Evidence map›Paper›PMID 38607761›Full record

ArticleJournal of neuromuscular diseases2024

Management of Select Adverse Events Following Delandistrogene Moxeparvovec Gene Therapy for Patients With Duchenne Muscular Dystrophy.

Craig M Zaidman, Natalie L Goedeker, Amal A Aqul, Russell J Butterfield, Anne M Connolly, Ronald G Crystal, Kara E Godwin, Kan N Hor, Katherine D Mathews, Crystal M Proud and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuromuscular diseases, 2024. 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
4.0field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Clinical applications of exon-skipping antisense oligonucleotides in neuromuscular diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  7. Review
  8. 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

14 authors at 10 institutions in 2 countries.

Craig M ZaidmanWashington University School of Medicine and St. Louis Children's Hospital, St Louis, MO, USA.
Natalie L GoedekerWashington University School of Medicine and St. Louis Children's Hospital, St Louis, MO, USA.
Amal A AqulUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Russell J ButterfieldUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Anne M ConnollyCenter for Gene Therapy, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; The Ohio State University, Columbus, OH, USA.
Ronald G CrystalWeill Cornell Medical College, New York, NY, USA.
Kara E GodwinSarepta Therapeutics, Cambridge, MA, USA.
Kan N HorThe Heart Center, Nationwide Children's Hospital, Columbus, OH, USA; The Ohio State University, Columbus, OH, USA.
Katherine D MathewsUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Crystal M ProudChildren's Hospital of the King's Daughters, Norfolk, VA, USA.
Elizabeth Kula SmythSarepta Therapeutics, Cambridge, MA, USA.
Aravindhan VeerapandiyanUniversity of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR, USA.
Paul B WatkinsEshelman School of Pharmacy, University of North Carolina Institute for Drug Safety Sciences, Chapel Hill, NC, USA.
Jerry R MendellCenter for Gene Therapy, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA; The Ohio State University, Columbus, OH, USA.
Nationwide Children's Hospital · USSarepta Therapeutics (United States) · USSt. Louis Children's Hospital · USArkansas Children's Hospital · USChildren's Hospital of The King's Daughters · USCornell University · USSouthwestern Medical CenterUniversity of Iowa · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuchenne muscular dystrophy (DMD) is a rare, degenerative, recessive X-linked neuromuscular disease. Mutations in the gene encoding dystrophin lead to the absence of functional dystrophin protein. Individuals living with DMD exhibit progressive muscle weakness resulting in loss of ambulation and limb function, respiratory insufficiency, and cardiomyopathy, with multiorgan involvement. Adeno-associated virus vector-mediated gene therapy designed to enable production of functional dystrophin protein is a new therapeutic strategy. Delandistrogene moxeparvovec (Sarepta Therapeutics, Cambridge, MA) is indicated for treatment of ambulatory pediatric patients aged 4 through 5 years with DMD who have an indicated mutation in the DMD gene.

objectiveEvidence-based considerations for management of potential adverse events following gene therapy treatment for DMD are lacking in clinical literature. Our goal was to provide interdisciplinary consensus considerations for selected treatment-related adverse events (TRAEs) (vomiting, acute liver injury, myocarditis, and immune-mediated myositis) that may arise following gene therapy dosing with delandistrogene moxeparvovec.

methodsAn interdisciplinary panel of 12 specialists utilized a modified Delphi process to develop consensus considerations for the evaluation and management of TRAEs reported in delandistrogene moxeparvovec clinical studies. Panelists completed 2 Questionnaires prior to gathering for an in-person discussion. Consensus was defined as a majority (≥58% ; 7/12) of panelists either agreeing or disagreeing.

resultsPanelists agreed that the choice of baseline assessments should be informed by individual clinical indications, the treating provider's judgment, and prescribing information. Corticosteroid dosing for treatment of TRAEs should be optimized by considering individual risk versus benefit for each indication. In all cases involving patients with a confirmed TRAE, consultations with appropriate specialists were suggested.

conclusionsThe Delphi Panel established consensus considerations for the evaluation and management of potential TRAEs for patients receiving delandistrogene moxeparvovec, including vomiting, acute liver injury, myocarditis, and immune-mediated myositis.

Indexed as

Biological ProductsGenetic TherapyMuscular Dystrophy, DuchenneRecombinant Fusion ProteinsChild, PreschoolDelphi TechniqueHumansMyocarditisBiological ProductsRecombinant Fusion ProteinsZolgensmaDuchenne muscular dystrophydystrophingene therapyliver injurymyocarditismyositisvomiting

Identifiers

PMID38607761
PMCPMC11091590
OpenAlexW4394748472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.