Aim: Assess the totality of efficacy evidence for ataluren in patients with nonsense mutation Duchenne muscular dystrophy (nmDMD).
Materials and methods: Data from the two completed randomized controlled trials (ClinicalTrials.gov: NCT00592553; NCT01826487) of ataluren in nmDMD were combined to examine the intent-to-treat (ITT) populations and two patient subgroups (baseline 6-min walk distance [6MWD] \u3e /=300- \u3c 400 or \u3c 400 m). Meta-analyses examined 6MWD change from baseline to week 48.
Results: Statistically significant differences in 6MWD change with ataluren versus placebo were observed across all three meta-analyses. Least-squares mean difference (95% CI): ITT (n = 342), +17.2 (0.2-34.1) m, p = 0.0473; \u3e/=300- \u3c 400 m (n = 143), +43.9 (18.2-69.6) m, p = 0.0008; \u3c 400 m (n = 216), +27.7 (6.4-49.0) m, p = 0.0109.
Conclusion: These meta-analyses support previous evidence for ataluren in slowing disease progression versus placebo in patients with nmDMD over 48 weeks. Treatment benefit was most evident in patients with a baseline 6MWD \u3e /=300- \u3c 400 m (the ambulatory transition phase), thereby informing future trial design