Evidence map›Paper›PMID 39600251›Full record

ArticleCPT: pharmacometrics & systems pharmacology2025

A computational tool to optimize clinical trial parameter selection in Duchenne muscular dystrophy: A practical guide and case studies.

Jordan Wilk, Varun Aggarwal, Mike Pauley, Diane Corey, Daniela J Conrado, Karthik Lingineni, Juan Francisco Morales, Deok Yong Yoon, Yi Zhang, Zihan Cui and 9 more

Abstract readCase Reports
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Jordan WilkDepartment of Pharmaceutics, Center for Pharmacometrics and Systems Pharmacology, College of Pharmacy, University of Florida, Orlando, Florida, USA.ORCID https://orcid.org/0009-0008-4452-5841
Varun AggarwalCritical Path Institute (C-Path), Tucson, Arizona, USA.ORCID https://orcid.org/0000-0002-8406-0961
Mike PauleyCritical Path Institute (C-Path), Tucson, Arizona, USA.
Diane CoreyCritical Path Institute (C-Path), Tucson, Arizona, USA.
Daniela J Conradoe-Quantify LLC, La Jolla, California, USA.
Karthik LingineniNovartis Pharmaceutical Corporation, Cambridge, Massachusetts, USA.
Juan Francisco MoralesDepartment of Pharmaceutics, Center for Pharmacometrics and Systems Pharmacology, College of Pharmacy, University of Florida, Orlando, Florida, USA.ORCID https://orcid.org/0000-0003-1588-9167
Deok Yong YoonDepartment of Pharmaceutics, Center for Pharmacometrics and Systems Pharmacology, College of Pharmacy, University of Florida, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-5281-8811
Yi ZhangCritical Path Institute (C-Path), Tucson, Arizona, USA.
Zihan CuiCritical Path Institute (C-Path), Tucson, Arizona, USA.
Jackson BurtonBiogen, Cambridge, Massachusetts, USA.ORCID https://orcid.org/0000-0002-0910-2041
Jane LarkindaleCritical Path Institute (C-Path), Tucson, Arizona, USA.ORCID https://orcid.org/0000-0003-1055-9679
Shu Chin MaCritical Path Institute (C-Path), Tucson, Arizona, USA.
Collin HovingaCritical Path Institute (C-Path), Tucson, Arizona, USA.
Terina MartinezCritical Path Institute (C-Path), Tucson, Arizona, USA.ORCID https://orcid.org/0009-0005-3272-8148
Klaus RomeroCritical Path Institute (C-Path), Tucson, Arizona, USA.
Ramona Belfiore-OshanCritical Path Institute (C-Path), Tucson, Arizona, USA.ORCID https://orcid.org/0000-0003-3380-4972
Sarah KimDepartment of Pharmaceutics, Center for Pharmacometrics and Systems Pharmacology, College of Pharmacy, University of Florida, Orlando, Florida, USA.ORCID https://orcid.org/0000-0002-9179-0735
Duchenne Regulatory Science Consortium (D‐RSC) and the CINRG DNHS investigators

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Magnetic Resonance Imaging and Biomarkers for Muscular DystropyR01AR056973 · NIAMS · UNIVERSITY OF FLORIDA · PI VANDENBORNE, KRISTA H · 2010 to 2024
$20.2M
Optimizing Muscular Dystrophy Clinical Trial Designs using Modeling and SimulationR21TR004006 · NCATS · UNIVERSITY OF FLORIDA · PI KIM, SARAH · 2021 to 2022
$414k
FDA HHS U18 FD005320NCATS NIH HHS R21 TR004006NCATS NIH HHS UL1 TR001427NIAMS NIH HHS R01 AR056973
6 · The paper itself

Abstract

Duchenne muscular dystrophy (DMD), a rare pediatric disease, presents numerous challenges when designing clinical trials, mainly due to the scarcity of available trial participants and the heterogeneity of disease progression. A quantitative clinical trial simulator (CTS) has been developed based on previously published five disease progression models describing each of the longitudinal changes in the velocity at which individuals can complete specified timed functional tests, frequently used as clinical trial efficacy endpoints (supine-stand, 4-stair climb, and 10 m walk/run test or 30-foot walk/run test), as well as each of the longitudinal changes in forced vital capacity and North Star Ambulatory Assessment total score. The model-based CTS allows researchers to optimize the selection of numerous trial parameters for designing trials for the five functional measures commonly used as endpoints in DMD clinical trials. This case report serves as a demonstration of the tool's functionality while providing an easy-to-follow guide for users to reference when preparing simulations of their own design. Two case studies, using input selection based on previous DMD clinical trials, provide realistic examples of how the tool can help optimize clinical trial design without the risk of decreasing statistical significance. This optimization allows researchers to mitigate the risk of designing trials that may be longer, larger, or more inclusive/exclusive than necessary.

Indexed as

Clinical Trials as TopicComputer SimulationMuscular Dystrophy, DuchenneResearch DesignDisease ProgressionHumans

Identifiers

PMID39600251
PMCPMC12625090

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.