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CompletedNCT01780246Updated Feb 16, 2021

An Open-label Safety and Tolerability Study of Nusinersen (ISIS 396443) in Participants With Spinal Muscular Atrophy Who Previously Participated in ISIS 396443-CS1 (NCT01494701)

A Phase 1 interventional study of nusinersen in Spinal Muscular Atrophy, sponsored by Biogen. Completed at 4 sites in United States. Open to participants aged 2 Years to 15 Years. Per ClinicalTrials.gov, last updated 2021-02-16.

Sponsored by Biogen · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
2 Years to 15 Years
Sex
All
01

Study summary

The primary objective of this study is to examine the safety and tolerability of nusinersen (ISIS 396443) administered intrathecally to participants with Spinal Muscular Atrophy (SMA) who previously participated in ISIS 396443-CS1 (NCT02865109). The secondary objective was to examine the plasma pharmacokinetics of a single dose of ISIS 396443 administered intrathecally to participants with SMA who previously participated in ISIS 396443-CS1.

Read the detailed description

This study was conducted and the protocol was registered by Ionis Pharmaceuticals, Inc.

In August 2016, sponsorship of the trial was transferred to Biogen.

02

Conditions studied

  • Spinal Muscular Atrophy

Keywords

  • Spinal Muscular Atrophy
  • SMA
  • SMN
  • SMNRx
  • ISIS-SMNRx
  • ISIS 396443
03

In context

Muscular Atrophy

494 studies on the registry are indexed under Muscular Atrophy; 94 are open to participants now.

This study's enrollment of 18 is below the median of 33 across 335 interventional studies indexed under Muscular Atrophy.

Browse Muscular Atrophy studies →

Lead sponsor

Biogen is the lead sponsor of 494 studies on the registry; 22 are open to participants now.

Of its 98 completed or terminated interventional studies of FDA-regulated products, 49 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Clinical signs attributable to Spinal Muscular Atrophy
  • Satisfactory completion of dosing and all study visits in ISIS 396443-CS1 (NCT01494701) with an acceptable safety profile, per Investigator judgement.
  • Able to complete all study procedures, measurements and visits and parent/participant has adequately supportive psychosocial circumstances, in the opinion of the investigator
  • Estimated life expectancy > 2 years from Screening
  • Meets age-appropriate institutional criteria for use of anesthesia/sedation, if use is planned for study procedure

Key Exclusion Criteria:

  • Have any new or worsening of existing condition which in the opinion of the Investigator would make the participant unsuitable for enrollment, or could interfere with the participant participating in or completing the study.
  • Dosing in ISIS 396443-CS1 (NCT01494701) within 270 days (9 months) of screening, or longer ago than 450 days (15 months)
  • Dosing in ISIS 396443-CS2 (NCT01703988)
  • Hospitalization for surgery (i.e. scoliosis surgery) or pulmonary event within 2 months of screening or planned during the duration of the study
  • Presence of an untreated or inadequately treated active infection requiring systemic antiviral or antimicrobial therapy any time during the screening period
  • Clinically significant abnormalities in hematology or clinical chemistry parameters
  • Treatment with investigational drug, biological agent, or device within 1-month of Screening or 5 half-lives of study agent, whichever is longer. Treatment with valproate or hydroxyurea within 1 months of screening. Any history of gene therapy or cell transplantation

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

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    nusinersen

    Drug: nusinersen

Interventions

  • Drugnusinersen

    Administered by intrathecal (IT) injection

    Also known as: Sprinraza, ISIS 396443, IONIS-SMN Rx, BIIB058

06

What researchers measure

Primary outcomes

  1. Number of participants that experience Adverse Events (AEs) and Serious Adverse Events

    Time frame: Up to 24 Weeks

  2. Number of participants with clinically significant neurological examination abnormalities

    Time frame: Up tp 24 Weeks

  3. Number of participants with clinically significant vital sign abnormalities

    Time frame: Up to 24 Weeks

  4. Number of participants with clinically significant physical examination abnormalities

    Time frame: Up to 24 Weeks

  5. Number of participants with clinically significant weight abnormalities

    Time frame: Up to 24 Weeks

  6. Number of participants with clinically significant laboratory parameters

    Time frame: Up to 24 Weeks

  7. Number of participants with clinically significant electrocardiograms (ECGs) abnormalities

    Time frame: Up to 24 Weeks

  8. Number of participants who use concomitant medications

    Time frame: Up to 24 Weeks

Secondary outcomes

  1. PK parameters of nusinersen (ISIS 396443): Maximum observed plasma drug concentration (Cmax)

    Time frame: Plasma at 1, 2, 4 and 6 hours after dosing

  2. PK parameters of nusinersen: Time to reach maximum observed concentration (Tmax)

    Time frame: Plasma at 1, 2, 4 and 6 hours after dosing

  3. PK parameters of nusinersen: Area under the plasma concentrations time curve from the time of the intrathecal (IT) dose to the last collected sample (AUCinf)

    Time frame: Plasma at 1, 2, 4 and 6 hours after dosing

  4. PK parameters of nusinersen (ISIS 396443): Apparent terminal elimination half-life (t1/2), if possible

    Time frame: Plasma at 1, 2, 4 and 6 hours after dosing

07

Study locations

4 sites
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • UT Southwestern Medical Center - Children's Medical Center Dallas
    Dallas, Texas 75207, United States
  • University of Utah School of Medicine
    Salt Lake City, Utah 84132, United States
08

References and documents

Publications

  • Darras BT, Farrar MA, Mercuri E, Finkel RS, Foster R, Hughes SG, Bhan I, Farwell W, Gheuens S. An Integrated Safety Analysis of Infants and Children with Symptomatic Spinal Muscular Atrophy (SMA) Treated with Nusinersen in Seven Clinical Trials. CNS Drugs. 2019 Sep;33(9):919-932. doi: 10.1007/s40263-019-00656-w. PubMed 31420846 ↗
  • Hache M, Swoboda KJ, Sethna N, Farrow-Gillespie A, Khandji A, Xia S, Bishop KM. Intrathecal Injections in Children With Spinal Muscular Atrophy: Nusinersen Clinical Trial Experience. J Child Neurol. 2016 Jun;31(7):899-906. doi: 10.1177/0883073815627882. Epub 2016 Jan 27. PubMed 26823478 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01780246
Lead sponsor
Biogen
Responsible party
Sponsor
First posted
Jan 31, 2013
Start date
Jan 31, 2013
Primary completion
Feb 28, 2014
Completion
Feb 28, 2014
Last update
Feb 16, 2021

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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