Evidence map›Paper›PMID 35694931›Full record

ArticleJournal of neuromuscular diseases2022

INCEPTUS Natural History, Run-in Study for Gene Replacement Clinical Trial in X-Linked Myotubular Myopathy.

James J Dowling, Wolfgang Müller-Felber, Barbara K Smith, Carsten G Bönnemann, Nancy L Kuntz, Francesco Muntoni, Laurent Servais, Lindsay N Alfano, Alan H Beggs, Deborah A Bilder and 26 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of neuromuscular diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.5field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
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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

36 authors at 16 institutions in 6 countries.

James J DowlingHospital for Sick Children, Toronto, Canada.
Wolfgang Müller-FelberDr. v. Haunersches Kinderspital, Klinikum der Universität München, Munich, Germany.
Barbara K SmithUniversity of Florida, Gainesville, FL, USA.
Carsten G BönnemannNational Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD, USA.
Nancy L KuntzAnn & Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Francesco MuntoniNational Institute for Health Research (NIHR) Great Ormond Street (GOS) Hospital Biomedical Research Centre, University College London Institute of Child Health, London, UK.
Laurent ServaisI-Motion, Hôpital Armand Trousseau, Paris, France.
Lindsay N AlfanoNationwide Children's Hospital, Columbus, OH, USA.
Alan H BeggsBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Deborah A BilderUniversity of Utah, Salt Lake City, UT, USA.
Astrid BlaschekDr. v. Haunersches Kinderspital, Klinikum der Universität München, Munich, Germany.
Tina DuongStanford University, Palo Alto, CA, USA.
Robert J GrahamBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Minal JainNIH Hatfield Clinical Research Center, Bethesda, MD, USA.
Michael W LawlorMedical College of Wisconsin, Milwaukee, WI, USA.
Jun LeeFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Julie CoatsAstellas Gene Therapies (formerly Audentes Therapeutics), San Francisco, CA, USA.
Charlotte LilienI-Motion, Hôpital Armand Trousseau, Paris, France.
Linda P LowesNationwide Children's Hospital, Columbus, OH, USA.
Victoria MacBeanBrunel University London, London, UK and King's College 32 London, London, UK.
Sarah NeuhausNational Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD, USA.
Mojtaba NoursalehiFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Teresa PittsUniversity of Louisville, Louisville, KY, USA.
Caroline FinlayFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Sarah ChristensenFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Gerrard RaffertyKing's College London, London, UK.
Andreea M SeferianI-Motion, Hôpital Armand Trousseau, Paris, France.
Etsuko TsuchiyaHospital for Sick Children, Toronto, Canada.
Emma S JamesFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Weston MillerAstellas Gene Therapies (formerly Audentes Therapeutics), San Francisco, CA, USA.
Bryan SepulvedaFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Maria Candida VilaFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Suyash PrasadFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Salvador RicoFormerly of Astellas Gene Therapies (formerly Audentes Therapeutics) San Francisco, CA, USA.
Perry B ShiehUniversity of California, Los Angeles, CA, USA.
INCEPTUS investigators
University of Louisville · USBoston Children's Hospital · USNationwide Children's Hospital · USHospital for Sick Children · CAKing's College London · GBLurie Children's Hospital · USMedical College of Wisconsin · USUniversity of California, Los Angeles · USUniversity of Florida · USVital Therapies (United States) · USMünchen Klinik · DENational Institute of Neurological Disorders and Stroke · USPalo Alto University · USSorbonne Université · FRUniversity of Liège · BEUniversity of Utah · US

Funding

Molecular and Clinical Manifestations of Matrix and Aggregate MyopathiesZIANS003129 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI BÖNNEMANN, CARSTEN · 2011 to 2025
$52.8M
Studies Of Hereditary Neurological Disease: Disease Gene IdentificationZIANS002974 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI FISCHBECK, KENNETH · 2009 to 2023
$9.8M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
NICHD NIH HHS P50 HD105351
6 · The paper itself

Abstract

backgroundX-linked myotubular myopathy (XLMTM) is a life-threatening congenital myopathy that, in most cases, is characterized by profound muscle weakness, respiratory failure, need for mechanical ventilation and gastrostomy feeding, and early death.

objectiveWe aimed to characterize the neuromuscular, respiratory, and extramuscular burden of XLMTM in a prospective, longitudinal study.

methodsThirty-four participants < 4 years old with XLMTM and receiving ventilator support enrolled in INCEPTUS, a prospective, multicenter, non-interventional study. Disease-related adverse events, respiratory and motor function, feeding, secretions, and quality of life were assessed.

resultsDuring median (range) follow-up of 13.0 (0.5, 32.9) months, there were 3 deaths (aspiration pneumonia; cardiopulmonary failure; hepatic hemorrhage with peliosis) and 61 serious disease-related events in 20 (59%) participants, mostly respiratory (52 events, 18 participants). Most participants (80%) required permanent invasive ventilation (>16 hours/day); 20% required non-invasive support (6-16 hours/day). Median age at tracheostomy was 3.5 months (95% CI: 2.5, 9.0). Thirty-three participants (97%) required gastrostomy. Thirty-one (91%) participants had histories of hepatic disease and/or prospectively experienced related adverse events or laboratory or imaging abnormalities. CHOP INTEND scores ranged from 19-52 (mean: 35.1). Seven participants (21%) could sit unsupported for≥30 seconds (one later lost this ability); none could pull to stand or walk with or without support. These parameters remained static over time across the INCEPTUS cohort.

conclusionsINCEPTUS confirmed high medical impact, static respiratory, motor and feeding difficulties, and early death in boys with XLMTM. Hepatobiliary disease was identified as an under-recognized comorbidity. There are currently no approved disease-modifying treatments.

Indexed as

Myopathies, Structural, CongenitalQuality of LifeChild, PreschoolGenetic TherapyHumansLongitudinal StudiesMaleProspective Studiescentronuclear myopathymechanicalmotor disordersneuromuscular diseasesrespiratory failureventilatorsX-linked myotubular myopathy

Identifiers

PMID35694931
PMCPMC9398079
OpenAlexW4281748979

What OpenQuestion holds

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LicenceCC BY-NC
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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.