Trial record 1 of 1 for:
sunfish | Spinal Muscular Atrophy
A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of Risdiplam (RO7034067) in Type 2 and 3 Spinal Muscular Atrophy (SMA) Participants (SUNFISH)
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02908685 |
Recruitment Status :
Completed
First Posted : September 21, 2016
Results First Posted : June 15, 2021
Last Update Posted : April 24, 2024
|
Sponsor:
Hoffmann-La Roche
Information provided by (Responsible Party):
Hoffmann-La Roche
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Study Type | Interventional |
---|---|
Study Design | Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Condition |
Muscular Atrophy, Spinal |
Interventions |
Drug: Placebo Drug: Risdiplam |
Enrollment | 231 |
Participant Flow
Recruitment Details | Study Part 1 was conducted at 5 investigational sites across 4 countries, and Part 2 was conducted at 42 investigational sites across 14 countries. Screening in both Part 1 and 2 was up to 30 days prior to first dose. |
Pre-assignment Details | In Part 1 participants were initially enrolled by age and in a dose-escalating design; each group included participants on active and placebo treatment in a 2:1 ratio. After Part 2 dose selection the study enrolled additional participants in a 2:1 ratio in Part 2. |
Arm/Group Title | Part 1 Group A Cohort 1: Adolescents and Adults (3 mg Risdiplam) | Part 1 Group A Cohort 2: Adolescents and Adults (5 mg Risdiplam) | Part 1 Group A Cohort 1: Adolescents and Adults (Placebo) | Part 1 Group A Cohort 2: Adolescents and Adults (Placebo) | Part 1 Group B Cohort 1: Children (0.02 mg/kg Risdiplam) | Part 1 Group B Cohort 2: Children (0.05 mg/kg Risdiplam) | Part 1 Group B Cohort 3: Children (0.25 mg/kg Risdiplam) | Part 1 Group B Cohort 1: Children (Placebo) | Part 1 Group B Cohort 2: Children (Placebo) | Part 1 Group B Cohort 3: Children (Placebo) | Part 1 Group A: OLE | Part 1 Group B: OLE | Part 2: Risdiplam | Part 2: Placebo |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Adolescent and adult participants aged 12-25 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed and Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed and Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to their cohort risdiplam dose (i.e. 3 mg). After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to their cohort risdiplam dose (i.e. 5 mg). After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. During the placebo-controlled period, participants escalated to 0.05 mg/kg and then to 0.15 mg/kg in two steps. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. During the placebo-controlled period, participants escalated to 0.15 mg/kg in one step. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to the final 0.15 mg/kg cohort risdiplam dose. After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to the final 0.15 mg/kg cohort risdiplam dose. After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Once the placebo-controlled period was completed and Part 2 dose was selected, adolescents and adults switched to Part 2 dose and were treated in an open-label extension (OLE) phase. | Once the placebo-controlled period was completed and Part 2 dose was selected, children switched to Part 2 dose and were treated in an open-label extension (OLE) phase. | Participants aged 2-25 years received risdiplam at the dose of 5 mg once daily for participants with a body weight (BW) >/=20kg or 0.25 mg/kg for participants with a BW <20 kg for 12 months. Once the Part 2 placebo-controlled period was completed participants received risdiplam at the same dose level for another 12 months (Month 12-24) in the open-label treatment (OLT) phase. After Month 24 participants entered the Part 2 OLE phase and continued to receive risdiplam at the same dose level. | Participants aged 2-25 years received placebo matching to risdiplam for 12 months. After 12 months of treatment with placebo, participants switched to risdiplam (5 mg once daily for participants with a body weight (BW) >/=20kg or 0.25 mg/kg for participants with a BW <20) in a blinded manner in the OLT phase. After Month 24 participants entered the Part 2 OLE phase and continued to receive risdiplam at the same dose level. |
Period Title: Part 1 Placebo-Controlled | ||||||||||||||
Started | 7 | 7 | 3 | 3 | 7 | 7 | 7 | 3 | 4 | 3 | 0 | 0 | 0 | 0 |
Completed | 7 | 7 | 3 | 3 | 7 | 7 | 7 | 3 | 4 | 3 | 0 | 0 | 0 | 0 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Period Title: Part 1 OLE | ||||||||||||||
Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20 | 31 | 0 | 0 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18 | 30 | 0 | 0 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 0 |
Reason Not Completed | ||||||||||||||
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 0 | 0 |
Period Title: Part 2 Placebo-Controlled: Month 1-12 | ||||||||||||||
Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 120 | 60 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 117 | 59 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 1 |
Reason Not Completed | ||||||||||||||
Changed to Spinraza | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 |
Changed to other treatment | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Period Title: Part 2 OLT: Month 12-24 | ||||||||||||||
Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 117 | 59 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 116 | 59 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Reason Not Completed | ||||||||||||||
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Period Title: Part 2 OLE: > Month 24 | ||||||||||||||
Started | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 116 | 59 |
Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 103 | 53 |
Not Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | 6 |
Reason Not Completed | ||||||||||||||
Death | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Reason not specified | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 |
Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 5 |
Baseline Characteristics
Arm/Group Title | Part 1 Group A Cohort 1: Adolescents and Adults (3 mg Risdiplam) | Part 1 Group A Cohort 2: Adolescents and Adults (5 mg Risdiplam) | Part 1 Group A Cohort 1: Adolescents and Adults (Placebo) | Part 1 Group A Cohort 2: Adolescents and Adults (Placebo) | Part 1 Group B Cohort 1: Children (0.02 mg/kg Risdiplam) | Part 1 Group B Cohort 2: Children (0.05 mg/kg Risdiplam) | Part 1 Group B Cohort 3: Children (0.25 mg/kg Risdiplam) | Part 1 Group B Cohort 1: Children (Placebo) | Part 1 Group B Cohort 2: Children (Placebo) | Part 1 Group B Cohort 3: Children (Placebo) | Part 2: Risdiplam | Part 2: Placebo | Total | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | Adolescent and adult participants aged 12-25 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed and Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed and Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to their cohort risdiplam dose (i.e. 3 mg). After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Adolescent and adult participants aged 12-25 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to their cohort risdiplam dose (i.e. 5 mg). After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. During the placebo-controlled period, participants escalated to 0.05 mg/kg and then to 0.15 mg/kg in two steps. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. During the placebo-controlled period, participants escalated to 0.15 mg/kg in one step. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to the final 0.15 mg/kg cohort risdiplam dose. After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, participants first switched to the final 0.15 mg/kg cohort risdiplam dose. After the Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Children aged 2-11 years received placebo matching to risdiplam for at least 12 weeks. Once the placebo-controlled period was completed, and after Part 2 dose was selected, participants switched to Part 2 dose and were treated in an open-label phase. | Participants aged 2-25 years received risdiplam at the dose of 5 mg once daily for participants with a body weight (BW) >/=20kg or 0.25 mg/kg for participants with a BW <20 kg for 12 months. | Participants aged 2-25 years received placebo matching to risdiplam for 12 months. After 12 months of treatment with placebo, participants switched to risdiplam (5 mg once daily for participants with a body weight (BW) >/=20kg or 0.25 mg/kg for participants with a BW <20) in a blinded manner and participants will continue with treatment and observations. | Total of all reporting groups | |
Overall Number of Baseline Participants | 7 | 7 | 3 | 3 | 7 | 7 | 7 | 3 | 4 | 3 | 120 | 60 | 231 | |
Baseline Analysis Population Description |
[Not Specified]
|
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Age, Continuous
[1] Mean (Standard Deviation) Unit of measure: Years |
||||||||||||||
Part 1 | Number Analyzed | 7 participants | 7 participants | 3 participants | 3 participants | 7 participants | 7 participants | 7 participants | 3 participants | 4 participants | 3 participants | 0 participants | 0 participants | 51 participants |
13.3 (1.1) | 18.1 (4.6) | 14.7 (1.5) | 17.3 (5.1) | 6.1 (2.9) | 4.3 (1.7) | 6.0 (2.7) | 5.3 (2.1) | 3.5 (0.6) | 5.3 (2.9) | 9.4 (6.0) | ||||
Part 2 | Number Analyzed | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 0 participants | 120 participants | 60 participants | 180 participants |
9.9 (5.8) | 10.3 (6.0) | 10.0 (5.8) | ||||||||||||
[1]
Measure Analysis Population Description: Intent-to-Treat (ITT) population: Part 1 and Part 2 were analyzed separately and population results are provided for each part in the study.
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||||||||||||||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||
Number Analyzed | 7 participants | 7 participants | 3 participants | 3 participants | 7 participants | 7 participants | 7 participants | 3 participants | 4 participants | 3 participants | 120 participants | 60 participants | 231 participants | |
Female |
5 71.4%
|
5 71.4%
|
1 33.3%
|
2 66.7%
|
5 71.4%
|
3 42.9%
|
4 57.1%
|
0 0.0%
|
2 50.0%
|
0 0.0%
|
61 50.8%
|
30 50.0%
|
118 51.1%
|
|
Male |
2 28.6%
|
2 28.6%
|
2 66.7%
|
1 33.3%
|
2 28.6%
|
4 57.1%
|
3 42.9%
|
3 100.0%
|
2 50.0%
|
3 100.0%
|
59 49.2%
|
30 50.0%
|
113 48.9%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||
Number Analyzed | 7 participants | 7 participants | 3 participants | 3 participants | 7 participants | 7 participants | 7 participants | 3 participants | 4 participants | 3 participants | 120 participants | 60 participants | 231 participants | |
Asian |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 14.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
23 19.2%
|
12 20.0%
|
36 15.6%
|
|
White |
7 100.0%
|
7 100.0%
|
3 100.0%
|
3 100.0%
|
6 85.7%
|
6 85.7%
|
7 100.0%
|
3 100.0%
|
3 75.0%
|
3 100.0%
|
80 66.7%
|
41 68.3%
|
169 73.2%
|
|
Multiple |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 14.3%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 0.8%
|
0 0.0%
|
3 1.3%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 1.7%
|
0 0.0%
|
2 0.9%
|
|
Unknown |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
14 11.7%
|
7 11.7%
|
21 9.1%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||||||
Number Analyzed | 7 participants | 7 participants | 3 participants | 3 participants | 7 participants | 7 participants | 7 participants | 3 participants | 4 participants | 3 participants | 120 participants | 60 participants | 231 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
5 4.2%
|
2 3.3%
|
7 3.0%
|
|
Not Hispanic or Latino |
7 100.0%
|
7 100.0%
|
3 100.0%
|
3 100.0%
|
6 85.7%
|
7 100.0%
|
7 100.0%
|
3 100.0%
|
4 100.0%
|
3 100.0%
|
114 95.0%
|
57 95.0%
|
221 95.7%
|
|
Not Stated |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 14.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.7%
|
2 0.9%
|
|
Unknown |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.8%
|
0 0.0%
|
1 0.4%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Name/Title: | Medical Communications |
Organization: | Hoffmann-La Roche |
Phone: | 800 821-8590 |
EMail: | genentech@druginfo.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Hoffmann-La Roche |
ClinicalTrials.gov Identifier: | NCT02908685 |
Other Study ID Numbers: |
BP39055 2016-000750-35 ( EudraCT Number ) |
First Submitted: | September 19, 2016 |
First Posted: | September 21, 2016 |
Results First Submitted: | August 27, 2020 |
Results First Posted: | June 15, 2021 |
Last Update Posted: | April 24, 2024 |