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Nusinersen Treatment of Children with Later-Onset Spinal Muscular Atrophy and Scoliosis Is Associated with Improvements or Stabilization of Motor Function.

Authors :
Dunaway Young S
Montes J
Glanzman AM
Gee R
Day JW
Finkel RS
Darras BT
De Vivo DC
Gambino G
Foster R
Wong J
Garafalo S
Berger Z
Source :
Journal of clinical medicine [J Clin Med] 2023 Jul 26; Vol. 12 (15). Date of Electronic Publication: 2023 Jul 26.
Publication Year :
2023

Abstract

Nusinersen has been shown to improve or stabilize motor function in individuals with spinal muscular atrophy (SMA). We evaluated baseline scoliosis severity and motor function in nusinersen-treated non-ambulatory children with later-onset SMA. Post hoc analyses were conducted on 95 children initiating nusinersen treatment in the CHERISH study or SHINE long-term extension trial. Participants were categorized by baseline Cobb angle (first nusinersen dose): ≤10°, >10° to ≤20°, and >20° to <40° (no/mild/moderate scoliosis, respectively). Outcome measures included the Hammersmith Functional Motor Score-Expanded (HFMSE) and the Revised Upper Limb Module (RULM). Regression analysis determined the relationships between baseline scoliosis severity and later motor function. For children with no, mild, and moderate scoliosis, the mean increase in HFMSE from baseline to Day 930 was 6.0, 3.9, and 0.7 points, and in RULM was 6.1, 4.6, and 2.3 points. In the linear model, a 10° increase in baseline Cobb angle was significantly associated with a -1.4 (95% CI -2.6, -0.2) point decrease in HFMSE ( p = 0.02) and a -1.2 (95% CI -2.1, -0.4) point decrease in RULM ( p = 0.006) at Day 930. Treatment with nusinersen was associated with improvements/stabilization in motor function in all groups, with greater response in those with no/mild scoliosis at baseline.

Details

Language :
English
ISSN :
2077-0383
Volume :
12
Issue :
15
Database :
MEDLINE
Journal :
Journal of clinical medicine
Publication Type :
Academic Journal
Accession number :
37568304
Full Text :
https://doi.org/10.3390/jcm12154901