A Phase 2 interventional study of Nusinersen and Sham Procedure in Spinal Muscular Atrophy, sponsored by Biogen. Terminated at 7 sites in 2 countries. Per ClinicalTrials.gov, last updated 2021-02-17.
Sponsored by Biogen · Phase 2, Interventional, and Treatment
The primary objective of Part 1 of this study is to assess the safety and tolerability of Nusinersen in participants with SMA who are not eligible to participate in the clinical studies ISIS 396443-CS3B (NCT02193074) or ISIS 396443-CS4 (NCT02292537). The secondary objective of Part 1 of this study is to examine the pharmacokinetics (PK) of Nusinersen in participants with SMA. The primary objective of Part 2 of this study is to assess the long-term safety and tolerability of Nusinersen in participants with SMA who participated in Part 1 and completed their End of Part 1 Evaluation assessments. The secondary objective of Part 2 of this study is to examine the PK of Nusinersen in participants with SMA who participated in Part 1 and completed their End of Part 1 Evaluation assessments.
Part 2 is an Open Label extension phase.
494 studies on the registry are indexed under Muscular Atrophy; 94 are open to participants now.
This study's enrollment of 21 is below the median of 33 across 335 interventional studies indexed under Muscular Atrophy.
Browse Muscular Atrophy studies →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.
Key Inclusion Criteria:
Key Exclusion Criteria:
For Part 2 only:
To be eligible to participate in Part 2 of this study, participants must meet the following eligibility criteria at the time of consent to participate in Part 2:
Participation in Part 1 and completion of the End of Part 1 Evaluation assessments.
Ability of parent(s) or legal guardian(s) to understand the purpose and risks of the study and to provide signed and dated informed consent on the Part 2 informed consent form (ICF) and authorization to use confidential health information in accordance with national and local participant privacy regulations.
Able to complete all study procedures, measurements, and visits, and parent or legal guardian/participant has adequately supportive psychosocial circumstances, in the opinion of the Investigator.
Participants will be excluded from the Part 2 if they meet the following exclusion criterion at the time of consent into Part 2 of the study:
Any significant change in clinical status, including laboratory tests that, in the opinion of the Investigator, would make them unsuitable to participate in Part 2. The Investigator must reassess the subject's medical fitness for participation and consider any diseases that would preclude treatment.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Administered by intrathecal injection.
Drug: Nusinersen
Small needle prick on the lower back at the location where the IT injection is normally made.
Procedure: Sham Procedure
Administered by intrathecal injection.
Also known as: BIIB058, ISIS SMNRx, ISIS 396443, Spinraza
Small needle prick on the lower back at the location where the IT injection is normally made.
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A SAE is any untoward medical occurrence that at any dose results in death, life-threatening event, requires inpatient hospitalization, significant disability/incapacity or congenital anomaly.
Time frame: Part 1 and 2: From first dose/sham procedure to end of study (up to 1080 days)
Number of Participants With Change From Baseline in Clinical Laboratory Parameters
Clinically significant changes in laboratory parameters were evaluated for assessing the safety of ISIS 396443.
Time frame: Part 1 and 2: From first dose/sham procedure to end of study (up to 1080 days)
Number of Participants With Change From Baseline in Electrocardiograms (ECGs)
Clinically significant changes in ECG measurements were evaluated for assessing the safety of ISIS 396443.
Time frame: Part 1: Day 2, 29 and 422; Part 2: Day 1 to 596
Number of Participants With Change From Baseline in Vital Signs
Clinically significant changes in vital signs were evaluated for assessing the safety of ISIS 396443. Vital signs that were assessed included resting systolic and diastolic blood pressure, pulse rate, respiratory rate, temperature, pulse oximetry, and transcutaneous carbon dioxide.
Time frame: Part 1: Day 2, 29 and 422; Part 2: Day 1 to 596
Change From Baseline in Head Circumference
Participants were analyzed for change in growth parameter of head circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the head circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Chest Circumference
Participants were analyzed for change in growth parameter of chest circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the chest circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days\>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Arm Circumference
Participants were analyzed for change in growth parameter of arm circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the arm circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Weight for Age
Participants were analyzed for change in growth parameter of weight for age to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the weight for age percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Weight
Participants were analyzed for change in growth parameter of weight to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the weight percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Head to Chest Circumference (HCC) Ratio
Participants were analyzed for change in growth parameter of HCC to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the HCC circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Change From Baseline in Body Length
Participants were analyzed for change in growth parameter of body length to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the body length percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Part 2: Baseline, Day 15, 29, 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Number of Participants With Change From Baseline in Neurological Examination Outcomes
Neurological examinations included assessment of mental status, level of consciousness, sensory function, motor function, cranial nerve function, reflexes, mood, speech/language and hearing.
Time frame: Part 1: Baseline to Day 422; Part 2: Baseline to Day 596
Number of Participants With Change From Baseline in Activated Partial Thromboplastin Time [aPTT]
Activated partial thromboplastin time was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of aPTT at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of aPTT at baseline to high values postbaseline.
Time frame: Part 2: Up to 1080 days
Number of Participants With Change From Baseline in Partial Thromboplastin Time [PTT]
PTT was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of PTT at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of PTT at baseline to high values postbaseline.
Time frame: Part 2: Up to 1080 days
Number of Participants With Change From Baseline in International Normalized Ratio [INR])
INR was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of INR at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of INR at baseline to high values postbaseline.
Time frame: Part 2: Up to 1080 days
Number of Participants With Presence of Urine Total Protein Post-baseline
Urine total protein was evaluated to assess safety.
Time frame: Part 2: Up to 1080 days
Plasma Concentration of ISIS 396443 in Part 2 of Study in Participants Who Received Sham Procedure in Part 1 of the Study
Study days were windowed for integrated analysis and labelled as follows: Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659.
Time frame: Pre-dose on Days 64, 183, 540 and 659
Plasma Concentration of ISIS 396443 in Part 1 and 2 of Study in Participants Who Received ISIS 396443 in Part 1 of the Study
Study days were windowed for integrated analysis and labelled as follows: Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
Time frame: Pre-dose on Days 64, 183, 302, 422, 540, 659, 778, 898, 1018 and 1138
Cerebrospinal Fluid (CSF) Concentration of ISIS 396443 in Part 2 of Study in Participants Who Received Sham Procedure in Part 1 of the Study
CSF samples were analyzed for ISIS 396443 concentrations in participants. Study days were windowed for integrated analysis and labelled as follows: Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540.
Time frame: Pre-dose on Days 15, 29, 64, 183, 302, 422 and 540
CSF Concentration of ISIS 396443 in Part 1 and 2 of Study in Participants Who Received ISIS 396443 in Part 1 of the Study
CSF samples were analyzed for ISIS 396443 concentrations in participants. Study days were windowed for integrated analysis and labelled as follows: Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018.
Time frame: Pre-dose on Days 15, 29, 64, 183, 302, 422, 540, 659, 778, 898 and 1018
Number of Participants With Plasma Antibodies to ISIS 396443
Time frame: Part 2: Baseline to Day 596
Participants were recruited from sites in the US and Germany. Part 1 was terminated early as positive efficacy results were observed in interim analysis of study NCT02193074 and it was considered unethical to continue this part of study. Part 2 was also terminated early to rollover and continue to follow participants in study NCT02594124.
| Milestone | Sham Procedure (Part 1) | ISIS 396443 (Part 1) | ISIS 396443 (Part 2) |
|---|---|---|---|
| Started | 7 | 14 | 0 |
| Completed | 6 | 14 | 0 |
| Not completed | 1 | 0 | 0 |
| Withdrew: Death | 1 | 0 | 0 |
| Milestone | Sham Procedure (Part 1) | ISIS 396443 (Part 1) | ISIS 396443 (Part 2) |
|---|---|---|---|
| Started | 0 | 0 | 20 |
| Completed | 0 | 0 | 20 |
| Not completed | 0 | 0 | 0 |
An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A SAE is any untoward medical occurrence that at any dose results in death, life-threatening event, requires inpatient hospitalization, significant disability/incapacity or congenital anomaly.
| Participants | Sham Procedure in Part 1 | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|---|
| AEs | 6 | 6 | 14 |
| SAEs | 3 | 4 | 9 |
Clinically significant changes in laboratory parameters were evaluated for assessing the safety of ISIS 396443.
| Participants | Sham Procedure in Part 1 | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|---|
| Number of Participants With Change From Baseline in Clinical Laboratory Parameters | 0 | 0 | 0 |
Clinically significant changes in ECG measurements were evaluated for assessing the safety of ISIS 396443.
| Participants | Sham Procedure in Part 1 | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|---|
| Number of Participants With Change From Baseline in Electrocardiograms (ECGs) | 0 | 0 | 0 |
Clinically significant changes in vital signs were evaluated for assessing the safety of ISIS 396443. Vital signs that were assessed included resting systolic and diastolic blood pressure, pulse rate, respiratory rate, temperature, pulse oximetry, and transcutaneous carbon dioxide.
| Participants | Sham Procedure in Part 1 | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|---|
| Number of Participants With Change From Baseline in Vital Signs | 0 | 0 | 0 |
Participants were analyzed for change in growth parameter of head circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the head circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| centimeter (cm) | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 50.8 ± 3.83 | 47.3 ± 1.51 |
| Change at Day 15 | -0.7 ± 3.34 | 0.1 ± 0.36 |
| Change at Day 29 | 0.0 ± 2.76 | 0.3 ± 0.65 |
| Change at Day 64 | 0.1 ± 2.64 | 0.5 ± 0.73 |
| Change at Day 183 | 0.3 ± 3.10 | 1.0 ± 1.12 |
| Change at Day 302 | 1.0 ± 3.28 | 1.6 ± 1.05 |
| Change at Day 422 | 0.9 ± 2.47 | 2.0 ± 1.24 |
| Change at Day 540 | 1.3 ± 1.97 | 2.5 ± 1.24 |
| Change at Day 659 | 1.5 ± 2.53 | 2.6 ± 1.37 |
| Change at Day 778 | — | 2.8 ± 0.92 |
| Change at Day 898 | — | 3.5 ± 1.05 |
| Change at Day 1018 | — | 3.5 ± 2.06 |
| Change at Day 1138 | — | 4.0 ± 0 |
Participants were analyzed for change in growth parameter of chest circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the chest circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days\>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| cm | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 51.3 ± 5.45 | 46.9 ± 3.91 |
| Change at Day 15 | -0.2 ± 3.86 | -0.4 ± 1.53 |
| Change at Day 29 | -1.1 ± 2.70 | 0.2 ± 1.39 |
| Change at Day 64 | -0.9 ± 3.50 | 0.2 ± 1.92 |
| Change at Day 183 | 0.2 ± 3.04 | 1.4 ± 2.02 |
| Change at Day 302 | 1.2 ± 3.07 | 1.6 ± 2.86 |
| Change at Day 422 | 0.5 ± 3.72 | 2.8 ± 2.73 |
| Change at Day 540 | 1.8 ± 2.42 | 3.8 ± 3.23 |
| Change at Day 659 | 2.9 ± 3.85 | 5.1 ± 3.29 |
| Change at Day 778 | — | 5.5 ± 3.52 |
| Change at Day 898 | — | 7.1 ± 3.04 |
| Change at Day 1018 | — | 9.7 ± 4.92 |
| Change at Day 1138 | — | 9.1 ± 0 |
Participants were analyzed for change in growth parameter of arm circumference to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the arm circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| cm | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 16.2 ± 1.19 | 14.5 ± 1.85 |
| Change at Day 15 | -0.4 ± 1.04 | 0.3 ± 0.61 |
| Change at Day 29 | -0.5 ± 1.08 | -0.1 ± 0.54 |
| Change at Day 64 | -0.3 ± 0.49 | -0.4 ± 0.89 |
| Change at Day 183 | 0.0 ± 0.89 | 0.0 ± 0.85 |
| Change at Day 302 | -0.6 ± 0.89 | 0.2 ± 1.17 |
| Change at Day 422 | -0.6 ± 1.82 | 0.5 ± 1.71 |
| Change at Day 540 | -0.2 ± 2.24 | 0.5 ± 1.89 |
| Change at Day 659 | 0.6 ± 0.93 | 0.6 ± 1.93 |
| Change at Day 778 | — | 0.0 ± 2.18 |
| Change at Day 898 | — | 0.8 ± 2.70 |
| Change at Day 1018 | — | 1.0 ± 2.02 |
| Change at Day 1138 | — | 1.5 ± 0 |
Participants were analyzed for change in growth parameter of weight for age to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the weight for age percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| kilogram (kg) | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 42.5 ± 40.87 | 25.3 ± 28.41 |
| Change at Day 15 | -1.3 ± 1.41 | 3.6 ± 12.12 |
| Change at Day 29 | -2.4 ± 1.61 | -1.4 ± 4.82 |
| Change at Day 64 | -2.9 ± 2.58 | 0.5 ± 8.17 |
| Change at Day 183 | -3.8 ± 6.93 | -5.9 ± 8.73 |
| Change at Day 302 | -10.1 ± 13.04 | -8.0 ± 15.42 |
| Change at Day 422 | -6.3 ± 9.45 | -7.5 ± 17.52 |
| Change at Day 540 | -7.0 ± 6.56 | -8.1 ± 17.26 |
| Change at Day 659 | -8.5 ± 17.64 | -10.5 ± 22.23 |
| Change at Day 778 | — | -13.2 ± 16.95 |
| Change at Day 898 | — | -10.5 ± 24.10 |
| Change at Day 1018 | — | -7.0 ± 34.14 |
| Change at Day 1138 | — | 0.3 ± 0 |
Participants were analyzed for change in growth parameter of weight to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the weight percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| kg | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 13.0 ± 2.00 | 9.5 ± 1.37 |
| Change at Day 15 | -0.1 ± 0.23 | 0.2 ± 0.44 |
| Change at Day 29 | -0.1 ± 0.26 | 0.1 ± 0.23 |
| Change at Day 64 | 0.0 ± 0.39 | 0.4 ± 0.42 |
| Change at Day 183 | 0.8 ± 0.61 | 0.7 ± 0.48 |
| Change at Day 302 | 0.7 ± 1.04 | 1.3 ± 0.87 |
| Change at Day 422 | 1.8 ± 1.03 | 1.9 ± 1.02 |
| Change at Day 540 | 2.3 ± 1.33 | 2.2 ± 1.17 |
| Change at Day 659 | 3.1 ± 1.39 | 2.8 ± 1.41 |
| Change at Day 778 | — | 3.2 ± 1.87 |
| Change at Day 898 | — | 3.9 ± 2.86 |
| Change at Day 1018 | — | 4.3 ± 1.96 |
| Change at Day 1138 | — | 5.0 ± 0 |
Participants were analyzed for change in growth parameter of HCC to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the HCC circumference percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| ratio | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 1.0 ± 0.05 | 1.0 ± 0.08 |
| Change at Day 15 | 0.0 ± 0.03 | 0.0 ± 0.03 |
| Change at Day 29 | 0.0 ± 0.04 | 0.0 ± 0.04 |
| Change at Day 64 | 0.0 ± 0.04 | 0.0 ± 0.05 |
| Change at Day 183 | 0.0 ± 0.05 | 0.0 ± 0.05 |
| Change at Day 302 | 0.0 ± 0.03 | 0.0 ± 0.06 |
| Change at Day 422 | 0.0 ± 0.04 | 0.0 ± 0.06 |
| Change at Day 540 | 0.0 ± 0.03 | 0.0 ± 0.06 |
| Change at Day 659 | 0.0 ± 0.03 | -0.1 ± 0.06 |
| Change at Day 778 | — | -0.1 ± 0.07 |
| Change at Day 898 | — | -0.1 ± 0.06 |
| Change at Day 1018 | — | -0.1 ± 0.10 |
| Change at Day 1138 | — | -0.1 ± 0 |
Participants were analyzed for change in growth parameter of body length to evaluate clinical efficacy. WHO Child Growth Standards were used to determine the body length percentile. Study days were windowed for integrated analysis and labelled as follows: Days \<=1 as Baseline; Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| cm | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 95.0 ± 9.48 | 79.9 ± 5.25 |
| Change at Day 15 | -1.6 ± 3.19 | -0.1 ± 1.81 |
| Change at Day 29 | -0.9 ± 3.49 | 0.9 ± 1.66 |
| Change at Day 64 | 0.5 ± 4.77 | 1.8 ± 2.40 |
| Change at Day 183 | 3.0 ± 4.16 | 5.6 ± 2.36 |
| Change at Day 302 | 2.9 ± 5.76 | 7.1 ± 2.70 |
| Change at Day 422 | 4.2 ± 5.42 | 9.3 ± 3.09 |
| Change at Day 540 | 4.6 ± 7.18 | 11.6 ± 3.93 |
| Change at Day 659 | 10.8 ± 4.12 | 13.1 ± 3.79 |
| Change at Day 778 | — | 14.8 ± 3.94 |
| Change at Day 898 | — | 17.2 ± 5.62 |
| Change at Day 1018 | — | 19.0 ± 6.67 |
| Change at Day 1138 | — | 15.8 ± 0 |
Neurological examinations included assessment of mental status, level of consciousness, sensory function, motor function, cranial nerve function, reflexes, mood, speech/language and hearing.
| Participants | Sham Procedure in Part 1 | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|---|
| Mental Status | 0 | 1 | 3 |
| Level of consciousness | 0 | 1 | 2 |
| Sensory function | 0 | 0 | 0 |
| Motor function | 0 | 0 | 0 |
| Cranial nerve function: Eye Movement | 0 | 0 | 1 |
| Cranial nerve function: Vision | 0 | 0 | 1 |
| Reflexes | 0 | 0 | 0 |
| Mood | 5 | 5 | 12 |
| Speech/Language | 0 | 1 | 1 |
| Hearing | 0 | 0 | 0 |
Activated partial thromboplastin time was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of aPTT at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of aPTT at baseline to high values postbaseline.
| Participants | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Shift to Low | 0 | 0 |
| Shift to High | 0 | 0 |
PTT was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of PTT at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of PTT at baseline to high values postbaseline.
| Participants | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Shift to Low | 0 | 0 |
| Shift to High | 0 | 0 |
INR was evaluated to assess safety. "Shift to low" measured change in normal, high and unknown values of INR at baseline to low values postbaseline. "Shift to high" measured change in normal, high and unknown values of INR at baseline to high values postbaseline.
| Participants | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Shift to Low | 0 | 0 |
| Shift to High | 0 | 0 |
Urine total protein was evaluated to assess safety.
| Participants | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Baseline | 0 | 1 |
| High/Postive | 2 | 8 |
Study days were windowed for integrated analysis and labelled as follows: Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659.
| nanogram per milliliter (ng/mL) | ISIS 396443 Part 2(Participants on Sham in Part 1) |
|---|---|
| Day 64 | 1.983 ± 0.7320 |
| Day 183 | 0.776 ± 0.3994 |
| Day 540 | 0.425 ± 0.2200 |
| Day 659 | 0.365 ± 0.1146 |
Study days were windowed for integrated analysis and labelled as follows: Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018;Days \>1078 to \<= 1198 as Day 1138.
| ng/mL | ISIS 396443 Part 1 & 2 |
|---|---|
| Day 64 | 2.139 ± 0.8811 |
| Day 183 | 1.059 ± 0.5569 |
| Day 302 | 0.667 ± 0.1852 |
| Day 422 | 0.858 ± 0.4636 |
| Day 540 | 0.608 ± 0.2736 |
| Day 659 | 0.739 ± 0.2812 |
| Day 778 | 0.590 ± 0.3414 |
| Day 898 | 0.661 ± 0.2558 |
| Day 1018 | 0.329 ± 0.1020 |
| Day 1138 | 0.423 ± 0 |
CSF samples were analyzed for ISIS 396443 concentrations in participants. Study days were windowed for integrated analysis and labelled as follows: Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540.
| ng/mL | ISIS 396443 Part 2(Participants on Sham in Part 1) |
|---|---|
| Day 1 | NA ± NA |
| Day 15 | 3.094 ± 1.2172 |
| Day 29 | 4.805 ± 2.6706 |
| Day 64 | 4.357 ± 2.3229 |
| Day 183 | 4.110 ± 2.4535 |
| Day 302 | 5.397 ± 2.7503 |
| Day 422 | 6.460 ± 2.9428 |
| Day 540 | 8.405 ± 6.2423 |
CSF samples were analyzed for ISIS 396443 concentrations in participants. Study days were windowed for integrated analysis and labelled as follows: Days \>1 to \<= 22 as Day 15;Days \>22 to \<=47 as Day 29;Days \>47 to \<= 123 as Day 64;Days \>123 to \<=242 as Day 183;Days \>242 to \<=362 as Day 302;Days \>362 to \<=482 as Day 422;Days \>482 to \<= 600 as Day 540;Days \>600 to \<= 719 as Day 659;Days \>719 to \<= 838 as Day 778;Days \>838 to \<= 958 as Day 898;Days \>958 to \<= 1078 as Day 1018.
| ng/mL | ISIS 396443 Part 1 & 2 |
|---|---|
| Day 1 | NA ± NA |
| Day 15 | 3.925 ± 2.0525 |
| Day 29 | 7.273 ± 4.4786 |
| Day 64 | 7.176 ± 2.8487 |
| Day 183 | 8.226 ± 3.6450 |
| Day 302 | 8.968 ± 3.1188 |
| Day 422 | 9.251 ± 4.0631 |
| Day 540 | 9.026 ± 2.6864 |
| Day 659 | 9.785 ± 3.3725 |
| Day 778 | 8.632 ± 2.4131 |
| Day 898 | 11.321 ± 8.9351 |
| Day 1018 | 7.010 ± 0 |
| Participants | ISIS 396443 Part 2(Participants on Sham in Part 1) | ISIS 396443 Part 1 & 2 |
|---|---|---|
| Number of Participants With Plasma Antibodies to ISIS 396443 | 0 | 0 |
Collected over From start to end of study (up to 1133 days). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Sham Procedure in Part 1 | 1/7 (14.3%) | 3/7 (42.9%) | 6/7 (85.7%) |
| ISIS 396443 Part 1 & 2 | 0/14 (0%) | 9/14 (64.3%) | 14/14 (100%) |
| ISIS 396443 Part 2(Participants on Sham in Part 1) | 0/6 (0%) | 4/6 (66.7%) | 6/6 (100%) |
| Event | Sham Procedure in Part 1 | ISIS 396443 Part 1 & 2 | ISIS 396443 Part 2(Participants on Sham in Part 1) |
|---|---|---|---|
| PneumoniaInfections and infestations | 0/7 | 7/14 | 3/6 |
| Rhinovirus infectionInfections and infestations | 1/7 | 2/14 | 2/6 |
| Respiratory distressRespiratory, thoracic and mediastinal disorders | 1/7 | 2/14 | 2/6 |
| Pneumonia aspirationRespiratory, thoracic and mediastinal disorders | 0/7 | 3/14 | 1/6 |
| Bronchitis moraxellaInfections and infestations | 0/7 | 0/14 | 1/6 |
| Enterovirus infectionInfections and infestations | 1/7 | 0/14 | 1/6 |
| GastroenteritisInfections and infestations | 0/7 | 1/14 | 1/6 |
| Parainfluenzae virus infectionInfections and infestations | 0/7 | 1/14 | 1/6 |
| Pneumonia haemophilusInfections and infestations | 1/7 | 0/14 | 1/6 |
| Pneumonia moraxellaInfections and infestations | 0/7 | 0/14 | 1/6 |
| Event | Sham Procedure in Part 1 | ISIS 396443 Part 1 & 2 | ISIS 396443 Part 2(Participants on Sham in Part 1) |
|---|---|---|---|
| PyrexiaGeneral disorders | 1/7 | 12/14 | 4/6 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/7 | 11/14 | 3/6 |
| Upper respiratory tract infectionInfections and infestations | 2/7 | 9/14 | 3/6 |
| VomitingGastrointestinal disorders | 1/7 | 7/14 | 2/6 |
| PneumoniaInfections and infestations | 0/7 | 7/14 | 2/6 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 0/7 | 6/14 | 2/6 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 0/7 | 6/14 | 2/6 |
| RhinorrhoeaRespiratory, thoracic and mediastinal disorders | 0/7 | 6/14 | 1/6 |
| DiarrhoeaGastrointestinal disorders | 0/7 | 5/14 | 1/6 |
| GastroenteritisInfections and infestations | 0/7 | 5/14 | 0/6 |
The Intent-to-treat (ITT) population include all participants who were randomized, receive at least 1 dose of ISIS 396443 or sham procedure.
| Age, Continuous(months) | Sham Procedure (Part 1) | ISIS 396443 (Part 1) | Total |
|---|---|---|---|
| Mean | 24.4 ± 13.83 | 19.4 ± 10.12 | 21.1 ± 11.39 |
| Sex: Female, Male(Participants) | Sham Procedure (Part 1) | ISIS 396443 (Part 1) | Total |
|---|---|---|---|
| Female | 5 | 5 | 10 |
| Male | 2 | 9 | 11 |
| Race/Ethnicity, Customized(Participants) | Sham Procedure (Part 1) | ISIS 396443 (Part 1) | Total |
|---|---|---|---|
| Ethnicity: Hispanic or Latino | 2 | 1 | 3 |
| Ethnicity: Not Hispanic or Latino | 4 | 9 | 13 |
| Ethnicity: Not reported due to confidentiality | 1 | 4 | 5 |
| Race: Asian | 3 | 2 | 5 |
| Race: White | 2 | 7 | 9 |
| Race: Other | 1 | 1 | 2 |
| Race: Not reported due to confidentiality | 1 | 4 | 5 |
Documents are hosted by the registry — open the source record to download them.
This study is terminated, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Biogen