Prednisone/prednisolone and deflazacort regimens in the CINRG Duchenne Natural History Study.

Abstract:

OBJECTIVE:We aimed to perform an observational study of age at loss of independent ambulation (LoA) and side-effect profiles associated with different glucocorticoid corticosteroid (GC) regimens in Duchenne muscular dystrophy (DMD). METHODS:We studied 340 participants in the Cooperative International Neuromuscular Research Group Duchenne Natural History Study (CINRG-DNHS). LoA was defined as continuous wheelchair use. Effects of prednisone or prednisolone (PRED)/deflazacort (DFZ), administration frequency, and dose were analyzed by time-varying Cox regression. Side-effect frequencies were compared using χ(2) test. RESULTS:Participants treated ≥1 year while ambulatory (n = 252/340) showed a 3-year median delay in LoA (p < 0.001). Fourteen different regimens were observed. Nondaily treatment was common for PRED (37%) and rare for DFZ (3%). DFZ was associated with later LoA than PRED (hazard ratio 0.294 ± 0.053 vs 0.490 ± 0.08, p = 0.003; 2-year difference in median LoA with daily administration, p < 0.001). Average dose was lower for daily PRED (0.56 mg/kg/d, 75% of recommended) than daily DFZ (0.75 mg/kg/d, 83% of recommended, p < 0.001). DFZ showed higher frequencies of growth delay (p < 0.001), cushingoid appearance (p = 0.002), and cataracts (p < 0.001), but not weight gain. CONCLUSIONS:Use of DFZ was associated with later LoA and increased frequency of side effects. Differences in standards of care and dosing complicate interpretation of this finding, but stratification by PRED/DFZ might be considered in clinical trials. This study emphasizes the necessity of a randomized, blinded trial of GC regimens in DMD. CLASSIFICATION OF EVIDENCE:This study provides Class IV evidence that GCs are effective in delaying LoA in patients with DMD.

journal_name

Neurology

journal_title

Neurology

authors

Bello L,Gordish-Dressman H,Morgenroth LP,Henricson EK,Duong T,Hoffman EP,Cnaan A,McDonald CM,CINRG Investigators.

doi

10.1212/WNL.0000000000001950

subject

Has Abstract

pub_date

2015-09-22 00:00:00

pages

1048-55

issue

12

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000001950

journal_volume

85

pub_type

杂志文章
  • Neural transplantation in Huntington disease: long-term grafts in two patients.

    abstract:OBJECTIVE:Clinical trials of fetal neural tissue transplantation for Huntington disease (HD) have been conducted with variable clinical results. However, no long-term analysis of graft survival and integration has been published. Here, we report the pathologic findings in two patients with HD who died 74 and 79 months ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000264504.14301.f5

    authors: Keene CD,Sonnen JA,Swanson PD,Kopyov O,Leverenz JB,Bird TD,Montine TJ

    更新日期:2007-06-12 00:00:00

  • Steroid-responsive myopathy with deficient chondroitin sulfate C in skeletal muscle connective tissue.

    abstract::A 71-year-old man developed severe limb, bulbar, and respiratory weakness over 18 months. A muscle biopsy showed only a moderate degree of type 2 atrophy, but immunocytochemistry showed absence of chondroitin sulfate C glycosaminoglycan in the endomysium. Prednisone produced a marked increase in strength. Diffuse loss...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.2.526

    authors: al-Lozi MT,Hemelt VB,Pestronk A

    更新日期:1998-02-01 00:00:00

  • Localizing value of torsional nystagmus in small midbrain lesions.

    abstract:BACKGROUND:The topodiagnostic value and specificity of nystagmus in patients with mesencephalic lesions and its relation to tonic torsional deficits and vertical saccade deficits is controversial and anecdotal. METHODS:The authors examined 11 patients with vascular MRI-identified mesencephalic lesions and clinical evi...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000038387.90128.8d

    authors: Helmchen C,Rambold H,Kempermann U,Büttner-Ennever JA,Büttner U

    更新日期:2002-12-24 00:00:00

  • Long-term benefit from prednisone therapy in Duchenne muscular dystrophy.

    abstract::Two successive, 6-month, randomized, double-blind, controlled trials of prednisone showed that 0.75 mg/kg/d was the optimal dose to improve strength in boys with Duchenne muscular dystrophy (DMD). We attempted to maintain 93 boys on that dose for an additional 2 years. During the 3 years of observation, the decline in...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.41.12.1874

    authors: Fenichel GM,Florence JM,Pestronk A,Mendell JR,Moxley RT 3rd,Griggs RC,Brooke MH,Miller JP,Robison J,King W

    更新日期:1991-12-01 00:00:00

  • A CSF biomarker panel for identification of patients with amyotrophic lateral sclerosis.

    abstract:BACKGROUND:Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease with complicated pathogenesis that poses challenges with respect to diagnosis and monitoring of disease progression. OBJECTIVES:To identify a biomarker panel that elucidates ALS disease pathogenesis, distinguishes patients with A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000333251.36681.a5

    authors: Mitchell RM,Freeman WM,Randazzo WT,Stephens HE,Beard JL,Simmons Z,Connor JR

    更新日期:2009-01-06 00:00:00

  • Miller Fisher syndrome and Haemophilus influenzae infection.

    abstract:OBJECTIVE:To examine the association between Miller Fisher syndrome (MFS) and antecedent Haemophilus influenzae infection. BACKGROUND:Little is known about agents in prior respiratory tract infection of MFS, whereas antecedent upper respiratory symptoms are frequent. H. influenzae is a major pathogen that can cause hu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.4.686

    authors: Koga M,Yuki N,Tai T,Hirata K

    更新日期:2001-08-28 00:00:00

  • Temporal arteritis and polymyalgia rheumatica: nosographic and nosologic considerations.

    abstract::Original reports on temporal arteritis and polymyalgia rheumatica were reviewed before and after the introduction of steroid therapy to prevent blindness in temporal arteritis. In some cases, the original data were reworked. There is evidence that both diseases have become more benign. As a result, the perceived risk ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.46.4.901

    authors: Turnbull J

    更新日期:1996-04-01 00:00:00

  • Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States.

    abstract::In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.12.1631

    authors: Marsh EE 3rd,Adams HP Jr,Biller J,Wasek P,Banwart K,Mitchell V,Woolson R

    更新日期:1989-12-01 00:00:00

  • Hippocampal mean diffusivity and memory in healthy elderly individuals: a cross-sectional study.

    abstract:BACKGROUND:The relationship between age-related memory decline and hippocampal anatomic changes is a matter of debate. OBJECTIVES:To investigate the relationship between age-related memory decline and MRI hippocampal anatomic changes in a cohort of healthy individuals. METHODS:In this cross-sectional study, 76 health...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181cb3e39

    authors: Carlesimo GA,Cherubini A,Caltagirone C,Spalletta G

    更新日期:2010-01-19 00:00:00

  • Active MS is associated with accelerated retinal ganglion cell/inner plexiform layer thinning.

    abstract:OBJECTIVE:To determine the effect of clinical and radiologic disease activity on the rate of thinning of the ganglion cell/inner plexiform (GCIP) layer and the retinal nerve fiber layer in patients with multiple sclerosis (MS) using optical coherence tomography (OCT). METHODS:One hundred sixty-four patients with MS an...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31827b1a1c

    authors: Ratchford JN,Saidha S,Sotirchos ES,Oh JA,Seigo MA,Eckstein C,Durbin MK,Oakley JD,Meyer SA,Conger A,Frohman TC,Newsome SD,Balcer LJ,Frohman EM,Calabresi PA

    更新日期:2013-01-01 00:00:00

  • ALS phenotype is influenced by age, sex, and genetics: A population-based study.

    abstract:OBJECTIVE:To assess the determinants of amyotrophic lateral sclerosis (ALS) phenotypes in a population-based cohort. METHODS:The study population included 2,839 patients with ALS diagnosed in Piemonte, Italy (1995-2015). Patients were classified according to motor (classic, bulbar, flail arm, flail leg, predominantly ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008869

    authors: Chiò A,Moglia C,Canosa A,Manera U,D'Ovidio F,Vasta R,Grassano M,Brunetti M,Barberis M,Corrado L,D'Alfonso S,Iazzolino B,Peotta L,Sarnelli MF,Solara V,Zucchetti JP,De Marchi F,Mazzini L,Mora G,Calvo A

    更新日期:2020-02-25 00:00:00

  • Ophthalmologic features of Parkinson's disease.

    abstract::Patients with Parkinson's disease (PD) commonly complain of impaired visual function and difficulty reading, despite normal visual acuity. Although previous studies have evaluated contrast sensitivity, color vision, visuospatial processing, visual hallucinations, and ocular movements, none has systematically evaluated...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000103444.45882.d8

    authors: Biousse V,Skibell BC,Watts RL,Loupe DN,Drews-Botsch C,Newman NJ

    更新日期:2004-01-27 00:00:00

  • Acute naming deficits following dominant temporal lobectomy: prediction by age at 1st risk for seizures.

    abstract::Age at 1st risk for seizures may predict anomia following dominant anterior temporal lobectomy. We assessed confrontation naming before and 2 to 3 weeks after surgery in 45 right-handed patients grouped by side of focus and presence or absence of early (less than or equal to 5 years) risk factors. After left lobectomy...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.10.1509

    authors: Stafiniak P,Saykin AJ,Sperling MR,Kester DB,Robinson LJ,O'Connor MJ,Gur RC

    更新日期:1990-10-01 00:00:00

  • Diagnostic value of sonography in treatment-naive chronic inflammatory neuropathies.

    abstract:OBJECTIVE:To determine the diagnostic value of high-resolution ultrasound (HRUS) for detection of chronic inflammatory demyelinating polyneuropathy (CIDP), Lewis-Sumner syndrome (LSS), and multifocal motor neuropathy (MMN). METHODS:Between January 2013 and January 2015, we enrolled 75 consecutive treatment-naive patie...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003483

    authors: Goedee HS,van der Pol WL,van Asseldonk JH,Franssen H,Notermans NC,Vrancken AJ,van Es MA,Nikolakopoulos S,Visser LH,van den Berg LH

    更新日期:2017-01-10 00:00:00

  • A new SPG4 mutation in a variant form of spastic paraplegia with congenital arachnoid cysts.

    abstract::The clinical and genetic findings are described for 16 patients from a large Italian family with a variant form of hereditary spastic paraplegia and congenital arachnoid cysts inherited as an autosomal dominant trait. A molecular study has revealed a novel missense mutation, T614I, in exon 17 of SPG4, which may play a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000125324.32082.d9

    authors: Orlacchio A,Gaudiello F,Totaro A,Floris R,St George-Hyslop PH,Bernardi G,Kawarai T

    更新日期:2004-05-25 00:00:00

  • Age- and sex-specific analysis of patients with embolic stroke of undetermined source.

    abstract:OBJECTIVE:To investigate whether the correlation of age and sex with the risk of recurrence and death seen in patients with previous ischemic stroke is also evident in patients with embolic stroke of undetermined source (ESUS). METHODS:We pooled datasets of 11 stroke registries from Europe and America. ESUS was define...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000004199

    authors: Ntaios G,Lip GYH,Vemmos K,Koroboki E,Manios E,Vemmou A,Rodríguez-Campello A,Cuadrado-Godia E,Roquer J,Arnao V,Caso V,Paciaroni M,Diez-Tejedor E,Fuentes B,Pérez Lucas J,Arauz A,Ameriso SF,Pertierra L,Gómez-Schneider M

    更新日期:2017-08-08 00:00:00

  • Correlations between molecular profile and radiologic pattern in oligodendroglial tumors.

    abstract:OBJECTIVE:To investigate possible correlations between tumor location and genetic alterations in a series of oligodendrogliomas. METHODS:A series of 158 consecutive oligodendrogliomas were retrospectively reviewed. In each case, the radiologic picture and the chromosome 1p (chr 1p) status of the tumor detected by the ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000148642.26985.68

    authors: Laigle-Donadey F,Martin-Duverneuil N,Lejeune J,Crinière E,Capelle L,Duffau H,Cornu P,Broët P,Kujas M,Mokhtari K,Carpentier A,Sanson M,Hoang-Xuan K,Thillet J,Delattre JY

    更新日期:2004-12-28 00:00:00

  • Diffusion-weighted MRI in vascular dementia.

    abstract:OBJECTIVE:To examine the ability of diffusion-weighted MRI (DWI) to detect ongoing cerebral ischemia in patients with vascular dementia (VaD). BACKGROUND:VaD due to small-vessel disease results from the cumulative impact of recurrent cerebral ischemia. Cerebral ischemia may produce clinical manifestations, producing t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.1.83

    authors: Choi SH,Na DL,Chung CS,Lee KH,Na DG,Adair JC

    更新日期:2000-01-11 00:00:00

  • DPPX potassium channel antibody: frequency, clinical accompaniments, and outcomes in 20 patients.

    abstract:OBJECTIVE:To describe the detection frequency and clinical associations of immunoglobulin G (IgG) targeting dipeptidyl-peptidase-like protein-6 (DPPX), a regulatory subunit of neuronal Kv4.2 potassium channels. METHODS:Specimens from 20 patients evaluated on a service basis by tissue-based immunofluorescence yielded a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000991

    authors: Tobin WO,Lennon VA,Komorowski L,Probst C,Clardy SL,Aksamit AJ,Appendino JP,Lucchinetti CF,Matsumoto JY,Pittock SJ,Sandroni P,Tippmann-Peikert M,Wirrell EC,McKeon A

    更新日期:2014-11-11 00:00:00

  • Primary systemic carnitine deficiency: I. Carnitine biosynthesis.

    abstract::[Methyl-3H]epsilon-N-trimethyl-L-lysine was administered to patients with primary systemic carnitine deficiency and to controls. In both groups, labeled carnitine appeared in blood and urine within 2 hours, and the specific radioactivity of urinary carnitine peaked between 2 and 6 hours. The specific radioactivity of ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.7.813

    authors: Rebouche CJ,Engel AG

    更新日期:1981-07-01 00:00:00

  • Demyelinating neuropathy due to primary IgM kappa B cell lymphoma of peripheral nerve.

    abstract::A 53-year-old man presented with a painful, demyelinating sensorimotor peripheral neuropathy with lymphomatous infiltration on sural nerve biopsy, but no evidence of systemic lymphoma. The neuropathy responded to cytotoxic therapy. Seven years later he developed generalized lymphadenopathy due to B cell lymphoplasmacy...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.7.1231

    authors: Ince PG,Shaw PJ,Fawcett PR,Bates D

    更新日期:1987-07-01 00:00:00

  • Evaluation of ambulatory cassette EEG monitoring: III. Diagnostic accuracy compared to intensive inpatient EEG monitoring.

    abstract::We assessed the ability to recognize epileptiform abnormalities on a video review of ambulatory cassette EEGs (A/EEG) by comparing two independent interpretations of an A/EEG to those derived from a routine recording and intensive monitoring by cable telemetry (C/EEG) of the same 40 patients. Both A/EEG readings concu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.7.853

    authors: Ebersole JS,Leroy RF

    更新日期:1983-07-01 00:00:00

  • HIV-1 infection: no evidence of cognitive decline during the asymptomatic stages. The Multicenter AIDS Cohort Study.

    abstract::Cross-sectional studies have not adequately resolved the question of whether subjects infected with HIV-1 may suffer cognitive decline during the early, asymptomatic stages of the infection. We studied longitudinally 238 asymptomatic healthy HIV-1-infected homosexual/bisexual men (CDC groups 2 and 3) and 170 uninfecte...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1212/wnl.40.2.204

    authors: Selnes OA,Miller E,McArthur J,Gordon B,Muñoz A,Sheridan K,Fox R,Saah AJ

    更新日期:1990-02-01 00:00:00

  • Prospective study of military service and mortality from ALS.

    abstract:BACKGROUND:Two recent studies suggest that the risk of ALS is increased among Gulf War veterans. It is not known whether military service outside of the Gulf War is associated with increased risk of ALS. METHODS:The authors prospectively assessed the relation between service in the military and ALS mortality among par...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000148649.17706.D9

    authors: Weisskopf MG,O'Reilly EJ,McCullough ML,Calle EE,Thun MJ,Cudkowicz M,Ascherio A

    更新日期:2005-01-11 00:00:00

  • Transient global amnesia: clinical and electroencephalographic findings in 10 cases.

    abstract::We studied 10 patients with transient global amnesia (TGA). Routine electroencephalograms (EEGs) were normal in six; two showed mild temporal lobe abnormalities, one had bitemporal delta activity with rare sharp waves, and one showed bioccipital rhythmic theta activity. Nasopharyngeal (NP) recordings were obtained in ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.6.869

    authors: Rowan AJ,Protass LM

    更新日期:1979-06-01 00:00:00

  • Levodopa pharmacokinetics and pharmacodynamics in fluctuating parkinsonian patients.

    abstract::We investigated levodopa intravenous infusion rates, plasma concentrations, and clinical responses in 23 parkinsonian patients with a fluctuating response to the drug. There was a linear relationship between rate of levodopa infusion and plasma concentration when carbidopa was coadministered. Minimum-therapeutically e...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.6.739

    authors: Nutt JG,Woodward WR

    更新日期:1986-06-01 00:00:00

  • Delayed stroke following carotid occlusion.

    abstract::A 60-year-old patient suffered a lethal hemispheric infarction 3 days after angiographically documented occlusion of the ipsilateral cervical internal carotid artery and while receiving anticoagulant therapy. Pathologic evidence is consistent with embolism from the distal "tail" of a propagated carotid thrombus as the...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.1.84

    authors: Finklestein S,Kleinman GM,Cuneo R,Baringer JR

    更新日期:1980-01-01 00:00:00

  • Cardiac injury associated with neurogenic pulmonary edema following subarachnoid hemorrhage.

    abstract:OBJECTIVE:To describe the clinical features of cardiac injury associated with neurogenic pulmonary edema (NPE) in patients with acute subarachnoid hemorrhage (SAH). BACKGROUND:NPE is generally viewed as a form of noncardiogenic pulmonary edema related to massive sympathetic discharge. METHODS:Case series. RESULTS:We...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.5.815

    authors: Mayer SA,Fink ME,Homma S,Sherman D,LiMandri G,Lennihan L,Solomon RA,Klebanoff LM,Beckford A,Raps EC

    更新日期:1994-05-01 00:00:00

  • Near-field amplification of antithrombotic effects of dipyridamole through vessel wall cells.

    abstract::Many studies have demonstrated that dipyridamole is not purely an antiplatelet agent but also exerts its antithrombotic properties through the vessel wall. Using a laboratory model in which bovine endothelial cells are seeded to form a subendothelial matrix (SEM), investigators have shown that dipyridamole enhances th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.suppl_2.s20

    authors: Eisert WG

    更新日期:2001-01-01 00:00:00

  • Endoscopic resection of hypothalamic hamartomas for refractory symptomatic epilepsy.

    abstract:BACKGROUND:Hypothalamic hamartomas (HHs), rare developmental abnormalities of the inferior hypothalamus, often cause refractory, symptomatic, mixed epilepsy, including gelastic seizures. We present 37 patients with HH who underwent transcortical transventricular endoscopic resection. METHODS:Between October 2003 and A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000310644.40767.aa

    authors: Ng YT,Rekate HL,Prenger EC,Wang NC,Chung SS,Feiz-Erfan I,Johnsonbaugh RE,Varland MR,Kerrigan JF

    更新日期:2008-04-22 00:00:00