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Phase 3 N=33 Treatment

Single-Dose Gene Replacement Therapy Clinical Trial for Participants With Spinal Muscular Atrophy Type 1

SMA

Enrolled (actual)
33
Serious AEs
57.6%
Results posted
Apr 2021
Primary outcome: Primary: Number of Participants Who Achieve Independent Sitting for at Least 10 Seconds — 14 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Onasemnogene Abeparvovec-xioi (Biological)
Age
Pediatric
Sex
All
Sponsor
Novartis Gene Therapies
Primary completion
Sep 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Achieve Independent Sitting for at Least 10 Seconds
14
SECONDARY
Event-free Survival at 14 Months of Age
31 <0.0001 sig

Summary

Phase 3, open-label, single-arm, single-dose, trial of onasemnogene abeparvovec-xioi (gene replacement therapy) in patients with spinal muscular atrophy (SMA) Type 1 who meet enrollment criteria and are genetically defined by a biallelic pathogenic mutation of the survival motor neuron 1 gene (SMN1) with one or two copies of survival motor neuron 2 gene (SMN2). Up to 30 patients < 6 months (< 180 days) of age at the time of gene replacement therapy (Day 1) will be enrolled.

Eligibility Criteria

Inclusion Criteria

  • Patients with SMA Type 1 as determined by diagnosis of SMA based on gene mutation analysis with biallelic SMN1 mutations (deletion or point mutations) and one or two copies of SMN2 [inclusive of the known SMN2 gene modifier mutation (c.859G>C)]
  • Patients must be < 6 months (< 180 days) of age at the time of onasemnogene abeparvovec-xioi infusion
  • Patients must have a swallowing evaluation test performed prior to administration of gene replacement therapy

Exclusion Criteria

  • Previous, planned or expected scoliosis repair surgery/procedure prior to 18 months of age
  • Use of invasive ventilatory support (tracheotomy with positive pressure) or pulse oximetry < 95% saturation at screening
  • Use or requirement of non-invasive ventilatory support for 12 or more hours daily in the two weeks prior to dosing
  • Patient with signs of aspiration based on a swallowing test or whose weight-for-age falls below the 3rd percentile based on World Health Organization (WHO) Child Growth Standards and unwilling to use an alternative method to oral feeding
  • Participation in recent SMA treatment clinical trial (with the exception of observational cohort studies or non-interventional studies) or receipt of an investigational or commercial compound, product or therapy administered with the intent to treat SMA (eg, nusinersen, valproic acid,) at any time prior to screening for this trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03461289). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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