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June 12, 2018; 90 (24) Editorial

Dollars and antisense for Duchenne muscular dystrophy

Eteplirsen and dystrophin

Carla D. Zingariello, Peter B. Kang
First published May 11, 2018, DOI: https://doi.org/10.1212/WNL.0000000000005669
Carla D. Zingariello
From the Department of Neurology (C.D.Z.), University of Pennsylvania, Philadelphia; Division of Pediatric Neurology (P.B.K.), Department of Pediatrics, and Departments of Neurology (P.B.K.), and Molecular Genetics and Microbiology (P.B.K.), University of Florida College of Medicine; and Genetics Institute and Myology Institute (P.B.K.), University of Florida, Gainesville.
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Peter B. Kang
From the Department of Neurology (C.D.Z.), University of Pennsylvania, Philadelphia; Division of Pediatric Neurology (P.B.K.), Department of Pediatrics, and Departments of Neurology (P.B.K.), and Molecular Genetics and Microbiology (P.B.K.), University of Florida College of Medicine; and Genetics Institute and Myology Institute (P.B.K.), University of Florida, Gainesville.
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Citation
Dollars and antisense for Duchenne muscular dystrophy
Eteplirsen and dystrophin
Carla D. Zingariello, Peter B. Kang
Neurology Jun 2018, 90 (24) 1091-1092; DOI: 10.1212/WNL.0000000000005669

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The world has changed for patients with Duchenne muscular dystrophy (DMD). Despite numerous important refinements in therapy over prior decades, a US Food and Drug Administration-approved therapy remained elusive until 2016. Now there are 2 such therapies, eteplirsen and deflazacort, in addition to prednisone, which has been used off-label for many years. However, controversies abound for both new treatments. Both are costly, and the pricing of deflazacort in particular has drawn criticism because it is a corticosteroid that has been in widespread use outside the United States for many years.1

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  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.

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  • © 2018 American Academy of Neurology
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