Evidence map›Paper›PMID 28450193›Full record

Trial reportContemporary clinical trials2017

Developing standardized corticosteroid treatment for Duchenne muscular dystrophy.

Michela Guglieri, Kate Bushby, Michael P McDermott, Kimberly A Hart, Rabi Tawil, William B Martens, Barbara E Herr, Elaine McColl, Jennifer Wilkinson, Janbernd Kirschner and 37 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Relationships betweenNeurology · 2019
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  16. Therapeutic opportunities and clinical outcome measures in Duchenne muscular dystrophy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  17. Review
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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

47 authors at 20 institutions in 5 countries.

Michela GuglieriJohn Walton Muscular Dystrophy Research Centre, Newcastle University, United Kingdom. Electronic address: michela.guglieri@ncl.ac.uk.
Kate BushbyJohn Walton Muscular Dystrophy Research Centre, Newcastle University, United Kingdom.
Michael P McDermottUniversity of Rochester Medical Center, United States.
Kimberly A HartUniversity of Rochester Medical Center, United States.
Rabi TawilUniversity of Rochester Medical Center, United States.
William B MartensUniversity of Rochester Medical Center, United States.
Barbara E HerrUniversity of Rochester Medical Center, United States.
Elaine McCollNewcastle University, United Kingdom.
Jennifer WilkinsonNewcastle University, United Kingdom.
Janbernd KirschnerUniversity Medical Center, Freiburg, Germany.
Wendy M KingUniversity of Rochester Medical Center, United States.
Michele EagleJohn Walton Muscular Dystrophy Research Centre, Newcastle University, United Kingdom.
Mary W BrownUniversity of Rochester Medical Center, United States.
Tracey WillisThe Robert Jones and Agnes Hunt Orthopaedic Hospital, NHS Foundation Trust, Oswestry, United Kingdom.
Deborah HirtzNational Institutes of Health, United States.
Perry B ShiehUCLA, United States.
Volker StraubJohn Walton Muscular Dystrophy Research Centre, Newcastle University, United Kingdom.
Anne-Marie ChildsLeeds Teaching Hospitals, United Kingdom.
Emma CiafaloniUniversity of Rochester Medical Center, United States.
Russell J ButterfieldUniversity of Utah, United States.
Iain HorrocksGreater Glasgow and Clyde NHS Yorkhill Hospital, United Kingdom.
Stefan SpintyAlder Hey Children's Hospital, United Kingdom.
Kevin M FlaniganNationwide Children's Hospital, United States.
Nancy L KuntzAnn and Robert H. Lurie Children's Hospital, United States.
Giovanni BaranelloNeurological Institute "Carlo Besta", Germany.
Helen RoperBirmingham Heartlands Hospital, United Kingdom.
Leslie MorrisonUniversity of Mexico, Mexico.
Jean K MahUniversity of Calgary, Canada.
Adnan Y ManzurGOSH, UCL, United Kingdom.
Craig M McDonaldUC Davis Medical Center, United States.
Ulrike ScharaUniversity of Essen, Germany.
Maja von der HagenChildren's Hospital, Technical University Dresden, Germany.
Richard J BarohnUniversity of Kansas Medical Center, United States.
Craig CampbellChildren's Hospital London Health Sciences Centre, Canada.
Basil T DarrasBoston Children's Hospital, United States.
Richard S FinkelNemours Children's Hospital, United States.
Giuseppe VitaUniversity of Messina AOU Policlinico Gaetano Martino, Italy.
Imelda HughesRoyal Manchester Children's Hospital, United Kingdom.
Tiziana MonginiUniversity of Torino, Italy.
Elena PegoraroUniversity of Padova, Italy.
Matthew WicklundPenn State College of Medicine, United States.
Ekkehard WilichowskiChildren's University Hospital, Göttingen, Germany.
W Bryan BurnetteVanderbilt Children's Hospital, United States.
James F HowardUniversity of North Carolina School of Medicine, United States.
Hugh J McMillanChildren's Hospital of Eastern Ontario, Canada.
Mathula ThangarajhChildren's National Medical Center, Washington, United States.
Robert C GriggsUniversity of Rochester Medical Center, United States.
University of Rochester Medical Center · USMuscular Dystrophy UK · GBNewcastle University · GBRobert Jones and Agnes Hunt Orthopaedic Hospital · GBBoston Children's Hospital · USChildren's Hospital of Eastern Ontario · CAChildren's National · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITGoshen College · USHeartlands Hospital · GBLeeds Teaching Hospitals NHS Trust · GBLondon Health Sciences Centre · CALurie Children's Hospital · USNational Institutes of Health · USNationwide Children's Hospital · USNemours Children's Health System · USNHS Greater Glasgow and Clyde · GBPennsylvania State University · USRoyal Manchester Children's Hospital · GBTechnische Universität Dresden · DE

Funding

FOR-DMD:Double-blind randomized trial to optimize steroid regimen in Duchenne MDU01NS061799 · NINDS · UNIVERSITY OF ROCHESTER · PI GRIGGS, ROBERT C, GUGLIERI, MICHELA · 2010 to 2019
$13.7M
Biostatistics and Data Management for a Trial of Corticosteroid Regimens in DMDU01NS061795 · NINDS · UNIVERSITY OF ROCHESTER · PI MCDERMOTT, MICHAEL P, TAWIL, RABI · 2010 to 2019
$3.5M
NINDS NIH HHS U01 NS061795NINDS NIH HHS U01 NS061799
6 · The paper itself

Abstract

Despite corticosteroids being the only treatment documented to improve strength and function in boys with Duchenne muscular dystrophy (DMD) corticosteroid prescription is inconsistent and in some countries, corticosteroids are not prescribed. We are conducting a clinical trial that (1) compares the 3 most frequently prescribed corticosteroid regimes; (2) standardizes treatment of DMD complications; and (3) standardizes prevention of corticosteroid side effects. Investigators at 38 sites in 5 countries plan to recruit 300 boys aged 4-7 who are randomly assigned to one of three regimens: daily prednisone; daily deflazacort; or intermittent prednisone (10days on/10days off). Boys are followed for a minimum of 3years to assess the relative effectiveness and adverse event profiles of the different regimens. The primary outcome is a 3-dimensional variable consisting of log-transformed time to rise from the floor, forced vital capacity, and subject/parent satisfaction with treatment, each averaged over all post-baseline visits. The study protocol includes evidence- and consensus-based treatment of DMD complications and of corticosteroid side effects. This study seeks to establish a standard corticosteroid regimen for DMD. Since all new interventions for DMD are being developed as add-on therapies to corticosteroids, defining the optimum regimen is of importance for all new treatments.

Indexed as

ChildChild, PreschoolDisability EvaluationDouble-Blind MethodDrug Administration ScheduleHeart Function TestsHumansImmunosuppressive AgentsMaleMuscle StrengthMuscular Dystrophy, DuchennePatient SatisfactionPrednisonePregnenedionesRange of Motion, ArticularResearch DesigndeflazacortImmunosuppressive AgentsPrednisonePregnenedionesDeflazacortDuchenne muscular dystrophyPrednisoloneRandomizedStandards of care

Identifiers

PMID28450193
PMCPMC6279424
OpenAlexW2609113197

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.