Evidence map›Paper›PMID 37771170›Full record

ArticleDevelopmental medicine and child neurology2024

CDKL5 deficiency disorder and other infantile-onset genetic epilepsies.

Carolyn Daniels, Caitlin Greene, Lacey Smith, Elia Pestana-Knight, Scott Demarest, Bo Zhang, Timothy A Benke, Annapurna Poduri, Heather E Olson, CDKL5 Study Group

Open access · bronzeAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Clinical trials for Lennox-Gastaut syndrome: Challenges and priorities.Annals of clinical and translational neurology · 2024
    Review
  7. Article
  8. CDKL5 Deficiency Disorder: Some Lessons Learned 20 Years After the First Description.American journal on intellectual and developmental disabilities · 2024
    Article
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 at 4 institutions in 1 country.

Carolyn Daniels *Department of Neurology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-0602-5749
Caitlin Greene *Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Lacey SmithDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Elia Pestana-KnightEpilepsy Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Scott DemarestChildren's Hospital Colorado, Aurora, CO, USA.
Bo ZhangDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Timothy A BenkeChildren's Hospital Colorado, Aurora, CO, USA.ORCID 0000-0002-6969-5061
Annapurna Poduri *Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
Heather E Olson *Department of Neurology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-5385-0119
CDKL5 Study Group
Boston Children's Hospital · USChildren's Hospital Colorado · USCleveland Clinic · USPublic Knowledge · US

Funding

Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
Multi-Site Validation of Biomarkers and Core Clinical Outcome Measures for Clinical Trials Readiness in CDKL5 Deficiency DisorderU01NS114312 · NINDS · UNIVERSITY OF COLORADO DENVER · PI BENKE, TIMOTHY A, DOWNS, JENNY · 2021 to 2025
$4.7M
Translational Post-doctoral Training in NeurodevelopmentT32MH112510 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI DAVID C GLAHN, CHARLES Alexander NELSON · 2017 to 2026
$2.6M
Diagnosis and Genotype-Phenotype Correlations in Early Life Epilepsy and CDKL5 DisorderK23NS107646 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI OLSON, HEATHER ELISA · 2018 to 2023
$1.2M
NICHD NIH HHS P50 HD105351NIMH NIH HHS T32 MH112510NINDS NIH HHS K23 NS107646NINDS NIH HHS K23 NS107646-05NINDS NIH HHS U01 NS114312
6 · The paper itself

Abstract

aimTo differentiate phenotypic features of individuals with CDKL5 deficiency disorder (CDD) from those of individuals with other infantile-onset epilepsies.

methodWe performed a retrospective cohort study and ascertained individuals with CDD and comparison individuals with infantile-onset epilepsy who had epilepsy gene panel testing. We reviewed records, updated variant classifications, and compared phenotypic features. Wilcoxon rank-sum tests and χ

resultsWe identified 137 individuals with CDD (110 females, 80.3%; median age at last follow-up 3 year 11 months) and 313 individuals with infantile-onset epilepsies (156 females, 49.8%; median age at last follow-up 5 years 2 months; 35% with genetic diagnosis). Features reported significantly more frequently in the CDD group than in the comparison cohort included developmental and epileptic encephalopathy (81% vs 66%), treatment-resistant epilepsy (95% vs 71%), sequential seizures (46% vs 6%), epileptic spasms (66% vs 42%, with hypsarrhythmia in 30% vs 48%), regression (52% vs 29%), evolution to Lennox-Gastaut syndrome (23% vs 5%), diffuse hypotonia (72% vs 36%), stereotypies (69% vs 11%), paroxysmal movement disorders (29% vs 17%), cerebral visual impairment (94% vs 28%), and failure to thrive (38% vs 22%).

interpretationCDD, compared with other suspected or confirmed genetic epilepsies presenting in the first year of life, is more often characterized by a combination of treatment-resistant epilepsy, developmental and epileptic encephalopathy, sequential seizures, spasms without hypsarrhythmia, diffuse hypotonia, paroxysmal movement disorders, cerebral visual impairment, and failure to thrive. Defining core phenotypic characteristics will improve precision diagnosis and treatment.

Indexed as

Brain DiseasesEpilepsyEpileptic SyndromesMovement DisordersSpasms, InfantileStatus EpilepticusElectroencephalographyFailure to ThriveFemaleHumansMaleMuscle HypotoniaProtein Serine-Threonine KinasesRetrospective StudiesSeizuresSpasmCDKL5 protein, humanProtein Serine-Threonine Kinases

Identifiers

PMID37771170
PMCPMC10922313
OpenAlexW4387157796

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.