Evidence map›Paper›PMID 36911945›Full record

ArticleJournal of neuromuscular diseases2023

The Dilemma of Choice for Duchenne Patients Eligible for Exon 51 Skipping The European Experience.

Annemieke Aartsma-Rus, Liesbeth De Waele, Saskia Houwen-Opstal, Janbernd Kirschner, Yvonne D Krom, Eugenio Mercuri, Erik H Niks, Volker Straub, Hermine A van Duyvenvoorde, Elizabeth Vroom

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Article in Journal of neuromuscular diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

10 authors.

Annemieke Aartsma-RusLeiden University Medical Center, Leiden, the Netherlands.
Liesbeth De WaeleDepartment of Paediatrics, University Hospitals Leuven, Leuven, Belgium.
Saskia Houwen-OpstalDuchenne Center Netherlands, the Netherlands.
Janbernd KirschnerDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Yvonne D KromLeiden University Medical Center, Leiden, the Netherlands.
Eugenio MercuriDepartment of Pediatric Neurology, Catholic University, Rome, Italy.
Erik H NiksLeiden University Medical Center, Leiden, the Netherlands.
Volker StraubJohn Walton Muscular Dystrophy Research Center, Newcastle University, Newcastle upon Tyne, United Kingdom.
Hermine A van DuyvenvoordeLeiden University Medical Center, Leiden, the Netherlands.
Elizabeth VroomDuchenne Center Netherlands, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antisense oligonucleotide (ASO) mediated exon skipping aims to reframe dystrophin transcripts for patients with Duchenne muscular dystrophy (DMD). Currently 4 ASOs have been approved by the Food and Drug Administration targeting exon 45, 51 and 53 based on low level dystrophin restoration. Additional studies to confirm functional effects are ongoing. Furthermore, efforts are ongoing to increase muscle specific delivery of ASOs. Consequently, there are 5 clinical trials ongoing or planned for exon 51 skipping ASOs in Europe. While exon 51 skipping applies to the largest group of patients, DMD expert centers do not have sufficient numbers of patients or capacity to run all these trials in parallel. Even at a national level numbers may be too scarce. At the same time, some families now face the choice between participation in different clinical trials of exon 51 skipping, sometimes in addition to the choice of participating in a micro-dystrophin gene therapy trial. In this opinion paper, we outline the challenges, compare the different exon 51 skipping trials, and outline how different European centers and countries try to cope with running multiple trials in parallel for a small group of eligible patients.

Indexed as

DystrophinMuscular Dystrophy, DuchenneExonsHumansOligonucleotidesOligonucleotides, AntisenseDystrophinOligonucleotidesOligonucleotides, Antisenseantisense oligonucleotideclinical trialDuchenne muscular dystrophydystrophinexon 51 skipping

Identifiers

PMID36911945
PMCPMC10200189

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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.