Evidence map›Paper›PMID 34796974›Full record

Observational studyJournal of inherited metabolic disease2022

Sensorimotor outcomes in adrenomyeloneuropathy show significant disease progression.

Jennifer L Keller, Ani Eloyan, Gerald V Raymond, Ali Fatemi, Kathleen M Zackowski

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of inherited metabolic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Rigorous genetic diagnosis review in natural history studies.Orphanet journal of rare diseases · 2026
    Article
  3. Clinically Relevant Outcome Measures in Women With Adrenoleukodystrophy.Annals of clinical and translational neurology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
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 4 institutions in 1 country.

Jennifer L KellerKennedy Krieger Institute, Baltimore, Maryland, USA.
Ani EloyanDepartment of Biostatistics, School of Public Health, Brown University, Providence, Rhode Island, USA.
Gerald V RaymondKennedy Krieger Institute, Baltimore, Maryland, USA.
Ali FatemiKennedy Krieger Institute, Baltimore, Maryland, USA.
Kathleen M ZackowskiKennedy Krieger Institute, Baltimore, Maryland, USA.
Kennedy Krieger Institute · USBrown University · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Adeline Lucie Vanderver · 2019 to 2026
$14.3M
Sleep and Circadian Dysfunction, Brain and Neurobehavioral Development in AutismP50HD103538 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI S. Ali Fatemi, Bradley L Schlaggar · 2020 to 2026
$9.9M
Multicenter Therapeutic Trials of X-Linked ALDR01HD039276 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI RAYMOND, GERALD V. · 2002 to 2009
$7.7M
THERAPEUTIC TRIALS OF X-LINKED ALD: PHASE III; LORENZO*R01FD003030 · FDA · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI RAYMOND, GERALD V. · 2006 to 2008
$1.0M
FDA HHS R01 FD003030NICHD NIH HHS P50 HD103538NICHD NIH HHS R01 HD039276NINDS NIH HHS U54 NS115052
6 · The paper itself

Abstract

Current outcomes used to evaluate adrenomyeloneuropathy are limited by rater bias, not sensitive to preclinical changes, and require years to decades to detect disease progression. Quantitative outcomes are needed that detect meaningful change in a short time period over a broad range of disability. The study aim was to track sensorimotor outcomes in adults with adrenomyeloneuropathy and evaluate differences in progression between men and women. This prospective observational cohort study analyzes data collected annually in the Phase III study of adults with adrenomyeloneuropathy. Outcomes include postural sway in four static standing conditions, great-toe vibration, hip strength, walking velocity, timed up-and-go, and 6-minute walk distance. Linear mixed model analysis was used to detect change in the outcomes in 2 years, correcting for age, sex, disability, symptom duration, and treatment across the cohort. Modeling was repeated for each sex to evaluate differences. Power computations were carried out by sex and for the full dataset. Sixty-one men and 87 women participated. Average age, 46 ± 12 years; Expanded Disability Status Scale, 3 (1-6.5); symptom duration, 10.8 ± 9.4 years. The cohort showed significant worsening in all standing conditions (P < .001), sensation (P = .0223) and strength (P = .001); but more stability in walking with only velocity (P < .0337) significantly declining. For each sex, postural sway declines significantly in all conditions (P < .01) except for eyes closed feet together for women. Strength declines significantly by sex for hip flexion (P < .03). Sex-specific significant decline is seen in walking (velocity P = .0276; distance P = .0072) for men only. Quantitative measures of postural sway, sensation strength, and walking are effective measures of adrenomyeloneuropathy progression in 2 years.

Indexed as

AdrenoleukodystrophyMultiple SclerosisAdultDisease ProgressionFemaleHumansMaleMiddle AgedPostural BalanceProspective Studiesbalancebiomarkersdisease progressionleukodystrophymyelopathyperoxisomal disorder

Identifiers

PMID34796974
PMCPMC8987487
OpenAlexW3214562551

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.