Evidence map›Paper›PMID 25042182›Full record

Trial reportMuscle & nerve2014

Ataluren treatment of patients with nonsense mutation dystrophinopathy.

Katharine Bushby, Richard Finkel, Brenda Wong, Richard Barohn, Craig Campbell, Giacomo P Comi, Anne M Connolly, John W Day, Kevin M Flanigan, Nathalie Goemans and 25 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Muscle & nerve, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333590 (Phase I/IIa Gene Transfer Clinical Trial for Duchenne Muscular Dystrophy Using rAAVrh74.MCK.GALGT2), which is not on this map. Cited by 206 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
206citing papers in PubMed, 5 pooled it
20.2field-weighted citation impact, top 1% 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.

NCT03333590 phase1 / phase2completednot on this mapstarted 2017, after this paper: background citation

Phase I/IIa Gene Transfer Clinical Trial for Duchenne Muscular Dystrophy Using rAAVrh74.MCK.GALGT2

TypeinterventionalSponsorKevin FlaniganRan2017 to 2023Enrolled2ConditionsDuchenne Muscular DystrophyArmsrAAVrh74.MCK.GALGT2
3 · Its place in the literature

Who cites it

206 citing papers in PubMed, 5 syntheses or guidelines pooled it, 426 citations in OpenAlex.

  1. Pooled it
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  12. Early phase 2 trial of TAS-205 in patients with Duchenne muscular dystrophy.Annals of clinical and translational neurology · 2020
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146 more citing papers are in PubMed but not listed here.

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

35 authors at 20 institutions in 7 countries.

Katharine BushbyInstitute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
Richard Finkel
Brenda Wong
Richard Barohn
Craig Campbell
Giacomo P Comi
Anne M Connolly
John W Day
Kevin M Flanigan
Nathalie Goemans
Kristi J Jones
Eugenio Mercuri
Ros Quinlivan
James B Renfroe
Barry Russman
Monique M Ryan
Mar Tulinius
Thomas Voit
Steven A Moore
H Lee Sweeney
Richard T Abresch
Kim L Coleman
Michelle Eagle
Julaine Florence
Eduard Gappmaier
Allan M Glanzman
Erik Henricson
Jay Barth
Gary L Elfring
Allen Reha
Robert J Spiegel
Michael W O'donnell
Stuart W Peltz
Craig M Mcdonald
PTC124-GD-007-DMD STUDY GROUP
PTC Therapeutics (United States) · USChildren's Hospital of Philadelphia · USUC Davis Children's Hospital · USWashington University in St. Louis · USCalifornia University of Pennsylvania · USCentre National de la Recherche Scientifique · FRCincinnati Children's Hospital Medical Center · USNationwide Children's Hospital · USNewcastle University · GBNorthwest Florida Hematology Oncology · USOrthocare Innovations (United States) · USRoyal Children's Hospital · AUShriners Hospitals for Children - Portland · USThe Stables · GBThe University of Sydney · AUUniversità Cattolica del Sacro Cuore · ITUniversity of Gothenburg · SEUniversity of Iowa · USUniversity of Kansas Medical Center · USUniversity of Milan · IT

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Therapeutic Potential of ESC-Derived Myogenic PrecursorsU54NS053672 · NINDS · UNIVERSITY OF IOWA · PI CAMPBELL, KEVIN P. · 2005 to 2019
$22.0M
Muscular Dystrophy Specialized Research Center: Project 2P50NS053672 · NINDS · UNIVERSITY OF IOWA · PI KEVIN P. CAMPBELL · 2020 to 2026
$11.9M
EXPERIMENTAL THERAPEUTICS IN NEUROLOGICAL DISEASET32NS007338 · NINDS · UNIVERSITY OF ROCHESTER · PI ROBERT G. HOLLOWAY, Michael P McDermott · 1990 to 2026
$6.4M
Medical Research Council MR/K000608/1NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1-RR-024134NINDS NIH HHS P50 NS053672NINDS NIH HHS U54 NS053672
6 · The paper itself

Abstract

introductionDystrophinopathy is a rare, severe muscle disorder, and nonsense mutations are found in 13% of cases. Ataluren was developed to enable ribosomal readthrough of premature stop codons in nonsense mutation (nm) genetic disorders.

methodsRandomized, double-blind, placebo-controlled study; males ≥ 5 years with nm-dystrophinopathy received study drug orally 3 times daily, ataluren 10, 10, 20 mg/kg (N=57); ataluren 20, 20, 40 mg/kg (N=60); or placebo (N=57) for 48 weeks. The primary endpoint was change in 6-Minute Walk Distance (6MWD) at Week 48.

resultsAtaluren was generally well tolerated. The primary endpoint favored ataluren 10, 10, 20 mg/kg versus placebo; the week 48 6MWD Δ=31.3 meters, post hoc P=0.056. Secondary endpoints (timed function tests) showed meaningful differences between ataluren 10, 10, 20 mg/kg, and placebo.

conclusionsAs the first investigational new drug targeting the underlying cause of nm-dystrophinopathy, ataluren offers promise as a treatment for this orphan genetic disorder with high unmet medical need.

Indexed as

AdolescentChildChild, PreschoolCodon, NonsenseDose-Response Relationship, DrugDouble-Blind MethodDystrophinHumansInternational CooperationMaleMuscular Dystrophy, DuchenneOutcome Assessment, Health CareOxadiazolesProspective StudiesTime FactorsWalkingatalurenCodon, NonsenseDystrophinOxadiazolesDuchenne muscular dystrophygeneticnonsense mutationorphanpediatric

Identifiers

PMID25042182
PMCPMC4241581
OpenAlexW1508659364

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.