Spinal injection drug shows promise in stopping SMA before symptoms start
NCT ID NCT02386553
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a drug called nusinersen (Spinraza) in 25 infants who have a genetic diagnosis of spinal muscular atrophy (SMA) but no symptoms yet. The drug is given through a spinal injection to help delay or prevent the need for breathing support or early death. The goal was to see if early treatment can keep these babies healthier longer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Nusinersen (Spinraza), a drug given via spinal injection
- What this could lead to
- If it works, this could help infants with SMA grow up without needing breathing support or dying early.
- What could go wrong
- This is a small, early-phase study with only 25 infants, so results may not apply to all. The drug requires repeated spinal injections, which carry risks like infection or headache.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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25 people
The number who actually took part.
- Started
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May 2015
- Finished
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Dec 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 to 6 weeks
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Age ≤ 6 weeks at first dose. * Genetic documentation of 5q SMA homozygous gene deletion or mutation or compound heterozygous mutation. * Genetic documentation of 2 or 3 copies of survival motor neuron 2 (SMN2). * Ulnar compound muscle action potential (CMAP) ≥ 1 mV at Baseline. * Gestational age of 37 to 42 weeks for singleton births; gestational age of 34 to 42 weeks for twins. * Meet additional study related criteria. Key Exclusion Criteria: * Hypoxemia (oxygen saturation \<96% awake or asleep without any supplemental oxygen or respiratory support). * Any clinical signs or symptoms at Screening or immediately prior to the first dosing (Day 1) that are, in the opinion of the Investigator, strongly suggestive of SMA. * Clinically significant abnormalities in hematology or clinical chemistry parameters. * Treatment with an investigational drug given for the treatment of SMA biological agent, or device. Any history of gene therapy, prior antisense oligonucleotide (ASO) treatment, or cell transplantation. * Meet additional study related criteria. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611-2605, United States
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Columbia University
New York, New York, 10032, United States
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David Geffen School of Medicine
Los Angeles, California, 90095, United States
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Fondazione Serena Onlus - Centro Clinico Nemo
Milan, 20162, Italy
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Hacettepe University Medical Faculty
Ankara, 6230, Turkey (Türkiye)
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Hamad General Hospital
Doha, 3050, Qatar
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807, Taiwan
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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National Taiwan University Hospital
Taipei, 100, Taiwan
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Nemours Children's Hospital, Orlando
Orlando, Florida, 32827, United States
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Ospedale Pediatrico Bambino Gesù
Rome, Lazio, 165, Italy
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Queensland Children's Hospital
South Brisbane, Queensland, 4101, Australia
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Royal Children's Hospital
Parkville, Victoria, 3052, Australia
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Seattle Children's Research Institute
Seattle, Washington, 98101, United States
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The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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The Johns Hopkins Hospital
Baltimore, Maryland, 21205, United States
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Universitaetsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
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University of California Davis Health System
Sacramento, California, 95817, United States
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University of Utah
Salt Lake City, Utah, 84112, United States
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Yeditepe University Medical School Hospital
Istanbul, 31755, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can more Hands-On therapy and home devices help children with SMA?
- Can a brain implant let paralyzed people control computers with their minds?
- Can treating spinal muscular atrophy in the womb be safe and helpful? a new registry aims to find out
- A Baby's fidgets may reveal brain health: study tests early warning signs
- Can a muscle-boosting antibody help people with spinal muscular atrophy over the long haul?
- Can a patient registry unlock the secrets of spinal muscular atrophy?