Evidence map›Paper›PMID 39122967›Full record

ArticleNature medicine2024

Antisense oligonucleotide therapy in an individual with KIF1A-associated neurological disorder.

Alban Ziegler, Joanne Carroll, Jennifer M Bain, Tristan T Sands, Robert J Fee, David Uher, Cara H Kanner, Jacqueline Montes, Sarah Glass, Julie Douville and 4 more

Abstract readCase Reports
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

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  16. From QI-disability to QID-12: creating a brief proxy-report measure of quality of life for children with intellectual disability.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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.

Alban ZieglerDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Joanne CarrollDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Jennifer M BainDepartment of Neurology, Division of Child Neurology, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6642-8902
Tristan T SandsDepartment of Neurology, Division of Child Neurology, Columbia University Irving Medical Center, New York, NY, USA.
Robert J FeeDepartment of Neurology, Division of Child Neurology, Columbia University Irving Medical Center, New York, NY, USA.
David UherDepartment of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Cara H KannerDepartment of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-1414-6890
Jacqueline MontesDepartment of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7357-0819
Sarah Glassn-Lorem Foundation, Carlsbad, CA, USA.
Julie Douvillen-Lorem Foundation, Carlsbad, CA, USA.ORCID http://orcid.org/0000-0001-8783-6676
Laurence Mignonn-Lorem Foundation, Carlsbad, CA, USA.
Joseph G Gleesonn-Lorem Foundation, Carlsbad, CA, USA.ORCID http://orcid.org/0000-0002-0889-9220
Stanley T Crooken-Lorem Foundation, Carlsbad, CA, USA.ORCID http://orcid.org/0000-0002-4260-1520
Wendy K ChungDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA. Wendy.Chung@childrens.harvard.edu.ORCID http://orcid.org/0000-0003-3438-5685

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCOTT Loren POMEROY, MUSTAFA SAHIN · 2021 to 2026
$9.4M
Role of the Kinesin KIF1A in Neurological DiseaseR01NS114636 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHUNG, WENDY K, GENNERICH, ARNE · 2020 to 2024
$3.2M
NCATS NIH HHS UL1 TR001873NICHD NIH HHS P50 HD105351NINDS NIH HHS R01 NS114636U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UL1TR001873U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NINDSR01NS114636
6 · The paper itself

Abstract

KIF1A-associated neurological disorder (KAND) is a neurodegenerative and often lethal ultrarare disease with a wide phenotypic spectrum associated with largely heterozygous de novo missense variants in KIF1A. Antisense oligonucleotide treatments represent a promising approach for personalized treatments in ultrarare diseases. Here we report the case of one patient with a severe form of KAND characterized by refractory spells of behavioral arrest and carrying a p.Pro305Leu variant in KIF1A, who was treated with intrathecal injections of an allele-specific antisense oligonucleotide specifically designed to degrade the mRNA from the pathogenic allele. The first intrathecal administration was complicated by an epidural cerebrospinal fluid collection, which resolved spontaneously. Otherwise, the antisense oligonucleotide was safe and well tolerated over the 9-month treatment. Most outcome measures, including severity of the spells of behavioral arrest, number of falls and quality of life, improved. There was little change in the 6-min Walk Test distance, but qualitative changes in gait resulting in meaningful reductions in falls and increasing independence were observed. Cognitive performance was stable and did not degenerate over time. Our findings provide preliminary insights on the safety and efficacy of an allele-specific antisense oligonucleotide as a possible treatment for KAND.

Indexed as

KinesinsOligonucleotides, AntisenseAllelesFemaleHumansInjections, SpinalMaleNervous System DiseasesKIF1A protein, humanKinesinsOligonucleotides, Antisense

Identifiers

PMID39122967
PMCPMC12010239

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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.