PMID- 23681930 OWN - NLM STAT- MEDLINE DCOM- 20131111 LR - 20220408 IS - 1097-4598 (Electronic) IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 48 IP - 3 DP - 2013 Sep TI - The 6-minute walk test and other endpoints in Duchenne muscular dystrophy: longitudinal natural history observations over 48 weeks from a multicenter study. PG - 343-56 LID - 10.1002/mus.23902 [doi] AB - INTRODUCTION: Duchenne muscular dystrophy (DMD) subjects >/=5 years with nonsense mutations were followed for 48 weeks in a multicenter, randomized, double-blind, placebo-controlled trial of ataluren. Placebo arm data (N = 57) provided insight into the natural history of the 6-minute walk test (6MWT) and other endpoints. METHODS: Evaluations performed every 6 weeks included the 6-minute walk distance (6MWD), timed function tests (TFTs), and quantitative strength using hand-held myometry. RESULTS: Baseline age (>/=7 years), 6MWD, and selected TFT performance are strong predictors of decline in ambulation (Delta6MWD) and time to 10% worsening in 6MWD. A baseline 6MWD of <350 meters was associated with greater functional decline, and loss of ambulation was only seen in those with baseline 6MWD <325 meters. Only 1 of 42 (2.3%) subjects able to stand from supine lost ambulation. CONCLUSION: Findings confirm the clinical meaningfulness of the 6MWD as the most accepted primary clinical endpoint in ambulatory DMD trials. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - McDonald, Craig M AU - McDonald CM AD - Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, Davis, California, 95817, USA. FAU - Henricson, Erik K AU - Henricson EK FAU - Abresch, R Ted AU - Abresch RT FAU - Florence, Julaine M AU - Florence JM FAU - Eagle, Michelle AU - Eagle M FAU - Gappmaier, Eduard AU - Gappmaier E FAU - Glanzman, Allan M AU - Glanzman AM CN - PTC124-GD-007-DMD Study Group FAU - Spiegel, Robert AU - Spiegel R FAU - Barth, Jay AU - Barth J FAU - Elfring, Gary AU - Elfring G FAU - Reha, Allen AU - Reha A FAU - Peltz, Stuart AU - Peltz S LA - eng GR - MR/K000608/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20130626 PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (Glucocorticoids) RN - 0 (Oxadiazoles) RN - K16AME9I3V (ataluren) SB - IM CIN - Muscle Nerve. 2013 Sep;48(3):315-7. PMID: 24038058 MH - Adolescent MH - Child MH - Child, Preschool MH - Double-Blind Method MH - Electromyography MH - *Exercise Test MH - Glucocorticoids/therapeutic use MH - Hand Strength/physiology MH - Humans MH - Longitudinal Studies MH - Male MH - Muscular Dystrophy, Duchenne/drug therapy/*physiopathology MH - Observation MH - *Outcome Assessment, Health Care MH - Oxadiazoles/therapeutic use MH - Predictive Value of Tests MH - Time Factors MH - Walking/*physiology PMC - PMC3824082 OTO - NOTNLM OT - 6-minute walk test OT - Duchenne muscular dystrophy OT - ambulation OT - dystrophinopathy OT - myometry OT - natural history OT - prediction of loss of function OT - timed function tests FIR - Ryan, Monique IR - Ryan M FIR - Jones, Kristi IR - Jones K FIR - Goemans, Nathalie IR - Goemans N FIR - Campbell, Craig IR - Campbell C FIR - Mah, Jean IR - Mah J FIR - Selby, Kathryn IR - Selby K FIR - Voit, Thomas IR - Voit T FIR - Chabrol, Brigitte IR - Chabrol B FIR - Pereon, Yann IR - Pereon Y FIR - Schara, Ulrike IR - Schara U FIR - Kirschner, Janberndt IR - Kirschner J FIR - Bertini, Enrico IR - Bertini E FIR - Mercuri, Eugenio IR - Mercuri E FIR - Comi, Giacomo IR - Comi G FIR - Nevo, Yoram IR - Nevo Y FIR - Vilchez, Juan IR - Vilchez J FIR - Colomer, Jaume IR - Colomer J FIR - Children, Sylvia IR - Children S FIR - Tulinius, Mar IR - Tulinius M FIR - Sejersen, Thomas IR - Sejersen T FIR - Bushby, Katherine IR - Bushby K FIR - Muntoni, Francesco IR - Muntoni F FIR - Quinlivan, Rosaline Christina Mary IR - Quinlivan RC FIR - Wong, Brenda IR - Wong B FIR - Finkel, Richard S IR - Finkel RS FIR - Sampson, Jacinda B IR - Sampson JB FIR - Flanigan, Kevin M IR - Flanigan KM FIR - Butterfield, Russell IR - Butterfield R FIR - Day, John W IR - Day JW FIR - Mathews, Katherine IR - Mathews K FIR - Darras, Basil T IR - Darras BT FIR - Apkon, Susan D IR - Apkon SD FIR - Parsons, Julie IR - Parsons J FIR - Barohn, Richard IR - Barohn R FIR - Connolly, Anne IR - Connolly A FIR - Iannaccone, Susan IR - Iannaccone S FIR - Sproule, Douglas M IR - Sproule DM FIR - Kaufman, Petra IR - Kaufman P FIR - Han, Jay J IR - Han JJ FIR - Joyce, Nanette C IR - Joyce NC FIR - Renfroe, J Ben IR - Renfroe J FIR - Russman, Barry S IR - Russman BS FIR - Burns-Wechsler, Stephanie IR - Burns-Wechsler S FIR - Moore, Steven A IR - Moore SA FIR - Sweeney, H Lee IR - Sweeney HL FIR - Coleman, Kim IR - Coleman K EDAT- 2013/05/18 06:00 MHDA- 2013/11/12 06:00 CRDT- 2013/05/18 06:00 PHST- 2013/05/07 00:00 [accepted] PHST- 2013/05/18 06:00 [entrez] PHST- 2013/05/18 06:00 [pubmed] PHST- 2013/11/12 06:00 [medline] AID - 10.1002/mus.23902 [doi] PST - ppublish SO - Muscle Nerve. 2013 Sep;48(3):343-56. doi: 10.1002/mus.23902. Epub 2013 Jun 26.