Evidence map›Paper›PMID 39967428›Full record

ArticleJournal of neuromuscular diseases2024

Comparative efficacy of risdiplam and nusinersen in Type 2 and 3 spinal muscular atrophy patients: A cohort study using real-world data.

Mahmoud Reza Ashrafi, Marzieh Babaee, Seyed Saeed Hashemi Nazari, Mohammad Barzegar, Mohammadreza Ghazavi, Mehran Beiraghi Toosi, Shahriar Nafissi, Soroor Inaloo, Gholamreza Zamani Ghaletaki, Farzad Fatehi and 24 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of neuromuscular diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

34 authors.

Mahmoud Reza AshrafiDepartment of Pediatrics, Division of Pediatric Neurology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Marzieh BabaeePhysical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Saeed Hashemi NazariPrevention of Cardiovascular Disease Research Center, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad BarzegarPediatric Health Research Center, Mardani Azari Children Hospital, Tabrizi University of Medical Sciences, Tabriz, Iran.
Mohammadreza GhazaviPediatric Neurology department, Imam Hossein Children's Hospital, Isfahan University of Medical Sciences, Iran.
Mehran Beiraghi ToosiPediatric ward, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Shahriar NafissiIranian Neuromuscular Research Center (INMRC), Tehran Medical University of Medical Sciences, Tehran, Iran.
Soroor InalooNeonatal Research Center Shiraz University of Medical Sciences, Shiraz, Iran.
Gholamreza Zamani GhaletakiDepartment of Pediatrics, Division of Pediatric Neurology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Farzad FatehiIranian Neuromuscular Research Center (INMRC), Tehran Medical University of Medical Sciences, Tehran, Iran.
Ramin HeshmatChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Masood Ghahvechi AkbariPhysical Medicine and Rehabilitation Department, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Alireza AbdiDepartment of pediatrics, Urmia University of Medical Sciences, Urmia, Iran.
Hassan BakhtiaryMoosavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
Hadi MontazerlotfelahiImam Ali Hospital, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Ali AbbaskhanianClinical Research Development Unit of Bu-Ali Sina Hospital, Mazandaran University of Medical Science, Sari, Iran.
Seyed Ahmad HosseiniNeonatal and children's health research center, Taleghani Medicine Educational Center, Golestan University of Medical Sciences, Gorgan, Iran.
Hossein FarshadmoghadamDepartment of Pediatrics, Children Growth Research Centre, Research Institute for Prevention of Non Communicable Disease, Qazvin University of Medical Science, Qazvin, Iran.
Seyyed Mohammad Mahdi HosseinyDepartment of Pediatrics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Fakhreddin ShariatmadariDepartment of Pediatrics, Arak Medical University, Arak, Iran.
Bentolhoda ZiaadiniNeurology Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Meisam BabaeiDepartment of Pediatrics, North Khorasan University of Medical Sciences, Bojnurd, Iran.
Azita TavasoliDepartment of Pediatric Neurology, Iran University of Medical Sciences, Tehran, Iran.
Sedighe NikbakhtLorestan University of Medical Sciences, Khorramabad, Iran.
Aliakbar MomenPediatric Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ali KhajehChildren and Adolescents Health Research Center, Zahedan University of Medical Science, Zahedan, Iran.
Vahid AminzadehPediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Mohsen MollamohammadiQom University of Medical Sciences, Qom, Iran.
Mohammad Mehdi TaghdiriPediatric Neurology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Mehdi NasehiPediatric Neurology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sara MemarianDepartment of Pediatrics, Division of Pediatric Neurology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Reza Shervin BadvDepartment of Pediatrics, Division of Pediatric Neurology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Morteza HeidariDepartment of Pediatrics, Division of Pediatric Neurology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Narjes JafariPediatric Neurology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree medications have been approved for spinal muscular atrophy (SMA) treatment. No head-to-head clinical trials have directly compared the efficacy of nusinersen and risdiplam. We compare the efficacy of them in Type 2 and 3 SMA patients, with 6 months of follow-up.

methodsA multicenter cohort study was conducted. Demographic, genetic and clinical findings containing Hammersmith Functional Motor Scale Expanded (HFMSE) and revised upper limb module (RULM) scales were gathered. An increase of at least 3 points in HFMSE and RULM scores was considered a positive response.

results73 (58.4%) children received risdiplam, and 52 (41.6%) received nusinersen non-randomly, based on clinical decision. The difference in HFMSE and RULM scores compared to the baseline was significant in both groups (P-value <0.001). However, there was no significant difference between mean difference changes in HFMSE and RULM scores between the two groups. 80.4% of patients in the risdiplam group and 72% in the nusinersen group achieved the 3-point cutoff after 6 months, and there is no significant difference between the two groups (P-Value:0.33).

conclusionsThis study showed that both medications significantly changed the HFSME and RULM after 3 and 6 months of follow-up. However, there was no significant difference between the two drugs according to the HFSME.

Indexed as

OligonucleotidesSpinal Muscular Atrophies of ChildhoodAzo CompoundsChildChild, PreschoolCohort StudiesFemaleHumansInfantMalePyrimidinesTreatment OutcomeAzo CompoundsnusinersenOligonucleotidesPyrimidinesRisdiplamcomparative efficacyfunctionnusinersenrisdiplamspinal muscular atrophy

Identifiers

PMID39967428
PMCPMC13108001

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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.