Pediatric Neurology, Università Cattolica del Sacro Cuore.
Centro Clinico Nemo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Curr Opin Pediatr. 2024 Dec 1;36(6):612-618. doi: 10.1097/MOP.0000000000001403. Epub 2024 Sep 13.
The aim of the review was to provide an overview of safety and efficacy of the available treatments including information from both clinical trials and real-world data. Additional information form ongoing studies using other approaches than increasing SMN protein are also reported.
In the last 3 years, there have been over 24 studies reporting safety and the impact of the available drugs on different aspects of function, including respiratory and bulbar function. These findings, obtained in a real-world setting, are extremely important to define the spectrum of responses in individuals with different age, weight, SMN2 copies, and other variables and will be of help to the families and the clinicians to set up the right expectations at the time of starting a new treatment.
The large number of studies that became available in the last few years support and expand the information on safety and efficacy provided by the clinical trials.
综述的目的是提供现有治疗方法的安全性和疗效概述,包括临床试验和真实世界数据的信息。还报告了正在使用增加 SMN 蛋白以外的其他方法的研究的进展情况。
在过去的 3 年中,有超过 24 项研究报告了安全性以及现有药物对包括呼吸和延髓功能在内的不同功能方面的影响。这些在真实环境中获得的发现对于确定不同年龄、体重、SMN2 拷贝数和其他变量的个体的反应谱非常重要,并且将有助于患者及其临床医生在开始新治疗时建立正确的预期。
过去几年中出现的大量研究支持和扩展了临床试验提供的安全性和疗效信息。