Early treatment with Ataluren of a 2-year-old boy with nonsense mutation Duchenne dystrophy

Acta Myol. 2021 Dec 31;40(4):184-186. doi: 10.36185/2532-1900-062. eCollection 2021 Dec.

Abstract

Duchenne muscular dystrophy (DMD) is an X-linked myopathy caused by mutations, in most cases deletions and duplications, in the dystrophin gene. Point mutations account for 13% and stop codon mutations are even rarer. Ataluren was approved for the treatment of DMD caused by nonsense mutations in 2014, and several clinical trials documented its efficacy and safety. However, few real-life experience data is available, especially in pediatric age. We report the case of a 2-year- ambulant child affected by DMD caused by the stop-codon mutation c.10801C > T, p.Gln3601X in exon 76, who was early treated with Ataluren at a dosage of 40 mg/kg/die, and presented a rapid improvement in both muscle strength and cognitive and social skills.

Keywords: ataluren; early treatment; nmDuchenne dystrophy; stop codon point mutations.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Child, Preschool
  • Codon, Nonsense*
  • Dystrophin / genetics
  • Exons
  • Humans
  • Male
  • Muscular Dystrophy, Duchenne* / drug therapy
  • Muscular Dystrophy, Duchenne* / genetics
  • Mutation
  • Oxadiazoles / therapeutic use

Substances

  • Codon, Nonsense
  • Dystrophin
  • Oxadiazoles
  • ataluren