Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · Neuromuscular

Primary mitochondrial myopathy and bioenergetic disorders — indication assessment

Genetically determined impairment of oxidative phosphorylation producing myopathy, exercise intolerance or multisystem disease.

Document identifier
CEI-IN-31
Series
Indication assessment
Version
1.0
Published
07 Dec 2025
Last reviewed
07 Dec 2025
Next review
07 Dec 2027
Identifier
10.71829/cei.ind.31
Certainty
Not rated
Cycle
2025 Q4
ICD-11
8C73
Category
Neuromuscular

§1Assessment

§1.1Definition

Genetically determined impairment of oxidative phosphorylation producing myopathy, exercise intolerance or multisystem disease.

§1.2Anchor and additional outcomes

The Institute designates one anchor outcome per indication so that estimates for different compounds are reported on a common measure. The anchor for this indication is the first outcome below.

  1. Six-minute walk distance
  2. Primary mitochondrial myopathy symptom assessment
  3. Muscle phosphocreatine recovery kinetics

§1.3State of the evidence

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.3compounds
HighModerateLowVery low
Figure 1. Certainty ratings across the 3 compounds the Institute assesses for this indication. A high rating for one compound says nothing about another.

The Institute assesses 3 compounds in this indication, drawing on 9 trial records and 3 evidence syntheses. [1,2]

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Szeto HH. First-in-class cardiolipin-protective compound as a therapeutic agent to restore mitochondrial bioenergetics. British Journal of Pharmacology 2014;171(8):2029–2050. doi:10.1111/bph.12461 · PMID 24117165
  2. D’Hondt M, Bracke N, Taevernier L, Gevaert B, Verbeke F, Wynendaele E, De Spiegeleer B. Related impurities in peptide medicines. Journal of Pharmaceutical and Biomedical Analysis 2014;101:2–30. doi:10.1016/j.jpba.2014.06.012 · PMID 25044089

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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