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RecruitingNCT07767890Updated Oct 22, 2026

A Study of the Safety and Effectiveness of Onasemnogene Abeparvovec (Zolgensma) Intrathecal Injection in Spinal Muscular Atrophy Patients

An observational study in Spinal Muscular Atrophy, sponsored by Novartis Pharmaceuticals. Recruiting at 4 sites in Japan. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Observational

From the registry’s dates

  • Started Oct 2026; still recruiting 1 month later.
Updated Oct 22, 2026Now RecruitingFirst site in Japan+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
2 Years and older
Sex
All
01

Study summary

This study aims to assess the safety and effectiveness of onasemnogene abeparvovec intrathecal injection in spinal muscular atrophy (SMA) patients in clinical practice in Japan.

This is a non-interventional study and does not impose a therapy protocol, diagnostic/therapeutic procedure, or a visit schedule. Patients will be treated according to the Japan package insert. Data will be collected using a case registration form (CRF) completed by the investigator at each study site.

02

Conditions studied

  • Spinal Muscular Atrophy

Keywords

  • Onasemnogene Abeparvovec
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 80 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
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

SMA patients administered onasemnogene abeparvovec by intrathecal injection in Japan.

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

  • All patients treated with onasemnogene abeparvovec.

Exclusion criteria

Exclusion criteria:

  • Patients who have received onasemnogene abeparvovec for unapproved indications under the Clinical Trials Act or GCP (eg, investigator-initiated clinical trial).
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (estimated)
Patient registry
No

Groups and cohorts

  • Onasemnogene Abeparvovec Intrathecal Group

    SMA patients treated with onasemnogene abeparvovec intrathecal injection in Japan.

06

What researchers measure

Primary outcomes

  1. Number of Patients With Serious Adverse Events and Adverse Drug Reactions (ADRs)

    Time frame: Up to approximately 4 years and 5 months

  2. Number of Patients With Serious Adverse Events and ADRs Corresponding to the Safety Specifications

    Safety specifications include hepatotoxicity, transient thrombocytopenia, thrombotic microangiopathy, cardiac adverse events, dorsal root ganglia toxicity/peripheral sensory neuropathy, tumorigenicity due to chromosomal integration, and long-term monitoring of gene therapy.

    Time frame: Up to approximately 4 years and 5 months

  3. Incidence of Serious Adverse Events and ADRs

    Incidence based on the person-year method will be calculated.

    Time frame: Up to approximately 4 years and 5 months

  4. Incidence of Serious Adverse Events and ADRs Corresponding to the Safety Specifications

    Incidence based on the person-year method will be calculated.

    Time frame: Up to approximately 4 years and 5 months

  5. Number of Patients by Time to Onset of Serious Adverse Events and ADRs

    Time frame: Up to approximately 4 years and 5 months

  6. Number of Patients by Time to Onset of Serious Adverse Events and ADRs Corresponding to the Safety Specifications

    Time frame: Up to approximately 4 years and 5 months

Secondary outcomes

  1. Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score

    The HFMSE is a validated SMA specific assessment devised for use in children with SMA to give objective information on motor ability and clinical progression. The HFMSE contains 33 items rated from 0 (unable to perform) to 2 (performs without modification/adaptation/compensation). Total scores range from 0-66. Higher scores indicate higher levels of motor ability.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  2. Change From Baseline in Revised Upper Limb Module (RULM) Score

    RULM is a tool used to assess upper limb function in SMA patients. It consists of 20 items in total. The first entry item classifies overall functional ability and is not scored. The remaining 19 tasks are scored with 1 task scored as can/cannot (1 is the highest score) and 18 tasks rated on a 3-point scale as follows: * 0 - unable to perform the task * 1 - able to perform the task with some modification * 2 - able to perform the task with no difficulty The total RULM score ranges from 0 to 37 with higher scores indicating better upper limb function.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  3. Change From Baseline in Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score

    CHOP-INTEND is a tool used to measure the motor abilities in infants with SMA. It consists of 16 items scored on a scale from 0 (no response/unable to perform the movement) to 4 (complete response/able to perform the task). CHOP-Intend total score ranges from 0 to 64 with higher scores indicating higher motor function.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  4. Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score

    The CGI-S scale is a physician-rated measure used to assess the severity of a patient's illness. Severity of illness is assessed with consideration for the overall clinical experience of patients of the same age. The CGI-S scores range from: * 0 = Not evaluated * 1 = Normal, not at all ill * 2 = Borderline normal and ill * 3 = Mildly ill * 4 = Moderately ill * 5 = Markedly ill * 6 = Severely ill * 7 = Among the most extremely ill

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  5. Number of Patients Categorized by Clinical Global Impression-Improvement (CGI-I) Score

    The CGI-I scale is a physician-rated measure used to assess a patient's overall clinical status. The patient's overall clinical status is scored on a 7-point scale of the extent of change relative to before treatment initiation as follows: * 1 = Very much improved * 2 = Much improved * 3 = Minimally improved * 4 = No change * 5 = Minimally worse * 6 = Much worse * 7 = Very much worse Number of patients and their 95% confidence intervals (CIs) will be calculated for two categories: improved (CGI-I score: 1 to 3) and unchanged or worsened (CGI-I score: 4 to 7).

    Time frame: 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  6. Number of Patients Achieving Each Developmental Milestone

    Developmental milestones include: * Sitting without support * Hands-and-knees crawling * Standing with assistance * Walking with assistance * Standing alone * Walking alone

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

  7. Number of Patients Maintaining Each Developmental Milestone

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, and every year thereafter, up to approximately 4 years and 5 months

07

Study locations

4 of 4 sites recruiting
  • Novartis Investigative Site
    Toyoake, Aichi-ken 4701192, Japan
    Recruiting
  • Novartis Investigative Site
    Fukuoka, Fukuoka 8140180, Japan
    Recruiting
  • Novartis Investigative Site
    Kyoto, Kyoto 6028566, Japan
    Recruiting
  • Novartis Investigative Site
    Kodaira, Tokyo 1878551, Japan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Mar 2031, 53 months after the start.

Of 58 observational studies under Muscular Atrophy, Spinal, half reached primary completion within 88 months of starting (the median), counting those still running; a quarter within 36. This study's planned 53 months is below that.

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

Registered
Aug 11, 2026
First posted
Aug 17, 2026
StartActual
Oct 7, 2026
Primary completionEst.
Mar 31, 2031
CompletionEst.
Mar 31, 2031
Last update
Oct 22, 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
Not yet recruiting→Recruiting
changed Oct 22, 2026
Sites
4 sites added — first site in Japan
Show 4 added (4 Japan)
  • Novartis Investigative Site · Toyoake, Japan
  • Novartis Investigative Site · Fukuoka, Japan
  • Novartis Investigative Site · Kyoto, Japan
  • Novartis Investigative Site · Kodaira, Japan
Oct 22, 2026
Start date
Oct 30, 2026→Oct 7, 2026 (actual)
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    Not yet recruiting→Recruiting
    4 sites added — first site in Japan
    Show 4 added (4 Japan)
    • Novartis Investigative Site · Toyoake, Japan
    • Novartis Investigative Site · Fukuoka, Japan
    • Novartis Investigative Site · Kyoto, Japan
    • Novartis Investigative Site · Kodaira, Japan
    Start date Oct 30, 2026→Oct 7, 2026 (now actual)
    + 1 other change: verification date

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
NCT07767890
Responsible party
Sponsor
First posted
Aug 17, 2026
Start date
Oct 7, 2026
Primary completion
Mar 31, 2031 (estimated)
Completion
Mar 31, 2031 (estimated)
Last update
Oct 22, 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 ↗

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