001     271333
005     20240901004627.0
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024 7 _ |a pmid:39031772
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024 7 _ |a 0148-639X
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037 _ _ |a DZNE-2024-01035
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Meyer, Thomas
|0 0000-0002-2736-7350
|b 0
245 _ _ |a Clinical and patient-reported outcomes and neurofilament response during tofersen treatment in SOD1-related ALS-A multicenter observational study over 18 months.
260 _ _ |a New York, NY [u.a.]
|c 2024
|b Wiley
336 7 _ |a article
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336 7 _ |a ARTICLE
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520 _ _ |a In amyotrophic lateral sclerosis (ALS) caused by SOD1 mutations (SOD1-ALS), tofersen received accelerated approval in the United States and is available via expanded access programs (EAP) outside the United States. This multicenter study investigates clinical and patient-reported outcomes (PRO) and serum neurofilament light chain (sNfL) during tofersen treatment in an EAP in Germany.Sixteen SOD1-ALS patients receiving tofersen for at least 6 months were analyzed. The ALS progression rate (ALS-PR), as measured by the monthly change of the ALS functional rating scale-revised (ALSFRS-R), slow vital capacity (SVC), and sNfL were investigated. PRO included the Measure Yourself Medical Outcome Profile (MYMOP2), Treatment Satisfaction Questionnaire for Medication (TSQM-9), and Net Promoter Score (NPS).Mean tofersen treatment was 11 months (6-18 months). ALS-PR showed a mean change of -0.2 (range 0 to -1.1) and relative reduction by 25%. Seven patients demonstrated increased ALSFRS-R. SVC was stable (mean 88%, range -15% to +28%). sNfL decreased in all patients except one heterozygous D91A-SOD1 mutation carrier (mean change of sNfL -58%, range -91 to +27%, p < .01). MYMOP2 indicated improved symptom severity (n = 10) or yet perception of partial response (n = 6). TSQM-9 showed high global treatment satisfaction (mean 83, SD 16) although the convenience of drug administration was modest (mean 50, SD 27). NPS revealed a very high recommendation rate for tofersen (NPS +80).Data from this EAP supported the clinical and sNfL response to tofersen in SOD1-ALS. PRO suggested a favorable patient perception of tofersen treatment in clinical practice.
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650 _ 7 |a amyotrophic lateral sclerosis (ALS)
|2 Other
650 _ 7 |a clinical course
|2 Other
650 _ 7 |a neurofilament light chain (NfL)
|2 Other
650 _ 7 |a patient‐reported outcomes
|2 Other
650 _ 7 |a tofersen
|2 Other
650 _ 7 |a Superoxide Dismutase-1
|0 EC 1.15.1.1
|2 NLM Chemicals
650 _ 7 |a Neurofilament Proteins
|2 NLM Chemicals
650 _ 7 |a SOD1 protein, human
|2 NLM Chemicals
650 _ 7 |a neurofilament protein L
|2 NLM Chemicals
650 _ 7 |a Oligonucleotides
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: drug therapy
|2 MeSH
650 _ 2 |a Amyotrophic Lateral Sclerosis: genetics
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Patient Reported Outcome Measures
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Superoxide Dismutase-1: genetics
|2 MeSH
650 _ 2 |a Neurofilament Proteins: blood
|2 MeSH
650 _ 2 |a Treatment Outcome
|2 MeSH
650 _ 2 |a Disease Progression
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Oligonucleotides: therapeutic use
|2 MeSH
700 1 _ |a Schumann, Peggy
|b 1
700 1 _ |a Weydt, Patrick
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700 1 _ |a Petri, Susanne
|b 3
700 1 _ |a Weishaupt, Jochen H
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700 1 _ |a Weyen, Ute
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700 1 _ |a Koch, Jan C
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700 1 _ |a Günther, René
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700 1 _ |a Regensburger, Martin
|0 0000-0002-2172-7386
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700 1 _ |a Boentert, Matthias
|0 0000-0001-6133-1397
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700 1 _ |a Wiesenfarth, Maximilian
|b 10
700 1 _ |a Koc, Yasemin
|b 11
700 1 _ |a Kolzarek, Felix
|b 12
700 1 _ |a Kettemann, Dagmar
|b 13
700 1 _ |a Norden, Jenny
|b 14
700 1 _ |a Bernsen, Sarah
|b 15
700 1 _ |a Elmas, Zeynep
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700 1 _ |a Conrad, Julian
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700 1 _ |a Valkadinov, Ivan
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700 1 _ |a Vidovic, Maximilian
|0 0000-0003-1453-1681
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700 1 _ |a Dorst, Johannes
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700 1 _ |a Ludolph, Albert C
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700 1 _ |a Hesebeck-Brinckmann, Jasper
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700 1 _ |a Spittel, Susanne
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700 1 _ |a Münch, Christoph
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700 1 _ |a Maier, André
|b 25
700 1 _ |a Körtvelyessy, Peter
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773 _ _ |a 10.1002/mus.28182
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|t Muscle & nerve
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