RT Journal Article T1 Predictors of outcome in a Spanish cohort of patients with Fabry disease on enzyme replacement therapy A1 Goicoechea, Marian A1 Gomez-Preciado, Francisco A1 Benito, Silvia A1 Torras, Joan A1 Torra, Roser A1 Huerta, Ana A1 Restrepo, Alejandra A1 Ugalde, Jessica A1 Estefania Astudillo, Daniela A1 Agraz, Irene A1 Lopez-Mendoza, Manuel A1 de Arriba, Gabriel A1 Corchete, Elena A1 Quiroga, Borja A1 Jose Gutierrez, Maria A1 Luisa Martin-Conde, Maria A1 Lopes, Vanessa A1 Ramos, Carmela A1 Mendez, Irene A1 Cao, Mercedes A1 Dominguez, Fernando A1 Ortiz, Alberto K1 Fabry disease K1 Chronic kidney disease Enzyme replacement therapy K1 Renal events K1 Natural-history data K1 Agalsidase beta K1 Renal-disease K1 Lyso-gb3 K1 Events AB Fabry disease may be treated by enzyme replacement therapy (ERT), but the impact of chronic kidney disease (CKD) on the response to therapy remains unclear. The aim of the present study was to analyse the incidence and predictors of clinical events in patients on ERT.Study design: Multicentre retrospective observational analysis of patients diagnosed and treated with ERT for Fabry disease. The primary outcome was the first renal, neurological or cardiological events or death during a follow-up of 60 months (24-120).Results: In 69 patients (42 males, 27 females, mean age 44.6 +/- 13.7 years), at the end of followup, eGFR and the left ventricular septum thickness remained stable and the urinary albumin: creatinine ratio tended to decrease, but this decrease only approached significance inpatients on agalsidase-beta (242-128 mg/g (p = 0.05). At the end of follow-up, 21 (30%) patients had suffered an incident clinical event: 6 renal, 2 neurological and 13 cardiological (including 3 deaths). Events were more frequent in patients with baseline eGFR PB Soc espanola nefrologia dr rafael matesanz SN 0211-6995 YR 2021 FD 2021-11-01 LK https://hdl.handle.net/10668/27447 UL https://hdl.handle.net/10668/27447 LA en DS RISalud RD Apr 17, 2025