Evidence map›Paper›PMID 27571420›Full record

Trial reportPediatric pulmonology2017

Treatment effect of idebenone on inspiratory function in patients with Duchenne muscular dystrophy.

Gunnar M Buyse, Thomas Voit, Ulrike Schara, Chiara S M Straathof, Maria Grazia D'Angelo, Günther Bernert, Jean-Marie Cuisset, Richard S Finkel, Nathalie Goemans, Christian Rummey and 6 more

3 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric pulmonology, 2017. 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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT02814019 phase3terminatednot on this map

A Phase III Double-blind, Randomized, Placebo-Controlled Study Assessing the Efficacy, Safety and Tolerability of Idebenone in Patients With Duchenne Muscular Dystrophy Receiving Glucocorticoid Steroids

TypeinterventionalSponsorSanthera PharmaceuticalsRan2016 to 2020Enrolled255ConditionsDuchenne Muscular Dystrophy (DMD)ArmsIdebenone 150 mg film-coated tablets, placebo
NCT03127241 nacompletednot on this map

USEFUL: User-centred Assistive SystEm for Arm Functions in neUromuscuLar Subjects

TypeinterventionalSponsorPolitecnico di MilanoRan2017 to 2019Enrolled38ConditionsMuscular Dystrophies, Muscular Dystrophy, Duchenne, Muscular Dystrophy, Becker, Muscular Dystrophy, Limb-Girdle Type 2ArmsAssistive device (Armon Ayura) test, Assistive device (Jaeco Wrex) test
NCT03603288 phase3terminatednot on this mapstarted 2018, after this paper: background citation

A Phase III Open-Label Extension Study to Assess the Long-Term Safety and Efficacy of Idebenone in Patients With Duchenne Muscular Dystrophy (DMD) Who Completed the SIDEROS Study

TypeinterventionalSponsorSanthera PharmaceuticalsRan2018 to 2020Enrolled161ConditionsDuchenne Muscular DystrophyArmsidebenone 150 mg film-coated tablets
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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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

16 authors at 11 institutions in 6 countries.

Gunnar M BuyseUniversity Hospitals Leuven, Leuven, Belgium.
Thomas VoitInstitut de Myologie, UPMC INSERM UMR 974, CNRS FRE 3617, Groupe Hospitalier de la Pitié Salpêtrière, Paris, France.
Ulrike ScharaUniversitätsklinikum, Essen, Germany.
Chiara S M StraathofLUMC, Leiden, the Netherlands.
Maria Grazia D'AngeloIRCCS Eugenio Medea, Lecco, Italy.
Günther BernertG.v. Preyer'sches Kinderspital, Wien, Austria.
Jean-Marie CuissetCHRU de Lille, Lille, France.
Richard S FinkelNemours Children's Hospital, Orlando, Florida.
Nathalie GoemansUniversity Hospitals Leuven, Leuven, Belgium.
Christian Rummey4Pharma, Liestal, Switzerland.
Mika Leinonen4Pharma, Liestal, Switzerland.
Oscar H MayerDivision of Pulmonology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Paolo SpagnoloSanthera Pharmaceuticals, Liestal, Switzerland.
Thomas MeierSanthera Pharmaceuticals, Liestal, Switzerland.
Craig M McDonaldUniversity of California Davis Medical Center, Sacramento, California.
DELOS Study GroupUniversity Hospitals Leuven, Leuven, Belgium.
Santhera Pharmaceuticals (Switzerland) · CHTheological Seminary Bienenberg · CHCentre Hospitalier Universitaire de Lille · FRCentre National de la Recherche Scientifique · FRChildren's Hospital of Philadelphia · USEssen University Hospital · DEIRCCS Eugenio Medea · ITLoyola University Medical Center · USNemours Children's Clinic · USSt Anna Children's Hospital · ATUniversity of California Davis Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Assessment of dynamic inspiratory function may provide valuable information about the degree and progression of pulmonary involvement in patients with Duchenne muscular dystrophy (DMD). The aims of this study were to characterize inspiratory function and to assess the efficacy of idebenone on this pulmonary function outcome in a large and well-characterized cohort of 10-18 year-old DMD patients not taking glucocorticoid steroids (GCs) enrolled in the phase 3 randomized controlled DELOS trial. We evaluated the effect of idebenone on the highest flow generated during an inspiratory FVC maneuver (maximum inspiratory flow; V'I,max(FVC)) and the ratio between the largest inspiratory flow during tidal breathing (tidal inspiratory flow; V'I,max(t)) and the V'I,max(FVC). The fraction of the maximum flow that is not used during tidal breathing has been termed inspiratory flow reserve (IFR). DMD patients in both treatment groups of DELOS (idebenone, n = 31; placebo: n = 33) had comparable and abnormally low V'I,max(FVC) at baseline. During the study period, V'I,max(FVC) further declined by -0.29 L/sec in patients on placebo (95%CI: -0.51, -0.08; P = 0.008 at week 52), whereas it remained stable in patients on idebenone (change from baseline to week 52: 0.01 L/sec; 95%CI: -0.22, 0.24; P = 0.950). The between-group difference favoring idebenone was 0.27 L/sec (P = 0.043) at week 26 and 0.30 L/sec (P = 0.061) at week 52. In addition, during the study period, IFR improved by 2.8% in patients receiving idebenone and worsened by -3.0% among patients on placebo (between-group difference 5.8% at week 52; P = 0.040). Although the clinical interpretation of these data is currently limited due to the scarcity of routine clinical practice experience with dynamic inspiratory function outcomes in DMD, these findings from a randomized controlled study nevertheless suggest that idebenone preserved inspiratory muscle function as assessed by V'I,max(FVC) and IFR in patients with DMD. Pediatr Pulmonol. 2017;52:508-515. © 2016 The Authors. Pediatric Pulmonology Published by Wiley Periodicals, Inc.

Indexed as

AdolescentAntioxidantsChildFemaleHumansInspiratory Reserve VolumeMaleMuscular Dystrophy, DuchenneRespirationRespiratory Function TestsTreatment OutcomeUbiquinoneAntioxidantsidebenoneUbiquinoneDuchenne muscular dystrophyidebenoneinspiratory flowrespiratory function

Identifiers

PMID27571420
PMCPMC5396356
OpenAlexW2516630104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.