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. 2024 Dec 10;12(12):CD014439.
doi: 10.1002/14651858.CD014439.

Treatments for RYR1-related disorders

Affiliations

Treatments for RYR1-related disorders

Sharika Raga et al. Cochrane Database Syst Rev. .

Abstract

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: Primary objective To analyse the benefits and harms of pharmacological or other interventions (e.g. special diet, exercise programme) compared with placebo or standard care for RYR1-related disorders, including both permanent myopathies and intermittent (episodic) presentations (exertional myalgia and rhabdomyolysis), with the aim to improve motor and respiratory function and/or to reduce the frequency of episodes, respectively. Secondary objectives To assess whether the interventions, compared with placebo or standard of care, change the outcome of RYR1-related diseases. To assess whether the interventions, compared with placebo or usual care, change the expression of the disease state in patients with RYR1-related diseases. To identify a set of standardised outcome tools to be used in future studies.

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Conflict of interest statement

SR: received a grant through the Medical Research Council (UK) from 01/01/2020 to 31/12/2023 and a SAMRC researcher development award from 01/03/24 to 28/02/2025.

JW: national South African advisory board for Novartis; national South African advisory board for Sanofi Pasteur.

NV: member of advisory board for Dynacure until 01/01/2020; principal investigator for Unite‐CNM trial 2020 to 2022.

IP: none known.

JD: received a grant through the National Institutes of Health from 29/07/2020 to 31/05/2025; scientific advisory board member for RYR1 foundation.

GB: advisory board for AveXis 31/12/2020, advisory board for Biogen from 08/01/2020; contract with Hoffmann‐La Roche from 05/01/2023; consultant of advisory board Novartis Gene Therapies; advisory consultant for Pfizer; advisory board for PTC therapeutics 31/10/2016; advisory board for Sarepta Therapeutics 31/03/2018.

LS: consultant for Astellas Pharma; consultant and board member of Biogen; consultant for Dyne therapeutic; steering committee and board member of Hoffman‐La Roche; chair of the DSMB FibroGen; chair of the DSMB Lupin Pharmaceuticals Inc; consultant for Novartis; consultant for PTC therapeutics; board member of regenexBio; board member for Santhera; consultant for Sarepta therapeutics; consultant for sysnav.

HJ: advisory role on RYR1‐related disorders for Armgo Pharma Inc; scientific advisory board for Astellas Pharma.

AT: none known.

References

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    1. Kruijt N, Wijma J. Identification of a possible genetic background in patients with rhabdomyolysis due to neuroleptic malignant syndrome, serotonin syndrome and MDMA-related hyperthermia. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=115828 2018. [PROSPERO: CRD42018115828]
    1. Larach MG, Belani KG, Brandom BW, Capacchione J, Herlich A, Housey S, et al. Evidence to inform a recommendation on dantrolene availability for the treatment of malignant hyperthermia in anesthetizing locations. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=64696 2017. [PROSPERO: CRD42017064696]
    1. Dowling JJ, Arbogast S, Hur J, Nelson DD, McEvoy A, Waugh T, et al. Oxidative stress and successful antioxidant treatment in models of RYR1-related myopathy. Brain 2012;135(Pt 4):1115-27. [DOI: 10.1093/brain/aws036] - DOI - PMC - PubMed
    1. Lanner JT, Georgiou DK, Dagnino-Acosta A, Ainbinder A, Cheng Q, Joshi AD, et al. AICAR prevents heat-induced sudden death in RyR1 mutant mice independent of AMPK activation. Nature Medicine 2012;18(2):244-51. [DOI: 10.1038/nm.2598] - DOI - PMC - PubMed

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