Evidence map›Paper›PMID 37366158›Full record

ReviewEMBO molecular medicine2023

Targeting shared molecular etiologies to accelerate drug development for rare diseases.

Galliano Zanello, Macarena Garrido-Estepa, Ana Crespo, Daniel O'Connor, Rima Nabbout, Christina Waters, Anthony Hall, Maurizio Taglialatela, Chun-Hung Chan, David A Pearce and 2 more

Abstract readReview
In one paragraph

Review in EMBO molecular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Review
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  8. Review
  9. Review
  10. Characterizing circulating biomarkers for childhood dementia disorders: A scoping review of clinical trials.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  11. Aligning Orphanet Classification to Identify Disease Characteristics among Rare Disease Clusters.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2024
    Article
  12. Developing AAV-delivered nonsense suppressor tRNAs for neurological disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  13. Article
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  15. 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

12 authors.

Galliano Zanello *Institut National de la Santé et de la Recherche Médicale, Paris, France.ORCID 0000-0001-8512-4384
Macarena Garrido-Estepa *Instituto de Salud Carlos III (ISCIII), Madrid, Spain.ORCID 0000-0002-4064-3823
Ana CrespoSanofi, Specialty Care, Milan, Italy.ORCID 0009-0001-3477-144X
Daniel O'ConnorMedicines and Healthcare Products Regulatory Agency (MHRA), London, UK.
Rima NabboutDepartment of Pediatric Neurology, Reference Center for Rare Epilepsies, Hôpital Necker-Enfants Malades, Institut Imagine, INSERM U1163, Université Paris Cité, Paris, France.
Christina WatersRARE Science, Inc, Encinitas, CA, USA.
Anthony HallHealx Ltd., Cambridge, UK.
Maurizio TaglialatelaDepartment of Neuroscience, University of Naples Federico II, Naples, Italy.ORCID 0000-0002-8202-0560
Chun-Hung ChanSanford Research, Sioux Falls, SD, USA.
David A PearceSanford Research, Sioux Falls, SD, USA.
Marc DoomsHospital Pharmacy, University Hospitals Leuven, Leuven, Belgium.
Philip John BrooksNational Center for Advancing Translational Sciences, National Institutes of Health, Bethesda, MD, USA.ORCID 0000-0002-0567-6566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rare diseases affect over 400 million people worldwide and less than 5% of rare diseases have an approved treatment. Fortunately, the number of underlying disease etiologies is far less than the number of diseases, because many rare diseases share a common molecular etiology. Moreover, many of these shared molecular etiologies are therapeutically actionable. Grouping rare disease patients for clinical trials based on the underlying molecular etiology, rather than the traditional, symptom-based definition of disease, has the potential to greatly increase the number of patients gaining access to clinical trials. Basket clinical trials based on a shared molecular drug target have become common in the field of oncology and have been accepted by regulatory agencies as a basis for drug approvals. Implementation of basket clinical trials in the field of rare diseases is seen by multiple stakeholders-patients, researchers, clinicians, industry, regulators, and funders-as a solution to accelerate the identification of new therapies and address patient's unmet needs.

Indexed as

Drug ApprovalRare DiseasesHumansbasket clinical trialsIRDiRCrare diseasesshared molecular etiologiestherapeutic development

Identifiers

PMID37366158
PMCPMC10331571

What OpenQuestion holds

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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.