Evidence map›Paper›PMID 41789956›Full record

ArticleBritish journal of clinical pharmacology2026

The evolving therapeutic landscape of spinal muscular atrophy - A scoping review of investigational agents, emerging delivery technologies and strategic innovations.

Andrej Belančić, Patrick Eustaquio, Elvira Meni Maria Gkrinia, Ivana Stević, Eugen Javor, Yun Wah Lam, Slobodan Janković, Dinko Vitezić

Abstract readScoping Review
In one paragraph

Article in British journal of clinical pharmacology, 2026. 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. Review
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

8 authors.

Andrej BelančićDepartment of Basic and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0001-7848-6600
Patrick EustaquioMetro Manila, Philippines.ORCID https://orcid.org/0000-0002-8522-1122
Elvira Meni Maria GkriniaIndependent researcher, Athens, Greece.ORCID https://orcid.org/0009-0002-1255-8653
Ivana StevićDepartment of Social Pharmacy and Pharmaceutical Legislation, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-8880-7092
Eugen JavorSolmed Clinic, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-5295-7216
Yun Wah LamDepartment of Health Sciences, School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong, SAR, China.
Slobodan JankovićFaculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
Dinko VitezićDepartment of Basic and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0002-6295-6580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal muscular atrophy (SMA) is a severe neuromuscular disease with emerging therapeutic complexity. This review aims to systematically map the global pipeline of investigational treatments for SMA. Using ClinicalTrials.gov and complementary international registries, we identified 21 planned or ongoing interventional trials from 2020 to 2025 targeting novel agents, alternative dosing and delivery routes. Inclusion criteria focused on unapproved therapies or new uses of existing drugs, with rigorous data extraction across demographics, modalities and trial phases. Results reveal a shift towards dual-pronged strategies: refining SMN-targeted interventions and expanding SMN-independent approaches, such as myostatin inhibitors, neuromuscular modulators and ion-channel blockers. Early-phase outcomes suggest promising motor function improvements and acceptable safety profiles, though long-term efficacy remains under investigation. This evolving landscape underscores the importance of registry-based analyses in tracking translational innovation, informing stakeholders and guiding future research priorities.

Indexed as

Drug Delivery SystemsDrugs, InvestigationalMuscular Atrophy, SpinalAnimalsClinical Trials as TopicGenetic TherapyHumansDrugs, Investigationalclinical trialsgene therapyinvestigational therapiesSMN‐independent treatmentsspinal muscular atrophy

Identifiers

PMID41789956
PMCPMC13206266

What OpenQuestion holds

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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.