This is a long-term follow-up safety and efficacy study of participants in clinical trials for spinal muscular atrophy (SMA) who were treated with onasemnogene abeparvovec-xioi. Participants will roll over from their respective previous (parent) study into this long-term study for continuous monitoring of safety as well as monitoring of continued efficacy and durability of response to onasemnogene abeparvovec-xioi treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
85
Onasemnogene abeparvovec-xioi is a non-replicating recombinant adeno-associated virus serotype 9 containing the human survival motor neuron gene under the control of the cytomegalovirus enhancer/chicken β-actin-hybrid promoter. Onasemnogene abeparvovec-xioi administered as a one-time intravenous (IV) infusion or intrathecal (IT) injection. Dosage determined by participant weight.
Stanford University Medical Center
Palo Alto, California, United States
Children's Hospital Colorado
Aurora, Colorado, United States
Ann Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States
John Hopkins Hospital - David M. Rubenstein Child Health Building
Baltimore, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Number of Participants Who Reach Developmental Milestones
Assessed via the developmental milestone checklist, formed of 10 yes/no questions. The developmental milestones are: head control, sitting with support, sitting without support, sitting without support for 30 seconds, hands-and-knees crawling, pulls to stand, standing with assistance, walking with assistance, standing alone and walking alone.
Time frame: Up to 5 years
Change From Baseline in Hammersmith Functional Motor Scale - Expanded (HFMSE) Score
The HFMSE was devised for use in children with SMA to give objective information on motor ability and clinical progression. The HFMSE is formed of 33 assessments rated from 0 (unable to perform functional task) to 2 (able to perform functional task unassisted). Higher scores on the total scale of 0-66 indicates higher levels of motor ability.
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change From Baseline in Pulmonary Assessment Results and Require Ventilatory Support
Participants will receive pulmonary assessments by a pulmonologist or appropriate clinician. Respiratory device data will be reviewed for participants receiving non-invasive ventilatory support.
Time frame: Up to 15 years
Number of Participants Who Experience Swallowing Dysfunction and Require Nutritional Support
Assessed via the swallowing function questionnaire, formed of 4 yes/ no questions and 1 body weight question.
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change from Baseline in Physical Examination Findings
The physical examination includes review of the following systems: head, ears, eyes, nose and throat, lungs/thorax, cardiovascular, abdomen, musculoskeletal, neurologic, dermatologic, lymphatic, and genitourinary. In addition, visual inspection of the spine, back, shoulders, and hips looking for spinal curvature and asymmetry will be carried out. Joints will be assessed for loss of mobility and contractures.
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change From Baseline in Vital Signs Measurements
Vital sign measurements will include blood pressure, respiratory rate, pulse, axillary temperature, and pulse oximetry.
Time frame: Up to 5 years
Change From Baseline in Height Measurements
Time frame: Up to 5 years
Change From Baseline in Weight Measurements
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change From Baseline in Clinical Laboratory Assessments
Blood samples will be collected for hematology (including complete blood cell count) and chemistry.
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change From Baseline in Cardiac Assessments
Cardiac assessments will include a 12-lead electrocardiogram, transthoracic echocardiogram and Troponin-I.
Time frame: Up to 5 years
Number of Participants Who Experience a Clinically Significant Change From Baseline in Observational Phase Questionnaire Results
The observational phase questionnaire includes 7 yes/no questions. Observation categories include: adverse events, hospitalizations, concomitant medications, ventilatory support and feeding support.
Time frame: Year 6 to Year 15
Number of Participants Who Experience at Least One Serious Adverse Event (SAE)
An SAE is defined as any adverse event (appearance of \[or worsening of any pre existing\]) undesirable sign(s), symptom(s), or medical conditions(s) which meets any one of the following criteria: * Fatal * Life-threatening * Results in persistent or significant disability/incapacity * Constitutes a congenital abnormality or birth defect * Requires in-patient hospitalization or prolongation of existing hospitalization * Is medically significant e.g. defined as an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above
Time frame: Up to 15 years
Number of Participants Who Experience at Least One Adverse Event of Special Interest (AESI)
An AESI is defined as an AE occurring during any study phase that fulfills one of the following criteria: * Hepatotoxicity * Thrombotic microangiopathy * Cardiac adverse events * Dorsal root ganglia toxicity * New malignancies * New incidence of a neurologic disorder * New incidence of an autoimmune disorder * New incidence of hematologic disorder
Time frame: Up to 15 years
Change From Baseline in Bayley Scales of Infant and Toddler Development
Third Edition (Bayley-III) to be performed in all patients up to 42 months, 15 days of age.
Time frame: Up to 42 months, 15 days of age
Change From Baseline in Revised Upper Limb Module (RULM) Score
RULM score is based on a scale from 0 to 37 where lower scores reflect poorer upper limb functional ability.
Time frame: Up to 5 years
Change From Baseline in Cogstate Computerized Cognitive Battery Performed in Age 48 Months and Older
The Cogstate Computerized Cognitive Battery consists of the Identification Test (scored 0 (best) to 1.5708 (worst)), the International Shopping List Test (scored 0 (worst) to 999 (best)), the International Shopping List Test-Delayed Recall (scored 0 (worst) to 999 (best)), the One Card Learning Test (scored 0 (worst) to 1.5708 (best)), and the One Back Test (scored 0 (worst) to 1.5708 (best)).
Time frame: Up to 5 years
Change From Baseline in Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5) Performed in All Participants 5 to 21 Years of Age
The CELF-5 Following Directions and Sentence Repetition subtests use scoring that varies based on age, but will be administered to participants 5-21 years of age. The Following Directions subtest will be scored from 0-33 with higher score being more advanced and the Recalling Sentences subtest will be scored from 0-78 with higher score being more advanced.
Time frame: Up to 5 years
Change From Baseline in Assessment of Caregiver Experience With Neuromuscular Disease (ACEND)
ACEND score is based on a scale from 1 to 41 where higher scores represent a better caregiver experience
Time frame: Up to 5 years
Number of Participants With Concomitant Medications Overall and by Type of Medications
Time frame: Up to 5 years
Number of Participants With Other SMA Therapies Overall and by Type of Medications
Time frame: Year 6 to Year 15
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Boston Children's Hospital
Boston, Massachusetts, United States
Spectrum Health Hospitals Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States
Washington Unviersity School of Medicine in Saint Louis
St Louis, Missouri, United States
Columbia University Medical Center
New York, New York, United States
Duke University
Durham, North Carolina, United States
...and 21 more locations