Evidence map›Paper›PMID 38954034›Full record

ArticleJournal of neurology2024

Nusinersen effectiveness and safety in pediatric patients with 5q-spinal muscular atrophy: a multi-center disease registry in China.

Xiaoli Yao, Jing Peng, Rong Luo, Xiuxia Wang, Xinguo Lu, Liwen Wu, Ruifeng Jin, Jianmin Zhong, Jianmin Liang, Siqi Hong and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. [Clinical analysis of nusinersen for spinal muscular atrophy types 2 and 3 in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    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

21 authors.

Xiaoli YaoDepartment of Neurology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Jing PengDepartment of Pediatrics, Xiangya Hospital Central South University, Changsha, China.
Rong LuoDepartment of Pediatric Neurology, West China Second University Hospital, Sichuan University, Chengdu, China.
Xiuxia WangDepartment of Pediatric Internal Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Xinguo LuDepartment of Neurology, Shenzhen Children's Hospital, Shenzhen, China.
Liwen WuDepartment of Neurology, Hunan Children's Hospital, Changsha, China.
Ruifeng JinDepartment of Neurology, Children's Hospital Affiliated to Shandong University, Jinan, China.
Jianmin ZhongDepartment of Neurology, Jiangxi Provincial Children's Hospital, Nanchang, China.
Jianmin LiangDepartment of Pediatric Neurology, The First Hospital of Jilin University, Changchun, China.
Siqi HongDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Lin YangDepartment of Pediatric Internal Medicine, The Second Affiliated Hospital of Xi'An Jiaotong University, Xi'an, China.
Xiaoli ZhangDepartment of Pediatric Neurology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shanshan MaoDepartment of Neurology, Children's Hospital Zhejiang University School of Medicine, Hangzhou, China.
Jun HuDepartment of Pediatric Internal Medicine, Fujian Medical University Union Hospital, Fuzhou, China.
Zhe TaoDepartment of Neurology, Dalian Women and Children's Medical Group, Dalian, China.
Dan SunDepartment of Pediatric Neurology, Wuhan Children's Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, China.
Hua WangDepartment of Pediatric Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Li ZhangBiogen Biotechnology (Shanghai) Co., Ltd, Shanghai, China.
Yanyan XiaBiogen Biotechnology (Shanghai) Co., Ltd, Shanghai, China.
Ken ChenReal World Solutions, IQVIA Solutions Enterprise Management Consulting (Shanghai) Co., Ltd, Shanghai, China.
Yi WangDepartment of Neurology, Children's Hospital of Fudan University, Shanghai, China. yiwang@shmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness and safety of nusinersen for the treatment of 5q-spinal muscular atrophy (SMA) among Chinese pediatric patients.

methodsUsing a longitudinal, multi-center registry, both prospective and retrospective data were collected from pediatric patients with 5q-SMA receiving nusinersen treatment across 18 centers in China. All patients fulfilling the eligibility criteria were included consecutively. Motor function outcomes were assessed post-treatment by SMA type. Safety profile was evaluated among patients starting nusinersen treatment post-enrollment. Descriptive analyses were used to report baseline characteristics, effectiveness, and safety results.

resultsAs of March 2nd, 2023, 385 patients were included. Most patients demonstrated improvements or stability in motor function across all SMA types. Type II patients demonstrated mean changes [95% confidence interval (CI)] of 4.4 (3.4-5.4) and 4.1 (2.8-5.4) in Hammersmith Functional Motor Scale-Expanded (HFMSE), and 2.4 (1.7-3.1) and 2.3 (1.2-3.4) in Revised Upper Limb Module (RULM) scores at months 6 and 10. Type III patients exhibited mean changes (95% CI) of 3.9 (2.5-5.3) and 4.3 (2.6-6.0) in HFMSE, and 2.1 (1.2-3.0) and 1.5 (0.0-3.0) in RULM scores at months 6 and 10. Of the 132 patients, 62.9% experienced adverse events (AEs). Two patients experienced mild AEs (aseptic meningitis and myalgia) considered to be related to nusinersen by the investigator, with no sequelae.

conclusionsThese data underscore the significance of nusinersen in Chinese pediatric patients with SMA regarding motor function improvement or stability, and support recommendations on nusinersen treatment by Chinese SMA guidelines and continuous coverage of nusinersen by basic medical insurance.

Indexed as

OligonucleotidesRegistriesSpinal Muscular Atrophies of ChildhoodAdolescentChildChild, PreschoolChinaFemaleHumansInfantLongitudinal StudiesMaleProspective StudiesRetrospective StudiesTreatment OutcomenusinersenOligonucleotidesNusinersenPediatricRegistrySpinal muscular atrophy

Identifiers

PMID38954034
PMCPMC11319379

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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.