Status:

ACTIVE_NOT_RECRUITING

Long-term Follow-up Study of Risdiplam in Participants With Spinal Muscular Atrophy (SMA)

Lead Sponsor:

Genentech, Inc.

Conditions:

Spinal Muscular Atrophy

Eligibility:

All Genders

Phase:

PHASE4

Brief Summary

A multi-center, longitudinal, prospective, non-comparative study to investigate the long-term safety and effectiveness of risdiplam, prescribed based on clinician judgment as per the Evrysdi® U.S. Pac...

Eligibility Criteria

Inclusion

  • Clinical diagnosis of SMA
  • Prescribed or continued risdiplam based on clinical judgment of prescriber, as per the Evrysdi® USPI, after U.S. FDA approval (07 August 2020)
  • Sub study:
  • Participants in the main study (ML43702) are eligible to be included in the sub study only if all of the following criteria apply:
  • Age ≥ 10 years at the time of signing Informed Consent Form
  • Willingness and ability to use smartphone technology
  • Fluency in English (written and spoken as per the judgment of the investigator)
  • Willingness and ability to complete all aspects of the sub study, including respiration and swallowing measurements using respiratory inductance plethysmography (RIP) belts and surface electromyography (sEMGs)
  • Hammersmith Functional Motor Scale-Expanded (HFMSE) \> 10
  • Functional Oral Intake Scale (FOIS) \>1
  • Willingness to be video recorded during in-clinic SMA-DAT tasks and ADAM sensor assessments and training
  • Availability of a caregiver who is willing to participate throughout this sub study

Exclusion

  • Hypersensitivity to risdiplam
  • Participated in a registrational trial for risdiplam (i.e., Firefish \[NCT02913482\], Sunfish \[NCT02908685\], Jewelfish \[NCT03032172\], and Rainbowfish \[NCT03779334\])
  • Sub study:
  • Potential participants will be excluded from the sub study if they meet any of the following criteria:
  • Current respiratory infection that, in the opinion of the investigator, would interfere with the conduct of the sub study
  • History or known presence of any significant psychiatric disorder such as schizophrenia, bipolar disorder, or substance use disorders
  • Current active clinically significant anxiety or depressive disorder, as judged by the investigator, that is likely to impede a participant's ability to participate in the sub study
  • Wearing a pacemaker (due to incompatibility with the ADAM sensor)
  • Inability to tolerate the performance of sub study procedures

Key Trial Info

Start Date :

March 29 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 31 2026

Estimated Enrollment :

402 Patients enrolled

Trial Details

Trial ID

NCT05232929

Start Date

March 29 2022

End Date

December 31 2026

Last Update

November 28 2025

Active Locations (39)

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Page 1 of 10 (39 locations)

1

Barrow Neurological Institute

Phoenix, Arizona, United States, 85013

2

Phoenix Children's Hospital

Phoenix, Arizona, United States, 85016

3

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States, 72103

4

Loma Linda University Health Care

Loma Linda, California, United States, 92354