Evidence map›Paper›PMID 27055247›Full record

ArticlePloS one2016

Safety, Tolerability, and Pharmacokinetics of SMT C1100, a 2-Arylbenzoxazole Utrophin Modulator, following Single- and Multiple-Dose Administration to Pediatric Patients with Duchenne Muscular Dystrophy.

Valeria Ricotti, Stefan Spinty, Helen Roper, Imelda Hughes, Bina Tejura, Neil Robinson, Gary Layton, Kay Davies, Francesco Muntoni, Jonathon Tinsley

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02383511 (A Phase 1b Placebo-controlled, Multi-centre, Randomized, Double-blind Dose Escalation Study to Evaluate the Pharmacokinetics), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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.

NCT02383511 phase1completednot on this map

A Phase 1b Placebo-controlled, Multi-centre, Randomized, Double-blind Dose Escalation Study to Evaluate the Pharmacokinetics (PK) and Safety of SMT C1100 in Patients With Duchenne Muscular Dystrophy (DMD) Who Follow a Balanced Diet

TypeinterventionalSponsorSummit TherapeuticsRan2015 to 2015Enrolled12ConditionsMuscular Dystrophy, DuchenneArmsSMT C1100
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Current Pharmacological Strategies for Duchenne Muscular Dystrophy.Frontiers in cell and developmental biology · 2021
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. [A review of gene therapy for Duchenne muscular dystrophy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  11. Current and Emerging Therapies for Duchenne Muscular Dystrophy.Current treatment options in neurology · 2018
    Review
  12. Molecular Therapies for Muscular Dystrophies.Current treatment options in neurology · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. Treating pediatric neuromuscular disorders: The future is now.American journal of medical genetics. Part A · 2018
    Review
  17. Review
  18. Review
  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

10 authors.

Valeria RicottiDubowitz Neuromuscular Centre, UCL Institute of Child Health, London, United Kingdom.
Stefan SpintyAlder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Helen RoperBirmingham Heartlands Hospital, Heart of England NHS Foundation Trust, Birmingham, United Kingdom.
Imelda HughesRoyal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, United Kingdom.
Bina TejuraSummit Therapeutics, Abingdon, United Kingdom.
Neil RobinsonS.H.B. Enterprises Limited, Beaconsfield, United Kingdom.
Gary LaytonParamStat Limited, Ash, United Kingdom.
Kay DaviesMRC Functional Genomics Unit, Department of Physiology Anatomy and Genetics, University of Oxford, United Kingdom.
Francesco MuntoniDubowitz Neuromuscular Centre, UCL Institute of Child Health, London, United Kingdom.
Jonathon TinsleySummit Therapeutics, Abingdon, United Kingdom.

Funding

Medical Research Council G0801763Medical Research Council MC_UU_12021/2Medical Research Council MR/N010698/1
6 · The paper itself

Abstract

purposeSMT C1100 is a utrophin modulator being evaluated as a treatment for Duchenne muscular dystrophy (DMD). This study, the first in pediatric DMD patients, reports the safety, tolerability and PK parameters of single and multiple doses of SMT C1100, as well as analyze potential biomarkers of muscle damage.

methodsThis multicenter, Phase 1 study enrolled 12 patients, divided equally into three groups (A-C). Group A were given 50 mg/kg on Days 1 and 11, and 50 mg/kg bid on Days 2 to 10. Group B and C received 100 mg/kg on Days 1 and 11; Group B and Group C were given 100 mg/kg bid and 100 mg/kg tid, respectively, on Days 2 to 10. A safety review was performed on all patients following the single dose and there was at least 2 weeks between each dose escalation, for safety and PK review. Adverse events (AEs) were monitored throughout the study.

resultsMost patients experienced mild AEs and there were no serious AEs. Two patients required analgesia for pain (headache, ear pain and toothache). One patient experienced moderate psychiatric AEs (abnormal behaviour and mood swings). Plasma concentrations of SMT C1100 at Days 1 and 11 indicated a high degree of patient variability regardless of dose. Unexpectedly the SMT C1100 levels were significantly lower than similar doses administered to healthy volunteers in an earlier clinical study. In general, individual baseline changes of creatine phosphokinase, alanine aminotransferase, aspartate aminotransferase levels fell with SMT C1100 dosing.

conclusionsSMT C1100 was well tolerated in pediatric DMD patients.

trial registrationClinicalTrials.gov NCT02383511.

Indexed as

BenzoxazolesChildChild, PreschoolHumansMaleMuscular Dystrophy, DuchenneUtrophinBenzoxazolesSMT C1100UTRN protein, humanUtrophin

Identifiers

PMID27055247
PMCPMC4824384

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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.