Evidence map›Paper›PMID 31211167›Full record

ArticleAnnals of clinical and translational neurology2019

Natural history of limb girdle muscular dystrophy R9 over 6 years: searching for trial endpoints.

Alexander P Murphy, Jasper Morrow, Julia R Dahlqvist, Tanya Stojkovic, Tracey A Willis, Christopher D J Sinclair, Stephen Wastling, Tarek Yousry, Michael S Hanna, Meredith K James and 9 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05989620 (Long-Term Development of Muscular Dystrophy Outcome Assessments), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT05989620 recruitingnot on this mapstarted 2023, after this paper: background citation

Long-Term Development of Muscular Dystrophy Outcome Assessments (GRASP-01-005)

TypeobservationalSponsorVirginia Commonwealth UniversityRan2023 to 2029Enrolled1,000ConditionsLGMD1B, LGMD1C, LGMD1D, LGMD1E
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Predicting Loss of Ambulation in Limb Girdle Muscular Dystrophy R9.Annals of clinical and translational neurology · 2026
    Observational
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  4. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Alexander P MurphyThe John Walton Muscular Dystrophy Research Centre Institute of Genetic Medicine Newcastle University Newcastle Hospitals NHS Foundation Trust Central Parkway Newcastle Upon Tyne United Kingdom NE1 4EP.ORCID https://orcid.org/0000-0003-4244-0541
Jasper MorrowDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.
Julia R DahlqvistDepartment of Neurology Copenhagen Neuromuscular Center Rigshospitalet University of Copenhagen Blegdamsvej 9 2100 Copenhagen Denmark.ORCID https://orcid.org/0000-0002-3149-1661
Tanya StojkovicInstitute of Myology AP6HP, G-H Pitié-Salpêtrière 47-83 boulevard de l'hôpital 75651 Paris Cedex 13 France.
Tracey A WillisThe Robert Jones and Agnes Hunt Orthopaedic Hospital Oswestry Shropshire United Kingdom.
Christopher D J SinclairDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.
Stephen WastlingDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.
Tarek YousryDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.ORCID https://orcid.org/0000-0003-3295-0628
Michael S HannaDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.ORCID https://orcid.org/0000-0003-0825-4075
Meredith K JamesThe John Walton Muscular Dystrophy Research Centre Institute of Genetic Medicine Newcastle University Newcastle Hospitals NHS Foundation Trust Central Parkway Newcastle Upon Tyne United Kingdom NE1 4EP.
Anna MayhewThe John Walton Muscular Dystrophy Research Centre Institute of Genetic Medicine Newcastle University Newcastle Hospitals NHS Foundation Trust Central Parkway Newcastle Upon Tyne United Kingdom NE1 4EP.ORCID https://orcid.org/0000-0001-7085-9011
Michelle EagleThe John Walton Muscular Dystrophy Research Centre Institute of Genetic Medicine Newcastle University Newcastle Hospitals NHS Foundation Trust Central Parkway Newcastle Upon Tyne United Kingdom NE1 4EP.
Laurence E LeeDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.
Jean-Yves HogrelInstitute of Myology Neuromuscular Investigation Center Pitié-Salpêtrière Hospital Paris France.ORCID https://orcid.org/0000-0003-0045-7505
Pierre G CarlierInstitute of Myology Neuromuscular Investigation Center Pitié-Salpêtrière Hospital Paris France.
John S ThorntonDepartment of Molecular Neurosciences MRC Centre for Neuromuscular Diseases UCL Institute of Neurology London United Kingdom.
John VissingDepartment of Neurology Copenhagen Neuromuscular Center Rigshospitalet University of Copenhagen Blegdamsvej 9 2100 Copenhagen Denmark.
Kieren G HollingsworthNewcastle Magnetic Resonance Centre Institute of Cellular Medicine Newcastle University Newcastle upon Tyne United Kingdom.ORCID https://orcid.org/0000-0002-3135-8131
Volker StraubThe John Walton Muscular Dystrophy Research Centre Institute of Genetic Medicine Newcastle University Newcastle Hospitals NHS Foundation Trust Central Parkway Newcastle Upon Tyne United Kingdom NE1 4EP.ORCID https://orcid.org/0000-0001-9046-3540

Funding

Medical Research Council G0601943Medical Research Council G1100160Medical Research Council MR/K000608/1Medical Research Council MR/M009106/1
6 · The paper itself

Abstract

objectiveLimb girdle muscular dystrophy type R9 (LGMD R9) is an autosomal recessive muscle disease for which there is currently no causative treatment. The development of putative therapies requires sensitive outcome measures for clinical trials in this slowly progressing condition. This study extends functional assessments and MRI muscle fat fraction measurements in an LGMD R9 cohort across 6 years.

methodsTwenty-three participants with LGMD R9, previously assessed over a 1-year period, were re-enrolled at 6 years. Standardized functional assessments were performed including: myometry, timed tests, and spirometry testing. Quantitative MRI was used to measure fat fraction in lower limb skeletal muscle groups.

resultsAt 6 years, all 14 muscle groups assessed demonstrated significant increases in fat fraction, compared to eight groups in the 1-year follow-up study. In direct contrast to the 1-year follow-up, the 6-min walk test, 10-m walk or run, timed up and go, stair ascend, stair descend and chair rise demonstrated significant decline. Among the functional tests, only FVC significantly declined over both the 1- and 6-year studies.

interpretationThese results further support fat fraction measurements as a primary outcome measure alongside functional assessments. The most appropriate individual muscles are the vastus lateralis, gracilis, sartorius, and gastrocnemii. Using composite groups of lower leg muscles, thigh muscles, or triceps surae, yielded high standardized response means (SRMs). Over 6 years, quantitative fat fraction assessment demonstrated higher SRM values than seen in functional tests suggesting greater responsiveness to disease progression.

Indexed as

AdultCohort StudiesDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMuscle, SkeletalMuscular Dystrophies, Limb-GirdleOutcome Assessment, Health Care

Identifiers

PMID31211167
PMCPMC6562036

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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.