2026
A real-world, multicentre, epidemiological study in Czech and Slovak adults with spinal muscular atrophy treated with risdiplam
PARMOVÁ, Olesja; Krystof PRASIL; Lenka MOKRA; Michal SVOBODA; Petr RIDZON et al.Základní údaje
Originální název
A real-world, multicentre, epidemiological study in Czech and Slovak adults with spinal muscular atrophy treated with risdiplam
Autoři
PARMOVÁ, Olesja; Krystof PRASIL; Lenka MOKRA; Michal SVOBODA; Petr RIDZON; Jana JUNKEROVA; Lucia BAKOŠOVÁ; Katarina OKALOVA; Lenka JUŘÍKOVÁ; Miriam KOLNIKOVA a Jana HABERLOVA
Vydání
Scientific Reports, Berlin, NATURE RESEARCH, 2026, 2045-2322
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30210 Clinical neurology
Stát vydavatele
Německo
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.900 v roce 2024
Označené pro přenos do RIV
Ano
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Spinal muscular atrophy; Adults; Risdiplam; Real-world data
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 7. 4. 2026 13:50, Mgr. Tereza Miškechová
Anotace
V originále
Real-world evidence about risdiplam therapy in adults with 5q spinal muscular atrophy (SMA) remains limited to outcomes in small cohorts, heterogeneous endpoints, and a short follow-up. We collected data of 59 adults with genetically confirmed 5q-SMA treated with risdiplam and analysed RULM, HFMSE, FVC % predicted, and ventilation status at baseline and at Month 6, 12, 24, and up to 36. The cohort comprised 59 adults (median age 28.5 years, range 17.0-59.2; 57.6% type 2, 33.9% type 3, and 8.5% type 1; 90.6% wheelchair users). During the follow-up period no patient lost motor function. RULM improved during the first 6 months and remained stable through 24-36 months. Over the follow-up, HFMSE showed a non-significant mean monthly increase of 0.05 points (P = 0.222), and RULM increased by 0.02 points per month (P = 0.079). No patient initiated ventilation during follow-up and forced vital capacity remained stable. In our adult population, including Type 1 survivors, risdiplam was associated with sustained upper-limb improvement, overall motor stability over 3 years, and a favourable respiratory trajectory without ventilation. Our findings indicate that stabilisation is a clinically meaningful target in advanced adult SMA patients.