NCT05839145

Brief Summary

There is no complete cure for SMA yet. However, the discovery of the genetic cause of SMA has led to the development of several treatment options that affect the genes involved in SMA - a gene replacement therapy called Zolgensma, and two drugs, called Nusinersen (Spinraza) and Risdiplam (Evyrsdi). In this context, the evaluation of efficacy and the long term follow-up of patients treated with these innovative treatments in clinical routine is one of the critical points. These evaluations are carried out in a medical context (clinical sites or research unit) using validated measurement tools and outcome measures. Carrying out these evaluations in a controlled environment can be considered from certain aspects as an advantage (reproducibility of measures, neutral environment, etc.), but also raises a certain number of questions regarding the impact on patients, the financial cost, or the relevance of the data obtained in an unnatural environment (stress, fatigue, patient motivation…). Also the regulatory authorities ask for longitudinal data for deciding to reimburse these expensive treatments. As such, the hospital cannot digest all these evaluations due to a lack of resources.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

6 active sites

Status
unknown

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

December 2, 2022

Completed
5 months until next milestone

First Posted

Study publicly available on registry

May 3, 2023

Completed
8 months until next milestone

Study Start

First participant enrolled

December 15, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 31, 2024

Completed
Last Updated

December 1, 2023

Status Verified

November 1, 2023

Enrollment Period

2 months

First QC Date

December 2, 2022

Last Update Submit

November 30, 2023

Conditions

Keywords

Muscular Atrophy, SpinalHome monitoringBioImpedance

Outcome Measures

Primary Outcomes (1)

  • To compare the results of physical evaluations between home and hospital

    Evaluation of the correlations between results obtained during the physical evaluations at home compared to those obtained at hospital

    Through study completion, an average of 3 weeks

Secondary Outcomes (8)

  • To determine the barriers for evaluation at home

    Through study completion, an average of 3 weeks

  • Correlation of home and hospital muscle volume measurement methods

    Through study completion, an average of 3 weeks

  • Correlation of home and hospital MyoGrip measurement

    Through study completion, an average of 3 weeks

  • Correlation of home and hospital MyoPinch measurement

    Through study completion, an average of 3 weeks

  • Correlation of home and hospital MFM results

    Through study completion, an average of 3 weeks

  • +3 more secondary outcomes

Study Arms (2)

Home to onsite monitoring

OTHER

Patients will be monitored and evaluate in a first time at home then onsite.

Other: Strength force measurmentOther: Time testsOther: Motor scalesOther: QuestionnairesDevice: AccelerometryOther: MNROther: Bio-impedance analysis

Onsite to Home monitoring

OTHER

Patients will be monitored and evaluate in a first time onsite then at home .

Other: Strength force measurmentOther: Time testsOther: Motor scalesOther: QuestionnairesDevice: AccelerometryOther: MNROther: Bio-impedance analysis

Interventions

The grip and pinch strength of the patient will be evaluate using dedicated devices (MyoGrip and MyoPinch)

Also known as: MyoGrip/Pinch
Home to onsite monitoringOnsite to Home monitoring

Lower and upper limb capacities of the patients will be measured during timed tests

Also known as: 10mWT, 30STS, 6MWT, 9HPT
Home to onsite monitoringOnsite to Home monitoring

Patient's motor functional abilities will be evaluated using specific motor scales (MFM32, RULM)

Home to onsite monitoringOnsite to Home monitoring

Patients and caregivers quality of life will be measured with different questionnaires (SMA-FRS, QOL-gNMD, SMAIS, PREM)

Home to onsite monitoringOnsite to Home monitoring

Patients physical activity will be measured at home using accelerometer sensors

Home to onsite monitoringOnsite to Home monitoring
MNROTHER

Sub-group of patients will perform an NMR imaging to evaluate the intramuscular fatty infiltration in thighs and muscle volume in thighs

Home to onsite monitoringOnsite to Home monitoring

The patients' muscular and fatty volume will be evaluated using BIA technic (compared to MNR)

Home to onsite monitoringOnsite to Home monitoring

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \> 18 years
  • Confirmed SMA type 2 or 3 diagnostic
  • Written informed consent
  • Able to comply with all protocol requirements
  • Affiliate or beneficiary of a social security scheme
  • Inability to carry out assessments at home
  • Claustrophobia (only for patients from Paris and Lille sites)
  • Guardianship/trusteeship
  • Pregnant or nursing women

You may not qualify if:

  • Inability to comply with protocol requirements
  • Any medical and social conditions that could interfere with the study under the appreciation of the medical coordinator

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

CHU d'Angers

Angers, 49933, France

Location

CHU de Lille

Lille, 59000, France

Location

CHU de Nantes

Nantes, 44093, France

Location

Institute of Myology

Paris, 75013, France

Location

CHU de Reims

Reims, 51092, France

Location

CHRU de Tours

Tours, 37044, France

Location

MeSH Terms

Conditions

Spinal Muscular Atrophies of ChildhoodMuscular Atrophy, Spinal

Interventions

LIMS1 protein, humanBleeding TimeSurveys and QuestionnairesAccelerometry

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesHeredodegenerative Disorders, Nervous SystemNeurodegenerative DiseasesMotor Neuron DiseaseNeuromuscular DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Platelet Function TestsHematologic TestsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesBlood Physiological PhenomenaCirculatory and Respiratory Physiological PhenomenaData CollectionEpidemiologic MethodsHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 2, 2022

First Posted

May 3, 2023

Study Start

December 15, 2023

Primary Completion

January 31, 2024

Study Completion

January 31, 2024

Last Updated

December 1, 2023

Record last verified: 2023-11

Locations