Evidence map›Paper›PMID 38713659›Full record

SynthesisPloS one2024

Efficacy and safety of onasemnogene abeparvovec for the treatment of patients with spinal muscular atrophy type 1: A systematic review with meta-analysis.

Brígida Dias Fernandes, Bárbara Corrêa Krug, Fernanda D'Athayde Rodrigues, Hérica Núbia Cardoso Cirilo, Stéfani Sousa Borges, Ida Vanessa D Schwartz, Livia Fernandes Probst, Ivan Zimmermann

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

8 authors.

Brígida Dias FernandesHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.ORCID 0000-0002-0413-8790
Bárbara Corrêa KrugHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.
Fernanda D'Athayde RodriguesHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.
Hérica Núbia Cardoso CiriloHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.ORCID 0000-0001-7307-4594
Stéfani Sousa BorgesHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.
Ida Vanessa D SchwartzGenetics Department, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Livia Fernandes ProbstHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.ORCID 0000-0002-4696-0862
Ivan ZimmermannHospital Alemão Oswaldo Cruz, Unidade de Avaliação de Tecnologias em Saúde, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnasemnogene abeparvovec has been approved for the treatment of spinal muscular atrophy 5q type 1 in several countries, which calls for an independent assessment of the evidence regarding efficacy and safety.

objectiveConduct a meta-analysis to assess the efficacy and safety of onasemnogene abeparvovec in patients diagnosed with SMA type 1, based on the available evidence.

methodsThis article results from searches conducted on databases up to November 2022. Outcomes of interest were global survival and event-free survival, improvement in motor function and treatment-related adverse events. Risk of bias assessment and certainty of evidence were performed for each outcome. Proportional meta-analysis models were performed when applicable.

resultsFour reports of three open-label, non-comparative clinical trials covering 67 patients were included. Meta-analyses of data available in a 12-month follow-up estimate a global survival of 97.56% (95%CI: 92.55 to 99.86, I2 = 0%, n = 67), an event-free survival of 96.5% (95%CI: 90.76 to 99.54, I2 = 32%, n = 66) and a CHOP-INTEND score ≥ 40 points proportion of 87.28% (95%CI: 69.81 to 97.83, I2 = 69%, n = 67). Proportion of 52.64% (95%CI: 27.11 to 77.45, I2 = 78%, n = 67) of treatment-related adverse events was estimated.

conclusionThe results indicate a potential change in the natural history of type 1 SMA, but the methodological limitations of the studies make the real extent of the technology's long-term benefits uncertain.

Indexed as

Recombinant Fusion ProteinsSpinal Muscular Atrophies of ChildhoodBiological ProductsHumansTreatment OutcomeBiological ProductsRecombinant Fusion ProteinsZolgensma

Identifiers

PMID38713659
PMCPMC11075831

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.