Evidence map›Paper›PMID 41237355›Full record

Observational studyNeurology2025

Natural History of Children and Adolescents With Dravet Syndrome: A 24-Month Follow-Up.

Joseph Sullivan, Elaine C Wirrell, Kelly G Knupp, Michael Ciliberto, Julie Ziobro, Dillon Y Chen, J Robert Flamini, Muhammad Zafar, Nicole LaVallee, Miganush Stepanians and 5 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Neurology, 2025. 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. Review
  3. CharacterizingmedRxiv : the preprint server for health sciences · 2026
    Article
  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

15 authors.

Joseph SullivanUniversity of California, San Francisco.ORCID 0000-0003-2081-8988
Elaine C WirrellMayo Clinic, Rochester, MN.ORCID 0000-0003-3015-8282
Kelly G KnuppUniversity of Colorado School of Medicine, Aurora, CO.
Michael CilibertoUniversity of Iowa, Iowa City.ORCID 0000-0001-8188-7261
Julie ZiobroUniversity of Michigan, Ann Arbor.ORCID 0000-0002-7250-7308
Dillon Y ChenUniversity of California, San Diego.
J Robert FlaminiCurrent affiliation: Yale School of Medicine, New Haven, CT.
Muhammad ZafarPANDA Neurology, Atlanta, GA.
Nicole LaValleeDuke University, Durham, NC.
Miganush StepaniansDuke University, Durham, NC.
Pam VentolaPROMETRIKA LLC, Cambridge, MA.
Tanmay S ChavanCogstate Ltd., New Haven, CT.
Fei WangPorterhouse Medical US, Holmdel, NJ; and.
Kimberly A ParkersonPorterhouse Medical US, Holmdel, NJ; and.
Barry TichoPorterhouse Medical US, Holmdel, NJ; and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDravet syndrome (DS) is an intractable developmental and epileptic encephalopathy caused primarily by pathogenic variants in the voltage-gated sodium channel α subunit 1 (

methodsBUTTERFLY was a US-based multicenter, longitudinal observational study involving patients with genetically confirmed DS who were receiving standard-of-care treatment. Patients aged 2-18 years with a confirmed DS diagnosis were included. Exclusion criteria included gain-of-function

resultsOf the 36 patients enrolled, 21 completed the study. At baseline, the mean (SD) patient age was 10.8 (5.2) years, and 61.1% were female. Disease progression modeling indicated no significant improvements in 4 of the 6 Vineland-3 subdomains analyzed over 24 months. Receptive Communication (+7.24; 95% CI 1.30-13.19; DISCUSSION: Despite a relatively small sample size and high withdrawal rate, BUTTERFLY data reveal a widening developmental gap between patients with DS and children with typical development over 24 months. These findings reinforce the critical need for disease-modifying therapies that address the underlying genetic cause of DS to improve long-term outcomes.

Indexed as

Epilepsies, MyoclonicAdolescentChildChild, PreschoolDisease ProgressionFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleNAV1.1 Voltage-Gated Sodium ChannelNAV1.1 Voltage-Gated Sodium ChannelSCN1A protein, human

Identifiers

PMID41237355
PMCPMC12622971

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.