they sure work.
here is some info from a german page
If you feed much and you have many fish in your aquarium nitrate will accumulate with the time. If you cannot lower the concentration with water change, trickling filter or living stones you need a nitrate eliminating filter system. If nitrate is more than 20 ppm in the water negative growth of green or blue green algae will occur. Some kinds of fish do not tolerate high amounts of nitrate, too.
Autotrophic de-nitrification has some advantages compared to systems that work with heterotrophic bacteria. With the ADN filter you do not need an organic compound. Theses substances like alcohol, organic acids, sugar, PHB = poly-beta- hydroxy-butyric acid ("Deniballs") etc. may pollute the water. Additional a very strong bacteria growth will occur. These bacteria are polluting the water, too. The handling of heterotrophic filter systems is very complicated or you need an expensive controller (look at Roto-Bioreactor).
The small disadvantage is the long time to start the filter and if you have very rough changings in the nitrate concentrations, the filter will need a little more time to adapt to the new concentration. But in an aquaristic system you will not have difficulties. Like other autotrophic bacteria - nitrifying bacteria - they will work in a coral reef tank without problems. The advantages are much bigger than the disadvantages:
long life time of the filter substrate
low biomass growing - therefore low bacteria pollution of the aquarium water
high flow rates
no additional organic compounds are necessary
easy de aeration
intensive mixing wihin the filter with a good pump - therefore high efficiency
if you wish with Redox control (ORP)
for filter sump or for stand allone