Original articles

Volume XLIII, n. 3 - September 2024

Gene therapy for Duchenne Muscular Dystrophy: assessing the readiness of Italian centres of expertise

Authors

Key words: Duchenne muscular dystrophy, Gene therapy, Healthcare Management, Hub-and-Spoke, Lean Management, Delivery of Care
Publication Date: 2024-07-31

Abstract

Objectives. Duchenne muscular dystrophy (DMD) is a heritable disorder that causes a rapid and progressive loss of ambulatory skills. There is no curative therapy for this pathology, that is currently managed with a combination of physiotherapy and pharmacological interventions limiting the progression of the disease (e.g. corticosteroids, cardiac medications). However, a new opportunity is represented by gene therapy, a promising treatment that, however, requires significant expertise during the whole delivery of care and a solid organisational infrastructure. An organisational strategy that could effectively support its delivery to DMD patients in Italy is the hub-and-spoke model. However, an accurate portrait of the present network of DMD centres of expertise in Italy and of their readiness in the delivery of gene therapy is paramount, to facilitate access to this experimental medicine in the future.

Methods. In this context, the present study aimed to map the DMD centres of expertise in Italy and later evaluate their preparedness in terms of gene therapy delivery. For this purpose, a series of items was proposed to 30 centres in Italy, of which 20 responded.
Results. After assessing the readiness of the involved centres in terms of patient preparation, therapy infusion, close surveillance, and long-term follow-up, we proposed a suitable organi- zational model, namely a flexible hub-and-spoke model, for the delivery of gene therapy in the Italian DMD network and solutions to tackle the challenges emerged from the survey. Conclusion. Overall, the present study detected an adequate readiness of the Italian DMD cen- tres of expertise, despite observing a significant room for improvement in digital infrastructures, culture, and training.

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Authors

Marika Pane - Paediatric Neurology, Catholic University, Rome, Italy; Centro Clinico Nemo, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy;

Enrico S. Bertini - Unit of Neuromuscular and Neurodegenerative Disorders, Dep.t of Neurosciences, Bambino Gesù Children’s Hospital IRCCS, Rome, Italy

Eleonora Russo - Pfizer Italia Medical Affairs Director - Rare Disease, Italy

Francesca Gatto - Pfizer Italia Medical Affairs Scientist – Rare Disease, Italy

Roberto Di Virgilio - Pfizer Italia - HTA HEOR Lead, Italy

Federico Spandonaro - C.R.E.A. Sanità, University of Rome Tor Vergata, Rome, Italy

Daniela d'Angela - C.R.E.A. Sanità, University of Rome Tor Vergata, Rome, Italy

Barbara Polistena - C.R.E.A. Sanità, University of Rome Tor Vergata, Rome, Italy

Margherita d'Errico - C.R.E.A. Sanità, University of Rome Tor Vergata, Rome, Italy

How to Cite
Pane, M., Bertini, E. S., Russo, E., Gatto, F., Di Virgilio, R., Spandonaro, F., d’Angela, D., Polistena, B., & d’Errico, M. (2024). Gene therapy for Duchenne Muscular Dystrophy: assessing the readiness of Italian centres of expertise. Acta Myologica, 43(3). https://doi.org/10.36185/2532-1900-487
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