What is the relevant level of motor function change in DMD?

Given the relative failure of a certain number of therapeutic trials, an international consortium of specialists in Duchenne muscular dystrophy (DMD), in collaboration with the AFM-Téléthon in particular, has examined the motor trajectories in this pathology:

  • to this end, they gathered data and clinical assessments from more than 1,000 DMD patients, in the context of trials or real-life follow-up,
  • the subjects were aged between 4 and 18, still able to walk and receiving long-term corticosteroids,
  • significant thresholds of change were defined with a confidence interval set at 80%,
  • these were 2.8 points for the North Star scale, 1.3 seconds for the four-step ascent test and 36.3 metres for the six-minute walk test.

The authors consider that above these thresholds, the improvement observed is indeed due to the treatment.

 

Meaningful changes in motor function in Duchenne muscular dystrophy (DMD): A multi-center study. Muntoni F, Signorovitch J, Sajeev G et al. PLoS One. 2024 Jul 10;19(7):e0304984.