Table 3.
Genotype factors and their association with motor function in low‐ROB studies
Factor | Study/ROB | Treatment | Subgroup | N | Outcome | Median change in score (range) unless otherwise specified | Statistical significance between subgroups (P‐value) | ||
---|---|---|---|---|---|---|---|---|---|
SMN2 copy number (E) | Aragon‐Gawinska, 2018 67 | Nusinersen | 2 copies | 14 | HINE‐2 (6 months f/u) | 1.5 (–1, 4) | >0.05 | ||
3 copies | 16 | 1.5 (0, 9) | |||||||
2 copies | 12 | CHOP‐INTEND (6 months f/u) | 3.5 (–2, 11) | >0.05 | |||||
3 copies | 10 | 4 (–2, 14) | |||||||
Pechmann, 2018 68 | Nusinersen | ≤2 copies | 38 | CHOP‐INTEND (6 months f/u) | Mean: 8.1 (SD: 7.0) | >0.01 | |||
≥3 copies | 20 | Mean: 8.2 (SD: 5.3) | |||||||
SMN2 copy number (M) | Swoboda, 2005 65 | Unspecified | 1 copy | 1 | Functional status: Unable to sit | 0% | <0.001 | ||
2 copies | 22 | 55% | |||||||
3 copies | 41 | 17% | |||||||
4 copies | 14 | 14% | |||||||
5 copies | 3 | 0% | |||||||
1 copy | 1 | Functional status: Sits unsupported | 0% | ||||||
2 copies | 22 | 4% | |||||||
3 copies | 41 | 68% | |||||||
4 copies | 14 | 79% | |||||||
5 copies | 3 | 33% | |||||||
1 copy | 1 | Functional status: Walks/cruises | 0% | ||||||
2 copies | 22 | 0% | |||||||
3 copies | 41 | 15% | |||||||
4 copies | 14 | 7% | |||||||
5 copies | 3 | 67% | |||||||
SMN2 copy number (L) | Mercuri, 2018 CHERISH 52 | Nusinersen | 2 copies | Nusinersen | 9 | Change from baseline in HFMSE score to Month 15 | 3.3 | 5.6 a | NR |
Sham | −2.3 | ||||||||
3 copies | Nusinersen | 87 | 4.1 | 4.4 a | |||||
Sham | −0.3 | ||||||||
4 copies | Nusinersen | 2 | 5.0 | 15 a | |||||
Sham | −10.0 | ||||||||
Unknown | Nusinersen | 2 | 2.0 | NC | |||||
Sham | NC |
CHOP‐INTEND, Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders; E, early‐onset (Type 1 population); f/u, follow‐up; HFMSE, Hammersmith Functional Motor Scale – Expanded; HINE‐2, Hammersmith Infant Neurological Examination, Section 2; L, later‐onset (Types 2/3) population; M, mixed SMA type population; NC, not calculated; NR, not reported; ROB, risk of bias; SD, standard deviation; SMN2, survival of motor neuron 2.
Treatment difference.