Lessons Learned From Translational Research in Neuromuscular Diseases: Impact on Study Design, Outcome Measures and Managing Expectation.

duchenne and becker muscular dystrophy inclusion criteria matching criteria spinal muscular atrophy translational research trial design

Journal

Frontiers in genetics
ISSN: 1664-8021
Titre abrégé: Front Genet
Pays: Switzerland
ID NLM: 101560621

Informations de publication

Date de publication:
2021
Historique:
received: 17 08 2021
accepted: 09 11 2021
entrez: 23 1 2023
pubmed: 7 12 2021
medline: 7 12 2021
Statut: epublish

Résumé

Spinal Muscular Atrophy (SMA) and Duchenne Muscular Dystrophy (DMD), two of the most common, child onset, rare neuromuscular disorders, present a case study for the translation of preclinical research into clinical work. Over the past decade, well-designed clinical trials and innovative methods have led to the approval of several novel therapies for SMA and DMD, with many more in the pipeline. This review discusses several features that must be considered during trial design for neuromuscular diseases, as well as other rare diseases, to maximise the possibility of trial success using historic examples. These features include well-defined inclusion criteria, matching criteria, alternatives to placebo-controlled trials and the selection of trial endpoints. These features will be particularly important in the coming years as the investigation into innovative therapy approaches for neuromuscular diseases continues.

Identifiants

pubmed: 36687260
doi: 10.3389/fgene.2021.759994
pii: 759994
pmc: PMC9855753
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

759994

Informations de copyright

Copyright © 2021 Stimpson, Chesshyre, Baranello and Muntoni.

Déclaration de conflit d'intérêts

GB has received consultancy honoraria from AveXis, Roche, Biogen, PTC, and Sarepta Therapeutics. GB has received speaker honoraria from AveXis, Roche and PTC. FM is supported by the NIHR Great Ormond Street Hospital Biomedical Research Centre and has received speaker and consultancy honoraria from Sarepta Therapeutics, Avexis, PTC Therapeutics, Roche and Pfizer. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Eur J Neurol. 2020 Dec;27(12):2586-2594
pubmed: 32781490
J Pediatr Orthop. 1998 Sep-Oct;18(5):561-71
pubmed: 9746401
Muscle Nerve. 2011 Jul;44(1):8-19
pubmed: 21674516
PLoS One. 2009;4(2):e4347
pubmed: 19194511
Muscle Nerve. 2014 Oct;50(4):477-87
pubmed: 25042182
Neurology. 2020 Sep 8;95(10):e1381-e1391
pubmed: 32611643
PLoS One. 2019 Sep 3;14(9):e0221097
pubmed: 31479456
Neuromuscul Disord. 2004 Sep;14(8-9):526-34
pubmed: 15336694
Ann Neurol. 2013 Nov;74(5):637-47
pubmed: 23907995
Lancet Neurol. 2012 May;11(5):443-52
pubmed: 22516079
Acta Myol. 2012 Oct;31(2):121-5
pubmed: 23097603
Clin Pharmacol Ther. 2017 Dec;102(6):924-933
pubmed: 28836267
N Engl J Med. 2018 Feb 15;378(7):625-635
pubmed: 29443664
Neuromuscul Disord. 2018 Jan;28(1):4-15
pubmed: 29203355
J Child Orthop. 2020 Oct 01;14(5):421-432
pubmed: 33204350
Drugs. 2016 Nov;76(17):1699-1704
pubmed: 27807823
Clin Pharmacol Ther. 2021 Dec;110(6):1435-1454
pubmed: 33792051
Hum Mutat. 2015 Apr;36(4):395-402
pubmed: 25604253
Neuromuscul Disord. 2007 Jun;17(6):470-5
pubmed: 17490881
Ann Clin Transl Neurol. 2020 May;7(5):786-798
pubmed: 32343055
J Neurol Neurosurg Psychiatry. 2013 Jun;84(6):698-705
pubmed: 23250964
Expert Opin Biol Ther. 2017 Feb;17(2):225-236
pubmed: 27936976
PLoS One. 2016 Nov 7;11(11):e0165818
pubmed: 27820869
Neuromuscul Disord. 2016 Feb;26(2):126-31
pubmed: 26776503
Cochrane Database Syst Rev. 2020 Jan 6;1:CD006282
pubmed: 32006461
Drugs. 2021 May;81(7):875-879
pubmed: 33861387
Stat Med. 2021 Aug 30;40(19):4167-4184
pubmed: 33960507
Neuromuscul Disord. 2002 Dec;12(10):926-9
pubmed: 12467747
Dev Med Child Neurol. 2017 Feb;59(2):224-231
pubmed: 27671699
Muscle Nerve. 2013 Sep;48(3):357-68
pubmed: 23674289
Neuromuscul Disord. 2019 Apr;29(4):261-268
pubmed: 30852071
Arch Dis Child. 2014 Dec;99(12):1074-7
pubmed: 25187493
Muscle Nerve. 2021 Sep;64(3):285-292
pubmed: 34105177
Lancet. 2017 Sep 23;390(10101):1489-1498
pubmed: 28728956
Muscle Nerve. 2013 Jul;48(1):27-31
pubmed: 23483575
N Engl J Med. 2017 Nov 2;377(18):1723-1732
pubmed: 29091570
Muscle Nerve. 2006 Aug;34(2):135-44
pubmed: 16770791
Drugs. 2020 Feb;80(3):329-333
pubmed: 32026421
Ann Neurol. 2016 Feb;79(2):257-71
pubmed: 26573217
Drugs. 2020 Jul;80(10):1027-1031
pubmed: 32519222
Lancet. 1999 Feb 13;353(9152):557-8
pubmed: 10028989
J Pediatr. 2009 Sep;155(3):380-5
pubmed: 19394035
Muscle Nerve. 2020 Apr;61(4):466-474
pubmed: 31909820
J Neurol Neurosurg Psychiatry. 2016 Feb;87(2):149-55
pubmed: 25733532
PLoS One. 2010 Aug 19;5(8):e12140
pubmed: 20808854
Dev Med Child Neurol. 2016 Jan;58(1):77-84
pubmed: 26365034
PLoS One. 2019 Jun 25;14(6):e0218683
pubmed: 31237898
Neurology. 2011 Jul 19;77(3):250-6
pubmed: 21734183
Neurology. 2007 Jan 2;68(1):51-5
pubmed: 17082463
Orphanet J Rare Dis. 2021 Apr 28;16(1):188
pubmed: 33910603
Orphanet J Rare Dis. 2017 Apr 26;12(1):79
pubmed: 28446219
Eur J Neurol. 2018 Mar;25(3):512-518
pubmed: 29194869
Health Qual Life Outcomes. 2006 Oct 11;4:79
pubmed: 17034633
Eur J Paediatr Neurol. 2000;4(5):219-23
pubmed: 11030068
Dev Med Child Neurol. 2013 Nov;55(11):1046-52
pubmed: 23909763
Neurology. 2020 May 26;94(21):e2270-e2282
pubmed: 32139505
Neurology. 2021 May 11;96(19):e2438-e2450
pubmed: 33785551
Neuromuscul Disord. 2020 Sep;30(9):765-771
pubmed: 32893082
Neuromuscul Disord. 2020 Jan;30(1):5-16
pubmed: 31813614
JAMA Neurol. 2020 Aug 1;77(8):982-991
pubmed: 32453377
Neuromuscul Disord. 2016 Nov;26(11):754-759
pubmed: 27769560
Circ Genom Precis Med. 2018 Jan;11(1):e001782
pubmed: 29874176
Arch Neurol. 2011 Jun;68(6):779-86
pubmed: 21320981
Ann Neurol. 2020 Dec;88(6):1109-1117
pubmed: 32926458
Hum Mutat. 2009 Jun;30(6):934-45
pubmed: 19367636

Auteurs

Georgia Stimpson (G)

Developmental Neuroscience Research and Training Department, Dubowitz Neuromuscular Centre, Faculty of Population Health Sciences, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.

Mary Chesshyre (M)

Developmental Neuroscience Research and Training Department, Dubowitz Neuromuscular Centre, Faculty of Population Health Sciences, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
NIHR Great Ormond Street Hospital Biomedical Research Centre, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.

Giovanni Baranello (G)

Developmental Neuroscience Research and Training Department, Dubowitz Neuromuscular Centre, Faculty of Population Health Sciences, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
NIHR Great Ormond Street Hospital Biomedical Research Centre, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.

Francesco Muntoni (F)

Developmental Neuroscience Research and Training Department, Dubowitz Neuromuscular Centre, Faculty of Population Health Sciences, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
NIHR Great Ormond Street Hospital Biomedical Research Centre, UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.

Classifications MeSH