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. 2021 Jun 5;110(6):1435–1454. doi: 10.1002/cpt.2247

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.

a

Age at treatment initiation.

b

Age at enrollment/first visit.