Evidence map›Paper›PMID 34019331›Full record

ReviewAnnals of clinical and translational neurology2021

Spinocerebellar ataxia clinical trials: opportunities and challenges.

Sarah M Brooker, Chandrakanth Reddy Edamakanti, Sara M Akasha, Sheng-Han Kuo, Puneet Opal

Open access · goldAbstract readReview
In one paragraph

Review in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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  20. The use of digital tools in rare neurological diseases towards a new care model: a narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    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

5 authors at 2 institutions in 1 country.

Sarah M BrookerDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-5674-3124
Chandrakanth Reddy EdamakantiDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-6652-4606
Sara M AkashaDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Sheng-Han KuoDepartment of Neurology, Columbia University, New York, New York, USA.
Puneet OpalDepartment of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-9110-2202
Northwestern University · USColumbia University · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Understanding the Cellular Basis of Movement DisordersR01NS082351 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Puneet Opal · 2013 to 2026
$6.2M
Supplementary funding for U01NS104326 Clinical Trial Readiness for SCA1 and SCA3 (“READISCA”)U01NS104326 · NINDS · METHODIST HOSPITAL RESEARCH INSTITUTE · PI ASHIZAWA, TETSUO, OZ, GULIN · 2018 to 2022
$6.1M
Targeting Cerebellar Excitatory Synapses for Tremor ProgressionR01NS118179 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2020 to 2024
$2.2M
Cellular pathways underlying polyglutamine degenerationR01NS062051 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI OPAL, PUNEET · 2010 to 2014
$1.7M
Understanding pathophysiological mechanisms underlying neurodegenerationR56NS108639 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI OPAL, PUNEET · 2019 to 2019
$510k
Dietary Contribution in Cerebellar AtaxiaR03NS114871 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2019 to 2020
$162k
The 2nd International Tremor Congress, "ITC2020: From Bench to Bedside Towards Tremor Therapy Development"R13NS117005 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2020 to 2020
$15k
Biohaven Pharmaceuticals U01NS104326NCATS NIH HHS UL1 TR001422NIH HHS 1R01NS062051NIH HHS 1R01NS082351NIH HHS 1R01NS104434NIH HHS 1R01NS118179NIH HHS 1R03NS114871NIH HHS 1R13NS117005NIH HHS R56NS108639NINDS NIH HHS R01 NS062051NINDS NIH HHS R01 NS082351NINDS NIH HHS R01 NS118179NINDS NIH HHS R03 NS114871NINDS NIH HHS R13 NS117005NINDS NIH HHS R56 NS108639NINDS NIH HHS U01 NS104326
6 · The paper itself

Abstract

The spinocerebellar ataxias (SCAs) are a group of dominantly inherited diseases that share the defining feature of progressive cerebellar ataxia. The disease process, however, is not confined to the cerebellum; other areas of the brain, in particular, the brainstem, are also affected, resulting in a high burden of morbidity and mortality. Currently, there are no disease-modifying treatments for the SCAs, but preclinical research has led to the development of therapeutic agents ripe for testing in patients. Unfortunately, due to the rarity of these diseases and their slow and variable progression, there are substantial hurdles to overcome in conducting clinical trials. While the epidemiological features of the SCAs are immutable, the feasibility of conducting clinical trials is being addressed through a combination of strategies. These include improvements in clinical outcome measures, the identification of imaging and fluid biomarkers, and innovations in clinical trial design. In this review, we highlight current challenges in initiating clinical trials for the SCAs and also discuss pathways for researchers and clinicians to mitigate these challenges and harness opportunities for clinical trial development.

Indexed as

BiomarkersClinical Trials as TopicHumansNeuroimagingPrevalenceSpinocerebellar AtaxiasBiomarkers

Identifiers

PMID34019331
PMCPMC8283160
OpenAlexW3161588108

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.