선택지 정리됨
뒤셴 근이영양증(DMD): 국가별 치료 선택지
이 페이지는 한국어 임상 치료 설명을 새로 쓰지 않습니다. 권위 출처, 진료 전 정리 질문, 임상시험 검색어, 구축 상태를 보여주는 안전한 시작점입니다.
국가별 선택지
국가별 치료 선택지
공식 규제·평가 기관 출처를 바탕으로 한 국가별 승인·접근 상태입니다. 무엇이 어디에 존재하는지를 보여줄 뿐, 추천이 아닙니다.
United States
- Givinostat / Duvyzat; vamorolone / Agamree; delandistrogene moxeparvovec-rokl / Elevidys; exon-skipping therapies including eteplirsen, golodirsen, viltolarsen, casimersen[1]FDA-approvedConfirmed DMD gene mutation for Elevidys; exon-specific amenability for exon-skipping drugs; all genetic variants for givinostat per FDA notice; no mutation-specific restriction captured for vamorolone; DMD patients aged 6 years and older for givinostat; DMD patients aged 2 years and older for vamorolone; ambulatory DMD patients aged 4 years and older with confirmed DMD mutation for current Elevidys-limited indication; confirmed exon-skipping amenability for antisense oligonucleotide therapies. · Elevidys has a boxed warning for serious liver injury/acute liver failure including fatal outcomes, and FDA removed the non-ambulatory indication in 2025. Exon-skipping drugs are mutation-specific and include accelerated-approval/confirmatory-study caveats in FDA review materials. Confidence/conflicts: High for U.S. regulatory status. Elevidys chronology is recorded as an updated regulatory restriction: 2025 revised label supersedes the broader 2024 expansion.
European Union
- Vamorolone / Agamree; givinostat / Duvyzat[2]EMA authorisedNo mutation-specific restriction for Agamree/vamorolone; Duvyzat/givinostat indicated for ambulant patients aged 6 years and older with concomitant corticosteroid treatment; DMD from age 4 for vamorolone; ambulant DMD aged 6 years and older with corticosteroids for givinostat/Duvyzat. · EMA Duvyzat authorisation is conditional and requested further studies. NICE guidance is national reimbursement/appraisal context and should not be generalized to all EU countries. Confidence/conflicts: High for EMA/NICE status. No source conflict identified.
Australia
- corticosteroids; physiotherapy; scoliosis monitoring; cardiac and respiratory monitoring; mobility/assistive supports; palliative-care supports[3]Standard option (per Rare Awareness Rare Education Portal / Rare Voices Australia)pathogenic variants in the DMD gene / dystrophinopathy context; Australian DMD supportive and multidisciplinary care context across the disease course. · The RARE Portal is educational and states that it does not replace professional advice. It does not establish approval or subsidy for a branded DMD drug or gene therapy. Confidence/conflicts: Medium-high for Australian supportive-care categories; drug-specific regulator status remains separately source-pending.
Canada
- vamorolone (Agamree)[4]Health Canada approvedDMD diagnosis; no mutation-specific restriction stated in the fetched Canadian Agamree indication; Canadian DMD treatment for patients aged 4 years and older. · Health Canada notes pediatric evidence is established for ages 4 to under 18, no geriatric indication is authorized, and the product has corticosteroid-related contraindications and monitoring considerations. This entry does not establish payer coverage. Confidence/conflicts: High for Canadian Agamree approval and age restriction; reimbursement implementation remains source-pending.
출처
- U.S. Food and Drug Administration — regulator safety and revised-label notice · regulator safety and revised-label notice
- European Medicines Agency (EMA) — regulator EPAR · regulator EPAR
- Rare Awareness Rare Education (RARE) Portal / Rare Voices Australia — Australian rare-disease educational portal · Australian rare-disease educational portal
- Health Canada Drug and Health Product Portal — Summary Basis of Decision · Summary Basis of Decision
위 내용은 공식 규제·접근 상태일 뿐, 의학적 조언이나 추천이 아니고, 적격성을 판단하지도 않습니다. 어떤 선택지가 적합한지는 환자의 상황과 종양내과 팀에 달려 있습니다. 규제 상태는 바뀔 수 있으니 표시된 출처에서 확인하세요. 일부 선택지는 신속·조건부 승인 상태로, 적응증이 축소되거나 철회될 수 있습니다. 임상 세부 내용은 영문이 정본입니다. 최종 확인 2026.06.
승인된 치료 너머
임상시험 및 신흥 선택지
환자가 거주하는 국가에서 아직 승인된 표준 치료가 아닌 선택지입니다 — 연구, 임상시험, 허가 외 사용, 담당 종양내과 의사가 먼저 언급하지 않을 수 있는 초기 근거입니다. 각 항목은 근거의 강도에 따라 구분됩니다. 여기에 실린 항목은 조사하고 의료진과 상의할 정보일 뿐, 효과가 입증되었거나 안전하거나 현재 이용 가능하다는 의미가 아닙니다. 임상 세부 내용은 영문이 정본입니다.
임상시험 진행 중
- Vamorolone; prednisone comparator; idebenone; placebo임상시험 · NCT03439670임상시험Trial only (registry)United Kingdom · Genetically confirmed DMD for vamorolone study; no mutation restriction captured for idebenone respiratory-function study beyond DMD diagnosis; Ambulatory boys aged 4 to under 7 years with DMD for vamorolone study; DMD patients receiving glucocorticoid steroids with respiratory function decline criteria for idebenone study. · Idebenone study was terminated and should not be presented as available therapy. Vamorolone has separate EMA/NICE approval/access sources; this registry record is trial evidence only. Confidence/conflicts: High for registry statuses; idebenone is explicitly not recorded as current access. ClinicalTrials.gov — clinical-trial registry
- DYNE-251; casimersen / SRP-4045; golodirsen / SRP-4053; viltolarsen; delandistrogene moxeparvovec / SRP-9001; PF-06939926임상시험 · NCT05524883임상시험Trial only (registry)Korea · Exon 51 skipping for DYNE-251; exon 45 or exon 53 skipping for casimersen/golodirsen study; exon 53 skipping for viltolarsen studies; confirmed DMD mutation and AAV antibody criteria for gene-transfer studies; DMD amenable to specific exon skipping or gene-transfer trial criteria; many protocols require stable glucocorticoids, ambulatory status, or AAV antibody criteria. · Trial statuses include active-not-recruiting and completed. Genetic eligibility is protocol-specific; registry location does not imply marketed access in that country. Confidence/conflicts: High for registry cells; no approval claim is made for non-U.S. jurisdictions. ClinicalTrials.gov — clinical-trial registry
- SAT-3247임상시험임상시험Trial only (registry)Australia · confirmed DMD gene mutation required by trial eligibility; ambulatory male DMD patients aged 7 to under 10 years with documented clinical findings and prior genetic testing confirming a DMD mutation; study allows stable glucocorticoid/supportive-care contexts and has specific exclusions. · Trial registration does not establish approval, efficacy, access outside the study, or individual eligibility. Participation depends on site status, inclusion/exclusion criteria, consent, and investigator assessment. Confidence/conflicts: High for Australian registry-trial context; no approval or benefit claim is inferred. Australian New Zealand Clinical Trials Registry (ANZCTR) — clinical-trial registry
- ataluren (Translarna)임상시험임상시험InvestigationalAustralia · nonsense-mutation DMD context implied by ataluren mechanism, but TGA notice itself states DMD treatment indication broadly; Australian orphan-designation context for DMD; no current Australian approval was verified from this source. · Orphan designation is not the same as marketing approval, clinical availability, or payer coverage. The designation listed in the fetched notice has lapsed. Confidence/conflicts: High for lapsed orphan-designation status; no Australian approval was established. Therapeutic Goods Administration (TGA) — orphan-drug designation notice
- Ataluren / Translarna; NS-089/NCNP-02; DS-5141b임상시험 · NCT03179631임상시험Trial only (registry)Thailand · Nonsense point mutation in dystrophin gene for ataluren; Japan NS-089/NCNP-02 and DS-5141b extension studies require completion of prior molecule-specific studies; Nonsense-mutation DMD for ataluren; extension-study contexts for participants completing prior NS-089/NCNP-02 or DS-5141b studies. · Ataluren registry record is completed. Extension studies are limited to prior-study participants. Current authorization/reimbursement differs by country and remains source-pending outside verified sources. Confidence/conflicts: High for registry-listed trial cells; no approval claim is made. ClinicalTrials.gov — clinical-trial registry
임상시험이나 초기 보고에 실렸다는 것은 해당 선택지가 연구되고 있다는 의미일 뿐, 효과가 있거나 특정 환자에게 안전하거나 현재 등록 가능하다는 뜻은 아닙니다. 어떤 선택지가 적합한지는 담당 종양내과 팀과 임상시험 팀이 함께 상의할 문제입니다. 최종 확인 2026.06.
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모든 선택지는 규제·평가·지침 등 공신력 있는 출처에 연결되며, 새 출처가 검증되면 계속 확장됩니다.
진료 전 정리할 정보
- Which exact DMD mutation and exon-skipping amenability are documented?
- Is the person ambulatory or non-ambulatory, and how does that affect gene-therapy availability?
- Are corticosteroid, vamorolone, givinostat, exon-skipping, or gene therapy being discussed as separate options with different monitoring needs?
- Is access being determined by EMA authorization, NICE appraisal, or another national payer?