Evidence map›Paper›PMID 17056635›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2007

How is disease progress in Friedreich's ataxia best measured? A study of four rating scales.

M C Fahey, L Corben, V Collins, A J Churchyard, M B Delatycki

3 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06447025 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

An Open-Label Extension Study to Assess the Long-Term Safety, Efficacy, Pharmacodynamics, Pharmacokinetics, and Tolerability of Subcutaneous CTI-1601 in Subjects With Friedreich's Ataxia

TypeinterventionalSponsorLarimar Therapeutics, Inc.Ran2024 to 2027Enrolled85ConditionsFriedreich AtaxiaArmsCTI-1601
NCT06681766 phase1terminatednot on this mapstarted 2024, after this paper: background citation

A Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Subcutaneous Nomlabofusp in Adolescents and Children With Friedreich's Ataxia

TypeinterventionalSponsorLarimar Therapeutics, Inc.Ran2024 to 2025Enrolled18ConditionsFriedreich AtaxiaArmsNomlabofusp, Placebo
NCT07778836 phase3recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Subcutaneous Nomlabofusp in Subjects With Friedreich's Ataxia

TypeinterventionalSponsorLarimar Therapeutics, Inc.Ran2026 to 2029Enrolled150ConditionsFriedreich Ataxia, Friedreich's AtaxiaArmsNomlabofusp, Placebo
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pharmacological treatments for Friedreich ataxia.The Cochrane database of systematic reviews · 2016
    Pooled it
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  7. Article
  8. Review
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  12. Hypoxia as a medicine.Science translational medicine · 2025
    Review
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  16. Test-retest reliability of the Friedreich's ataxia rating scale.Annals of clinical and translational neurology · 2020
    Article
  17. Article
  18. Measuring peripheral nerve involvement in Friedreich's ataxia.Annals of clinical and translational neurology · 2019
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

M C FaheyBruce Lefroy Centre for Genetic Health Research, Murdoch Childrens Research Institute, Flemington Road, Parkville, Victoria 3052, Australia.
L Corben
V Collins
A J Churchyard
M B Delatycki
Murdoch Children's Research Institute · AUMonash Medical Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFriedreich's ataxia (FRDA), the most common genetic cause of ataxia, is characterised by progressive neurodegeneration and cardiomyopathy. Initial treatments are likely to slow progression rather than reverse morbidity. An appropriate and sensitive scale to measure disease progress is critical to detect the benefit of treatments.

objectiveTo compare the Friedreich Ataxia Rating Scale (FARS) with other scales proposed as outcome measures for FRDA.

methods76 participants were assessed with the FARS and the International Cooperative Ataxia Rating Scale (ICARS) and 72 of these participants were also assessed with the Functional Independence Measure and the Modified Barthel Index. 43 participants had repeat measures at an interval of 12 months. Sensitivity and responsiveness were assessed using the effect size for each measure and the sample size required for a placebo-controlled clinical trial.

resultsThe FARS showed a high correlation with the other three measures. A significant change in the score over 12 months was detected by the FARS, the International Cooperative Ataxia Rating Scale and the Functional Independence Measure. The FARS had the greatest effect size and requires fewer patients for an equivalently powered study.

conclusionsOf the scales assessed, the FARS is the best to use in clinical trials of FRDA. This is based on effect size, and power calculations that show that fewer participants are required to demonstrate the same effect of an intervention. Further work is required to develop more sensitive and responsive instruments.

Indexed as

Severity of Illness IndexActivities of Daily LivingAdolescentAdultChildClinical Trials as TopicDisease ProgressionEndpoint DeterminationFemaleFriedreich AtaxiaHumansMaleMiddle AgedSensitivity and SpecificityTreatment Outcome

Identifiers

PMID17056635
PMCPMC2077798
OpenAlexW1966495550

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.