Why the study?
To provide real-world evidence examining the effectiveness of ataluren plus standard of care versus standard of care alone, evaluate DMD genotype-phenotype and ataluren benefit correlations, and assess ataluren safety in patients with nonsense mutation Duchenne muscular dystrophy.
Does ataluren added to standard of care delay functional milestones of disease progression in patients with nonsense mutation Duchenne muscular dystrophy compared to standard of care alone?
Does ataluren added to standard of care delay functional milestones of disease progression in patients with nonsense mutation Duchenne muscular dystrophy compared to standard of care alone?
In real-world clinical practice, ataluren combined with standard of care significantly delays functional milestones of disease progression in patients with nonsense mutation Duchenne muscular dystrophy.
May inform ataluren decisions in nmDMD; leaves open efficacy versus natural history pending randomized data.
Aim: Strategic Targeting of Registries and International Database of Excellence (STRIDE) is an ongoing, multicenter registry providing real-world evidence regarding ataluren use in patients with nonsense mutation Duchenne muscular dystrophy (nmDMD). We examined the effectiveness of ataluren + standard of care (SoC) in the registry versus SoC alone in the Cooperative International Neuromuscular Research Group (CINRG) Duchenne Natural History Study (DNHS), DMD genotype–phenotype/–ataluren benefit correlations and ataluren safety. Patients & methods: Propensity score matching was performed to identify STRIDE and CINRG DNHS patients who were comparable in established disease progression predictors (registry cut-off date, 9 July 2018). Results & conclusion: Kaplan–Meier analyses demonstrated that ataluren + SoC significantly delayed age at loss of ambulation and age at worsening performance in timed function tests versus SoC alone (p ≤ 0.05). There were no DMD genotype–phenotype/ataluren benefit correlations. Ataluren was well tolerated. These results indicate that ataluren + SoC delays functional milestones of DMD progression in patients with nmDMD in routine clinical practice. ClinicalTrials.gov identifier: NCT02369731. ClinicalTrials.gov identifier: NCT02369731.
No takes yet. Share an insight, caveat, or question.
Mercuri et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: