Evidence map›Paper›PMID 36382221›Full record

ArticleBrain communications2022

Population-based assessment of nusinersen efficacy in children with spinal muscular atrophy: a 3-year follow-up study.

Féline E V Scheijmans, Inge Cuppen, Ruben P A van Eijk, Camiel A Wijngaarde, Marja A G C Schoenmakers, Danny R van der Woude, Bart Bartels, Esther S Veldhoen, Irene L B Oude Lansink, Ewout J N Groen and 3 more

Abstract read
In one paragraph

Article in Brain communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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.

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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Patient-specific responses toMolecular therapy. Methods & clinical development · 2024
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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

13 authors.

Féline E V ScheijmansDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-1526-045X
Inge CuppenDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Ruben P A van EijkDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Camiel A WijngaardeDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-3661-0962
Marja A G C SchoenmakersChild Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Danny R van der WoudeChild Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Bart BartelsChild Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Esther S VeldhoenPediatric Intensive Care Unit, Wilhelmina Children's Hospital, 3584 EA, Utrecht, The Netherlands.
Irene L B Oude LansinkDepartment of Rehabilitation, Physical Therapy Science and Sports, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Ewout J N GroenDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-2330-9444
Fay-Lynn AsselmanDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.
Renske I WadmanDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-0339-5506
W Ludo van der PolDepartment of Neurology, UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 CX, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nusinersen (Spinraza®) improves survival of infants with hereditary proximal spinal muscular atrophy and motor function in children up to 12 years. Population-based assessments of treatment efficacy are limited and confined to select cohorts of patients. We performed a nationwide, population-based, single-centre cohort study in children with spinal muscular atrophy younger than 9.5 years at start of treatment in line with reimbursement criteria in the Netherlands. We assessed age-relevant motor function scores, the need for tube feeding, hours of ventilatory support and documented adverse events. We used linear mixed modelling to assess treatment effects. We compared motor function during treatment with natural history data and to individual trajectories of muscle strength and motor function before the start of treatment. We included 71 out of 72 Dutch children who were treated (median age 54 months; range 0-117) and followed them for a median of 38 months (range 5-52). We observed improvement of motor function in 72% and stabilization in another 18% of the symptomatic children, which differed from the natural disease course in a matched cohort of which we had previously collected natural history data. Longitudinal analysis showed that motor function improved up to a median of 24 months (range 12-30) of treatment after which it stabilized. Shorter disease duration at start of treatment resulted in better treatment efficacy (

Indexed as

childrenmotor functionnusinersenspinal muscular atrophytreatment

Identifiers

PMID36382221
PMCPMC9651026

What OpenQuestion holds

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Registered trials

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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.