Evidence map›Paper›PMID 38384337›Full record

ArticleEClinicalMedicine2024

Effects of tofersen treatment in patients with

Maximilian Wiesenfarth, Johannes Dorst, David Brenner, Zeynep Elmas, Özlem Parlak, Zeljko Uzelac, Katharina Kandler, Kristina Mayer, Ulrike Weiland, Christine Herrmann and 35 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
34.7field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Safety profile of tofersen in amyotrophic lateral sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Tofersen for SOD1 amyotrophic lateral sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Tofersen Treatment inMayo Clinic proceedings. Innovations, quality & outcomes · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Allele-specific antisense oligonucleotide treatment rescuesbioRxiv : the preprint server for biology · 2026
    Article
  15. Longitudinal CSF and Serum Biomarker Dynamics in Tofersen-TreatedInternational journal of molecular sciences · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

45 authors at 12 institutions in 1 country.

Maximilian WiesenfarthDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Johannes DorstDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
David BrennerDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Zeynep ElmasDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Özlem ParlakDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Zeljko UzelacDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Katharina KandlerDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Kristina MayerDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Ulrike WeilandDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Christine HerrmannDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Joachim SchusterDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Axel FreischmidtDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Kathrin MüllerDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Reiner SiebertInstitute of Human Genetics, Ulm University and Ulm University Medical Center, 89081, Ulm, Germany.
Franziska BachhuberDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Tatiana SimakDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Kornelia GüntherDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Elke FröhlichDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Antje KnehrDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Martin RegensburgerDepartment of Molecular Neurology, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Alexander GermanDepartment of Molecular Neurology, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Susanne PetriDepartment of Neurology, Hannover Medical School, 30625, Hannover, Germany.
Julian GrosskreutzPrecision Neurology of Neuromuscular and Motoneuron Diseases, University of Lübeck, 23538, Lübeck, Germany.
Thomas KlopstockDepartment of Neurology with Friedrich-Baur-Institute, LMU University Hospital, LMU Munich, 80336, München, Germany.
Peter ReilichDepartment of Neurology with Friedrich-Baur-Institute, LMU University Hospital, LMU Munich, 80336, München, Germany.
Florian SchöberlDepartment of Neurology with Friedrich-Baur-Institute, LMU University Hospital, LMU Munich, 80336, München, Germany.
Tim HagenackerDepartment of Neurology and Center for Translational Neuro and Behavioral Sciences (C-TNBS), University Hospital Essen, 45127, Essen, Germany.
Ute WeyenDepartment of Neurology, Ruhr-University Bochum, BG-Kliniken Bergmannsheil, 44789, Bochum, Germany.
René GüntherDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany.
Maximilian VidovicDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, 01307, Dresden, Germany.
Martin JentschDepartment of Neurology, Helios Klinikum Krefeld, 47805, Krefeld, Germany.
Thomas HaarmeierDepartment of Neurology, Helios Klinikum Krefeld, 47805, Krefeld, Germany.
Patrick WeydtDepartment for Neurodegenerative Disorders and Gerontopsychiatry, Bonn University, 53127, Bonn, Germany.
Ivan ValkadinovDivision for Neurodegenerative Diseases, Neurology Department, Mannheim Center for Translational Medicine, University Medicine Mannheim, Heidelberg University, 68167, Mannheim, Germany.
Jasper Hesebeck-BrinckmannDivision for Neurodegenerative Diseases, Neurology Department, Mannheim Center for Translational Medicine, University Medicine Mannheim, Heidelberg University, 68167, Mannheim, Germany.
Julian ConradDivision for Neurodegenerative Diseases, Neurology Department, Mannheim Center for Translational Medicine, University Medicine Mannheim, Heidelberg University, 68167, Mannheim, Germany.
Jochen Hans WeishauptDivision for Neurodegenerative Diseases, Neurology Department, Mannheim Center for Translational Medicine, University Medicine Mannheim, Heidelberg University, 68167, Mannheim, Germany.
Peggy SchumannAmbulanzpartner Soziotechnologie GmbH, 13353, Berlin, Germany.
Peter KörtvélyessyDepartment of Neurology, Center for ALS and Other Motor Neuron Disorders, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353, Berlin, Germany.
Thomas MeyerDepartment of Neurology, Center for ALS and Other Motor Neuron Disorders, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353, Berlin, Germany.
Wolfgang Philipp RufDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Simon WitzelDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Makbule SenelDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Hayrettin TumaniDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Albert Christian LudolphDepartment of Neurology, Ulm University, 89081, Ulm, Germany.
Universität Ulm · DEHeidelberg University · DEGerman Center for Neurodegenerative Diseases · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHelios Klinikum Krefeld · DELudwig-Maximilians-Universität München · DEBG University Hospital Bergmannsheil Bochum · DECharité - Universitätsmedizin Berlin · DEMedizinische Hochschule Hannover · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Bonn · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In April 2023, the antisense oligonucleotide tofersen was approved by the U.S. Food and Drug Administration (FDA) for treatment of Methods: Between 03/2022 and 04/2023, 24 patients with Findings: During the observation period, median ALSFRS-R decreased from 38.0 (IQR 32.0-42.0) to 35.0 (IQR 29.0-42.0), corresponding to a median progression rate of 0.11 (IQR -0.09 to 0.32) points of ALSFRS-R lost per month. Median serum NfL declined from 78.0 pg/ml (IQR 37.0-147.0 pg/ml; Interpretation: Consistent with the VALOR study and its Open Label Extension (OLE), our results confirm a reduction of NfL serum levels, and moreover show a reduction of pNfH in CSF. The therapy was safe, as no persistent symptoms were observed. Pleocytosis and Ig synthesis in CSF with clinical symptoms related to myeloradiculitis in two patients, indicate the potential of an autoimmune reaction. Funding: No funding was received towards this study.

Indexed as

Amyotrophic lateral sclerosisAntisense oligonucleotideEarly access programSOD1Tofersen

Identifiers

PMID38384337
PMCPMC10878861
OpenAlexW4391870746

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.