Dual-energy X-ray absorptiometry measures of lean body mass as a biomarker for progression in boys with Duchenne muscular dystrophy.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
05 11 2022
Historique:
received: 11 03 2022
accepted: 25 10 2022
entrez: 6 11 2022
pubmed: 6 11 2022
medline: 9 11 2022
Statut: epublish

Résumé

We evaluated whether whole-body dual-energy X-ray absorptiometry (DXA) measures of lean body mass can be used as biomarkers for disease progression and treatment effects in patients with Duchenne muscular dystrophy. This post hoc analysis utilized data from a randomized, 2-period study of domagrozumab versus placebo in 120 ambulatory boys with DMD. DXA measures of lean body mass were obtained from the whole body (excluding head), arms, legs and appendicular skeleton at baseline and every 16 weeks. Treatment effects on DXA measures for domagrozumab versus placebo were assessed at Week 49. At Week 49, domagrozumab statistically significantly increased lean body mass versus placebo in the appendicular skeleton (p = 0.050) and arms (p < 0.001). The relationship between lean body mass at Week 49 and functional endpoints at Week 97 was evaluated. Changes in lean body mass at Week 49 in all regions except arms were significantly correlated with percent change from baseline in 4-stair climb (4SC) at Week 97. DXA-derived percent lean mass at Week 49 also correlated with 4SC and North Star Ambulatory Assessment at Week 97. These data indicate that whole-body DXA measures can be used as biomarkers for treatment effects and disease progression in patients with DMD, and warrant further investigation.Trial registration: ClinicalTrials.gov, NCT02310763; registered 8 December 2014.

Identifiants

pubmed: 36335191
doi: 10.1038/s41598-022-23072-5
pii: 10.1038/s41598-022-23072-5
pmc: PMC9637094
doi:

Substances chimiques

Biomarkers 0

Banques de données

ClinicalTrials.gov
['NCT02310763']

Types de publication

Randomized Controlled Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

18762

Subventions

Organisme : NCATS NIH HHS
ID : UL1 TR002538
Pays : United States

Informations de copyright

© 2022. The Author(s).

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Auteurs

Sarah P Sherlock (SP)

Pfizer Inc, Cambridge, MA, USA. Sarah.Sherlock@pfizer.com.

Jeffrey Palmer (J)

Pfizer Inc, Cambridge, MA, USA.

Kathryn R Wagner (KR)

Kennedy Krieger Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Hoda Z Abdel-Hamid (HZ)

Division of Child Neurology, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA, USA.

Cuixia Tian (C)

Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
University of Cincinnati School of Medicine, Cincinnati, OH, USA.

Jean K Mah (JK)

Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Francesco Muntoni (F)

Dubowitz Neuromuscular Centre, NIHR Great Ormond Street Hospital Biomedical Research Centre, Great Ormond Street Institute of Child Health, University College London, London, UK.

Michela Guglieri (M)

John Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle, UK.

Russell J Butterfield (RJ)

University of Utah School of Medicine, Salt Lake City, UT, USA.

Lawrence Charnas (L)

Pfizer Inc, Cambridge, MA, USA.

Shannon Marraffino (S)

Pfizer Inc, Cambridge, MA, USA.

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