Evidence map›Paper›PMID 42185916›Full record

ArticleOrphanet journal of rare diseases2026

Use of the 10-meter timed walk for monitoring long-term gait progression in human T-cell leukemia virus type 1-associated myelopathy/tropical spastic paraparesis: a 10-year analysis from the Japanese HAM-net registry.

Fuyuhiko Marubayashi, Yasuyuki Mogi, Tomoo Sato, Naoko Yagishita, Manabu Ishii, Hideaki Hida, Kenichiro Tanabe, Yoshihisa Yamano

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Fuyuhiko MarubayashiDepartment of Medical Science, Tanabe Pharma America, Inc., Jersey City, NJ, USA. fuyuhiko.marubayashi@tanabe-pharma.com.ORCID http://orcid.org/0009-0008-7562-3719
Yasuyuki MogiDepartment of Medical Science, Tanabe Pharma America, Inc., Jersey City, NJ, USA.
Tomoo SatoDepartment of Rare Diseases Research, Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID http://orcid.org/0000-0001-8439-3128
Naoko YagishitaDepartment of Rare Diseases Research, Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID http://orcid.org/0000-0001-9810-5019
Manabu IshiiDepartment of Data Science, Division of IT Digital, Tanabe Pharma Corporation, Marunouchi Chiyoda-ku, Tokyo, Japan.ORCID http://orcid.org/0009-0008-3406-2150
Hideaki HidaDepartment of Data Science, Division of IT Digital, Tanabe Pharma Corporation, Marunouchi Chiyoda-ku, Tokyo, Japan.
Kenichiro TanabeDepartment of Frontier Medicine, Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID http://orcid.org/0000-0001-6271-2490
Yoshihisa YamanoDepartment of Rare Diseases Research, Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan.ORCID http://orcid.org/0000-0001-7527-0345

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman T-cell leukemia virus type 1 (HTLV-1)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is a chronic neuroinflammatory disease that affects approximately 0.3% of individuals with HTLV-1 infection in Japan. Considering the rarity of HAM/TSP, data on the natural progression of walking disability and its correlation with outcome measures, such as the Osame's Motor Disability Score (OMDS), remain limited. This observational study analyzed longitudinal data from the Japanese HAM patient registry "HAM-net" to identify appropriate clinical outcome measures for evaluating treatment efficacy in HAM/TSP.

methodsWe incorporated 10-meter timed walk (10mTW) data from patients registered in the HAM-net. The natural course of 10mTW performance was assessed, and its correlation with various outcome measures was analyzed to evaluate the use of the 10mTW as a primary outcome measure in HAM/TSP clinical trials.

resultsThis study included 142 patients with at least two 10mTW data; 77.5% were female, with a mean age at onset and HAM diagnosis of 45.7 and 53.8 years, respectively. The geometric mean (95% confidence interval [CI]) for the 10mTW at baseline, Year 5, and Year 10 was 12.6 s (95% CI, 11.5 s-13.8 s), 14.3 s (95% CI, 12.7 s-16.1 s), and 16.3 s (95% CI, 13.6 s-19.5 s), respectively. The 10mTW at Years 5 and 10 increased by 7.37% (95% CI, -0.39%-15.73%) and 42.10% (95% CI, 19.92%-68.39%), respectively. The 10mTW exhibited significant positive correlations with motor disability scores, such as the OMDS and Instituto de Pesquisa Clinica Evandro Chagas-1 (IPEC-1), and activities of daily living (ADL) scales, such as the Health Assessment Questionnaire (HAQ).

conclusionsThis study revealed a 42.10% increase in the 10mTW over 9 years, with significant correlations to motor disability scores (OMDS and IPEC-1) and ADL scales (HAQ). These findings support the use of 10mTW performance as a primary outcome measure in HAM/TSP clinical trials, emphasizing its value for long-term assessment of gait progression.

Indexed as

GaitHTLV-I InfectionsParaparesis, Tropical SpasticWalkingAgedDisease ProgressionEast Asian PeopleFemaleHumansHuman T-lymphotropic virus 1JapanLongitudinal StudiesMaleMiddle AgedRegistries10-meter timed walk (10mTW)Activities of daily living (ADL)Human T-cell leukemia virus type 1-associated myelopathy/tropical spastic paraparesis (HAM/TSP)Human T-cell leukemia virus type 1 (HTLV-1)Motor disability scoreReal-world data (RWD)

Identifiers

PMID42185916
PMCPMC13390377

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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.