Table 1.
Included studies
Author, year (reference) | Study design | Sample size | Follow‐up duration | Treatment | Age, mean (range) | Country | NICE/QUIPS ROB assessment | |
---|---|---|---|---|---|---|---|---|
Studies in Type 1 SMA population | Aragon‐Gawinska, 2018 67 | POS | 33 | 6 m | Nusinersen | 21.3 m (8.3–113.1) a | France | Low |
D’Amico, 2008 62 | ROS | 38 | NR | Unspecified | NR | Italy | Low | |
Finkel, 2017 ENDEAR 53 | RCT (Phase 3, DB) | 122 | 13 m | Nusinersen vs. sham procedure |
Nusinersen: 163 d (52–242) a Placebo: 181 d (30–262) a |
Multinational | Low | |
Pechmann, 2018 68 | POS | 61 | 6 m | Nusinersen | 21.08 m (1–93) a | Germany | Low | |
Dabbous, 2019 64 | ITC | 92 | NR | Onasemnogene abeparvovec vs. nusinersen |
Onasemnogene abeparvovec: 3.4 m (0.9–7. 9) a Nusinersen: 5.3 m (1.7–7.9) a |
Multinational | High | |
De Sanctis, 2018 69 | ROS | 20 | NR | Unspecified | NR | Italy | High | |
Feldkoetter, 2002 6 | ROS | 113 | NR | Unspecified | NR | Germany | High | |
Finkel, 2014 18 | POS | 79 | 36 m | Unspecified |
Type 1b SMA (median): 2.5–184 m b Type 1c SMA (median): 6–78 m b |
US | High | |
Gregoretti, 2013 63 | ROS | 194 | NR | TV vs. continuous NRA | NR | Italy | High | |
Kaneko, 2017 26 | ROS | 47 | NR | Unspecified | 7 m to 57 y b | Japan | High | |
Oskoui, 2007 58 | POS | 143 | 49.9 m | Unspecified | US | High | ||
Rudnik‐Schoneborn, 2009 56 | ROS | 66 | NR | Valproic acid | NR | Germany | High | |
Studies in Types 2 and 3 SMA population | Bertini, 2017 49 |
RCT (Phase 2, DB) |
165 | 24 m | Olesoxime vs. placebo |
Olesoxime: 9.1 y (SD: 5.5) Placebo: 11.2 y (SD: 6.0) |
Multinational | Low |
Mercuri, 2018 CHERISH 52 |
RCT (Phase 3, DB) |
126 | 15 m | Nusinersen vs. sham |
Nusinersen: 4 y (range: 2–9) Sham: 3 y (range: 2–7) |
Multinational | Low | |
Mazzone, 2013 74 | POS | 38 | 12 m | Unspecified | 14.07 y (SD: 12.43) | Europe (6 countries) | Low | |
Mercuri, 2016 73 | ROS | 268 | 12 m | Unspecified |
10.65 y (range: 2.5–55.5) |
US, Italy, UK, Belgium | Low | |
Montes, 2018 70 | POS | 73 | 108 m | Unspecified |
13.5 y (SD: 12.4) |
US, Italy, UK | Low | |
Pera, 2019 71 | POS | 114 | 12 m | Unspecified | 13.3 y (SD: 10.1) | US, Italy, UK | Low | |
Kaufmann, 2012 66 | POS | 79 | 25 m | Unspecified | 11.3 y (SD: 9.4) | US | High | |
Studies in a mixed SMA population (Types 1, 2 and 3 SMA) |
Farrar, 2013 28 | ROS | 70 | NR | Unspecified | NR | Australia | Low |
Swoboda, 2005 65 | POS | 89 | NR | Unspecified |
Type 1 SMA: 18.9 m (1.08–263) b Type 2 SMA: 87.1 m (0.43–589) b Type 3 SMA: 146.6 m (28.4–604.8) b |
US | Low | |
Qu, 2015 54 | POS | 232 | NR | Unspecified | NR | China | Low | |
Vuillerot, 2013 72 | ROS | 112 | 21.6 m | Unspecified |
Type 2 SMA: 11.5 y (SD: 5) Type 3 SMA: 18.7 y (SD: 12.3) |
France, Belgium, Switzerland | Low | |
Belter, 2018 59 | ROS | 1966 | NR | Unspecified | NR | US | High | |
Bladen, 2014 17 | ROS | 5068 | NR | Unspecified | NR | North America, Australasia, Europe | High | |
Chung, 2004 30 | POS | 83 | NR | Unspecified |
Type 2 SMA: 0.96 y (SD: 0.58) Type 3a SMA: 1.31 y (SD: 0.62) Type 3b SMA: 6.93 y (SD: 8.03) |
Hong Kong | High | |
Ge, 2012 57 | ROS | 237 | 6 m | Unspecified |
Type 1 SMA: 5.3 y (SD: 4.7) b Type 2 SMA: 12.8 y (SD: 10.0) b Type 3 SMA: 32.8 y (SD: 27.7) b |
China | High | |
Madrid Rodríguez, 2015 60 | ROS | 37 | NR | Unspecified | NR | Spain | High | |
Mannaa, 2009 61 | ROS | 40 | NR | Unspecified | NR | US | High | |
Petit, 2011 55 | ROS | 103 | NR | Unspecified | NR | France | High | |
Yuan, 2015 98 | ROS | 132 | 49 m | Unspecified |
Type 1 SMA: 7.8 y (SD: 5.7) b Type 2 SMA: 36.2 y (SD: 23.0) b Type 3 SMA: 110.3 y (SD: 63.2) b |
China | High |
All studies included in the systemic review. Studies were divided into Type 1 and Types 2 and 3 SMA populations and mixed SMA populations that reported on patients with Types 1, 2 and 3 SMA.
d, days; DB, double‐blind; ITC, indirect treatment comparison; m, months; NICE, National Institute of Health and Care Excellence; NR, not reported; NRA, non‐invasive respiratory muscle aid; POS, prospective observational study; QUIPS, Quality in Prognosis Studies; RCT, randomized controlled trial; ROB, risk of bias; ROS, retrospective observational study; SMA, spinal muscular atrophy; SD, standard deviation; TV, tracheostomy and invasive mechanical ventilation; y, years.
Age at treatment initiation.
Age at enrollment/first visit.