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
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
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

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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