Evidence map›Paper›PMID 23897869›Full record

Trial reportNeurology2013

Neurologic features of Hutchinson-Gilford progeria syndrome after lonafarnib treatment.

Nicole J Ullrich, Mark W Kieran, David T Miller, Leslie B Gordon, Yoon-Jae Cho, V Michelle Silvera, Anita Giobbie-Hurder, Donna Neuberg, Monica E Kleinman

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00425607 (An Open Label Dose Adjusted Phase II Trial of the Oral Farnesyltransferase Inhibitor), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT00425607 phase2completednot on this map

An Open Label Dose Adjusted Phase II Trial of the Oral Farnesyltransferase Inhibitor (FTI) Lonafarnib (SCH66336) for Patients With Hutchinson-Gilford Progeria Syndrome (HGPS) and Progeroid Laminopathies

TypeinterventionalSponsorMonica E. KleinmanRan2007 to 2009Enrolled29ConditionsProgeria, Hutchinson-Gilford SyndromeArmsLonafarnib
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Article
  3. Indirect bypass for revascularization in Hutchinson-Gilford progeria syndrome: an illustrative case.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Review
  4. Article
  5. Use of Farnesyl Transferase Inhibitors in an Ageing Model inJournal of developmental biology · 2023
    Article
  6. Article
  7. Progeria-a Rare Genetic Condition with Accelerated Ageing Process.Applied biochemistry and biotechnology · 2023
    Review
  8. Editorial: Pathogen-host interaction in the development of viral hepatitis.Frontiers in cellular and infection microbiology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Preclinical Advances of Therapies for Laminopathies.Journal of clinical medicine · 2021
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Nicole J UllrichDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. nicole.ullrich@childrens.harvard.edu
Mark W Kieran
David T Miller
Leslie B Gordon
Yoon-Jae Cho
V Michelle Silvera
Anita Giobbie-Hurder
Donna Neuberg
Monica E Kleinman
Hasbro Children's Hospital · USBrown University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
WIRELESS CAPSULE ENDOSCOPY TO EVALUATE THE SMALL INTESTINE M01RR002172 · NCRR · CHILDREN'S HOSPITAL BOSTON · PI MANDELL, JAMES WILLIAM · 1985 to 2008
$16.0M
NCRR NIH HHS M01RR02172NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1RR025758-01NICHD NIH HHS P30 HD018655
6 · The paper itself

Abstract

objectivesThe objective of this study was to retrospectively evaluate neurologic status pre- and posttreatment with the oral farnesyltransferase inhibitor lonafarnib in children with Hutchinson-Gilford progeria syndrome (HGPS), a rare, fatal disorder of segmental premature aging that results in early death by myocardial infarction or stroke.

methodsThe primary outcome measure for intervention with lonafarnib was to assess increase over pretherapy in estimated annual rate of weight gain. In this study, neurologic signs and symptoms were compared pre- and posttreatment with lonafarnib.

resultsTwenty-six participants were treated for a minimum of 2 years. Frequency of clinical strokes, headaches, and seizures was reduced from pretrial rates. Three patients with a history of frequent TIAs and average clinical stroke frequency of 1.75/year during the year before treatment experienced no new events during treatment. One patient with a history of stroke died due to large-vessel hemispheric stroke after 5 months on treatment. Headache prevalence and frequency were reduced. Four patients exhibited pretherapy seizures and no patients experienced recurrent or new-onset seizures.

conclusionsThis study provides preliminary evidence that lonafarnib therapy may improve neurologic status of children with HGPS. To address this question, we have incorporated prospective neuroimaging and neurologic assessments as measures in subsequent studies involving children with HGPS. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that lonafarnib 115-150 mg/m(2) for 24 to 29 months reduces the prevalence of stroke and TIA and the prevalence and frequency of headache over the treatment period.

Indexed as

AdolescentChildChild, PreschoolDibenzocycloheptenesFemaleHumansMaleNervous System DiseasesPiperidinesProgeriaPyridinesRetrospective StudiesTreatment OutcomeDibenzocyclohepteneslonafarnibPiperidinesPyridines

Identifiers

PMID23897869
PMCPMC3776537
OpenAlexW1968920418

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.