Clinical trial • Phase III • Neurology|Rare Disease
Onasemnogene abeparvovec for Spinal muscular atrophy
Phase III trial of Onasemnogene abeparvovec for Spinal muscular atrophy. open-label, none/not specified-controlled. 109 participants.
Overview
- Trial Therapeutic Area
- Neurology|Rare Disease
- Trial Disease
- Spinal muscular atrophy
- Trial Stage
- Phase III
- Drug Modality
- Gene therapy
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 24-05-2024
- First CTIS Authorization Date
- 26-06-2024
Trial design
open-label, none/not specified-controlled Phase III trial across 6 sites in France, Belgium, Italy.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 109
- Trial Duration For Participant
- 5475
Eligibility
Recruits 109 paediatric patients.
- Vulnerable Population
- Vulnerable population selected (paediatric patients). Consent may be provided by parent or legal guardian as indicated by inclusion wording: "Patient/parent/legal guardian willing and able to complete the informed consent process"; assent procedures not specified.
Inclusion criteria
- {"criterion_text":"- Any patient with SMA who received AVXS-101 gene replacement therapy in a Novartis Pharma AG -sponsored clinical study"}
- {"criterion_text":"- Patient/parent/legal guardian willing and able to complete the informed consent process and comply with study procedures and visit schedule"}
Exclusion criteria
- {"criterion_text":"- Patient/parent/legal guardian unable or unwilling to participate in the long-term follow-up safety study"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Number of participants who reach developmental milestones","definition_or_measurement_approach":"Count of participants who achieve pre-specified developmental milestones (assessed during visits)."}
- {"endpoint_text":"- Change from baseline in Hammersmith Functional Motor Scale - Expanded (HFMSE) score","definition_or_measurement_approach":"Change from baseline measured using the HFMSE scale."}
- {"endpoint_text":"- Change from baseline in Revised Upper Limb Module (RULM)","definition_or_measurement_approach":"Change from baseline measured using the RULM assessment."}
- {"endpoint_text":"- Change from baseline in Bayley Scales of Infant and Toddler Development (Bayley-III)","definition_or_measurement_approach":"Change from baseline measured using the Bayley-III developmental scale."}
- {"endpoint_text":"- Change from baseline in Cogstate Computerized Cognitive Battery","definition_or_measurement_approach":"Change from baseline measured using the Cogstate computerized cognitive battery."}
- {"endpoint_text":"- Change from baseline in Clinical Evaluation of Language Fundamentals (CELF-5)","definition_or_measurement_approach":"Change from baseline measured using the CELF-5 language assessment."}
- {"endpoint_text":"- Change from baseline in Assessment of Caregiver Experience with Neuromuscular Disease (ACEND)","definition_or_measurement_approach":"Change from baseline in caregiver-reported experience as measured by ACEND questionnaire."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in pulmonary assessment results and require ventilatory support","definition_or_measurement_approach":"Count of participants with clinically significant pulmonary assessment changes leading to ventilatory support requirement."}
- {"endpoint_text":"- Number of participants who experience swallowing dysfunction and require nutritional support","definition_or_measurement_approach":"Count of participants developing swallowing dysfunction requiring nutritional support."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in physical examination findings","definition_or_measurement_approach":"Count of participants with clinically significant changes on physical exam compared to baseline."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in vital signs measurements","definition_or_measurement_approach":"Count of participants with clinically significant changes in vital signs versus baseline."}
- {"endpoint_text":"- Change from baseline in height measurements","definition_or_measurement_approach":"Change from baseline in measured height."}
- {"endpoint_text":"- Change from baseline in weight measurements","definition_or_measurement_approach":"Change from baseline in measured weight."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in clinical laboratory assessments","definition_or_measurement_approach":"Count of participants with clinically significant laboratory changes compared to baseline."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in cardiac assessments","definition_or_measurement_approach":"Count of participants with clinically significant changes on cardiac assessments versus baseline (ECG/echo etc.)."}
- {"endpoint_text":"- Number of participants who experience a clinically significant change from baseline in observational phase questionnaire results","definition_or_measurement_approach":"Count of participants with clinically significant changes on observational phase questionnaires compared to baseline."}
- {"endpoint_text":"- Concomitant Medications","definition_or_measurement_approach":"Recording and summary of concomitant medications used during the observational phase."}
- {"endpoint_text":"- Any other treatment for SMA for the observational phase","definition_or_measurement_approach":"Recording of any other SMA-specific treatments received during the observational phase."}
- {"endpoint_text":"- Number of participants who experience at least one serious adverse event (SAE)","definition_or_measurement_approach":"Count of participants experiencing ≥1 SAE during follow-up."}
- {"endpoint_text":"- Number of participants who experience at least one adverse event of special interest (AESI)","definition_or_measurement_approach":"Count of participants experiencing ≥1 AESI during follow-up."}
Recruitment
- Planned Sample Size
- 109
- Recruitment Window Months
- 176
- Consent Approach
- Informed consent required from the patient or from parent/legal guardian as applicable ("Patient/parent/legal guardian willing and able to complete the informed consent process"). Assent for minors not specified; languages for consent not specified.
Geography
- Total Number Of Sites
- 6
- Total Number Of Participants
- 22
France
- Earliest CTIS Part Ii Submission Date
- 16-04-2024
- Latest Decision Or Authorization Date
- 25-07-2024
- Processing Time Days
- 100
- Number Of Sites
- 1
- Number Of Participants
- 3
Sites
- Site Name
- Association Institut De Myologie
- Department Name
- Research center for pediatric neuromuscular diseases
- Contact Person Name
- Andreea Seferian
- Contact Person Email
- a.seferian@institut-myologie.org
- Number Of Participants
- 3
Belgium
- Earliest CTIS Part Ii Submission Date
- 18-04-2024
- Latest Decision Or Authorization Date
- 26-06-2024
- Processing Time Days
- 69
- Number Of Sites
- 2
- Number Of Participants
- 4
Sites
- Site Name
- Universitair Ziekenhuis Gent
- Department Name
- Pediatric Neurology department
- Contact Person Name
- Nicolas Deconinck
- Contact Person Email
- nicolas.deconinck@uzgent.be
- Site Name
- Centre Hospitalier Regional De La Citadelle
- Department Name
- University Department of Neuropediatrics
- Contact Person Name
- Aurore Daron
- Contact Person Email
- aurore.daron@citadelle.be
Italy
- Earliest CTIS Part Ii Submission Date
- 18-04-2024
- Latest Decision Or Authorization Date
- 02-07-2024
- Processing Time Days
- 75
- Number Of Sites
- 3
- Number Of Participants
- 15
Sites
- Site Name
- IRCCS Foundation Istituto Neurologico Carlo Besta
- Department Name
- Developmental Neurology Unit
- Contact Person Name
- Riccardo Masson
- Contact Person Email
- riccardo.masson@istituto-besta.it
- Site Name
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
- Department Name
- Neural Stem Cell Laboratory, DEPT Neuroscience Section
- Contact Person Name
- Stefania Paola Corti
- Contact Person Email
- stefania.corti@unimi.it
- Site Name
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Department Name
- Paediatric Neurology and Psychiatry Unit
- Contact Person Name
- Eugenio Maria Mercuri
- Contact Person Email
- eugeniomaria.mercuri@policlinicogemelli.it
Sponsor
Primary sponsor
- Full Name
- Novartis Pharma AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Switzerland
Contract research organisations
- Name
- Icon Clinical Research Limited
- Responsibilities
- Clinical trial management, monitoring, safety reporting (SUSAR reporting to CEC + investigational sites) and other sponsor duties (codes 1,12,15,2,8)
- Name
- Medidata Solutions Inc.
- Responsibilities
- Electronic data capture / data management (duties codes 6 and 7)
Third parties
- {"country":"United States","full_name":"EPL Pathology Archives LLC","duties_or_roles":"Biomarkers Samples Storage","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"Chillibean Limited","duties_or_roles":"Editing and quality assurance of videos, video archiving","organisation_type":"Pharmaceutical company"}
- {"country":"France","full_name":"SGS France","duties_or_roles":"Biomarkers (SMN protein/Blood) Analysis","organisation_type":"Pharmaceutical company"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Sponsor duties include codes 1,12,15 (SUSAR reporting to CEC + investigational sites), 2,8","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"Duties codes 6 and 7 (electronic data capture/data management functions)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ECG analysis/review, Echo CG and ECG analysis/review","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Labconnect LLC","duties_or_roles":"Clinical chemistry, Clinical haematology, Troponin I testing and Exploratory Biomarkers","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Travel coordination and expense management","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Zolgensma 2 × 10^13 vector genomes/mL solution for infusion
- Active Substance
- Onasemnogene abeparvovec
- Modality
- Gene therapy
- Routes Of Administration
- Intravenous
- Route
- Intravenous
- Authorisation Status
- Authorised (marketing authorisation EU/1/20/1443/001)
- Orphan Designation
- Yes
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