Evidence map›Paper›PMID 38416311›Full record

ReviewCurrent neurology and neuroscience reports2024

Recent Advances in Clinical Trials in Multiple System Atrophy.

David Bendetowicz, Margherita Fabbri, Federico Sirna, Pierre-Olivier Fernagut, Alexandra Foubert-Samier, Tiphaine Saulnier, Anne Pavy Le Traon, Cécile Proust-Lima, Olivier Rascol, Wassilios G Meissner

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current neurology and neuroscience reports, 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
–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

8 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Review
  7. Neuroprotection in Parkinson Disease.Neurology and therapy · 2025
    Review
  8. 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.

David BendetowiczUniv. Bordeaux, CNRS, IMN, UMR5293, Bordeaux, France. david.bendetowicz@u-bordeaux.fr.
Margherita FabbriMSA French Reference Center, Univ. Hospital Toulouse, Toulouse, France.
Federico SirnaUniv. Bordeaux, INSERM, BPH, U1219, IPSED, Bordeaux, France.
Pierre-Olivier FernagutUniversité de Poitiers, Laboratoire de Neurosciences Expérimentales et Cliniques, INSERM UMR-S 1084, Poitiers, France.
Alexandra Foubert-SamierUniv. Bordeaux, CNRS, IMN, UMR5293, Bordeaux, France.
Tiphaine SaulnierUniv. Bordeaux, INSERM, BPH, U1219, IPSED, Bordeaux, France.
Anne Pavy Le TraonMSA French Reference Center, Univ. Hospital Toulouse, Toulouse, France.
Cécile Proust-LimaUniv. Bordeaux, INSERM, BPH, U1219, IPSED, Bordeaux, France.
Olivier RascolMSA French Reference Center, Univ. Hospital Toulouse, Toulouse, France.
Wassilios G MeissnerUniv. Bordeaux, CNRS, IMN, UMR5293, Bordeaux, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review summarizes previous and ongoing neuroprotection trials in multiple system atrophy (MSA), a rare and fatal neurodegenerative disease characterized by parkinsonism, cerebellar, and autonomic dysfunction. It also describes the preclinical therapeutic pipeline and provides some considerations relevant to successfully conducting clinical trials in MSA, i.e., diagnosis, endpoints, and trial design. RECENT

findingsOver 30 compounds have been tested in clinical trials in MSA. While this illustrates a strong treatment pipeline, only two have reached their primary endpoint. Ongoing clinical trials primarily focus on targeting α-synuclein, the neuropathological hallmark of MSA being α-synuclein-bearing glial cytoplasmic inclusions. The mostly negative trial outcomes highlight the importance of better understanding underlying disease mechanisms and improving preclinical models. Together with efforts to refine clinical measurement tools, innovative statistical methods, and developments in biomarker research, this will enhance the design of future neuroprotection trials in MSA and the likelihood of positive outcomes.

Indexed as

Multiple System AtrophyParkinsonian Disordersalpha-SynucleinBiomarkersCerebellumHumansalpha-SynucleinBiomarkersAlpha-synucleinClinical trialsDisease-modifying therapiesMultiple system atrophy

Identifiers

What OpenQuestion holds

Textmetadata
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.