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Home Enzyme Replacement Therapy in Gaucher Disease: A Review
Beata Kieć-Wilk1,2, Paul Guijt3, Michaela Dan4
1Unit of Rare Metabolic Diseases, Department of Pathophysiology, Jagiellonian University Medical College, 31-121 Krakow, Poland.
Journal of Clinical Medicine
|February 13, 2025
Summary
Home-based enzyme replacement therapy (ERT) for Gaucher Disease is safe and improves patient quality of life. Expanding access to home ERT globally is recommended, provided specific conditions are met.
Area of Science:
- Biochemistry
- Genetics
- Pharmacology
Background:
- Gaucher Disease management has evolved with home-based enzyme replacement therapy (ERT) since the 1990s.
- Home ERT adoption varies globally, presenting implementation challenges.
Purpose of the Study:
- To explore the implementation of home ERT for Gaucher Disease.
- To assess patient expectations, safety, compliance, economic benefits, and practicalities of home ERT.
Main Methods:
- Systematic literature review following PRISMA guidelines.
- Analysis of twenty articles focusing on home ERT for Gaucher Disease.
Main Results:
- Home ERT for Gaucher Disease is consistently safe and effective.
- Significant improvements in patient quality of life and reduced hospital resource utilization were observed.
- No compliance issues were reported with home ERT programs.
Conclusions:
- Home ERT for Gaucher Disease should be expanded to all accessible regions.
- Key conditions for initiating home ERT programs are identified based on the literature review.
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