Actively Recruiting

Phase 4
Age: 3Months - 24Months
All Genders
NCT05861986

A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Participants With Spinal Muscular Atrophy After Gene Therapy

Led by Hoffmann-La Roche · Updated on 2026-05-04

28

Participants Needed

16

Research Sites

252 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is an open-label, single-arm, multicenter clinical study to evaluate the effectiveness and safety of risdiplam administered as an early intervention in pediatric participants with spinal muscular atrophy (SMA) and 2 SMN2 copies who have previously received onasemnogene abeparvovec. Participants are children \< 2 years of age genetically diagnosed with SMA.

CONDITIONS

Official Title

A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Participants With Spinal Muscular Atrophy After Gene Therapy

Who Can Participate

Age: 3Months - 24Months
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Child is younger than 2 years old at the time of consent
  • Confirmed genetic diagnosis of 5q-autosomal recessive SMA with loss of SMN1 gene function
  • Presence of two copies of the SMN2 gene confirmed by lab testing
  • Received onasemnogene abeparvovec gene therapy either before or after symptoms appear
  • Onasemnogene abeparvovec administered at least 13 weeks and no more than 30 weeks before enrollment
  • If treated with risdiplam before onasemnogene abeparvovec, risdiplam use was less than 3 weeks and stopped 1 day before gene therapy
  • No significant decline in function since receiving onasemnogene abeparvovec, as judged by the investigator
Not Eligible

You will not qualify if you...

  • Previously or currently enrolled in any investigational study before starting this treatment
  • Unresolved standard laboratory abnormalities per onasemnogene abeparvovec guidelines
  • Use of SMN2-targeting antisense oligonucleotides before or during study
  • Use of anti-myostatin agents before or during study
  • Need for invasive ventilation or tracheostomy
  • Need for awake non-invasive ventilation or awake low oxygen levels (SaO2 <95%) with or without ventilator
  • Presence of feeding tube with an OrSAT score of 0
  • Hospitalized for lung problems within the last 2 months or planned hospitalization at screening
  • Major illness requiring hospital stay within 1 month before screening or fever within 1 week before screening and dosing

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States, 72103

Actively Recruiting

2

Children's Hospital of Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

3

University of Florida Pediatrics

Gainesville, Florida, United States, 32610

Actively Recruiting

4

Children's Healthcare of Atlanta Center for Advanced Pediatrics

Atlanta, Georgia, United States, 30329-2309

Actively Recruiting

5

Ann and Robert H. Lurie Children Hospital of Chicago

Chicago, Illinois, United States, 60611

Not Yet Recruiting

6

Helen DeVos Children's Hospital at Spectrum Health

Grand Rapids, Michigan, United States, 49503

Actively Recruiting

7

Columbia University Medical Center

New York, New York, United States, 10032

Actively Recruiting

8

Children'S Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

9

The University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, United States, 75390

Actively Recruiting

10

Cook Children's Jane and John Justin Neurosciences Center

Fort Worth, Texas, United States, 76104

Actively Recruiting

11

Children's Hospital of the King's Daughter

Norfolk, Virginia, United States, 23510

Actively Recruiting

12

Charité - Universitätsmedizin Berlin SPZ Abteilung Neuropaediatrie

Berlin, Germany, 13353

Actively Recruiting

13

UKGM Standort Gießen

Giessen, Germany, 35392

Actively Recruiting

14

Uniwersyteckie Centrum Kliniczne

Uniwersyteckie Centrum Kliniczne, Poland, 80-952

Actively Recruiting

15

Instytut Pomnik Centrum Zdrowia Dziecka

Warsaw, Poland, 04-730

Actively Recruiting

16

Great Ormond Street Hospital For Children

London, United Kingdom, WC1N 3JH

Actively Recruiting

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Research Team

R

Reference Study ID Number: BN44620 https://forpatients.roche.com/

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Participants With Spinal Muscular Atrophy After Gene Therapy | DecenTrialz