ClinicalTrials.gg
TerminatedNCT03381729STRONGUpdated Jan 26, 2026Results posted

Study of Intrathecal Administration of Onasemnogene Abeparvovec-xioi for Spinal Muscular Atrophy

A Phase 1 interventional study of Onasemnogene Abeparvovec-xioi in Spinal Muscular Atrophy, sponsored by Novartis Gene Therapies. Terminated at 11 sites in United States. Open to participants aged 6 Months to 60 Months. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by Novartis Gene Therapies (part of Novartis) · Phase 1, Interventional, and Treatment

Why this study was terminated
Based upon overall strategic objectives within the broader intrathecal clinical development program, Novartis Gene Therapies decided to terminate the study early.
Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Non-randomized
Ages
6 Months to 60 Months
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 121 studies in Muscular Atrophy, Spinal with a site in United States — 21 open to participants now, 39 under way, 7 of them phase 3. Muscular Atrophy, Spinal · United States.

Enrollment
39th of 76
32 · median 33
Started
2017
with 3 others
Phase 1
11 of 121
1 open now
Registered
49th of 121
by date
Lead sponsor
3 of 121
Novartis Gene Therapies

Among the 121 studies in Muscular Atrophy, Spinal with a site in United States, this one is the 39th largest by enrollment of the 76 interventional ones that give a count, is one of 4 that started in 2017, is one of 11 in phase 1, and was the 49th registered.

Muscular Atrophy, Spinal

282 studies on the registry are indexed under Muscular Atrophy, Spinal; 73 are open to participants now.

Browse Muscular Atrophy, Spinal studies →

Open to participants now

21 of the 121 studies in Muscular Atrophy, Spinal with a site in United States are open now. Recruiting first, the newest first:

16 more — sign in →

All 21 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 58 Muscular Atrophy, Spinal studies recruiting now, 28 (48%) set no upper age limit and 27 (47%) stop at 75 or younger; 46 take children under 18; 11 take healthy volunteers.

This study: 6 Months to 60 Months · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 121 studies in Muscular Atrophy, Spinal with a site in United States, or all of them as a file.
02

Study summary

The purpose of this trial is to evaluate the safety and tolerability of intrathecal administration of onasemnogene abeparvovec-xioi in infants and children with Spinal Muscular Atrophy with 3 copies of SMN2 and deletion of SMN1.

Read the detailed description

This is a Phase 1, single-dose administration study of infants and children with a genetic diagnosis consistent with spinal muscular atrophy (SMA), bi-allelic deletion of survival motor neuron 1 gene (SMN1) and 3 copies of survival motor neuron 2 gene (SMN2) without the genetic modifier who are able to sit but cannot stand or walk at the time of study entry. Patients will receive onasemnogene abeparvovec-xioi in a dose comparison safety study of two (or three) potential therapeutic doses. Patients will be stratified in two groups, those ≥6 months and \< 24 months of age at time of dosing and those ≥ 24 months and \< 60 months of age at time of dosing. At least 15 patients ≥ 6 months and \< 24 months, and at least 12 patients ≥ 24 \< 60 months will be enrolled.

The first cohort will enroll three patients (Cohort 1) ≥ 6 months and \< 24 months of age who will receive administration of 6.0 × 1013 vg of onasemnogene abeparvovec-xioi (Dose A). There will be at least a four week interval between the dosing of each patient within the cohort. Novartis Gene Therapies, Inc. will confer with the Data Safety Monitoring Board (DSMB) on all Grade III or higher AEs within approximately 48 hours of awareness that are possibly, probably or definitely related to the study agent before continuing enrollment. Safety data will be reviewed by the DSMB during quarterly meetings; following enrollment of the three patients and based upon the available safety data a decision will be made whether to: a) stop due to toxicity, or b) proceed to Cohort 2 using Dose B.

Should the determination be made to advance to Dose B, three patients \< 60 months of age will be enrolled (Cohort 2) and will receive administration of 1.2 × 1014 vg of onasemnogene abeparvovec-xioi (Dose B). Again, there will be at least a four-week interval between dosing of the three patients within the cohort. Based on the available safety data from the three Cohort 2 patients and all of the Cohort 1 patients, the DSMB will decide and document during quarterly meetings whether further four-week intervals between patients dosing is necessary. Novartis Gene Therapies, Inc. will take this recommendation into consideration and will make the final determination whether to persist with four-week intervals between patients dosing going forward; the decision will be communicated to sites and Institutional Review Boards (IRBs) in a formal sponsor letter. Novartis Gene Therapies, Inc. will confer with the DSMB on all Grade III or higher AEs within approximately 48 hours of awareness that are possibly, probably or definitely related to the study agent before continuing enrollment. Safety data will be reviewed by the DSMB during quarterly meetings; following enrollment of the first six patients and based upon available safety data, a decision will be made whether to: a) stop due to toxicity, or b) continue to enroll an additional 21 patients until there are a total of 12 patients > 6 months and \< 24 months and 12 patients ≥ 24 and \< 60 months that have all received Dose B.

Based upon an ongoing assessment of safety and efficacy data from patients treated with the 1.2 × 1014 vg dose, an option for testing of a third dose (Dose C), will be considered. If, based on all available data, this is judged to be safe and necessary, three patients \< 60 months of age will receive Dose C, 2.4 × 1014 vg administered IT. A meeting of the DSMB will be called to obtain a recommendation on the safety of escalating to a higher dose prior to proceeding. If a decision is made to proceed to testing a higher dose, there will again be a four-week interval between dosing of the first three patients receiving Dose C, as in Cohorts 1 and 2. Safety data will be reviewed by the DSMB during quarterly meetings. Following enrollment of the first three Dose C patients and based upon available safety data, the DSMB will be consulted and a decision will be made whether to: a) stop dosing Dose C due to safety concerns, or b) continue to enroll an additional 21 patients until there are a total of 12 patients > 6 months and \< 24 months and 12 patients ≥ 24 and \< 60 months that have received Dose C.

Patients from Cohort 3 will be followed for a total of 15 months post-dose. The primary analyses for efficacy will be assessed when all patients reach 12 months post-dose and the primary analyses for safety will be assessed when the last patient of Cohort 3 reaches 15 months post-dose (and database lock will be performed after the last patient reaches 15 months post-dose).

03

Conditions studied

  • Spinal Muscular Atrophy

Keywords

  • Gene Transfer
  • Gene Therapy
  • Adeno-associated virus
  • Survival Motor Neuron
  • SMN
  • AAV9
04

Who can participate

Ages eligible
6 Months to 60 Months
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria

  • Patients ≥6 months and up to 60 months (1800 days) of age at time of dosing following diagnostic confirmation during screening period by genotype who demonstrate the ability to sit unassisted for 10 or more seconds but cannot stand or walk
  • Diagnostic confirmation by genotype includes lab documentation of homozygous absence of SMN1 exon 7; with exactly three copies of SMN2
  • Negative gene testing for SMN2 gene modifier mutation (c.859G>C)
  • Onset of clinical signs and symptoms consistent with spinal muscular atrophy (SMA) at \< 12 months of age
  • Able to sit independently and not standing or walking independently. Definition of sitting independently is defined by the World Health Organization Multicentre Growth Reference Study (WHO-MGRS) criteria of being able to sit up unsupported with head erect for at least 10 seconds. Child should not use arms or hands to balance body or support position (Wijnhoven 2004)
  • Be up-to-date on childhood vaccines that include palivizumab prophylaxis (also known as Synagis) to prevent respiratory syncytial virus (RSV) infections are also recommended in accordance with American Academy of Pediatrics (AAP 2009)

Key Exclusion Criteria

  • Current or historical ability to stand or walk independently
  • for spinal tap procedure or administration of intrathecal therapy or presence of an implanted shunt for the drainage of CSF or an implanted central venous (CNS) catheter
  • Severe contractures as determined by designated Physical Therapist(s) at screening that interfere with either the ability to attain/demonstrate functional measures or interferes with ability to receive intrathecal (IT) dosing
  • Severe scoliosis (defined as ≥ 50° curvature of spine) evident on X-ray examination
  • Previous, planned or expected scoliosis repair surgery/procedure within 1 year of dose administration
  • Use of invasive ventilatory support (tracheotomy with positive pressure) or pulse oximetry \< 95% saturation at screening while the patient is awake, or for high altitudes > 1000 m, oxygen saturation \< 92% while the patient is awake
  • Pulse oximetry saturation must not decrease ≥ four (4) percentage points between screening and highest value on day of dosing
  • Use or requirement of non-invasive ventilatory support for 12 or more hours daily over the two (2) weeks prior to dosing
  • Medical necessity for a gastric feeding tube, where the majority of feedings are given by non-oral methods (i.e., nasogastric tube or nasojejunal tube) or patients whose weight-for-age falls below the 3rd percentile based on WHO Child Growth Standards (Onis 2006). Placement of a permanent gastrostomy prior to screening is not an exclusion
  • Use or requirement of non-invasive ventilatory support for 12 or more hours daily over the two (2) weeks prior to dosing
  • Medical necessity for a gastric feeding tube, where the majority of feedings are given by non-oral methods or patients whose weight-for-age falls below the 3rd percentile based on WHO Child Growth Standards (Onis 2006). Placement of a permanent gastrostomy prior to screening is not an exclusion
  • Active viral infection (includes (HIV) or serology positive for or C, or Zika virus)
  • Serious non-respiratory tract illness requiring systemic treatment and/or hospitalization within two (2) weeks prior to study entry
  • Respiratory infection requiring medical attention, medical intervention or increase in supportive care of any manner within four (4) weeks prior to study entry
  • Severe non-pulmonary/respiratory tract infection within four (4) weeks before study dosing or concomitant illness that in the opinion of the Principal Investigator (PI) creates unnecessary risks for gene transfer such as:

    • Major renal or hepatic impairment
    • Known seizure disorder
    • Diabetes mellitus
    • Idiopathic hypocalciuria
    • Symptomatic cardiomyopathy
  • History of bacterial meningitis or brain or spinal cord disease, including tumors, or abnormalities by magnetic resonance imaging (MRI) or computerized tomography (CT) that would interfere with the lumbar puncture (LP) procedures or CSF circulation
  • Known allergy or to prednisolone or other glucocorticosteroids or their
  • Known allergy or hypersensitivity to iodine or iodine-containing products
  • Concomitant use of any of the following: drugs for treatment of myopathy or neuropathy, agents used to treat diabetes mellitus, or ongoing therapy, plasmapheresis, immunomodulators such as adalimumab, or immunosuppressive therapy within 3 months of study dosing
  • Inability to withhold use of laxatives or diuretics in the 24 hours prior to dose administration
  • Anti-AAV9 antibody titers >1:50 as determined by Enzyme-linked Immunosorbent Assay (ELISA) binding immunoassay

    • Should a potential patient demonstrate anti AAV9 antibody titer > 1:50, he or she may receive retesting within 30 days of the screening period and will be eligible to participate if the anti AAV9 antibody titer upon retesting is ≤ 1:50
  • abnormal laboratory values (GGT, , and AST, or total > 2 × , creatinine ≥ 1.0 mg/dL, [Hgb] \< 8 or > 18 g/dL; white blood cell [WBC] > 20,000 per cmm) prior to gene replacement therapy. Patients with an elevated bilirubin level that is unequivocally the result of neonatal jaundice shall not be excluded
  • Participation in recent SMA treatment clinical trial or receipt of an or approved compound product or therapy received with the intent to treat SMA at any time prior to screening for this study

    • Oral beta agonists must be discontinued 30 days prior to dosing.
    • Inhaled albuterol specifically prescribed for the purposes of respiratory (bronchodilator) management is acceptable and not a contraindication at any time prior to screening for this study
  • Expectation of major surgical procedures during the 1-year study assessment period
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Dose A

    Intrathecal administration 6.0 X 10\^13 vg of onasemnogene abeparvovec-xioi

    Biological: Onasemnogene Abeparvovec-xioi

  • Experimental
    Dose B

    Intrathecal administration 1.2 X 10\^14 vg of onasemnogene abeparvovec-xioi

    Biological: Onasemnogene Abeparvovec-xioi

  • Experimental
    Dose C

    Intrathecal administration 2.4 X 10\^14 vg of onasemnogene abeparvovec-xioi

    Biological: Onasemnogene Abeparvovec-xioi

Interventions

  • Self-complementary AAV9 carrying the SMN gene under the control of a hybrid CMV enhancer/chicken-β-actin promoter

    Also known as: Zolgensma

06

What researchers measure

Primary outcomes

  1. Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand Alone

    Defined by the Bayley Scales of Infant and Toddler Development (BSID) Gross Motor (GM) subtest performance criteria number 40, confirmed by video recording, as a participant who stands alone for at least 3 seconds unsupported.

    Time frame: From Day 1 up to Month 12

  2. Age 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12

    The HFMSE contained 33 items which were scored on a scale of 0-2 with a total achievable score ranging from 0, if all activities are failed, to 66, if all the activities are achieved. A positive change from baseline indicates a better outcome.

    Time frame: Baseline and Month 12

  3. Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)

    A TEAE was defined as any event that began or worsened in severity on or after the administration of AVXS-101 through the last study visit. Evaluation of TEAEs included the number of participants with at least one: * TEAE * Serious TEAE * TEAE related to AVXS-101 * TEAE with Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 (grade 3 = severe or medically significant to grade 5 = death related to TEAE)

    Time frame: Adverse events were collected from the single dose of study treatment until the end of study visit (12 months for Cohort 1 and 2 and 15 months for Cohort 3)

Secondary outcomes

  1. Number of Participants Who Achieved the Ability to Walk Alone

    Defined by the BSID GM subtest performance criteria number 43, confirmed by video recording, as a participant who takes 5 coordinated independent steps.

    Time frame: From Day 1 up to Month 12

  2. Average Number of Hours Per Day of Non-invasive Ventilatory Support

    Participants were assessed by a pulmonologist and may have been fitted with a non-invasive positive pressure ventilatory (e.g., Bilevel Positive Airway Pressure BiPAP) at the discretion of the pulmonologist and/or investigator. The number of hours per day of non-invasive ventilatory support was captured continuously by the device.

    Time frame: Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12

07

Results

Posted Feb 16, 2023
Limitations and caveats
A comparison of the results from this study to the results from the natural history observational study (Pediatric Neuromuscular Clinical Research Network (PNCR), Finkel et al, 2014) are included in the Novartis Clinical Trial Results, as a historical control. These full results are available via this link: https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17933

Participant flow

A total of 32 participants took part in the trial at 11 sites in the United States between December 2017 and May 2021.

Participant flow — Overall Study
MilestoneCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsCohort 3: 2.4E14 vg - Age 24 to <60 Months
Started3131240
Received avxs-1013131240
Completed3131240
Not completed00000

Outcome measures

PrimaryAge 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand Alone

Defined by the Bayley Scales of Infant and Toddler Development (BSID) Gross Motor (GM) subtest performance criteria number 40, confirmed by video recording, as a participant who stands alone for at least 3 seconds unsupported.

Time frame:
From Day 1 up to Month 12
Reported as:
Count of participants · Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand Alone
ParticipantsCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
Able to Stand Alone110
Unable to Stand Alone2124
Statistical analysis
  • Cohort 2: 1.2E14 vg - Age 6 to <24 Months · Fisher Exact · p = >0.9999 · Difference in percent: -6.0 · 95% CI -21.8 to 22.8
PrimaryAge 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12

The HFMSE contained 33 items which were scored on a scale of 0-2 with a total achievable score ranging from 0, if all activities are failed, to 66, if all the activities are achieved. A positive change from baseline indicates a better outcome.

Time frame:
Baseline and Month 12
Reported as:
Least squares mean · score on a scale
Age 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12
score on a scaleCohort 2: 1.2E14 vg - Age 24 to <60 Months
Age 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 126.0 (3.7 to 8.3)
Statistical analysis
  • Cohort 2: 1.2E14 vg - Age 24 to <60 Months · Mixed-Model Repeat Measure · p = 0.0027 · Difference between least squares mean: 5.5 · 95% CI 1.9 to 9.0
PrimaryNumber of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)

A TEAE was defined as any event that began or worsened in severity on or after the administration of AVXS-101 through the last study visit. Evaluation of TEAEs included the number of participants with at least one: * TEAE * Serious TEAE * TEAE related to AVXS-101 * TEAE with Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 (grade 3 = severe or medically significant to grade 5 = death related to TEAE)

Time frame:
Adverse events were collected from the single dose of study treatment until the end of study visit (12 months for Cohort 1 and 2 and 15 months for Cohort 3)
Reported as:
Count of participants · Participants
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
ParticipantsCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
TEAE313124
Serious TEAE1240
TEAE Related to AVXS-1010741
TEAE with CTCAE Grade ≥ 31440
SecondaryNumber of Participants Who Achieved the Ability to Walk Alone

Defined by the BSID GM subtest performance criteria number 43, confirmed by video recording, as a participant who takes 5 coordinated independent steps.

Time frame:
From Day 1 up to Month 12
Reported as:
Count of participants · Participants
Number of Participants Who Achieved the Ability to Walk Alone
ParticipantsCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
Able to Walk Alone0100
Unable to Walk Alone312124
Statistical analysis
  • Cohort 2: 1.2E14 vg - Age 6 to <24 Months · Fisher Exact · p = >0.9999 · Percentage difference: -2.1 · 95% CI -17.2 to 27.0
SecondaryAverage Number of Hours Per Day of Non-invasive Ventilatory Support

Participants were assessed by a pulmonologist and may have been fitted with a non-invasive positive pressure ventilatory (e.g., Bilevel Positive Airway Pressure BiPAP) at the discretion of the pulmonologist and/or investigator. The number of hours per day of non-invasive ventilatory support was captured continuously by the device.

Time frame:
Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12
Reported as:
Mean · hours/day
Average Number of Hours Per Day of Non-invasive Ventilatory Support
hours/dayCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
Month 2——10.530 ± NA—
Month 3——2.930 ± NA—
Month 4—0.000 ± NA5.860 ± NA—
Month 5—0.000 ± NA4.610 ± NA—
Month 6—2.590 ± NA4.490 ± NA—
Month 7—4.550 ± NA7.490 ± NA—
Month 8—7.170 ± NA8.290 ± NA—
Month 9—8.690 ± NA7.690 ± NA—
Month 10—10.320 ± NA9.900 ± NA—
Month 11—14.050 ± NA3.460 ± NA—
Month 12—10.120 ± NA0.040 ± NA—

Adverse events

Collected over Adverse events were collected from the single dose of study treatment until the end of study visit (12 months for Cohort 1 and 2 and 15 months for Cohort 3). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months0/3 (0%)1/3 (33.3%)3/3 (100%)
Cohort 2: 1.2E14 vg - Age 6 to <24 Months0/13 (0%)2/13 (15.4%)13/13 (100%)
Cohort 2: 1.2E14 vg - Age 24 to <60 Months0/12 (0%)4/12 (33.3%)12/12 (100%)
Cohort 3: 2.4E14 vg - Age 6 to <24 Months0/4 (0%)0/4 (0%)4/4 (100%)
Most frequent serious events
Showing 10 of 12
Most frequent serious events
EventCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
Blood alkaline phosphatase increasedInvestigations1/31/130/120/4
Respiratory failureRespiratory, thoracic and mediastinal disorders1/30/130/120/4
BronchitisInfections and infestations0/30/131/120/4
InfluenzaInfections and infestations0/30/131/120/4
PneumoniaInfections and infestations0/30/131/120/4
Pneumonia respiratory syncytial viralInfections and infestations0/30/131/120/4
Respiratory tract infection viralInfections and infestations0/30/131/120/4
Rhinovirus infectionInfections and infestations0/30/131/120/4
Acute respiratory failureRespiratory, thoracic and mediastinal disorders0/30/131/120/4
AsthmaRespiratory, thoracic and mediastinal disorders0/30/131/120/4
Most frequent other events
Showing 10 of 131
Most frequent other events
EventCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 Months
PyrexiaGeneral disorders3/36/137/122/4
Upper respiratory tract infectionInfections and infestations2/310/135/123/4
CoughRespiratory, thoracic and mediastinal disorders0/33/137/121/4
VomitingGastrointestinal disorders0/35/133/122/4
ConstipationGastrointestinal disorders0/32/133/122/4
TeethingGastrointestinal disorders1/32/130/121/4
Infusion site bruisingGeneral disorders1/30/130/120/4
HypersensitivityImmune system disorders1/30/130/120/4
Otitis mediaInfections and infestations1/30/133/120/4
PneumoniaInfections and infestations1/30/131/120/4

Baseline characteristics

Safety Analysis Set: All participants given an AVXS-101 intrathecal injection. Participants were analyzed according to actual dose received.

Age, Categorical
Age, Categorical(Participants)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsTotal
<=18 years31312432
Between 18 and 65 years00000
>=65 years00000
Age, Continuous
Age, Continuous(months)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsTotal
Mean17.2 ± 4.116.7 ± 4.537.5 ± 10.616.9 ± 5.624.6 ± 12.5
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsTotal
Female266014
Male176418
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsTotal
Hispanic or Latino23005
Not Hispanic or Latino11012427
Unknown or Not Reported00000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 6 to <24 MonthsCohort 2: 1.2E14 vg - Age 24 to <60 MonthsCohort 3: 2.4E14 vg - Age 6 to <24 MonthsTotal
White2108323
Asian01416
Other01001
Multiple11002
08

Study locations

11 sites
  • UCLA
    Los Angeles, California 90095, United States
  • Stanford University
    Stanford, California 94305, United States
  • Nemours Children's Hospital
    Orlando, Florida 32827, United States
  • Ann & Robert H. Lurie Children's Hospital
    Chicago, Illinois 60611, United States
  • Johns Hopkins
    Baltimore, Maryland 21287, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Washington University
    St Louis, Missouri 63130, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • UT Southwestern
    Dallas, Texas 75390, United States
  • University of Utah
    Salt Lake City, Utah 84112, United States
09

References and documents

Publications

  • Duque SI, Arnold WD, Odermatt P, Li X, Porensky PN, Schmelzer L, Meyer K, Kolb SJ, Schumperli D, Kaspar BK, Burghes AH. A large animal model of spinal muscular atrophy and correction of phenotype. Ann Neurol. 2015 Mar;77(3):399-414. doi: 10.1002/ana.24332. Epub 2015 Feb 9. PubMed 25516063 ↗
  • Foust KD, Wang X, McGovern VL, Braun L, Bevan AK, Haidet AM, Le TT, Morales PR, Rich MM, Burghes AH, Kaspar BK. Rescue of the spinal muscular atrophy phenotype in a mouse model by early postnatal delivery of SMN. Nat Biotechnol. 2010 Mar;28(3):271-4. doi: 10.1038/nbt.1610. Epub 2010 Feb 28. PubMed 20190738 ↗
  • Meyer K, Ferraiuolo L, Schmelzer L, Braun L, McGovern V, Likhite S, Michels O, Govoni A, Fitzgerald J, Morales P, Foust KD, Mendell JR, Burghes AH, Kaspar BK. Improving single injection CSF delivery of AAV9-mediated gene therapy for SMA: a dose-response study in mice and nonhuman primates. Mol Ther. 2015 Mar;23(3):477-87. doi: 10.1038/mt.2014.210. Epub 2014 Oct 31. PubMed 25358252 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Nov 2021, 47 months.

Results were first posted in Feb 2023, 1 year 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 13, 2017
First posted
Dec 22, 2017
StartActual
Dec 14, 2017
Primary completionActual
Nov 18, 2021
CompletionActual
Nov 18, 2021
Results first posted
Feb 16, 2023
Last update
Jan 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03381729
Responsible party
Sponsor
First posted
Dec 22, 2017
Start date
Dec 14, 2017
Primary completion
Nov 18, 2021
Completion
Nov 18, 2021
Results posted
Feb 16, 2023
Last update
Jan 26, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Onasemnogene abeparvovec

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