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Nusinersen Improves Walking Distance and Reduces Fatigue in Later-Onset SMA

Montes, J; Dunaway Young, S; Mazzone, ES; Pasternak, A; Glanzman, AM; Finkel, RS; Darras, BT; ... CS2 and CS12 Study Groups, .; + view all (2019) Nusinersen Improves Walking Distance and Reduces Fatigue in Later-Onset SMA. Muscle & Nerve , 60 (4) pp. 409-414. 10.1002/mus.26633. Green open access

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Abstract

INTRODUCTION: Ambulatory individuals with spinal muscular atrophy (SMA) experience muscle weakness, gait impairments and fatigue that affect their walking ability. Improvements have been observed in motor function in children treated with nusinersen but its impact on fatigue has not been studied. METHODS: Post hoc analyses examined changes in 6-Minute Walk Test (6MWT) distance and fatigue in children and adolescents with SMA Type II and III who received their first dose of nusinersen in the phase Ib/IIa open-label CS2 study and were ambulatory during CS2 or the extension study CS12. RESULTS: Fourteen children performed the 6MWT. Median (25th, 75th percentile) distance walked increased over time by 98.0 (62.0, 135.0) meters at day 1050, while median fatigue changed by -3.8% (-19.7%, 1.4%). DISCUSSION: These results support previous studies demonstrating clinically meaningful effects of nusinersen on motor function in children and adolescents with later-onset SMA. This article is protected by copyright. All rights reserved.

Type: Article
Title: Nusinersen Improves Walking Distance and Reduces Fatigue in Later-Onset SMA
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/mus.26633
Publisher version: https://doi.org/10.1002/mus.26633
Language: English
Additional information: © 2019 The Authors. Muscle & Nerve published by Wiley Periodicals, Inc. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Keywords: 6-Minute Walk Test, fatigue, neuromuscular junction, nusinersen, spinal muscular atrophy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Neurosciences Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10078078
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