NCT04174157

Brief Summary

Spinal muscular atrophy (SMA) is a neurogenetic disorder caused by a loss or mutation in the survival motor neuron 1 gene (SMN1) on chromosome 5q13, which leads to reduced SMN protein levels and a selective dysfunction of motor neurons. SMA is an autosomal recessive, early childhood disease with an incidence of 1:10,000 live births. SMA is the leading cause of infant mortality due to genetic diseases. The purpose of this registry is to assess the long term outcomes of patients with SMA in the context of advances in treatment options and also to characterize and assess long-term safety and effectiveness of OAV-101.

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
700

participants targeted

Target at P75+ for all trials

Timeline
147mo left

Started Sep 2018

Longer than P75 for all trials

Geographic Reach
11 countries

99 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress39%
Sep 2018Jun 2038

Study Start

First participant enrolled

September 25, 2018

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

September 12, 2019

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 22, 2019

Completed
18.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2038

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2038

Last Updated

January 31, 2025

Status Verified

January 1, 2025

Enrollment Period

19.8 years

First QC Date

September 12, 2019

Last Update Submit

January 30, 2025

Conditions

Outcome Measures

Primary Outcomes (8)

  • Change in probability of survival of all patients with SMA using Kaplan Meier method to estimate

    Based on information collected at Baseline and every 6 months through 2 years of follow-up, then annually through 15 years of follow up.

  • Change from baseline Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) in infants with pre-symptomatic or type I SMA

    CHOP INTEND score ranges from 0 to 64 with higher scores indicating higher motor function

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline Hammersmith Infant Neurological Examination (HINE) in infants with pre-symptomatic, type I or type II SMA

    HINE score range from 0 to 26 with higher scores indicating more development.

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) for patients with type II and III SMA

    HFMSE score range from 0 to 66 with the higher scores indicating more development.

    Baseline and every 6months through 2 years of follow up, then annually through 15 years of follow up

  • Incidence of treatment emergent adverse events

    Through 15 years of follow up

  • Incidence of treatment emergent serious adverse events

    Through 15 years of follow up

  • Incidence of treatment emergent adverse events related to therapy

    Through 15 years of follow up

  • Incidence of treatment emergent thrombocytopenia, hepatotoxicity and cardiac adverse events

    Through 15 years of follow up

Secondary Outcomes (7)

  • Change from baseline in rates of hospitalization

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline in Zarit Burden Interview

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline in PedsQL Patient interview

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline in PedsQL Parent interview

    Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • Change from baseline in percent of patients requiring ventilator support (BiPAP, Endotracheal tube)

    : Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  • +2 more secondary outcomes

Study Arms (1)

Prospective observational registry

This is a prospective, multi center, multinational, non-interventional observational registry.

Other: Prospective observational registryDrug: Zolgensma

Interventions

This prospective observational registry will assess long-term outcomes of patients with a diagnosis of SMA.

Prospective observational registry

Zolgensma will be given to patients as per normal clinical practice and clinical care will not be mandated by the protocol. As such, the decision to prescribe Zolgensma is separate from the decision to include the patient in this study

Prospective observational registry

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The study will enroll at least 500 patients with a genetically confirmed diagnosis of SMA. The registry will attempt to enroll all patients treated with OAV-101 in the registry until the end of 2026.

You may qualify if:

  • Patients treated with OAV-101 with a genetically confirmed diagnosis of SMA regardless of the date of diagnosis.
  • Appropriate consent/assent has been obtained for participation in the registry

You may not qualify if:

  • \- Currently enrolled in an interventional clinical trial involving an investigational medicinal product to treat SMA.
  • Note: Patients who are participating in a Compassionate Use Program (CUP) for OAV-101 (Zolgensma) such as a Managed Access Program (MAP), an Expanded Access Program (EAP), Single Patient Investigational New Drug (IND) (SPI) or Named Patient Program (NPP) are eligible to enroll in the registry regardless of the date of a genetic or clinical diagnosis of SMA.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (99)

Phoenix Children's Hospital

Phoenix, Arizona, 85016, United States

RECRUITING

Arkansas Children's Hospital

Little Rock, Arkansas, 72202, United States

RECRUITING

Loma Linda University Health

Loma Linda, California, 92350, United States

COMPLETED

Children's Hospital of Los Angeles

Los Angeles, California, 90027, United States

RECRUITING

University of California Los Angeles Health

Los Angeles, California, 90095, United States

RECRUITING

Valley Children's Healthcare

Madera, California, 93636, United States

RECRUITING

Children's Hospital of Orange County

Madera, California, 93638, United States

RECRUITING

University of California Davis Health System

Sacramento, California, 95817, United States

RECRUITING

Rady Children's Hospital San Diego

San Diego, California, 92123, United States

RECRUITING

Children's Hospital Colorado

Aurora, Colorado, 80045, United States

RECRUITING

Connecticut Children's Medical Center

Farmington, Connecticut, 06034, United States

RECRUITING

Yale-New Haven Health System

New Haven, Connecticut, 06510, United States

RECRUITING

Golisano Children's Hospital of Southwest Florida

Fort Myers, Florida, 33908, United States

RECRUITING

Nicklaus Children's Hospital

Miami, Florida, 33155, United States

COMPLETED

Adventist Health System - Florida

Orlando, Florida, 32803, United States

COMPLETED

Jackson South Medical Center

Palmetto Bay, Florida, 33157, United States

RECRUITING

Indiana University Health University Hospital (IUHUH)

Indianapolis, Indiana, 46202, United States

RECRUITING

University of Iowa

Iowa City, Iowa, 52242-1009, United States

RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

RECRUITING

University of Louisville

Louisville, Kentucky, 40202, United States

RECRUITING

University of Minnesota

Minneapolis, Minnesota, 55455, United States

RECRUITING

University of Missouri Health System

Columbia, Missouri, 65212, United States

RECRUITING

Washington University School of Medicine in St. Louis

St Louis, Missouri, 63110, United States

RECRUITING

Atlantic Health System

Morristown, New Jersey, 07960, United States

RECRUITING

University of Rochester Medical Center

Rochester, New York, 14642, United States

RECRUITING

The State University of New York

Stony Brook, New York, 11794, United States

RECRUITING

Duke Health

Durham, North Carolina, 27705, United States

RECRUITING

Akron Children's Hospital

Akron, Ohio, 44308-1062, United States

COMPLETED

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229-3026, United States

RECRUITING

University Hospitals

Cleveland, Ohio, 44106, United States

COMPLETED

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

RECRUITING

Oklahoma University Medical Center

Oklahoma City, Oklahoma, 73104, United States

COMPLETED

Oregon Health and Science University

Portland, Oregon, 97239-3098, United States

RECRUITING

Penn State Hershey

Hershey, Pennsylvania, 17033, United States

RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15224, United States

RECRUITING

Prisma Health

Greenville, South Carolina, 29615, United States

RECRUITING

Methodist Le Bonheur Healthcare

Memphis, Tennessee, 38103, United States

RECRUITING

Child Neurology Consultants of Austin

Austin, Texas, 78731, United States

COMPLETED

Children's Health

Dallas, Texas, 75207, United States

COMPLETED

Cook Children's

Fort Worth, Texas, 76104, United States

RECRUITING

Texas Children's Hospital

Houston, Texas, 77030, United States

RECRUITING

CHRISTUS Health

San Antonio, Texas, 78207, United States

RECRUITING

University of Utah

Salt Lake City, Utah, 84113, United States

RECRUITING

University of Virginia Health System

Charlottesville, Virginia, 22908, United States

RECRUITING

Children's Hospital of The King's Daughters

Norfolk, Virginia, 23507, United States

RECRUITING

Virginia Commonwealth University Health System

Richmond, Virginia, 23298, United States

RECRUITING

Seattle Children's

Seattle, Washington, 98105, United States

RECRUITING

MultiCare Health System

Tacoma, Washington, 98405, United States

RECRUITING

University of Wisconsin

Madison, Wisconsin, 53792, United States

RECRUITING

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, 53226, United States

RECRUITING

University General Hospital Attikon

Chaïdári, Athens, 124 62, Greece

RECRUITING

Penteli Children's Hospital

Pentéli, Attikis, 152 36, Greece

RECRUITING

St. Sophia Children's Hospital

Thessaloniki, 115 27, Greece

RECRUITING

General Hospital of Thessaloniki Ippokrateio

Thessaloniki, 546 42, Greece

RECRUITING

Children's University Hospital-UCD School of Medicine Scoil an Leighis

Dublin, 1 D01 XD99, Ireland

RECRUITING

Soroka Medical Centre

Beersheba, 85025, Israel

RECRUITING

Wolfson Medical Center

Holon, 5822012, Israel

RECRUITING

Tel-Aviv Sourasky Medical Center

Holon, 582201, Israel

RECRUITING

Schneider- Children's Medical Center

Petah Tikva, 4920235, Israel

RECRUITING

Aichi Medical University Hospital

Nagakute-shi, Aichi-ken, 480-1195, Japan

ACTIVE NOT RECRUITING

Fujita Health University Hospital

Toyoake-shi, Aichi-ken, 470-1192, Japan

ACTIVE NOT RECRUITING

Chiba children's Hospital

Chiba, Chiba, 266-0007, Japan

ACTIVE NOT RECRUITING

Kurume University Hospital

Kurume-shi, Fukuoka, 830-0011, Japan

ACTIVE NOT RECRUITING

Gifu Prefectural General Medical Center

Gifu, Gifu, 500-8717, Japan

ACTIVE NOT RECRUITING

Sapporo Medical University Hospital

Sapporo, Hokkaido, 060-8543, Japan

ACTIVE NOT RECRUITING

Kagawa University Hospital

Kita-gun, Kagawa-ken, 761-0793, Japan

ACTIVE NOT RECRUITING

Kanagawa Children's Medical Center

Yokohama, Kanagawa, 232-8555, Japan

ACTIVE NOT RECRUITING

Kumamoto University Hospital

Kumamoto, Kumamoto, 860-8556, Japan

ACTIVE NOT RECRUITING

Miyagi Children's Hospital

Sendai, Miyagi, 989-3126, Japan

ACTIVE NOT RECRUITING

Obihiro Kosei Hospital

Hokkaido, Obihiro-shi, 080-0024, Japan

ACTIVE NOT RECRUITING

Shiga Medical Center for Children

Moriyama-shi, Shiga, 524-0022, Japan

ACTIVE NOT RECRUITING

Hamamatsu University School of Medicine, University Hospital

Hamamatsu, Shizuoka, 431-3192, Japan

ACTIVE NOT RECRUITING

Jichi Medical University Hospital

Shimotsuke-shi, Tochigi, 329-0498, Japan

ACTIVE NOT RECRUITING

Tokyo Medical University Hospital

Shinjuku-ku, Tokyo, 160-0023, Japan

ACTIVE NOT RECRUITING

Center Hospital of the National Center for Global Health and Medicine

Shinjuku-ku, Tokyo, 162-8655, Japan

ACTIVE NOT RECRUITING

Fukui Prefectural Hospital

Fukui, 910-8526, Japan

ACTIVE NOT RECRUITING

Nikko Memorial Hospital

Hokkaido, 051-0005, Japan

ACTIVE NOT RECRUITING

Dokkyo Medical University Saitama Medical Center

Saitama, 343-0845, Japan

ACTIVE NOT RECRUITING

Uniwersytecki Szpital Dzieciec

Lublin, 20-093, Poland

RECRUITING

CHUC - Hospital Pediatrico

Coimbra, 300-6020, Portugal

RECRUITING

Centro Hospitalar Universitaria de Lisboa Central, EPE

Lisbon, 1169-045, Portugal

RECRUITING

Centro Hospitalar Universitario Lisboa Norte, EPE

Lisbon, 1649-035, Portugal

RECRUITING

Centro Hospitalar Universitario de Porto, EPE

Porto, 4050-371, Portugal

RECRUITING

Centro Hospitalar Universitario de Sao Joao, EPE

Porto, 4200-319, Portugal

RECRUITING

Centrul de Recuperare pentru Copii dr. Nicolae Robanescu

Bucharest, 041408, Romania

RECRUITING

Spitalul Clinic de Psihiatrie

Bucharest, 041914, Romania

RECRUITING

Almazov National Medical Research Centre

Saint Petersburg, 197341, Russia

RECRUITING

Kyungpook National University Hospital

Daegu, 41944, South Korea

RECRUITING

Seoul National University Bundang Hospital

Seongnam-si, 13620, South Korea

RECRUITING

Seoul National University Children's Hospital

Seoul, 03080, South Korea

RECRUITING

Severance Hospital

Seoul, 03722, South Korea

RECRUITING

Samsung Medical Centre

Seoul, 06351, South Korea

RECRUITING

Pusan National University Yangsan Hospital

Yangsan, 50612, South Korea

RECRUITING

Yongin Severance Hospital

Yongin-si, 16995, South Korea

RECRUITING

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, 80756, Taiwan

RECRUITING

China Medical University Hospital

Taichung, 404327, Taiwan

RECRUITING

National Taiwan University Hospital

Taipei, 100229, Taiwan

RECRUITING

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

RECRUITING

Chang Gung Memorial Hospital Linkou Branch

Taoyuan District, 333, Taiwan

RECRUITING

Related Publications (2)

  • Sugarman EA, Nagan N, Zhu H, Akmaev VR, Zhou Z, Rohlfs EM, Flynn K, Hendrickson BC, Scholl T, Sirko-Osadsa DA, Allitto BA. Pan-ethnic carrier screening and prenatal diagnosis for spinal muscular atrophy: clinical laboratory analysis of >72,400 specimens. Eur J Hum Genet. 2012 Jan;20(1):27-32. doi: 10.1038/ejhg.2011.134. Epub 2011 Aug 3.

    PMID: 21811307BACKGROUND
  • Erbas Y, Servais L, Shieh PB, Goedeker NL, Waldrop MA, Bo R, Raju D, Benguerba K, Reyna SP, Wolff D, Finkel RS. Trach and treat: Safety and motor outcomes following onasemnogene abeparvovec in patients with spinal muscular atrophy and tracheostomies in the RESTORE registry. J Neuromuscul Dis. 2025 Nov 11:22143602251395173. doi: 10.1177/22143602251395173. Online ahead of print.

MeSH Terms

Conditions

Muscular Atrophy, Spinal

Interventions

Zolgensma

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesMotor Neuron DiseaseNeurodegenerative DiseasesNeuromuscular Diseases

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

Central Study Contacts

Novartis Gene Therapies

CONTACT

Novartis Gene Therapies

CONTACT

Study Design

Study Type
observational
Observational Model
ECOLOGIC OR COMMUNITY
Time Perspective
PROSPECTIVE
Target Duration
15 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

September 12, 2019

First Posted

November 22, 2019

Study Start

September 25, 2018

Primary Completion (Estimated)

June 30, 2038

Study Completion (Estimated)

June 30, 2038

Last Updated

January 31, 2025

Record last verified: 2025-01

Locations