Study of Nusinersen (BIIB058) in Participants With Spinal Muscular Atrophy (DEVOTE)

• ClinicalTrials.gov Identifier: NCT04089566
• Recruitment Status: Active, not recruiting
• First Posted: September 13, 2019
• Last Update Posted: April 18, 2024
• Sponsor: Biogen
• Information provided by (Responsible Party): Biogen

Study Description

Brief Summary:

The primary objectives of this study are to examine the clinical efficacy of nusinersen administered intrathecally at higher doses to participants with spinal muscular atrophy (SMA), as measured by change in Children's Hospital of Philadelphia-Infant Test of Neuromuscular Disorders (CHOP-INTEND) total score (Part B); to examine the safety and tolerability of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A and C).

The secondary objectives of this study are to examine the clinical efficacy of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A, B and C); to examine the effect of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A and C); to examine the safety and tolerability of nusinersen administered intrathecally at higher doses to participants with SMA, to examine the effect of nusinersen administered intrathecally at higher doses compared to the currently approved dose in participants with SMA (Part B).

Condition or disease	Intervention/treatment	Phase
Muscular Atrophy, Spinal	Drug: Nusinersen	Phase 3

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 145 participants
• Allocation: Randomized
• Intervention Model: Sequential Assignment
• Masking: Double (Participant, Care Provider)
• Primary Purpose: Treatment
• Official Title: Escalating Dose and Randomized, Controlled Study of Nusinersen (BIIB058) in Participants With Spinal Muscular Atrophy
• Actual Study Start Date: March 26, 2020
• Actual Primary Completion Date: February 21, 2024
• Estimated Study Completion Date: June 4, 2024

Arms and Interventions

Arm	Intervention/treatment
Experimental: 28/28 Milligram (mg) Safety Group; Part A: Participants with later-onset SMA will receive loading doses of 28 mg of nusinersen intrathecally on Days 1, 15 and 29 followed by maintenance doses of 28 mg on Days 149 and 269.	Drug: Nusinersen; Administered as specified in the treatment arm; Other Name: BIIB058
Active Comparator: 12/12 mg Randomized Control Group; Part B: Participants with infantile- or later-onset SMA will receive loading doses of 12 mg of nusinersen intrathecally on Days 1, 15, 29, and 64 followed by maintenance doses of 12 mg on Days 183 and 279. Sham procedure will be administered on Day 135.	Drug: Nusinersen; Administered as specified in the treatment arm; Other Name: BIIB058
Experimental: 50/28 mg Randomized Treatment Group; Part B: Participants with infantile- or later-onset SMA will receive loading doses of 50 mg of nusinersen intrathecally on Days 1 and 15 followed by maintenance doses of 28 mg on Days 135 and 279. Sham procedure will be administered on Days 29, 64 and 183.	Drug: Nusinersen; Administered as specified in the treatment arm; Other Name: BIIB058
Experimental: 12/50/28 mg Titration Group; Part C: Participants who have been receiving the approved dose of 12 mg for at least 1 year prior to entry, will receive a single bolus dose of 50 mg of nusinersen intrathecally on Day 1 (4 months after their most recent maintenance dose of 12 mg) followed by maintenance doses of 28 mg on Days 121 and 241.	Drug: Nusinersen; Administered as specified in the treatment arm; Other Name: BIIB058

Outcome Measures

Primary Outcome Measures :

1. Part B Infantile-onset SMA: Change from Baseline in CHOP-INTEND Total Score [ Time Frame: Baseline up to Day 183 ]
   The CHOP-INTEND test is designed to evaluate the motor skills of infants with significant motor weakness. It includes 16 items (capturing neck, trunk, and proximal and distal limb strength) structured to move from easiest to hardest with the grading including gravity eliminated (lower scores) to antigravity movements (higher scores). All item scores range from 0-4.
2. Part A and C: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) [ Time Frame: Screening up to Day 389 ]
   An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE is any untoward medical occurrence that at any dose results in death, in the view of the Investigator, places the participant at immediate risk of death, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a birth defect.
3. Part A and C: Number of Participants with Clinically Significant Shifts from Baseline in Clinical Laboratory Parameters [ Time Frame: Screening up to Day 302 ]
4. Part A and C: Number of Participants with Clinically Significant Shifts from Baseline in Electrocardiograms (ECGs) [ Time Frame: Screening up to Day 302 ]
5. Part A and C: Number of Participants with Clinically Significant Shifts from Baseline in Vital Signs [ Time Frame: Screening up to Day 302 ]
6. Part A and C: Change from Baseline in Body Length/Height [ Time Frame: Baseline up to Day 302 ]
7. Part C Infantile-onset SMA: Change from Baseline in Head Circumference [ Time Frame: Baseline up to Day 302 ]
8. Part C Infantile-onset SMA: Change from Baseline in Chest Circumference [ Time Frame: Baseline up to Day 302 ]
9. Part C Infantile-onset SMA: Change from Baseline in Arm Circumference [ Time Frame: Baseline up to Day 302 ]
10. Part A and C Later-onset SMA: Change from Baseline in Ulnar Length [ Time Frame: Baseline up to Day 302 ]
11. Part A and C: Ratio of Weight for Age [ Time Frame: Baseline up to Day 302 ]
12. Part A and C: Ratio of Weight for Length [ Time Frame: Baseline up to Day 302 ]
13. Part C: Ratio of Head-to-chest Circumference [ Time Frame: Baseline up to Day 302 ]
14. Part A and C: Change from Baseline in Activated Partial Thromboplastin Time (aPTT) [ Time Frame: Baseline up to Day 269 ]
15. Part A and C: Change from Baseline in Prothrombin Time (PT) [ Time Frame: Baseline up to Day 269 ]
16. Part A and C: Change from Baseline in International Normalized Ratio (INR) [ Time Frame: Baseline up to Day 269 ]
17. Part A and C: Change in Urine Total Protein [ Time Frame: Baseline up to Day 302 ]
18. Part A and C: Change from Baseline in Neurological Examination Outcomes [ Time Frame: Baseline up to Day 302 ]
19. Part A and C: Percentage of Participants with a Postbaseline Platelet Count Below the Lower Limit of Normal on at least 2 Consecutive Measurements [ Time Frame: Baseline up to Day 302 ]
20. Part A and C: Percentage of Participants with a Postbaseline Corrected QT Interval Using Fridericia's Formula (QTcF) of > 500 millisecond (msec) and an Increase from Baseline to Any Postbaseline Timepoint in QTcF of > 60 msec [ Time Frame: Baseline up to Day 302 ]

Secondary Outcome Measures :

1. Part B Infantile-onset SMA: Percentage of Hammersmith Infant Neurological Examination (HINE) Section 2 Motor Milestone Responders [ Time Frame: Day 302 ]
   Section 2 of the HINE is used to assess motor milestones of the participants It is composed of 8 motor milestone categories: voluntary grasp, ability to kick in supine position, head control, rolling, sitting, crawling, standing, and walking.
2. Part B Infantile-onset SMA: Change from Baseline in HINE Section 2 Motor Milestones Total Score [ Time Frame: Baseline up to Day 302 ]
   Section 2 of the HINE is used to assess motor milestones of the participants. It is composed of 8 motor milestone categories: voluntary grasp, ability to kick in supine position, head control, rolling, sitting, crawling, standing, and walking.
3. Part B Infantile-onset SMA: Time to Death or Permanent Ventilation [ Time Frame: Screening up to Day 302 ]
   Permanent ventilation is defined as tracheostomy or ≥ 16 hours of ventilation/day continuously for > 21 days in the absence of an acute reversible event.
4. Part B Infantile-onset SMA: Time to Death (Overall Survival) [ Time Frame: Screening up to Day 399 ]
5. Part A and B Later-onset SMA: Change from Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Score [ Time Frame: Baseline up to Day 302 ]
   HFMSE scale is a tool to assess motor function in children with SMA. The original 20 item Hammersmith Functional Motor Scale was expanded to include 13 additional adapted items from the Gross Motor Function Measure to improve sensitivity for the higher functioning ambulant population.
6. Part A and B Later-onset SMA: Change from Baseline in Revised Upper Limb Module (RULM) Score [ Time Frame: Baseline up to Day 302 ]
   The RULM is developed to assess upper limb functional abilities participants with SMA. This test consists of upper limb performance items that are reflective of activities of daily living.
7. Part A and B Later-onset SMA: Total Number of New WHO Motor Milestones [ Time Frame: Baseline up to Day 302 ]
8. Part A and B Later-onset SMA: Change from Baseline in Assessment of Caregiver Experience with Neuromuscular Disease (ACEND) [ Time Frame: Baseline up to Day 302 ]
   ACEND is designed to quantify the caregiver impact experienced by parents/caregivers of children affected with severe neuromuscular diseases. It includes domains assessing physical impact (including feeding/grooming/dressing, sitting/play, transfers, and mobility) and general caregiver impact (including time, emotion, and finance).
9. Part A and B Later-onset SMA: Change from Baseline in Pediatric Quality of Life Inventory™ (PedsQL) [ Time Frame: Baseline up to Day 302 ]
   PedsQL is used to measure health related quality of life (HRQOL) in children and adolescents. The PedsQL Measurement 4.0 Generic Core Scales include assessment of physical functioning, emotional functioning, social functioning, and school functioning and the PedsQL 3.0 Neuromuscular Module measures HRQOL.
10. Part B: Number of Participants with AEs and SAEs [ Time Frame: Screening up to Day 399 ]
    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE is any untoward medical occurrence that at any dose results in death, in the view of the Investigator, places the participant at immediate risk of death, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a birth defect.
11. Part B: Number of Participants with Clinically Significant Shifts from Baseline in Clinical Laboratory Parameters [ Time Frame: Screening up to Day 302 ]
12. Part B: Number of Participants with Clinically Significant Shifts from Baseline in ECGs [ Time Frame: Day 1 up to Day 302 ]
13. Part B: Number of Participants with Clinically Significant Shifts from Baseline in Vital Signs [ Time Frame: Screening up to Day 302 ]
14. Part B: Change from Baseline in Body Length/Height [ Time Frame: Baseline up to Day 302 ]
15. Part B Infantile-onset SMA: Change from Baseline in Head Circumference [ Time Frame: Baseline up to Day 302 ]
16. Part B Infantile-onset SMA: Change from Baseline in Chest Circumference [ Time Frame: Baseline up to Day 302 ]
17. Part B Infantile-onset SMA: Change from Baseline in Arm Circumference [ Time Frame: Baseline up to Day 302 ]
18. Part B Later-onset SMA: Change from Baseline in Ulnar Length [ Time Frame: Baseline up to Day 302 ]
19. Part B: Ratio of Weight for Age [ Time Frame: Baseline up to Day 302 ]
20. Part B: Ratio of Weight for Length [ Time Frame: Baseline up to Day 302 ]
21. Part B: Ratio of Head-to-chest Circumference [ Time Frame: Baseline up to Day 302 ]
22. Part B: Change from Baseline in aPTT [ Time Frame: Baseline up to Day 279 ]
23. Part B: Change from Baseline in PT [ Time Frame: Baseline up to Day 279 ]
24. Part B: Change from Baseline in INR [ Time Frame: Baseline up to Day 279 ]
25. Part B: Change in Urine Total Protein [ Time Frame: Baseline up to Day 302 ]
26. Part B: Change from Baseline in Neurological Examination Outcomes [ Time Frame: Baseline up to Day 302 ]
27. Part B: Percentage of Participants with a Postbaseline Platelet Count Below the Lower Limit of Normal on at least 2 Consecutive Measurements [ Time Frame: Baseline up to Day 302 ]
28. Part B: Percentage of Participants with a Postbaseline QTcF of > 500 msec and an Increase from Baseline to Any Postbaseline Timepoint in QTcF of > 60 msec [ Time Frame: Baseline up to Day 302 ]
29. Part A, B and C: Number of Hospitalizations [ Time Frame: Day 1 to Day 302 ]
30. Part A, B and C: Duration of Hospitalizations [ Time Frame: Day 1 to Day 302 ]
31. Part A, B and C: Clinical Global Impression of Change (CGIC) [ Time Frame: Day 302 ]
    The CGIC scale is a 7 point scale that requires the clinician to assess how much the participant's illness has changed relative to a baseline state at the beginning of the intervention, where 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, 7=very much worse. Higher rating will indicate worsening of the condition.
32. Part A, B and C: Number of Participants with Serious Respiratory Events [ Time Frame: Screening up to Day 399 ]
33. Part B Infantile-onset SMA: Percentage of Time on Ventilation [ Time Frame: Screening up to Day 302 ]
34. Parts A, B and C: Ventilator Use [ Time Frame: Screening up to Day 302 ]
35. Parts A and B: Change from Baseline in the Parent Assessment of Swallowing Ability (PASA) Scale [ Time Frame: Baseline up to Day 302 ]
    PASA questionnaire is developed to assess the signs and symptoms of dysphagia. It includes 33 items across 4 domains. General feeding, drinking liquids and eating solid foods will be assessed with 5 levels of response (Never, Rarely, Sometimes, Often, and Always), and 2 items will be assessed with 'Yes'/'No'. The assessment of swallowing concerns has 4 levels of response: Strongly Agree, Agree, Disagree, and Strongly Disagree. For Part A, it will be assessed in participants with later-onset SMA and in Part B, it will be assessed in participants with infantile- and later-onset SMA.
36. Part C: Change from Baseline in HFMSE Score [ Time Frame: Baseline up to Day 302 ]
    HFMSE scale is a tool to assess motor function in children with SMA. The original 20 item Hammersmith Functional Motor Scale was expanded to include 13 additional adapted items from the Gross Motor Function Measure to improve sensitivity for the higher functioning ambulant population.
37. Part C: Change from Baseline in RULM Score [ Time Frame: Baseline up to Day 302 ]
    The RULM is developed to assess upper limb functional abilities participants with SMA. This test consists of upper limb performance items that are reflective of activities of daily living.
38. Part C: Total Number of New WHO Motor Milestones [ Time Frame: Baseline up to Day 302 ]
39. Part C: Change from Baseline in ACEND [ Time Frame: Baseline up to Day 302 ]
    ACEND is designed to quantify the caregiver impact experienced by parents/caregivers of children affected with severe neuromuscular diseases. It includes domains assessing physical impact (including feeding/grooming/dressing, sitting/play, transfers, and mobility) and general caregiver impact (including time, emotion, and finance).
40. Part C: Change from Baseline in PedsQL™ [ Time Frame: Baseline up to Day 302 ]
    PedsQL is used to measure healthrelated quality of life (HRQOL) in children and adolescents. The PedsQL Measurement 4.0 Generic Core Scales include assessment of physical functioning, emotional functioning, social functioning, and school functioning and the PedsQL 3.0 Neuromuscular Module measures HRQOL.
41. Part C: Change from Baseline in CHOP-INTEND Total Score [ Time Frame: Baseline to up Day 302 ]
    The CHOP-INTEND test is designed to evaluate the motor skills of infants with significant motor weakness. It includes 16 items (capturing neck, trunk, and proximal and distal limb strength) structured to move from easiest to hardest with the grading including gravity eliminated (lower scores) to antigravity movements (higher scores). All item scores range from 0-4.
42. Part C: Change from Baseline in HINE Section 2 Motor Milestones Total Score [ Time Frame: Baseline up to Day 302 ]
    Section 2 of the HINE is used to assess motor milestones of the participants. It is composed of 8 motor milestone categories: voluntary grasp, ability to kick in supine position, head control, rolling, sitting, crawling, standing, and walking.

Eligibility Criteria

• Ages Eligible for Study: 7 Days and older (Child, Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Key Inclusion Criteria:

Part A, B and C:

- Genetic documentation of 5q SMA (homozygous gene deletion, mutation, or compound heterozygote)

Part A:

• Onset of clinical signs and symptoms consistent with SMA at > 6 months (> 180 days) of age (i.e., later-onset SMA)
• Age 2 to ≤ 15 years, inclusive, at the time of informed consent

Part B:

• Participants with SMA symptom onset ≤ 6 months (≤ 180 days) of age (infantile onset) should have age > 1 week to ≤ 7 months (≤ 210 days) at the time of informed consent

• Participants with SMA symptom onset > 6 months (> 180 days) of age (later onset):

  • Age 2 to < 10 years at the time of informed consent
  • Can sit independently but has never had the ability to walk independently
  • HFMSE score ≥ 10 and ≤ 54 at Screening

Part C:

- Currently on nusinersen treatment at the time of Screening, with the first dose being at least 1 year prior to Screening

Part C Cohort 1:

- Participants of any age (individuals ≥18 years of age at Screening must be ambulatory)

Part C Cohort 2:

• Participants ≥18 years of age at Screening (can be ambulatory or nonambulatory)
• HFMSE total score ≥4 points at Screening
• RULM entry item A score ≥3 points at Screening

Key Exclusion Criteria:

Part A, B and C:

• Presence of an untreated or inadequately treated active infection requiring systemic antiviral or antimicrobial therapy at any time during the Screening period
• Presence of an implanted shunt for the drainage of cerebrospinal fluid (CSF) or of an implanted central nervous system (CNS) catheter
• Hospitalization for surgery, pulmonary event, or nutritional support within 2 months prior to Screening or planned within 12 months after the participant's first dose

Part A:

• Respiratory insufficiency, defined by the medical necessity for invasive or noninvasive ventilation for > 6 hours during a 24-hour period, at Screening
• Medical necessity for a gastric feeding tube
• Treatment with an investigational drug given for the treatment of SMA, biological agent, or device within 30 days or 5 half-lives of the agent, whichever is longer, prior to Screening or anytime during the study; any prior or current treatment with any survival motor neuron-2 gene (SMN2)-splicing modifier or gene therapy; or prior antisense oligonucleotide treatment, or cell transplantation

Part B:

• Treatment with an investigational drug including but not limited to the treatment of SMA, biological agent, or device within 30 days or 5 half-lives of the agent, whichever is longer, prior to Screening or anytime during the study; any prior or current treatment with any SMN2-splicing modifier or gene therapy; or prior antisense oligonucleotide treatment, or cell transplantation

• Participants with SMA symptom onset > 6 months (> 180 days) of age (later onset):

  • Respiratory insufficiency, defined by the medical necessity for invasive or noninvasive ventilation for > 6 hours during a 24-hour period, at Screening
  • Medical necessity for a gastric feeding tube
• Participants with SMA symptom onset ≤ 6 months (≤ 180 days) of age (infantile onset): Signs or symptoms of SMA present at birth or within the first week after birth

Part C:

• Concurrent or previous participation and/or administration of nusinersen in another clinical study
• Concomitant or previous administration of any SMN2-splicing modifier (excluding nusinersen) or gene therapy, either in a clinical study or as part of medical care.
• Concurrent or previous participation in any interventional investigational study for any other drug or device within 30 days or 5 half-lives of the agent, whichever is longer, prior to Screening

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Contacts and Locations

Locations

United States, California

Stanford Hospital and Clinics

Palo Alto, California, United States, 94304

United States, Colorado

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

United States, Illinois

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States, 60611

United States, Maryland

The Johns Hopkins Hospital

Baltimore, Maryland, United States, 21287

United States, Massachusetts

Boston Children's Hospital

Boston, Massachusetts, United States, 02115

United States, Tennessee

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105

United States, Texas

The University of Texas Southwestern Medical Center

Dallas, Texas, United States, 75390

Australia, Victoria

Royal Children's Hospital

Parkville, Victoria, Australia, 3052

Brazil

HC-UFMG - Hospital das Clinicas da Universidade Federal de Minas Gerais

Belo Horizonte, Minas Gerais, Brazil, 30130-100

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande Do Sul, Brazil, 90035-903

Hospital das Clínicas da Faculdade de Medicina da USP

São Paulo, Sao Paulo, Brazil, 05403-000

Canada, British Columbia

BC Children's Hospital

Vancouver, British Columbia, Canada, V6H 3V4

Canada, Ontario

London Health Sciences Centre (LHSC) - Children's Hospital

London, Ontario, Canada, N6A 5W9

Canada, Quebec

McGill University Health Centre/Glen Site/Montreal Children's Hospital

Montreal, Quebec, Canada, H4A 3J1

Chile

Hospital Luis Calvo Mackenna

Santiago, Chile, 7500539

Clinica Las Condes

Santiago, Chile, 7591046

Clinica MEDS La Dehesa

Santiago, Chile, 7691236

China, Beijing

Peking University First Hospital

Beijing, Beijing, China, 100034

Beijing Children's Hospital

Beijing, Beijing, China, 100045

China, Chongqing

Children's Hospital Chongqing University of Medical Science

Chongqing, Chongqing, China, 400014

China, Guangzhou

Guangzhou Woman and Children's Medical Center

Guangzhou, Guangzhou, China, 510623

China, Hunan

Xiangya Hospital, Central South University

Changsha, Hunan, China, 410008

China, Shandong

Qilu Hospital of Shandong University

Jinan, Shandong, China, 250012

China, Sichuan

The Second Hospital affiliated to West China Medical University

Chendu, Sichuan, China, 610041

Colombia

Hospital Universitario San Ignacio

Bogota, Colombia, 110231

Fundacion Hospitalaria San Vicente de Paul

Medellin, Colombia, 050010

Estonia

Tallinn Children's Hospital

Tallinn, Estonia, 13419

France

Hopital Purpan

Toulouse cedex 9, Haute Garonne, France, 31059

Hôpital Raymond Poincaré

Garches, Hauts De Seine, France, 92380

Germany

Universitaetsklinikum Freiburg

Freiburg, Baden Wuerttemberg, Germany, 79106

Universitaetsklinikum Giessen und Marburg GmbH

Giessen, Hessen, Germany, 35392

Greece

University General Hospital "Attikon"

Athens, Greece, 12462

General Hospital of Thessaloniki "Hippokration"

Thessaloniki, Greece, 54642

Hungary

Semmelweis Egyetem

Budapest, Hungary, 1094

Magyarorszagi Reformatus Egyhaz Bethesda Gyermekkorhaz

Budapest, Hungary, 1146

Ireland

The Children's University Hospital

Dublin, Ireland, D01 XD99

Israel

Schneider Children's Medical Center

Petach-Tikva, Israel, 4920235

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 6423906

Italy

Fondazione Serena Onlus - Centro Clinico Nemo

Milano, Italy, 20162

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, Italy, 00168

Japan

Kurume University Hospital

Kurume-shi, Fukuoka-Ken, Japan, 830-0011

Hyogo College of Medicine Hospital

Nishinomiya-shi, Hyogo-Ken, Japan, 663-8501

Tokyo Women's Medical University Hospital

Shinjuku-ku, Tokyo-To, Japan, 162-8666

Korea, Republic of

Kyungpook National University Chilgok Hospital

Daegu, Gyeongsangbuk-do, Korea, Republic of, 41404

Seoul National University Hospital

Seoul, Korea, Republic of, 03080

Latvia

Children's Clinical University Hospital

Riga, Latvia, LV- 1004

Lebanon

Saint George University Hospital Medical Center

Beirut, Lebanon, 11 00 2807

Mexico

Instituto Nacional de Pediatria

Mexico City, Distrito Federal, Mexico, 04530

Hospital Infantil de Mexico Federico Gomez

Mexico, Distrito Federal, Mexico, 06720

Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde

Guadalajara, Jalisco, Mexico, 44280

Netherlands

UMC Utrecht

Utrecht, Netherlands, 3584 CX

Poland

Uniwersyteckie Centrum Kliniczne

Gdansk, Poland, 80-214

Instytut Pomnik - Centrum Zdrowia Dziecka

Warszawa, Poland, 04-730

Russian Federation

Regional Pediatric Clinical Hospital #1

Ekaterinburg, Russian Federation, 620149

Russian Children Neuromuscular Center of Veltischev

Moskva, Russian Federation, 125412

Saudi Arabia

King Fahad Specialist Hospital

Dammam, Saudi Arabia, 31444

National Guard Health Affairs: King Abdulaziz Medical City

Jeddah, Saudi Arabia, 21423

King Faisal Specialist Hospital & Research Center

Riyadh, Saudi Arabia, 11211

Spain

Hospital Sant Joan de Deu

Esplugues Del Llobregat, Barcelona, Spain, 08950

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Hospital Universitario La Paz

Madrid, Spain, 28046

Hospital Universitari i Politecnic La Fe

Valencia, Spain, 46026

Taiwan

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung, Taiwan, 80756

National Taiwan University Hospital

Taipei, Taiwan, 10002

Turkey

Akdeniz Univesity Medical Faculty

Antalya, Turkey, 07070

United Kingdom

Great Ormond Street Hospital for Children

London, Greater London, United Kingdom, WC1N 3JH

Sponsors and Collaborators

Biogen

Investigators

• Study Director: Medical Director; Biogen

More Information

Additional Information:

SMA Europe 

CureSMA 

Muscular Dystrophy Association 

Study website - US patients only 

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Finkel RS, Ryan MM, Pascual Pascual SI, Day JW, Mercuri E, De Vivo DC, Foster R, Montes J, Gurgel-Giannetti J, MacCannell D, Berger Z. Scientific rationale for a higher dose of nusinersen. Ann Clin Transl Neurol. 2022 Jun;9(6):819-829. doi: 10.1002/acn3.51562. Epub 2022 May 13.

• Responsible Party: Biogen
• ClinicalTrials.gov Identifier: NCT04089566
• Other Study ID Numbers: 232SM203; 2019-002663-10 ( EudraCT Number )
• First Posted: September 13, 2019
• Last Update Posted: April 18, 2024
• Last Verified: April 2024

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Yes
• Plan Description: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
• URL: https://vivli.org/

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

Muscular Atrophy; Muscular Atrophy, Spinal; Atrophy; Pathological Conditions, Anatomical; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Spinal Cord Diseases; Central Nervous System Diseases; Motor Neuron Disease; Neurodegenerative Diseases; Neuromuscular Diseases