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Safety and efficacy of apitegromab in nonambulatory type 2 or type 3 spinal muscular atrophy (SAPPHIRE): a phase 3, double-blind, randomised, placebo-controlled trial

Abstract:
BACKGROUND: Approved spinal muscular atrophy therapies greatly improve clinical outcomes; however, substantial motor function deficits persist. Apitegromab, a fully human monoclonal antibody, selectively inhibits myostatin activation, improving muscle function. We aimed to assess the safety and efficacy of apitegromab in patients with nonambulatory type 2 or type 3 spinal muscular atrophy receiving nusinersen or risdiplam.

METHODS: SAPPHIRE, a double-b... Expand abstract
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/s1474-4422(25)00225-x

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
Paediatrics
Oxford college:
Kellogg College
Role:
Author
ORCID:
0000-0001-9270-4061

Contributors

Role:
Contributor


More from this funder
Funder identifier:
https://ror.org/01z7r7q48


Publisher:
Elsevier
Journal:
Lancet Neurology More from this journal
Volume:
24
Issue:
9
Pages:
727-739
Publication date:
2025-08-13
Acceptance date:
2025-06-11
DOI:
EISSN:
1474-4465
ISSN:
1474-4422
Pmid:
40818473


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