Dual-energy X-ray absorptiometry measures of lean body mass as a biomarker for progression in boys with Duchenne muscular dystrophy

© 2022. The Author(s)..

We evaluated whether whole-body dual-energy X-ray absorptiometry (DXA) measures of lean body mass can be used as biomarkers for disease progression and treatment effects in patients with Duchenne muscular dystrophy. This post hoc analysis utilized data from a randomized, 2-period study of domagrozumab versus placebo in 120 ambulatory boys with DMD. DXA measures of lean body mass were obtained from the whole body (excluding head), arms, legs and appendicular skeleton at baseline and every 16 weeks. Treatment effects on DXA measures for domagrozumab versus placebo were assessed at Week 49. At Week 49, domagrozumab statistically significantly increased lean body mass versus placebo in the appendicular skeleton (p = 0.050) and arms (p < 0.001). The relationship between lean body mass at Week 49 and functional endpoints at Week 97 was evaluated. Changes in lean body mass at Week 49 in all regions except arms were significantly correlated with percent change from baseline in 4-stair climb (4SC) at Week 97. DXA-derived percent lean mass at Week 49 also correlated with 4SC and North Star Ambulatory Assessment at Week 97. These data indicate that whole-body DXA measures can be used as biomarkers for treatment effects and disease progression in patients with DMD, and warrant further investigation.Trial registration: ClinicalTrials.gov, NCT02310763; registered 8 December 2014.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Scientific reports - 12(2022), 1 vom: 05. Nov., Seite 18762

Sprache:

Englisch

Beteiligte Personen:

Sherlock, Sarah P [VerfasserIn]
Palmer, Jeffrey [VerfasserIn]
Wagner, Kathryn R [VerfasserIn]
Abdel-Hamid, Hoda Z [VerfasserIn]
Tian, Cuixia [VerfasserIn]
Mah, Jean K [VerfasserIn]
Muntoni, Francesco [VerfasserIn]
Guglieri, Michela [VerfasserIn]
Butterfield, Russell J [VerfasserIn]
Charnas, Lawrence [VerfasserIn]
Marraffino, Shannon [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 08.11.2022

Date Revised 17.08.2023

published: Electronic

ClinicalTrials.gov: NCT02310763

Citation Status MEDLINE

doi:

10.1038/s41598-022-23072-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM348490615