Evidence map›Paper›PMID 26896819›Full record

ArticleJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2016

Palovarotene Inhibits Heterotopic Ossification and Maintains Limb Mobility and Growth in Mice With the Human ACVR1(R206H) Fibrodysplasia Ossificans Progressiva (FOP) Mutation.

Salin A Chakkalakal, Kenta Uchibe, Michael R Convente, Deyu Zhang, Aris N Economides, Frederick S Kaplan, Maurizio Pacifici, Masahiro Iwamoto, Eileen M Shore

Open access · bronzeAbstract read
In one paragraph

Article in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 1 pooled it
19.2field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 1 synthesis or guideline pooled it, 175 citations in OpenAlex.

  1. Pooled it
  2. Palovarotene for Fibrodysplasia Ossificans Progressiva (FOP): Results of a Randomized, Placebo-Controlled, Double-Blind Phase 2 Trial.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
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  13. Retinoid-impregnated nanoparticles enable control of bone growth by site-specific modulation of endochondral ossification in mice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
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47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Salin A ChakkalakalDepartment of Orthopedic Surgery, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Kenta UchibeThe Children's Hospital of Philadelphia, Division of Orthopedic Surgery, Philadelphia, PA, USA.
Michael R ConventeDepartment of Orthopedic Surgery, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Deyu ZhangDepartment of Orthopedic Surgery, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Aris N EconomidesRegeneron Pharmaceuticals, Tarrytown, NY, USA.
Frederick S KaplanDepartment of Orthopedic Surgery, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Maurizio PacificiThe Children's Hospital of Philadelphia, Division of Orthopedic Surgery, Philadelphia, PA, USA.
Masahiro IwamotoThe Children's Hospital of Philadelphia, Division of Orthopedic Surgery, Philadelphia, PA, USA.
Eileen M ShoreDepartment of Orthopedic Surgery, Perelman School of Medicine, the University of Pennsylvania, Philadelphia, PA, USA.
Philadelphia College of Osteopathic Medicine · USChildren's Hospital of Philadelphia · USRegeneron (United States) · USUniversity of Pennsylvania · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
The Cellular and Molecular Basis of FOP LesionsR01AR041916 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI KAPLAN, FREDERICK SAMUEL, SHORE, EILEEN M · 1994 to 2014
$3.8M
Regulation of Skeletal Growth by Nuclear Retinoid ReceptorsR01AR056837 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI IWAMOTO, MASAHIRO, PACIFICI, MAURIZIO · 2009 to 2020
$3.4M
NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R01 AR041916NIAMS NIH HHS R01 AR056837
6 · The paper itself

Abstract

Fibrodysplasia ossificans progressiva (FOP), a rare and as yet untreatable genetic disorder of progressive extraskeletal ossification, is the most disabling form of heterotopic ossification (HO) in humans and causes skeletal deformities, movement impairment, and premature death. Most FOP patients carry an activating mutation in a bone morphogenetic protein (BMP) type I receptor gene, ACVR1(R206H) , that promotes ectopic chondrogenesis and osteogenesis and, in turn, HO. We showed previously that the retinoic acid receptor γ (RARγ) agonist palovarotene effectively inhibited HO in injury-induced and genetic mouse models of the disease. Here we report that the drug additionally prevents spontaneous HO, using a novel conditional-on knock-in mouse line carrying the human ACVR1(R206H) mutation for classic FOP. In addition, palovarotene restored long bone growth, maintained growth plate function, and protected growing mutant neonates when given to lactating mothers. Importantly, palovarotene maintained joint, limb, and body motion, providing clear evidence for its encompassing therapeutic potential as a treatment for FOP. © 2016 American Society for Bone and Mineral Research.

Indexed as

Activin Receptors, Type IAnimalsBone and BonesCell ProliferationChondrocytesDisease Models, AnimalDisease ProgressionExtremitiesGrowth PlateHomeostasisHumansMice, TransgenicMovementMutationMyositis OssificansOssification, HeterotopicActivin Receptors, Type IPalovarotenePyrazolesStilbenesACVR1FIBRODYSPLASIA OSSIFICANS PROGRESSIVA (FOP)HETEROTOPIC OSSIFICATIONPALOVAROTENERETINOIC ACID RECEPTOR (RAR)

Identifiers

PMID26896819
PMCPMC4992469
OpenAlexW2278281289

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.