Table 2 Summarized patient and D,L-3-hydroxybutyrate treatment characteristics according to outcome.

From: Efficacy and safety of D,L-3-hydroxybutyrate (D,L-3-HB) treatment in multiple acyl-CoA dehydrogenase deficiency

 

Clinical improvement upon D,L-3-HB treatment

Yes (n = 16; 70%)

Questionable (n = 3; 13%)

No (n = 4; 17%)

Gender

M:F = 9:7

M:F = 1:2

M:F = 0:4

Alive

12 (75%)

2 (67%)

3 (75%)

 Current age

13 years (6.5 years)

3 years (1.5 years)

13.5 years (10.5 years)

 Age at death

1.5 years (8 years)

8 months

10 days

Age at onset

3 months (8 months)

3 days (5 months)

3 months (5 years)

 Congenital anomalies

-

-

-

Positive NBS results

8 (50%)

3 (100%)

2 (50%)

Genetic analysis

14 (88%)

3 (100%)

4 (100%)

ETFA

5a

-

1

ETFB

-

-

-

ETFDH

8

3

2b

SLC52A3

1

-

1

Enzyme assay

6 (38%)

1 (33%)

2 (50%)

 ETF deficiency

1

-

-

 ETF-QO deficiency

4c

1

1

D,L-3-HB treatment

 Age at start

1.5 years (6 years)

6 months (2 years)

5 months (6.5 years)

 Minimum D,L-3-HB dose (mg/kg/day)

330 (215)

200 (105)

490 (215)

 Maximum D,L-3-HB dose (mg/kg/day)

650 (400)

395 (925)

905 (330)

 Maximum number of doses/day

4 (0.3)d

4 (1.5)

4 (0.5)e

D,L-3-HB discontinuation

7 (44%)

2 (33%)

3 (75%)

 Age at discontinuation

6 years (17 years)

1 year (5 months)

3.5 years (13 years)

D,L-3-HB treatment duration

3 years (7.5 years)

6 months (5 months)

2 years (3.5 years)

  1. Values are presented as number of patients or median (interquartile range [IQR]).
  2. NBS newborn screening.
  3. aIn one patient, DNA analysis also demonstrated compound heterozygous variants in ETFB (c.217–4G>T and c.438+20C>T), which were classified as variant of uncertain significance and likely benign, respectively.
  4. bIn one patient only one pathogenic variant identified.
  5. cIn one patient only performed in sister.
  6. dContinuous nocturnal administration (n = 4).
  7. eContinuous nocturnal administration (n = 1) and continuous 24-hour administration (n = 1).