Evidence map›Paper›PMID 38632158›Full record

ReviewTherapeutic innovation & regulatory science2024

Pathway for Development and Validation of Multi-domain Endpoints for Amyloid Light Chain (AL) Amyloidosis.

James Signorovitch, Jialu Zhang, David Brown, Preston Dunnmon, Liang Xiu, Nicolae Done, Kristen Hsu, Yolanda Barbachano, Isabelle Lousada

Abstract readReview
In one paragraph

Review in Therapeutic innovation & regulatory science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

James SignorovitchAnalysis Group, Boston, USA.
Jialu ZhangUS Food and Drug Administration, Silver Spring, USA.
David BrownUK Medicines & Healthcare Products Regulatory Agency, London, UK.
Preston DunnmonJanssen Research & Development, Raritan, USA.
Liang XiuJanssen Research & Development, Raritan, USA.
Nicolae DoneAnalysis Group, Boston, USA.
Kristen HsuAmyloidosis Research Consortium, 320 Nevada Street, Suite 210, Newton, MA, 02460, USA.
Yolanda BarbachanoUK Medicines & Healthcare Products Regulatory Agency, London, UK.
Isabelle LousadaAmyloidosis Research Consortium, 320 Nevada Street, Suite 210, Newton, MA, 02460, USA. ILousada@arci.org.

Funding

Advancing Drug Development in AL Amyloidosis: Capitalizing Natural History and Assessing EndpointsR13AG071150 · NIA · AMYLOIDOSIS RESEARCH CONSORTIUM, INC. · PI LOUSADA, ISABELLE R. · 2021 to 2021
$24k
NIA NIH HHS R13 AG071150
6 · The paper itself

Abstract

Immunoglobin light chain (AL) amyloidosis is a rare disease in which a plasma cell dyscrasia leads to deposition of insoluble amyloid fibrils in multiple organs. To facilitate development of new therapies for this heterogenous disease, a public-private partnership was formed between the nonprofit Amyloidosis Research Consortium and the US Food and Drug Administration Center for Drug Evaluation and Research. In 2020, the Amyloidosis Forum launched an initiative to identify clinical trial endpoints and analytic strategies across affected organ systems and life impacts via specialized working groups. This review summarizes the proceedings of the Statistical Group and proposes a pathway for development and validation of multi-domain endpoints (MDEs) for potential use in AL amyloidosis clinical trials. Specifically, drawing on candidate domain-specific endpoints recommended by each organ-specific working group, different approaches to constructing MDEs were considered. Future studies were identified to assess the validity, meaningfulness and performance of MDEs through use of natural history and clinical trial data. Ultimately, for drug development, the context of use in a regulatory evaluation, the specific patient population, and the investigational therapeutic mechanism should drive selection of appropriate endpoints. MDEs for AL amyloidosis, once developed and validated, will provide important options for advancing patient-focused drug development in this multi-system disease.

Indexed as

Clinical Trials as TopicImmunoglobulin Light-chain AmyloidosisDrug DevelopmentEndpoint DeterminationHumansUnited StatesAL amyloidosisClinical trialMulti-domain endpointsPublic–private partnershipRare diseasesStatistical validation

Identifiers

PMID38632158
PMCPMC11169055

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.