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Scientific Articles

Real-World Outcomes of Long-Term Prednisone and Deflazacort use in Patients With Duchenne Muscular Dystrophy: Experience at a Single, Large Care Center

key information

source: Journal of Comparative Effectiveness Research

year: 2020

authors: Jessica R Marden, Jonathan Freimark, Zhiwen Yao, James Signorovitch, Cuixia Tian & Brenda L Wong

summary/abstract:

Aim: 

To assess outcomes among patients with Duchenne muscular dystrophy receiving deflazacort or prednisone in real-world practice. 

Methods: 

Clinical data for 435 boys with Duchenne muscular dystrophy from Cincinnati Children’s Hospital Medical Center were studied retrospectively using time-to-event and regression analyses. 

Results: 

Median ages at loss of ambulation were 15.6 and 13.5 years among deflazacort- and prednisone-initiated patients, respectively. Deflazacort was also associated with a lower risk of scoliosis and better ambulatory function, greater % lean body mass, shorter stature and lower weight, after adjusting for age and steroid duration. No differences were observed in whole body bone mineral density or left ventricular ejection fraction. 

Conclusion: 

This single center study adds to the real-world evidence associating deflazacort with improved clinical outcomes.

organization: Analysis Group, Inc., USA; University of Cincinnati, USA; University of Massachusetts Medical School, USA

DOI: 10.2217/cer-2019-0170

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