Evidence map›Paper›PMID 28026041›Full record

ReviewAnnals of neurology2017

Emerging therapies and challenges in spinal muscular atrophy.

Michelle A Farrar, Susanna B Park, Steve Vucic, Kate A Carey, Bradley J Turner, Thomas H Gillingwater, Kathryn J Swoboda, Matthew C Kiernan

Open access · hybridAbstract readReview
In one paragraph

Review in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 3 pooled it
12.5field-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

110 citing papers in PubMed, 3 syntheses or guidelines pooled it, 257 citations in OpenAlex.

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50 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

8 authors at 5 institutions in 3 countries.

Michelle A FarrarDiscipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, The University of New South Wales, Sydney, Australia.
Susanna B ParkBrain & Mind Centre and Sydney Medical School, University of Sydney, Sydney, Australia.
Steve VucicDepartment of Neurology, Westmead Hospital and Western Clinical School, University of Sydney, Sydney, Australia.
Kate A CareyDiscipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, The University of New South Wales, Sydney, Australia.
Bradley J TurnerFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia.
Thomas H GillingwaterEuan MacDonald Centre for Motor Neurone Disease Research, University of Edinburg, Edinburg, United Kingdom.
Kathryn J SwobodaCenter for Human Genetics Research, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Matthew C KiernanBrain & Mind Centre and Sydney Medical School, University of Sydney, Sydney, Australia.
The University of Sydney · AUUNSW Sydney · AUCenter for Systems Biology · USFlorey Institute of Neuroscience and Mental Health · AUMott MacDonald (United Kingdom) · GB

Funding

Newborn screening for identification & prospective followup of infants with SMAR01HD069045 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2011 to 2015
$4.3M
NICHD NIH HHS R01 HD069045
6 · The paper itself

Abstract

Spinal muscular atrophy (SMA) is a hereditary neurodegenerative disease with severity ranging from progressive infantile paralysis and premature death (type I) to limited motor neuron loss and normal life expectancy (type IV). Without disease-modifying therapies, the impact is profound for patients and their families. Improved understanding of the molecular basis of SMA, disease pathogenesis, natural history, and recognition of the impact of standardized care on outcomes has yielded progress toward the development of novel therapeutic strategies and are summarized. Therapeutic strategies in the pipeline are appraised, ranging from SMN1 gene replacement to modulation of SMN2 encoded transcripts, to neuroprotection, to an expanding repertoire of peripheral targets, including muscle. With the advent of preliminary trial data, it can be reasonably anticipated that the SMA treatment landscape will transform significantly. Advancement in presymptomatic diagnosis and screening programs will be critical, with pilot newborn screening studies underway to facilitate preclinical diagnosis. The development of disease-modifying therapies will necessitate monitoring programs to determine the long-term impact, careful evaluation of combined treatments, and further acceleration of improvements in supportive care. In advance of upcoming clinical trial results, we consider the challenges and controversies related to the implementation of novel therapies for all patients and set the scene as the field prepares to enter an era of novel therapies. Ann Neurol 2017;81:355-368.

Indexed as

AnimalsHumansMuscular Atrophy, Spinal

Identifiers

PMID28026041
PMCPMC5396275
OpenAlexW2564421461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.