; Y+1, 1 year after the switch; Y2, 2 years before the switch.