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RecruitingNCT04174157Updated Jan 31, 2025

Registry of Patients With a Diagnosis of Spinal Muscular Atrophy (SMA)

An observational study in Spinal Muscular Atrophy (SMA), sponsored by Novartis Pharmaceuticals. Recruiting at 99 sites in 11 countries. Per ClinicalTrials.gov, last updated 2025-01-31.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Observational

From the registry’s dates

  • Started Sep 2018; still recruiting 8 years 1 month later.
Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
700
Sex
All
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Study summary

Spinal muscular atrophy (SMA) is a neurogenetic disorder caused by a loss or mutation in the survival motor neuron 1 gene (SMN1) on chromosome 5q13, which leads to reduced SMN protein levels and a selective dysfunction of motor neurons. SMA is an autosomal recessive, early childhood disease with an incidence of 1:10,000 live births. SMA is the leading cause of infant mortality due to genetic diseases.

The purpose of this registry is to assess the long term outcomes of patients with SMA in the context of advances in treatment options and also to characterize and assess long-term safety and effectiveness of OAV-101.

Read the detailed description

This is a prospective, multi center, multinational, non-interventional observational study. All patients will be managed according to the clinical site's normal clinical practice, i.e., the diagnostic and clinical treatment/practice process that a clinician chooses according to their clinical judgement for an SMA patient. Clinical care will not be driven by the protocol. No additional visits or investigations will be performed beyond normal clinical practice. Patients will be followed for 15 years from enrolment or until death, whichever is sooner.

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Conditions studied

  • Spinal Muscular Atrophy (SMA)
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In context

Muscular Atrophy, Spinal

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

This study's planned enrollment of 700 is above the median of 139 across 114 observational studies indexed under Muscular Atrophy, Spinal.

Browse Muscular Atrophy, Spinal studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will enroll at least 500 patients with a genetically confirmed diagnosis of SMA. The registry will attempt to enroll all patients treated with OAV-101 in the registry until the end of 2026.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients treated with OAV-101 with a genetically confirmed diagnosis of SMA regardless of the date of diagnosis.
  • Appropriate consent/assent has been obtained for participation in the registry

Exclusion criteria

Exclusion Criteria:

  • Currently enrolled in an interventional clinical trial involving an medicinal product to treat SMA.

Note: Patients who are participating in a Compassionate Use Program (CUP) for OAV-101 (Zolgensma) such as a Managed Access Program (MAP), an Expanded Access Program (EAP), Single Patient Investigational New Drug (IND) (SPI) or Named Patient Program (NPP) are eligible to enroll in the registry regardless of the date of a genetic or clinical diagnosis of SMA.

Terms in these criteria, in plain language(1)

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.

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.

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Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
700 participants (estimated)
Target follow-up
15 Years
Patient registry
Yes

Groups and cohorts

  • Prospective observational registry

    This is a prospective, multi center, multinational, non-interventional observational registry.

    Other: Prospective observational registry · Drug: Zolgensma

Interventions

  • OtherProspective observational registry

    This prospective observational registry will assess long-term outcomes of patients with a diagnosis of SMA.

  • Zolgensma will be given to patients as per normal clinical practice and clinical care will not be mandated by the protocol. As such, the decision to prescribe Zolgensma is separate from the decision to include the patient in this study

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What researchers measure

Primary outcomes

  1. Change in probability of survival of all patients with SMA using Kaplan Meier method to estimate

    Time frame: Based on information collected at Baseline and every 6 months through 2 years of follow-up, then annually through 15 years of follow up.

  2. Change from baseline Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) in infants with pre-symptomatic or type I SMA

    CHOP INTEND score ranges from 0 to 64 with higher scores indicating higher motor function

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  3. Change from baseline Hammersmith Infant Neurological Examination (HINE) in infants with pre-symptomatic, type I or type II SMA

    HINE score range from 0 to 26 with higher scores indicating more development.

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  4. Change from baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) for patients with type II and III SMA

    HFMSE score range from 0 to 66 with the higher scores indicating more development.

    Time frame: Baseline and every 6months through 2 years of follow up, then annually through 15 years of follow up

  5. Incidence of treatment emergent adverse events

    Time frame: Through 15 years of follow up

  6. Incidence of treatment emergent serious adverse events

    Time frame: Through 15 years of follow up

  7. Incidence of treatment emergent adverse events related to therapy

    Time frame: Through 15 years of follow up

  8. Incidence of treatment emergent thrombocytopenia, hepatotoxicity and cardiac adverse events

    Time frame: Through 15 years of follow up

Secondary outcomes

  1. Change from baseline in rates of hospitalization

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  2. Change from baseline in Zarit Burden Interview

    Zarit Burden Total Score ranges from 0 to 88. A higher score correlates with higher level of burden.

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  3. Change from baseline in PedsQL Patient interview

    PedsQL Total Scale Score is average of all items and ranges from 0 to 100. A higher score correlates with better Health-Related Quality of Life

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  4. Change from baseline in PedsQL Parent interview

    PedsQL Total Scale Score is average of all items and ranges from 0 to 100. A higher score correlates with better Health-Related Quality of Life

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  5. Change from baseline in percent of patients requiring ventilator support (BiPAP, Endotracheal tube)

    Time frame: : Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  6. Change from baseline in in percent of patients requiring nutritional support (Gastrostomy Tube, Gastrojejunal tube (GT) with Nissen fundoplication, GT without Nissen fundoplication, Nasogastrictube, Nasojejunaltube or Percutaneous endoscopic gastrostomy)

    Time frame: Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

  7. Change from baseline in in percent of patients requiring mobility device support (Ankle-Foot Orthoses, Supramalleolar Orthosis, Orthotic/shoe inserts, Knee immobilizers, Knee-Ankle-Foot Orthoses , Hand splints, Spinal bracing)

    Time frame: : Baseline and every 6 months through 2 years of follow up, then annually through 15 years of follow up

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Study locations

72 of 99 sites recruiting
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References and documents

Publications

  • Sugarman EA, Nagan N, Zhu H, Akmaev VR, Zhou Z, Rohlfs EM, Flynn K, Hendrickson BC, Scholl T, Sirko-Osadsa DA, Allitto BA. Pan-ethnic carrier screening and prenatal diagnosis for spinal muscular atrophy: clinical laboratory analysis of >72,400 specimens. Eur J Hum Genet. 2012 Jan;20(1):27-32. doi: 10.1038/ejhg.2011.134. Epub 2011 Aug 3. PubMed 21811307 ↗

Individual participant data

Plan to share: Undecided — Authorship of planned manuscripts for submission to medical journals shall be determined in accordance with the International Committee of Medical Journal Editors (ICMJE) Uniform Requirements for Manuscripts Submitted to Biomedical Journals (www.icmje.org). The physician agrees that if the physician is part of a multi-center registry, the physician shall coordinate in advance any intended disclosure of the results of the registry with Novartis Gene Therapies to ensure that the results of individual physicians are not published or presented before those of the multi-center registry, unless otherwise agreed to in writing by Novartis Gene Therapies.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04174157
Responsible party
Sponsor
First posted
Nov 22, 2019
Start date
Sep 25, 2018
Primary completion
Jun 30, 2038 (estimated)
Completion
Jun 30, 2038 (estimated)
Last update
Jan 31, 2025

Study contacts

Novartis Gene Therapies
Contact
novartis.email@novartis.com
1-888-669-6682
Novartis Gene Therapies
Contact
+4161324111
Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

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

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