サイトウ　カヨコ   Saito Kayoko   齋藤　加代子    所属   医学部 医学科（東京女子医科大学病院）    職種   特任教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Onasemnogene abeparvovec for presymptomatic infants with three copies of SMN2 at risk for spinal muscular atrophy: the Phase III SPR1NT trial.
掲載誌名	正式名：Nature medicine 略　 称：Nat Med ISSNコード：1546170X/10788956
掲載区分	国外
巻・号・頁	Online ahead of print,pp.1-8
国際共著	国際共著
著者・共著者	Strauss Kevin A, Farrar Michelle A, Muntoni Francesco, Saito Kayoko, Mendell Jerry R, Servais Laurent, McMillan Hugh J, Finkel Richard S, Swoboda Kathryn J, Kwon Jennifer M, Zaidman Craig M, Chiriboga Claudia A, Iannaccone Susan T, Krueger Jena M, Parsons Julie A, Shieh Perry B, Kavanagh Sarah, Wigderson Melissa, Tauscher-Wisniewski Sitra, McGill Bryan E, Macek Thomas A
発行年月	2022/06
概要	Most children with biallelic SMN1 deletions and three SMN2 copies develop spinal muscular atrophy (SMA) type 2. SPR1NT ( NCT03505099 ), a Phase III, multicenter, single-arm trial, investigated the efficacy and safety of onasemnogene abeparvovec for presymptomatic children with biallelic SMN1 mutations treated within six postnatal weeks. Of 15 children with three SMN2 copies treated before symptom onset, all stood independently before 24 months (P < 0.0001; 14 within normal developmental window), and 14 walked independently (P < 0.0001; 11 within normal developmental window). All survived without permanent ventilation at 14 months; ten (67%) maintained body weight (≥3rd WHO percentile) without feeding support through 24 months; and none required nutritional or respiratory support. No serious adverse events were considered treatment-related by the investigator. Onasemnogene abeparvovec was effective and well-tolerated for presymptomatic infants at risk of SMA type 2, underscoring the urgency of early identification and intervention.
DOI	10.1038/s41591-022-01867-3
PMID	35715567