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Recent advances in the treatment of spinal muscular atrophy (SMA) have dramatically altered prognosis. Rather than a rapidly lethal disease, SMA type 1, the most severe form with the earliest onset of SMA, has become a disease in which long-term event-free survival with the acquisition of important motor milestones is likely. Prognosis for patients with SMA type 2 has shifted from slow and progressive deterioration to long-term stability. Nevertheless, there is a large heterogeneity in terms of clinical response to currently available treatments, ranging from absence of response to impressive improvement. The only factor identified that is predictive of treatment success is the age of the patient at the initiation of treatment, which is closely related to disease duration. The aim of this paper is to review available evidence that support early intervention using currently available treatment approaches.

Original publication

DOI

10.2147/TCRM.S172291

Type

Journal article

Journal

Ther Clin Risk Manag

Publication Date

2019

Volume

15

Pages

1153 - 1161

Keywords

branaplam, newborn screening, nusinersen, risdiplam, spinal muscular atrophy, zolgensma