Home Monitoring of Adult Patients With SMA: a Pilot Multicenter Validation Study
SMA-AtHome
1 other identifier
interventional
60
1 country
6
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Dec 2023
Shorter than P25 for not_applicable
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 2, 2022
CompletedFirst Posted
Study publicly available on registry
May 3, 2023
CompletedStudy Start
First participant enrolled
December 15, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2024
CompletedDecember 1, 2023
November 1, 2023
2 months
December 2, 2022
November 30, 2023
Conditions
Keywords
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
OTHERPatients will be monitored and evaluate in a first time at home then onsite.
Onsite to Home monitoring
OTHERPatients will be monitored and evaluate in a first time onsite then at home .
Interventions
The grip and pinch strength of the patient will be evaluate using dedicated devices (MyoGrip and MyoPinch)
Lower and upper limb capacities of the patients will be measured during timed tests
Patient's motor functional abilities will be evaluated using specific motor scales (MFM32, RULM)
Patients and caregivers quality of life will be measured with different questionnaires (SMA-FRS, QOL-gNMD, SMAIS, PREM)
Patients physical activity will be measured at home using accelerometer sensors
Sub-group of patients will perform an NMR imaging to evaluate the intramuscular fatty infiltration in thighs and muscle volume in thighs
The patients' muscular and fatty volume will be evaluated using BIA technic (compared to MNR)
Eligibility Criteria
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
- Institut de Myologie, Francelead
- Roche Pharma AGcollaborator
Study Sites (6)
CHU d'Angers
Angers, 49933, France
CHU de Lille
Lille, 59000, France
CHU de Nantes
Nantes, 44093, France
Institute of Myology
Paris, 75013, France
CHU de Reims
Reims, 51092, France
CHRU de Tours
Tours, 37044, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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