Safety and Efficacy of NMD670 in Ambulatory Adult Patients With Type 3 Spinal Muscular Atrophy
SYNAPSE-SMA
A Phase 2, Randomised, Double-blind, Placebo-controlled, 2-way Crossover Study to Evaluate the Efficacy, Safety, and Tolerability of NMD670 in Ambulatory Adults With Type 3 Spinal Muscular Atrophy
2 other identifiers
interventional
54
8 countries
25
Brief Summary
The purpose of this study is to evaluate the efficacy, safety, tolerability and pharmacokinetics of NMD670 in the treatment of ambulatory adults with spinal muscular atrophy type 3
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Sep 2023
25 active sites
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
First Submitted
Initial submission to the registry
March 15, 2023
CompletedFirst Posted
Study publicly available on registry
April 3, 2023
CompletedStudy Start
First participant enrolled
September 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedApril 13, 2026
October 1, 2025
2.6 years
March 15, 2023
April 10, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in 6 minute walk test (6MWT) total distance versus placebo
Distance walked (meters)
Baseline to day 21
Secondary Outcomes (13)
Change from baseline in muscle strength versus placebo
Baseline to day 21
Change from baseline in 6 minute walk test (6MWT) fatigue index versus placebo
Baseline to day 21
Change from baseline in Revised Hammersmith Scale (RHS) versus placebo
Baseline to day 21
Change from baseline in jitter versus placebo
Baseline to day 21
Change from baseline in blocking versus placebo
Baseline to day 21
- +8 more secondary outcomes
Study Arms (2)
Cohort 1
EXPERIMENTALExperimental drug followed by placebo
Cohort 2
EXPERIMENTALPlacebo followed by experimental drug
Interventions
Eligibility Criteria
You may qualify if:
- Participants with a clinical diagnosis of Type 3 SMA.
- Participants who are ambulatory, defined as being able to walk at least 50 metres without walking aids at screening during the 6-minute walk test.
- Participant with genetic confirmation of diagnosis (e.g., homozygous deletion or compound heterozygous deletion and mutation of survival of motor neuron 1 gene \[SMN1\])
- Participant with 3 to 5 copies of survival of motor neuron 2 gene \[SMN2\].
- Participant has a body mass index (BMI) within the range 19-35 kg/m2 (inclusive).
- Participant is male or female.
- Contraceptive use by men and women must be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Participant is capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
You may not qualify if:
- Participants with prior surgery or fixed deformity (scoliosis, contractures) which would restrict ability to perform study-related tasks.
- Participants with other significant disease that may interfere with the interpretation of study data (e.g., other neuromuscular or muscular diseases).
- Participants with other significant clinical and/or laboratory safety findings that may interfere with the conduction or interpretation of the study
- Participants received treatment with an investigational medical product (IMP) within 30 days (or 5 half-lives of the medication, whichever is longer) prior to Day 1.
- Participants with history of poor compliance with relevant SMA therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NMD Pharma A/Slead
Study Sites (25)
UCLA David Geffen School Of Medicine - Neurology
Los Angeles, California, 90095, United States
Stanford University Medical Center
Palo Alto, California, 94304, United States
University of Kansas Medical Center
Kansas City, Kansas, 66160, United States
The Johns Hopkins Medicine, Spinal Muscular Atrophy Center
Baltimore, Maryland, 21287, United States
Roy Blunt NextGen Precision Health Institute
Columbia, Missouri, 65212, United States
Washington University School of Medicine
St Louis, Missouri, 63110, United States
Rare Disease Research - Raleigh-Durham
Hillsborough, North Carolina, 27278, United States
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
Neurology Rare Disease Center
Denton, Texas, 76208, United States
UZ Leuven - Neurochirurgie Campus Gasthuisberg
Leuven, Belgium
CHR de la Citadelle - Neurologie
Liège, Belgium
Heritage Medical Research Clinic
Calgary, Canada
Genge Partners Inc.
Montreal, Canada
Aarhus Universitetshospital, Neurologisk Afdeling
Aarhus, Denmark
Rigshospitalet - Neurologisk Afdeling
Copenhagen, Denmark
Charite - Campus Virchow-Klinikum (CVK)
Berlin, Germany
Universitätsklinikum Essen - Klinik Für Neurologie
Essen, Germany
Istituto Giannina Gaslini, IRCCS
Genova, Italy
Istituto Neurologico C. Besta, Fondazione IRCCS
Milan, Italy
Ospedale Niguarda, ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy
AOU Città della Salute e della Scienza di Torino
Torino, Italy
Universitair Medisch Centrum Utrecht, locatie Academisch Zie - Neurology
Utrecht, Netherlands
Hospital Universitari Vall D Hebron
Barcelona, Spain
Hospital Materno Infantil La Paz
Madrid, Spain
Hospital Universitario y Politécnico La Fe
Valencia, Spain
Related Publications (1)
Moss KR, Darvishi FB, Badawi Y, Fish LA, Funke JR, Pedersen TH, Robitaille R, Arnold WD, Burgess RW, Meriney SD, Nishimune H, Saxena S. The Neuromuscular Junction: A Shared Vulnerability in Aging and Disease. J Neurosci. 2025 Nov 12;45(46):e1353252025. doi: 10.1523/JNEUROSCI.1353-25.2025.
PMID: 41224659DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 15, 2023
First Posted
April 3, 2023
Study Start
September 21, 2023
Primary Completion
May 1, 2026
Study Completion
May 1, 2026
Last Updated
April 13, 2026
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share