Association of Miglustat With Swallowing Outcomes in Niemann-Pick Disease, Type C1
Author(s) -
Beth Solomon,
Andrew C. Smith,
Ninet Sinaii,
Nicole Y. Farhat,
Monique C. King,
Leonza Machielse,
Forbes D. Porter
Publication year - 2020
Publication title -
jama neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.298
H-Index - 231
eISSN - 2168-6157
pISSN - 2168-6149
DOI - 10.1001/jamaneurol.2020.3241
Subject(s) - medicine , swallowing , interquartile range , dysphagia , cohort , population , pediatrics , cohort study , surgery , environmental health
Niemann-Pick disease, type C1 (NPC1) is a progressive neurovisceral disease with no US Food and Drug Administration-approved therapy. Miglustat, a drug used off-label in the United States for the treatment of NPC1, appears to stabilize neurologic disease progression. Several prospective trials suggest that miglustat stabilizes oropharyngeal swallowing function; however, its effect on dysphagia and aspiration risk has not been demonstrated instrumentally.
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