Skip to main content
Top
Published in: Orphanet Journal of Rare Diseases 1/2013

Open Access 01-12-2013 | Letter to the Editor

SMA-EUROPE workshop report: opportunities and challenges in developing clinical trials for spinal muscular atrophy in Europe

Authors: Nathalie Kayadjanian, Arthur Burghes, Richard S Finkel, Eugenio Mercuri, Francoise Rouault, Inge Schwersenz, Kevin Talbot

Published in: Orphanet Journal of Rare Diseases | Issue 1/2013

Login to get access

Abstract

Spinal muscular atrophy (SMA) is the most common lethal recessive disease in childhood, and there is currently no effective treatment to halt disease progression. The translation of scientific advances into effective therapies is hampered by major roadblocks in clinical trials, including the complex regulatory environment in Europe, variations in standards of care, patient ascertainment and enrolment, a narrow therapeutic window and a lack of biomarkers of efficacy. In this context, SMA-Europe organized its first international workshop in July 2012 in Rome, gathering 34 scientists, clinicians and representatives of patient organizations to establish recommendations for improving clinical trials for SMAa.
Literature
1.
go back to reference Lefebvre S, Burglen L, Reboullet S, Clermont O, Burlet P, Viollet L, Benichou B, Cruaud C, Millasseau P, Zeviani M: Identification and characterization of a spinal muscular atrophy-determining gene. Cell. 1995, 80: 155-165. 10.1016/0092-8674(95)90460-3.PubMedCrossRef Lefebvre S, Burglen L, Reboullet S, Clermont O, Burlet P, Viollet L, Benichou B, Cruaud C, Millasseau P, Zeviani M: Identification and characterization of a spinal muscular atrophy-determining gene. Cell. 1995, 80: 155-165. 10.1016/0092-8674(95)90460-3.PubMedCrossRef
2.
go back to reference Lunn MR, Wang CH: Spinal muscular atrophy. Lancet. 2008, 371: 2120-2133. 10.1016/S0140-6736(08)60921-6.PubMedCrossRef Lunn MR, Wang CH: Spinal muscular atrophy. Lancet. 2008, 371: 2120-2133. 10.1016/S0140-6736(08)60921-6.PubMedCrossRef
3.
go back to reference Mercuri E, Bertini E, Iannaccone ST: Childhood spinal muscular atrophy: controversies and challenges. Lancet Neurol. 2012, 11: 443-452. 10.1016/S1474-4422(12)70061-3.PubMedCrossRef Mercuri E, Bertini E, Iannaccone ST: Childhood spinal muscular atrophy: controversies and challenges. Lancet Neurol. 2012, 11: 443-452. 10.1016/S1474-4422(12)70061-3.PubMedCrossRef
4.
go back to reference Ogino S, Wilson RB, Gold B: New insights on the evolution of the SMN1 and SMN2 region: simulation and meta-analysis for allele and haplotype frequency calculations. Eur J Hum Genet. 2004, 12: 1015-1023. 10.1038/sj.ejhg.5201288.PubMedCrossRef Ogino S, Wilson RB, Gold B: New insights on the evolution of the SMN1 and SMN2 region: simulation and meta-analysis for allele and haplotype frequency calculations. Eur J Hum Genet. 2004, 12: 1015-1023. 10.1038/sj.ejhg.5201288.PubMedCrossRef
5.
go back to reference Foust KD, Wang X, McGovern VL, Braun L, Bevan AK, Haidet AM, Le TT, Morales PR, Rich MM, Burghes AH, Kaspar BK: Rescue of the spinal muscular atrophy phenotype in a mouse model by early postnatal delivery of SMN. Nat Biotechnol. 2010, 28: 271-274. 10.1038/nbt.1610.PubMedCentralPubMedCrossRef Foust KD, Wang X, McGovern VL, Braun L, Bevan AK, Haidet AM, Le TT, Morales PR, Rich MM, Burghes AH, Kaspar BK: Rescue of the spinal muscular atrophy phenotype in a mouse model by early postnatal delivery of SMN. Nat Biotechnol. 2010, 28: 271-274. 10.1038/nbt.1610.PubMedCentralPubMedCrossRef
6.
go back to reference Dominguez E, Marais T, Chatauret N, Benkhelifa-Ziyyat S, Duque S, Ravassard P, Carcenac R, Astord S, Pereira de Moura A, Voit T, Barkats M: Intravenous scAAV9 delivery of a codon-optimized SMN1 sequence rescues SMA mice. Hum Mol Genet. 2010, 20: 681-693.PubMedCrossRef Dominguez E, Marais T, Chatauret N, Benkhelifa-Ziyyat S, Duque S, Ravassard P, Carcenac R, Astord S, Pereira de Moura A, Voit T, Barkats M: Intravenous scAAV9 delivery of a codon-optimized SMN1 sequence rescues SMA mice. Hum Mol Genet. 2010, 20: 681-693.PubMedCrossRef
7.
go back to reference Valori CF, Ning K, Wyles M, Mead RJ, Grierson AJ, Shaw PJ, Azzouz M: Systemic delivery of scAAV9 expressing SMN prolongs survival in a model of spinal muscular atrophy. Sci Transl Med. 2010, 2: 35-42. Valori CF, Ning K, Wyles M, Mead RJ, Grierson AJ, Shaw PJ, Azzouz M: Systemic delivery of scAAV9 expressing SMN prolongs survival in a model of spinal muscular atrophy. Sci Transl Med. 2010, 2: 35-42.
8.
go back to reference Oskoui M, Levy G, Garland CJ, Gray JM, O’Hagen J, De Vivo DC, Kaufmann P: The changing natural history of spinal muscular atrophy type 1. Neurology. 2007, 69: 1931-1936. 10.1212/01.wnl.0000290830.40544.b9.PubMedCrossRef Oskoui M, Levy G, Garland CJ, Gray JM, O’Hagen J, De Vivo DC, Kaufmann P: The changing natural history of spinal muscular atrophy type 1. Neurology. 2007, 69: 1931-1936. 10.1212/01.wnl.0000290830.40544.b9.PubMedCrossRef
9.
go back to reference Swoboda KJ, Prior TW, Scott CB, McNaught TP, Wride MC, Reyna SP, Bromberg MB: Natural history of denervation in SMA: relation to age, SMN2 copy number, and function. Ann Neurol. 2005, 57: 704-712. 10.1002/ana.20473.PubMedCentralPubMedCrossRef Swoboda KJ, Prior TW, Scott CB, McNaught TP, Wride MC, Reyna SP, Bromberg MB: Natural history of denervation in SMA: relation to age, SMN2 copy number, and function. Ann Neurol. 2005, 57: 704-712. 10.1002/ana.20473.PubMedCentralPubMedCrossRef
10.
go back to reference Andermann A, Blancquaert I, Beauchamp S, Dery V: Revisiting Wilson and Jungner in the genomic age: a review of screening criteria over the past 40 years. Bull World Health Organ. 2008, 86: 317-319. 10.2471/BLT.07.050112.PubMedCentralPubMedCrossRef Andermann A, Blancquaert I, Beauchamp S, Dery V: Revisiting Wilson and Jungner in the genomic age: a review of screening criteria over the past 40 years. Bull World Health Organ. 2008, 86: 317-319. 10.2471/BLT.07.050112.PubMedCentralPubMedCrossRef
Metadata
Title
SMA-EUROPE workshop report: opportunities and challenges in developing clinical trials for spinal muscular atrophy in Europe
Authors
Nathalie Kayadjanian
Arthur Burghes
Richard S Finkel
Eugenio Mercuri
Francoise Rouault
Inge Schwersenz
Kevin Talbot
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2013
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/1750-1172-8-44

Other articles of this Issue 1/2013

Orphanet Journal of Rare Diseases 1/2013 Go to the issue