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Spinal muscular atrophy

Part of Motor neuron disease

1 published article · Updated continuously

Clinical Trial Landscape

Clinical Trials for spinal muscular atrophy

28 trials tracked for spinal muscular atrophy: 9 in phase 3 or 4 and 6 with published results. The most-cited published study has 1433 citations.

28Trials tracked
9Phase 3 & 4
0Recruiting
6With published results
Phase distribution
Phase 4 2 Phase 3 7 Phase 2 15 Phase 1 2 Other / NA 2
  1. Phase 3 A Study to Assess the Efficacy and Safety of Nusinersen (ISIS 396443) in Participants With Later-onset Spinal Muscular Atrophy (SMA) Completed · 1,433 cited
  2. Phase 3 Pre-Symptomatic Study of Intravenous Onasemnogene Abeparvovec-xioi in Spinal Muscular Atrophy (SMA) for Patients With Multiple Copies of SMN2 Completed · 299 cited
  3. Phase 3 Study of Nusinersen (BIIB058) in Participants With Spinal Muscular Atrophy Completed · 29 cited
  4. Phase 3 A Study for Participants With Spinal Muscular Atrophy (SMA) Who Previously Participated in Nusinersen (ISIS 396443) Investigational Studies Completed · 24 cited
  5. Phase 3 Safety and Efficacy of Intravenous OAV101 (AVXS-101) in Pediatric Patients With Spinal Muscular Atrophy (SMA) Completed · 23 cited
  6. Phase 3 Phase IIIb, Open-label, Multi-center Study to Evaluate Safety, Tolerability and Efficacy of OAV101 Administered Intrathecally to Participants With SMA Who Discontinued Treatment With Nusinersen or Risdiplam Completed · 10 cited
Show 22 more trials
  1. Phase 4 Flu Vaccine Study in Neuromuscular Patients 2011 Completed
  2. Phase 4 Safety and Efficacy of Intravenous OAV101 (AVXS-101) in Pediatric Patients With Spinal Muscular Atrophy (SMA) (OFELIA) Completed
  3. Phase 3 Short and Long Term Treatment With 4-AP in Ambulatory SMA Patients Completed
  4. Phase 2 A Pilot Therapeutic Trial Using Hydroxyurea in Type I Spinal Muscular Atrophy Patients Completed
  5. Phase 2 A Pilot Therapeutic Trial Using Hydroxyurea in Type II and Type III Spinal Muscular Atrophy Patients Completed
  6. Phase 2 A Study of Multiple Doses of Nusinersen (ISIS 396443) Delivered to Infants With Genetically Diagnosed and Presymptomatic Spinal Muscular Atrophy Completed
  7. Phase 2 Investigate Safety, Tolerability, PK, PD and Efficacy of Risdiplam (RO7034067) in Infants With Type1 Spinal Muscular Atrophy Completed
  8. Phase 2 A Study to Assess the Efficacy, Safety and Pharmacokinetics of Nusinersen (ISIS 396443) in Infants With Spinal Muscular Atrophy (SMA) Completed
  9. Phase 2 A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of Risdiplam (RO7034067) in Type 2 and 3 Spinal Muscular Atrophy (SMA) Participants Completed
  10. Phase 2 A Study to Evaluate Long Term Safety, Tolerability, and Effectiveness of Olesoxime in Patients With Spinal Muscular Atrophy (SMA) Completed
  11. Phase 2 A Study of CK-2127107 in Patients With Spinal Muscular Atrophy Completed
  12. Phase 2 An Active Treatment Study of SRK-015 in Patients With Type 2 or Type 3 Spinal Muscular Atrophy Completed
  13. Phase 2 An Open-label Safety, Tolerability and Dose-Range Finding Study of Multiple Doses of Nusinersen (ISIS 396443) in Participants With Spinal Muscular Atrophy Completed
  14. Phase 2 A Study of Risdiplam (RO7034067) in Adult and Pediatric Participants With Spinal Muscular Atrophy Completed
  15. Phase 2 Study to Evaluate Sodium Phenylbutyrate in Pre-symptomatic Infants With Spinal Muscular Atrophy Completed
  16. Phase 2 Controlled Trial to Evaluate Amifampridine Phosphate in Spinal Muscular Atrophy Type 3 Patients Completed
  17. Phase 2 Valproic Acid and Carnitine in Patients With Spinal Muscular Atrophy Completed
  18. Phase 2 An Open Label Study of LMI070 (Branaplam) in Type 1 Spinal Muscular Atrophy (SMA) Completed
  19. Phase 1 A Study to Investigate the Effect of Hepatic Impairment on the Pharmacokinetics and Safety and Tolerability of a Single Oral Dose of Risdiplam Compared to Matched Healthy Participants With Normal Hepatic Function Completed
  20. Phase 1 A Drug-drug Interaction Study With Risdiplam Multiple Dose and Midazolam in Healthy Participants Completed
  21. N/A Progressive Strength Training in Spinal Muscular Atrophy Completed
  22. N/A WREX Outcome Study Completed

Showing the 28 most-cited and recently-updated of 28 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Spinal muscular atrophy: what the trials found

Nusinersen has demonstrated significant improvements in motor function across several trials. In infants with SMA, it was associated with a statistically significant increase in CHOP-INTEND scores compared to sham controls 5, and high rates of achieving motor milestones according to HINE and WHO criteria 10. Clinical assessments also showed significant increases in HFMSE scores 3 and RULM scores 6. Additionally, nusinersen was associated with improved motor milestones and function as measured by CHOP-INTEND 21.

Onasemnogene abeparvovec-xioi showed clinical efficacy in specific cohorts, including a significant number of participants achieving the ability to stand alone for at least 3 seconds 4 and high rates of event-free survival at 14 months of age 4. Risdiplam was associated with significant improvements in infant motor function, with high percentages of infants achieving scores of 40 or higher on the CHOP-INTEND scale and meeting specific sitting milestones 16.

OAV101 was evaluated in multiple trials; while it showed measurable changes in HFMSE and RULM scores at week 52 8, other assessments focused on vital signs such as systolic and diastolic blood pressure 7. Additionally, a flu vaccine was shown to produce significant geometric mean titer ratios across various strains 2.

Recent results — preliminary, needs further review

  • Branaplam (not yet corroborated) showed CHOP-INTEND score improvements in Phase 2 trials 12.
  • SRK-015 (not yet corroborated) showed varying HFMSE scores across different cohorts at month 12 13.
  • Amifampridine Phosphate (not yet corroborated) was associated with a statistically significant change in HFMSE scores in a small cohort 15.

For the clinician treating this condition

  • Nusinersen is supported by multiple trials showing significant improvements in motor scales (HFMSE, CHOP-INTEND) and the achievement of developmental milestones [3, 5, 6, 10, 21].
  • Onasemnogene abeparvovec-xioi demonstrated measurable success in standing ability and survival metrics in specific cohorts 4.
  • Risdiplam is associated with significant improvements in infant motor function scores and sitting capabilities 16.

AI synthesis of 13 cited trials, updated Jun 21, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.