Evidence map›Paper›PMID 36793492›Full record

ArticleFrontiers in neurology2023

Givinostat for Becker muscular dystrophy: A randomized, placebo-controlled, double-blind study.

Giacomo P Comi, Erik H Niks, Krista Vandenborne, Claudia M Cinnante, Hermien E Kan, Rebecca J Willcocks, Daniele Velardo, Francesca Magri, Michela Ripolone, Jules J van Benthem and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% 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, 19 citations in OpenAlex.

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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

15 authors at 6 institutions in 3 countries.

Giacomo P ComiNeuromuscular and Rare Diseases Unit, Department of Neuroscience, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Erik H NiksDepartment of Neurology, Leiden University Medical Center, Leiden, Netherlands.
Krista VandenborneImagingDMD, University of Florida, Gainesville, FL, United States.
Claudia M CinnanteRadiology Department, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
Hermien E KanDuchenne Center Netherlands, Netherlands.
Rebecca J WillcocksImagingDMD, University of Florida, Gainesville, FL, United States.
Daniele VelardoNeuromuscular and Rare Diseases Unit, Department of Neuroscience, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca MagriNeurology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Michela RipoloneNeuromuscular and Rare Diseases Unit, Department of Neuroscience, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Jules J van BenthemDepartment of Orthopedics, Rehabilitation and Physiotherapy, Leiden University Medical Center, Leiden, Netherlands.
Nienke M van de VeldeDepartment of Neurology, Leiden University Medical Center, Leiden, Netherlands.
Simone NavaRadiology Department, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
Laura AmbrosoliOPIS srl, Milan, Italy.
Sara CazzanigaItalfarmaco SpA, Milan, Italy.
Paolo U BetticaItalfarmaco SpA, Milan, Italy.
Leiden University Medical Center · NLFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITItalfarmaco (Italy) · ITUniversity of Florida · USUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: No treatments are approved for Becker muscular dystrophy (BMD). This study investigated the efficacy and safety of givinostat, a histone deacetylase pan-inhibitor, in adults with BMD. Methods: Males aged 18-65 years with a diagnosis of BMD confirmed by genetic testing were randomized 2:1 to 12 months treatment with givinostat or placebo. The primary objective was to demonstrate statistical superiority of givinostat over placebo for mean change from baseline in total fibrosis after 12 months. Secondary efficacy endpoints included other histological parameters, magnetic resonance imaging and spectroscopy (MRI and MRS) measures, and functional evaluations. Results: Of 51 patients enrolled, 44 completed treatment. At baseline, there was greater disease involvement in the placebo group than givinostat, based on total fibrosis (mean 30.8 vs. 22.8%) and functional endpoints. Mean total fibrosis did not change from baseline in either group, and the two groups did not differ at Month 12 (least squares mean [LSM] difference 1.04%; Conclusion: The study failed to achieve the primary endpoint. However, there was a potential signal from the MRI assessments suggesting givinostat could prevent (or slow down) BMD disease progression.

Indexed as

Becker muscular dystrophydisease progressionfibrosismagnetic resonance imaging (MRI)therapy

Identifiers

PMID36793492
PMCPMC9923355
OpenAlexW4318475147

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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.