Evidence map›Paper›PMID 40830818›Full record

Trial reportAnnals of clinical and translational neurology2025

Long-Term Evaluation of Givinostat in Duchenne Muscular Dystrophy, and Natural History Comparisons.

Craig M McDonald, Michela Guglieri, Dragana Vučinić, Gyula Acsadi, John F Brandsema, Claudio Bruno, Erika L Finanger, Amy Harper, Mercedes Lopez Lobato, Riccardo Masson and 18 more

Registry-linked trialAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03373968 (Open Label, Long-term Safety, Tolerability, and Efficacy Study of GIVINOSTAT in All DMD Patients Who Have Been Previously Treated in One of the GIVINOSTAT Studies), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03373968 phase2 / phase3recruitingnot on this map

Open Label, Long-term Safety, Tolerability, and Efficacy Study of GIVINOSTAT in All DMD Patients Who Have Been Previously Treated in One of the GIVINOSTAT Studies

TypeinterventionalSponsorItalfarmacoRan2017 to 2029Enrolled206ConditionsDuchenne Muscular DystrophyArmsGivinostat
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Craig M McDonaldUniversity of California Davis Health, Sacramento, California, USA.
Michela GuglieriThe John Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Dragana VučinićClinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia.
Gyula AcsadiDivision of Neurology, Connecticut Children's, Hartford, Connecticut, USA.
John F BrandsemaDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Claudio BrunoCenter of Translational and Experimental Myology, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Erika L FinangerShriners Hospitals for Children - Portland, Portland, Oregon, USA.
Amy HarperDivision of Neurology, Virginia Commonwealth University, Children's Hospital of Richmond, Richmond, Virginia, USA.
Mercedes Lopez LobatoHospital Universitario Virgen del Rocio, Sevilla, Spain.
Riccardo MassonDevelopmental Neurology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Nuria MuelasNeuromuscular Diseases Unit, Neurology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Francina MunellPediatric Neuromuscular Diseases Unit, Pediatric Neurology Section, Pediatric Department, Hospital Universitari Vall d'Hebron, European Reference Network for Neuromuscular Diseases (ERN-EURO-NMD), Barcelona, Spain.
Yoram NevoInstitute of Neurology - Schneider Children's Medical Center of Israel, Tel-Aviv University, Tel-Aviv, Israel.
Yann PéréonCHU Nantes, Reference Centre for Neuromuscular Disorders AOC FILNEMUS, Euro-NMD, Hôtel-Dieu, Nantes, France.
Han PhanMD Rare Disease Research, LLC, Atlanta, Georgia, USA.
Valeria A SansoneNeurorehabilitation Unit, The NeMO Clinical Center in Milan, University of Milan, Milan, Italy.
Mariacristina ScotoDubowitz Neuromuscular Centre and MRC Centre for NMD, Great Ormond Street Hospital & UCL Great Ormond Street Institute of Child Health, London, UK.
Tracey WillisThe Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, UK.
Richard S FinkelCenter for Experimental Neurotherapeutics, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Krista VandenborneImagingDMD and Department of Physical Therapy, University of Florida, Gainesville, Florida, USA.
Sara CazzanigaItalfarmaco SpA, Milan, Italy.
Silvia MontrasioItalfarmaco SpA, Milan, Italy.
Federica AlessiItalfarmaco SpA, Milan, Italy.
Paolo BetticaItalfarmaco SpA, Milan, Italy.
Eugenio MercuriPediatric Neurology, Universita Cattolica del Sacro Cuore, Rome, Italy.
Givinostat Study 51 Investigators
Cooperative International Neuromuscular Research Group (CINRG) Duchenne Natural History Study (DNHS) Investigators
ImagingDMD Investigators

Funding

Magnetic Resonance Imaging and Biomarkers for Muscular DystropyR01AR056973 · NIAMS · UNIVERSITY OF FLORIDA · PI VANDENBORNE, KRISTA H · 2010 to 2024
$20.2M
ItalfarmacoNIAMS NIH HHS R01 AR056973NIH HHS R01AR056973
6 · The paper itself

Abstract

objectivesThis ongoing, open-label extension study is evaluating the long-term safety, tolerability, and efficacy of givinostat, a Class I and II histone deacetylase inhibitor, in patients with Duchenne muscular dystrophy (DMD).

methodsThe recruited patients completed one of two prior clinical studies (one Phase 2 and one Phase 3 [EPIDYS]), receiving givinostat or placebo, or were successfully screened but not randomized into EPIDYS. All receive givinostat oral suspension open-label at a flexible, weight-based dose in addition to systemic corticosteroids, and attend visits every 4 months.

resultsA total of 194 patients are included in the current analyses, with a mean duration of givinostat exposure (excluding use in prior studies) of 559.6 days (SD 373.0); when including use in the prior studies, the maximum exposure to givinostat was > 8 years. Although the majority of patients reported ≥ 1 adverse event (169/194 [87.1%]), most were mild/moderate in severity, and the safety profile of givinostat was consistent with prior studies. Post hoc comparisons with natural history datasets (ImagingDMD and CINRG) suggest, in propensity matched populations, givinostat added to systemic corticosteroids significantly delayed the loss of the ability to rise from the floor, the loss of the ability to complete the 4-stair climb test, and the loss of ambulation (by medians of 2.0-3.3 years; all nominal p < 0.05).

interpretationOverall, the safety and tolerability of long-term administration of givinostat in patients with DMD was consistent with previous studies. Comparisons with natural history data suggest that givinostat delays the occurrence of major disease progression milestones.

trial registrationEudraCT number: 2017-000397-10; ClinicalTrials.gov identifier: NCT03373968.

Indexed as

CarbamatesHistone Deacetylase InhibitorsMuscular Dystrophy, DuchenneAdolescentAdultChildChild, PreschoolDisease ProgressionFemaleHumansMaleYoung AdultCarbamatesgivinostatHistone Deacetylase InhibitorsDuchenne muscular dystrophyefficacylong termsafety

Identifiers

PMID40830818
PMCPMC12623843

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.