Movement Disorders (revue)

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Measuring the rate of progression in Friedreich ataxia: Implications for clinical trial design

Identifieur interne : 002024 ( Main/Merge ); précédent : 002023; suivant : 002025

Measuring the rate of progression in Friedreich ataxia: Implications for clinical trial design

Auteurs : Lisa S. Friedman [États-Unis] ; Jennifer M. Farmer [États-Unis] ; Susan Perlman [États-Unis] ; George Wilmot [États-Unis] ; Christopher M. Gomez [États-Unis] ; Khalaf O. Bushara [États-Unis] ; Katherine D. Mathews [États-Unis] ; S. H. Subramony [États-Unis] ; Tetsuo Ashizawa [États-Unis] ; Laura J. Balcer [États-Unis] ; Robert B. Wilson [États-Unis] ; David R. Lynch [États-Unis]

Source :

RBID : ISTEX:A06CB388546EB8D4B4B45FDF7F94DCE8AC0A1CCF

English descriptors

Abstract

Friedreich ataxia is an autosomal recessive neurodegenerative disorder characterized by ataxia of all four limbs, dysarthria, and arreflexia. A variety of measures are currently used to quantify disease progression, including the Friedreich Ataxia Rating Scale, examiner‐rated functional disability scales, self‐reported activities of daily living and performance measures such as the timed 25‐foot walk, 9‐hole pegboard test, PATA speech test, and low‐contrast letter acuity vision charts. This study examines the rate of disease progression over one and two years in a cohort of 236 Friedreich ataxia patients using these scales and performance measure composites. The Friedreich Ataxia Rating Scale and performance‐measure composites captured disease progression, with a greater sensitivity to change over 2 years than over 1 year. The measures differed in their sensitivity to change and in possible bias. These results help to establish norms for progression in FRDA that can be useful in measuring the long‐term success of therapeutic agents and defining sample‐size calculations for double‐blind clinical trials. © 2010 Movement Disorder Society

Url:
DOI: 10.1002/mds.22912

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ISTEX:A06CB388546EB8D4B4B45FDF7F94DCE8AC0A1CCF

Le document en format XML

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<div type="abstract" xml:lang="en">Friedreich ataxia is an autosomal recessive neurodegenerative disorder characterized by ataxia of all four limbs, dysarthria, and arreflexia. A variety of measures are currently used to quantify disease progression, including the Friedreich Ataxia Rating Scale, examiner‐rated functional disability scales, self‐reported activities of daily living and performance measures such as the timed 25‐foot walk, 9‐hole pegboard test, PATA speech test, and low‐contrast letter acuity vision charts. This study examines the rate of disease progression over one and two years in a cohort of 236 Friedreich ataxia patients using these scales and performance measure composites. The Friedreich Ataxia Rating Scale and performance‐measure composites captured disease progression, with a greater sensitivity to change over 2 years than over 1 year. The measures differed in their sensitivity to change and in possible bias. These results help to establish norms for progression in FRDA that can be useful in measuring the long‐term success of therapeutic agents and defining sample‐size calculations for double‐blind clinical trials. © 2010 Movement Disorder Society</div>
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<name sortKey="Bushara, Khalaf O" sort="Bushara, Khalaf O" uniqKey="Bushara K" first="Khalaf O." last="Bushara">Khalaf O. Bushara</name>
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<name sortKey="Mathews, Katherine D" sort="Mathews, Katherine D" uniqKey="Mathews K" first="Katherine D." last="Mathews">Katherine D. Mathews</name>
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<region type="state">État du Mississippi</region>
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<name sortKey="Ashizawa, Tetsuo" sort="Ashizawa, Tetsuo" uniqKey="Ashizawa T" first="Tetsuo" last="Ashizawa">Tetsuo Ashizawa</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, University of Texas Medical Branch, Galveston, Texas</wicri:regionArea>
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<region type="state">Texas</region>
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</affiliation>
<affiliation wicri:level="2">
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<author>
<name sortKey="Balcer, Laura J" sort="Balcer, Laura J" uniqKey="Balcer L" first="Laura J." last="Balcer">Laura J. Balcer</name>
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<wicri:regionArea>Department of Neurology, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea>
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<wicri:regionArea>Department of Pathology and Laboratory Medicine, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea>
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<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Lynch, David R" sort="Lynch, David R" uniqKey="Lynch D" first="David R." last="Lynch">David R. Lynch</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea>
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<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania</wicri:regionArea>
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<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Children's Hospital of Philadelphia, Philadelphia, Pennsylvania</wicri:regionArea>
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<region type="state">Pennsylvanie</region>
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<series>
<title level="j">Movement Disorders</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
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<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2010-03-15">2010-03-15</date>
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<biblScope unit="issue">4</biblScope>
<biblScope unit="page" from="426">426</biblScope>
<biblScope unit="page" to="432">432</biblScope>
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<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">A06CB388546EB8D4B4B45FDF7F94DCE8AC0A1CCF</idno>
<idno type="DOI">10.1002/mds.22912</idno>
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<idno type="ISSN">0885-3185</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>ataxia</term>
<term>clinical neurology examination</term>
<term>mitochondrial disorder</term>
<term>natural history study</term>
<term>trinucleotide repeat disease</term>
</keywords>
</textClass>
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<language ident="en">en</language>
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<front>
<div type="abstract" xml:lang="en">Friedreich ataxia is an autosomal recessive neurodegenerative disorder characterized by ataxia of all four limbs, dysarthria, and arreflexia. A variety of measures are currently used to quantify disease progression, including the Friedreich Ataxia Rating Scale, examiner‐rated functional disability scales, self‐reported activities of daily living and performance measures such as the timed 25‐foot walk, 9‐hole pegboard test, PATA speech test, and low‐contrast letter acuity vision charts. This study examines the rate of disease progression over one and two years in a cohort of 236 Friedreich ataxia patients using these scales and performance measure composites. The Friedreich Ataxia Rating Scale and performance‐measure composites captured disease progression, with a greater sensitivity to change over 2 years than over 1 year. The measures differed in their sensitivity to change and in possible bias. These results help to establish norms for progression in FRDA that can be useful in measuring the long‐term success of therapeutic agents and defining sample‐size calculations for double‐blind clinical trials. © 2010 Movement Disorder Society</div>
</front>
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<nlm:aff id="A7">University of Chicago, Chicago, IL, United States</nlm:aff>
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<region type="state">Minnesota</region>
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<name sortKey="Mathews, Katherine D" sort="Mathews, Katherine D" uniqKey="Mathews K" first="Katherine D" last="Mathews">Katherine D. Mathews</name>
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<name sortKey="Subramony, S H" sort="Subramony, S H" uniqKey="Subramony S" first="S. H" last="Subramony">S. H. Subramony</name>
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<nlm:aff id="A9">University of Texas Medical Branch, Galveston, TX, United States</nlm:aff>
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<region type="state">Texas</region>
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<wicri:regionArea>University of Mississippi, Jackson, MS</wicri:regionArea>
<placeName>
<region type="state">État du Mississippi</region>
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</author>
<author>
<name sortKey="Ashizawa, Tetsuo" sort="Ashizawa, Tetsuo" uniqKey="Ashizawa T" first="Tetsuo" last="Ashizawa">Tetsuo Ashizawa</name>
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<nlm:aff id="A9">University of Texas Medical Branch, Galveston, TX, United States</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Texas Medical Branch, Galveston, TX</wicri:regionArea>
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<region type="state">Texas</region>
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<nlm:aff id="A11">University of Florida, Gainesville, FL, United States</nlm:aff>
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<wicri:regionArea>University of Florida, Gainesville, FL</wicri:regionArea>
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<region type="state">Floride</region>
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<name sortKey="Balcer, Laura J" sort="Balcer, Laura J" uniqKey="Balcer L" first="Laura J" last="Balcer">Laura J. Balcer</name>
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<nlm:aff id="A1">Department of Neurology, University of Pennsylvania School of Medicine, United States</nlm:aff>
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<name sortKey="Wilson, Robert B" sort="Wilson, Robert B" uniqKey="Wilson R" first="Robert B" last="Wilson">Robert B. Wilson</name>
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<nlm:aff id="A12">Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, United States</nlm:aff>
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<name sortKey="Lynch, David R" sort="Lynch, David R" uniqKey="Lynch D" first="David R" last="Lynch">David R. Lynch</name>
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<nlm:aff id="A1">Department of Neurology, University of Pennsylvania School of Medicine, United States</nlm:aff>
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<wicri:regionArea>Department of Neurology, University of Pennsylvania School of Medicine</wicri:regionArea>
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<nlm:aff id="A2">Department of Pediatrics, University of Pennsylvania School of Medicine, United States</nlm:aff>
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<wicri:regionArea>Department of Pediatrics, University of Pennsylvania School of Medicine</wicri:regionArea>
<wicri:noRegion>University of Pennsylvania School of Medicine</wicri:noRegion>
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<nlm:aff id="A3">Children’s Hospital of Philadelphia, Philadelphia, PA, 19104, United States</nlm:aff>
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<series>
<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Clinical Trials as Topic</term>
<term>DNA, Mitochondrial (genetics)</term>
<term>Disease Progression</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Friedreich Ataxia (diagnosis)</term>
<term>Friedreich Ataxia (genetics)</term>
<term>Friedreich Ataxia (physiopathology)</term>
<term>Humans</term>
<term>Iron-Binding Proteins (genetics)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Point Mutation (genetics)</term>
<term>Severity of Illness Index</term>
<term>Speech Disorders (diagnosis)</term>
<term>Trinucleotide Repeats (genetics)</term>
<term>Walking</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en">
<term>DNA, Mitochondrial</term>
<term>Iron-Binding Proteins</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Friedreich Ataxia</term>
<term>Speech Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Friedreich Ataxia</term>
<term>Point Mutation</term>
<term>Trinucleotide Repeats</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Friedreich Ataxia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Clinical Trials as Topic</term>
<term>Disease Progression</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Severity of Illness Index</term>
<term>Walking</term>
<term>Young Adult</term>
</keywords>
</textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">Friedreich ataxia is an autosomal recessive neurodegenerative disorder characterized by ataxia of all four limbs, dysarthria and arreflexia. A variety of measures are currently used to quantify disease progression, including the Friedreich Ataxia Rating Scale, examiner-rated functional disability scales, self-reported activities of daily living and performance measures such as the timed 25-foot walk, 9-hole pegboard test, PATA speech test, and low-contrast letter acuity vision charts. The present study examines the rate of disease progression over one and two years in a cohort of 236 Friedreich ataxia patients using these scales and performance measure composites. The Friedreich Ataxia Rating Scale and performance-measure composites captured disease progression, with a greater sensitivity to change over two years than over one year. The measures differed in their sensitivity to change and in possible bias. These results help to establish norms for progression in FRDA that can be useful in measuring the long-term success of therapeutic agents and defining sample-size calculations for double-blind clinical trials.</p>
</div>
</front>
</TEI>
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