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Cerezyme® (imiglucerase) 20-Year Gaucher Registry Analysis


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Cerezyme demonstrated improvements in visceral and hematologic parameters over 20 years.1

The 20-year ICGG Gaucher Registry analysis

Study description1

The 20-year International Collaborative Gaucher Group (ICGG) Gaucher Registry study is a retrospective, observational, single-arm study of patients with Gaucher disease type 1 who were treated with Cerezymea for about 20 years.

Patient population

Patient stratification
(2 groups)

Definitions

Analysis limitations

Within the database, patients (n=475) were identified with clinical data at baseline, 10 years, and 20 years of follow-up for:

  • Spleen volume
  • Liver volume
  • Hemoglobin level
  • Platelet count
  • Bone pain
  • Bone crisis
Patients were stratified into nonsplenectomized (n=310) and splenectomized (n=165) groups.

Bone pain was defined as being present if the patient reported this event as occurring in the past month before the medical visit.

Bone crisis was defined as pain with acute onset that requires immobilization of the affected area, narcotics for the relief of pain, and may be accompanied by 1 or more of the following: periosteal elevation, elevated white blood cell count, fever, or debilitation >3 days since the last assessment.

Information entry is voluntary and not all the data on every parameter are available for every patient in the registry. ICGG Gaucher Registry includes patients with a variable range of disease status and management.

aThe Cerezyme treatment group from the ICGG Gaucher Registry analyses represents patients with Gaucher disease type 1 who received either alglucerase or imiglucerase.

Improvements in visceral parameters1,2

Mean spleen volume

71.1% reduction in mean spleen volume in nonsplenectomized patients
First infusion: 18.2 MN 
20 years following first infusion: 4.2 MN

Mean liver volume

38% reduction in mean liver volume in nonsplenectomized patients
First infusion: 1.8 MN 
20 years following first infusion: 1.0 MN

 

In splenectomized patients 
First infusion: 2.3 MN 
20 years following first infusion: 1.0 MN

Improvements in hematologic parameters1,2

Mean hemoglobin level

2.4 g/dL increase in mean hemoglobin level in nonsplenectomized patients
First infusion: 11.4 g/dL 
20 years following first infusion: 13.8 g/dL

In splenectomized patients
First infusion: 11.7 g/dL 

20 years following first infusion: 13.4 g/dL

Mean platelet count

130.4% increase in mean platelet count in nonsplenectomized patients
First infusion: 91.6 × 103/mm3 
20 years following first infusion: 169.1 × 103/mm3

In splenectomized patients
First infusion: 229.1 × 109/L 
20 years following first infusion: 257.0 × 109/L  

Decrease in certain bone parameters related to Gaucher disease type 11,2

Patients reporting bone pain

5.9% reduction in nonsplenectomized patients reporting bone pain
First infusion: 56 patients reported bone pain 
20 years following first infusion: 49 reported bone pain

In splenectomized patients 
First infusion: 41 patients reported bone pain 
20 years following first infusion: 26 reported bone pain 

Patients reporting bone crisis

11.5% reduction in nonsplenectomized patients reporting bone crisis
First infusion: 17 patients reported bone crisis 
20 years following first infusion: 4 patients reported bone crisis 

In splenectomized patients 
First infusion: 22 patients reported bone crisis 
20 years following first infusion: 0 patients reported bone crisis  

MN=multiples of normal.

Cerezyme demonstrated improvements in visceral, hematologic, and certain bone parameters over 20 years.1

Efficacy in certain Gaucher-related bone parameters

Cerezyme effect on bone pain, bone crises, and bone mineral density in patients with Gaucher disease type 1

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An established ERT for children

Long-term improvements shown in pediatric patients

Indication

Cerezyme® (imiglucerase) for injection is indicated for the treatment of non-central nervous system (CNS) manifestations of Type 1 or Type 3 Gaucher disease in adult and pediatric patients. 

Important Safety Information

WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS
Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate CEREZYME in a healthcare setting with appropriate medical monitoring and support measures, including cardiopulmonary resuscitation equipment. If a severe hypersensitivity reaction (e.g., anaphylaxis) occurs, discontinue CEREZYME immediately, and initiate appropriate medical treatment, including use of epinephrine. Inform patients of the symptoms of life-threatening hypersensitivity reactions, including anaphylaxis, and to seek immediate medical care should symptoms occur.

Warnings and Precautions:

Hypersensitivity Reactions Including Anaphylaxis: See Boxed WARNING.
Patients with antibody to imiglucerase have a higher risk of hypersensitivity reactions. Consider periodic monitoring during the first year of treatment for IgG antibody formation.

Consider risks and benefits of readministering Cerezyme to individual patients following a severe reaction. If a mild or moderate hypersensitivity reaction occurs, consider reducing the rate of infusion, pretreat with antihistamines and/or corticosteroids, and monitor patients for new signs and symptoms of a hypersensitivity reaction. 

Infusion-Associated Reactions:
Infusion associated reactions (IARs) have been observed in patients treated with Cerezyme. If a severe IAR occurs, discontinue CEREZYME and immediately initiate appropriate medical treatment. Consider the risks and benefits of re-administering CEREZYME following a severe IAR. If a mild or moderate IAR occurs, consider decreasing the infusion rate, temporarily stopping the infusion, and/or administering antihistamines, antipyretics, and/or corticosteroids.

Adverse Reactions:

  • Adverse reactions reported in adults and pediatric patients include back pain, chills, dizziness, fatigue, headache, hypersensitivity reactions, nausea, pyrexia, and vomiting. 

Please see accompanying Full Prescribing Information, including Boxed WARNING.

Indication

Important Safety Information

References: 1. Weinreb NJ, Camelo JS Jr, Charrow J, et al. Gaucher disease type 1 patients from the ICGG Gaucher Registry sustain initial clinical improvements during twenty years of imiglucerase treatment. Mol Genet Metab. 2021;132(2):100-111. 2. Data on file. Sanofi.

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