Table 2.
CRIM status, antibody titer, and clinical outcome
| Age | Antibody titer | Clinical outcome at 4 years of ERTb | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pt | At start of ERT (months) | Current (years) | CRIM status | Peak titer through 4 years of ERT | Titer at 4 years of ERTb | Last titer (years after start of ERT) | Alive | Invasive ventilationc | Motor status | LVMI in SD | Dose of ERT | ||
| 1 | 0.1 | 5.6 | + | 1:6,250 | 1:1,250 | 1:6,250 | (5.0) | Y | Y | 2.7 (1:250) | Sittinge | −0.6 | 40f |
| 2 | 0.5 | 8.0 | + | 1:1,250 | 1:250 | 1:250 | (7.1) | Y | N | Walking | −0.7 | 20 | |
| 3 | 1.2 | 8.5 | + | 1:6,250 | 1:1,250 | 1:6,250 | (8.0) | Y | N | Walking | −1.5 | 40f | |
| 4 | 1.9 | 4.4 a | − | 1:6,250 | 1:50 | 1:50 | (3.4) | Y | Y | 2.0 (1:6,250) | Sittinge | +0.9 | 20 |
| 5 | 2.2 | 5.2 | + | 1:31,250 | 1:31,250 | 1:31,250 | (4.0) | Y | N | Sitting | +1.1 | 40f | |
| 6 | 2.4 | 4.1 | + | 1:31,250 | 1:31,250 | 1:31,250 | (3.0) | Y | N | Walking | +3.7 | 40 | |
| 7 | 3.0 | 4.3 a | − | 1:156,250 | 1:156,250 | 1:156,250 | (3.8) | Y | Y | 2.2 (1:31,250) | Sitting | +4.4 | 40f |
| 8 | 3.6 | 0.6 a | − | 1:31,250 | 1:31,250 | 1:31,250 | (0.3) | N | N | Minimal motor gain | +28.6 | 20 | |
| 9 | 3.8 | 14.1 | + | 1:6,250 | 1:250 | 1:6,250 | (12.8) | Y | N | Walking | +0.4 | 40f | |
| 10 | 7.2 | 14.3 | + | 1:31,250 | 1:6,250 | 1:156,250 | (12.9) | Y | Y | 0.6d | Tetraplegic | +4.9 | 40f |
| 11 | 8.3 | 14.3 | + | 1:156,250 | 1:156,250 | 1:156,250 | (11.5) | Y | Y | 0.9 (1:250) | Tetraplegic | +4.5 | 40f |
Pt Patient number, ERT enzyme-replacement therapy, CRIM cross reactive immunological material, LVMI left ventricular mass index, SD standard deviation
aAge at death
bLast available data are presented if patient did not yet receive 4 years of ERT
cAge in years (antibody titer around that time)
dPatient was ventilator dependent before start of ERT
ePatients lost ability to walk
fDose was augmented to 40 mg/kg/week during treatment