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Not yet recruitingNCT07737756SMA-REALUpdated Nov 10, 2026

A Real-World Medical Chart Review of Spinal Muscular Atrophy Patients Treated With Onasemnogene Abeparvovec in Saudi Arabia

An observational study in Spinal Muscular Atrophy, sponsored by Novartis Pharmaceuticals. Not yet recruiting. Open to participants aged 14 Days to 2 Years. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Observational

Updated Nov 10, 2026Now Not yet recruitingNo longer in Saudi Arabia+4 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
6
Ages
14 Days to 2 Years
Sex
All
01

Study summary

The aim of this retrospective medical chart review is to describe the clinical outcomes, clinical characteristics, and demographics of patients with spinal muscular atrophy (SMA) type 1 treated with onasemnogene abeparvovec (OA) at a single clinical center in Saudi Arabia. The study will use secondary data collected from the electronic medical records of SMA type 1 patients.

02

Conditions studied

  • Spinal Muscular Atrophy

Keywords

  • Spinal Muscular Atrophy
  • Neuromuscular Disorders
  • Pediatric Neurology
  • Gene Therapy
  • Onasemnogene Abeparvovec
  • Rare Diseases
03

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 6 is below 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.

04

Who can participate

Ages eligible
14 Days to 2 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

SMA type 1 patients receiving OA at a single clinical center in Saudi Arabia.

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

  1. Patients with a genetically confirmed diagnosis of SMA type 1 who were treated with OA.
  2. Availability of data on at least one visit before treatment initiation and two visits post-treatment is a must for inclusion.
  3. Patients who were treated with OA starting in January 2023.
  4. Patients with at least 3 months of follow-up following the treatment with OA.

Exclusion criteria

Exclusion criteria:

1. Any patient who does not fulfill any of the inclusion criteria listed above.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
6 participants (estimated)
Patient registry
No

Groups and cohorts

  • OA Cohort

    Patients with SMA type 1 who were treated with OA.

06

What researchers measure

Primary outcomes

  1. Proportion of SMA Type 1 Non-Sitters Patients Achieving Independent Sitting for ≥30 Seconds at Any Visit up to 12 Months After OA Administration

    Time frame: Up to 12 months

Secondary outcomes

  1. Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score

    CHOP-INTEND is a validated motor function assessment for infants with SMA. The total score ranges from 0 to 64, with higher scores indicating better motor function. Scores are derived from 16 items assessing spontaneous movement, strength, and motor abilities. An increase in score reflects improvement in motor function.

    Time frame: Up to approximately 3 years

  2. Change From Baseline in CHOP-INTEND Score

    CHOP-INTEND is a validated motor function assessment for infants with SMA. The total score ranges from 0 to 64, with higher scores indicating better motor function. Scores are derived from 16 items assessing spontaneous movement, strength, and motor abilities. An increase in score reflects improvement in motor function.

    Time frame: Baseline, up to approximately 3 years

  3. Hammersmith Infant Neurological Examination-Section 2 (HINE-2, Motor Milestones) Score

    The HINE-2 is a motor milestone assessment evaluating developmental abilities in infants. The total score ranges from 0 to 26, with higher scores indicating greater achievement of motor milestones. The scale assesses milestones such as head control, sitting, rolling, crawling, standing, and walking. Higher scores correspond to more advanced motor development.

    Time frame: Up to approximately 3 years

  4. Change From Baseline in HINE-2 Score

    The HINE-2 is a motor milestone assessment evaluating developmental abilities in infants. The total score ranges from 0 to 26, with higher scores indicating greater achievement of motor milestones. The scale assesses milestones such as head control, sitting, rolling, crawling, standing, and walking. Higher scores correspond to more advanced motor development.

    Time frame: Baseline, up to approximately 3 years

  5. Percentage of Patients who Maintain the Ability to Thrive at 12 Months After OA Treatment

    Ability to thrive is defined as meeting the following criteria: * Ability to tolerate thin liquids, as demonstrated by a formal swallowing assessment, with tested consistency classified as "very thin" or "thin" and results recorded as "normal swallow," "functional swallow," or "safe for swallowing"; * No requirement for nutritional support via mechanical feeding methods (e.g., feeding tube); * Maintenance of body weight at or above the 3rd percentile for age and sex, according to World Health Organization (WHO) child growth standards, appropriate for the child's age at assessment.

    Time frame: 12 months

  6. Number and Percentage of Patients Without Permanent Ventilatory Support or Death After OA Administration

    Event-free survival of patients without permanent ventilatory support or death after OA administration. Permanent ventilatory support is defined as the requirement for either: * Tracheostomy, or * ≥16 hours per day of respiratory support (including non-invasive ventilation) for 14 or more consecutive days, in the absence of an acute reversible illness and excluding perioperative ventilation.

    Time frame: Up to approximately 3 years

  7. Number and Percentage of Patients With Adverse Events

    Time frame: Up to approximately 3 years

  8. Number and Percentage of Patients by Demographic and Clinical Characteristics

    Demographic and clinical characteristics include: * Sex * City of residence * Preterm birth status * Functional classification * Developmental milestones achieved prior to treatment initiation * SMA-related symptoms * Comorbidities * CHOP-INTEND Score * HINE-2 Score * Ambulatory status * Swallowing assessment result * Feeding method * Anthropometric measures

    Time frame: Baseline

  9. Age

    Age, gestational age at birth, age at symptom onset, and age at SMA type 1 diagnosis.

    Time frame: Baseline

  10. Duration Between Symptom Onset and Diagnosis

    Time frame: Baseline

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

3 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Start is estimated for Nov 2026; primary completion for Feb 2027, 2 months later.

Start moved twice since we started tracking on Sep 25, 2026: Aug 2026 → Nov 2026, last on Nov 10, 2026.

Primary completion moved twice since we started tracking on Sep 25, 2026: Nov 2026 → Feb 2027, last on Nov 10, 2026.

Completion moved twice since we started tracking on Sep 25, 2026: Nov 2026 → Feb 2027, last on Nov 10, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jul 27, 2026
First posted
Jul 30, 2026
StartEst.
Nov 30, 2026was Aug 2026
Primary completionEst.
Feb 28, 2027was Nov 2026
CompletionEst.
Feb 28, 2027was Nov 2026
Last update
Nov 10, 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.
Status
Recruiting→Not yet recruiting
changed Oct 13, 2026
Sites
1 site removed; no longer in Saudi Arabia
Show 1 removed
  • Novartis Investigative Site · Dammam, Saudi Arabia
Oct 13, 2026
Start date
Aug 25, 2026→Nov 30, 2026
moved 2 times, Oct 13, 2026 – Nov 10, 2026
Primary completion
Nov 25, 2026→Feb 28, 2027
moved 2 times, Oct 15, 2026 – Nov 10, 2026
Study completion
Nov 25, 2026→Feb 28, 2027
moved 2 times, Oct 15, 2026 – Nov 10, 2026
Show all 3 updates
  1. Nov 10, 2026
    Start date Nov 1, 2026→Nov 30, 2026
    Primary completion Feb 1, 2027→Feb 28, 2027
    Study completion Feb 1, 2027→Feb 28, 2027
    + 1 other change: verification date
  2. Oct 15, 2026
    Primary completion Nov 25, 2026→Feb 1, 2027
    Study completion Nov 25, 2026→Feb 1, 2027
    + 1 other change: verification date
  3. Oct 13, 2026
    Recruiting→Not yet recruiting
    1 site removed; no longer in Saudi Arabia
    Show 1 removed
    • Novartis Investigative Site · Dammam, Saudi Arabia
    Start date Aug 25, 2026→Nov 1, 2026

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07737756
Responsible party
Sponsor
First posted
Jul 30, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Feb 28, 2027 (estimated)
Completion
Feb 28, 2027 (estimated)
Last update
Nov 10, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
+41613241111
Novartis Pharmaceuticals
Contact
Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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