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    Date Issued2020 (1)Author
    Campbell, Craig (1)
    Wong, Brenda L. (1)UMass Chan AffiliationDepartment of Pediatrics (1)Document TypeJournal Article (1)Keyword6-minute walk distance (1)ataluren (1)Congenital, Hereditary, and Neonatal Diseases and Abnormalities (1)Duchenne muscular dystrophy (1)efficacy (1)View MoreJournalJournal of comparative effectiveness research (1)

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    Meta-analyses of ataluren randomized controlled trials in nonsense mutation Duchenne muscular dystrophy

    Campbell, Craig; Wong, Brenda L. (2020-10-01)
    Aim: Assess the totality of efficacy evidence for ataluren in patients with nonsense mutation Duchenne muscular dystrophy (nmDMD). Materials and methods: Data from the two completed randomized controlled trials (ClinicalTrials.gov: NCT00592553; NCT01826487) of ataluren in nmDMD were combined to examine the intent-to-treat (ITT) populations and two patient subgroups (baseline 6-min walk distance [6MWD] > /=300- < 400 or < 400 m). Meta-analyses examined 6MWD change from baseline to week 48. Results: Statistically significant differences in 6MWD change with ataluren versus placebo were observed across all three meta-analyses. Least-squares mean difference (95% CI): ITT (n = 342), +17.2 (0.2-34.1) m, p = 0.0473; >/=300- < 400 m (n = 143), +43.9 (18.2-69.6) m, p = 0.0008; < 400 m (n = 216), +27.7 (6.4-49.0) m, p = 0.0109. Conclusion: These meta-analyses support previous evidence for ataluren in slowing disease progression versus placebo in patients with nmDMD over 48 weeks. Treatment benefit was most evident in patients with a baseline 6MWD > /=300- < 400 m (the ambulatory transition phase), thereby informing future trial design.
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