Badanie Risdiplamu u Uczestników z Rdzeniowym Zanikiem Mięśni (SMA) Typu I i Typu II
Nieinterwencyjne, wieloośrodkowe badanie oceniające wyniki leczenia ryzdipamem u pacjentów z rdzeniowym zanikiem mięśni typu I i typu II
This multicenter, non-interventional, prospective study with a retrospective component aims to evaluate the real-world clinical outcomes, safety profile, and motor function improvements of Risdiplam treatment in participants with Type I and Type II Spinal Muscle Atrophy over 24 months of treatment.
The study will allow retrospective collection of medical history data and previous participants visits from the medical records.
Przegląd badań
Status
Status
Warunki
Warunki
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Kopia zapasowa kontaktu do badania
- Nazwa: Reference Study ID Number: ML45655 https://forpatients.roche.com/ No attachments to email below.
- Numer telefonu: 888-662-6728 (U.S. Only)
- E-mail: global-roche-genentech-trials@gene.com
Lokalizacje studiów
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Cairo, Egipt, 11566
- Rekrutacyjny
- Neurology Department, Ain Shams University Hospitals
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Cairo, Egipt, DUMMY_VALUE
- Rekrutacyjny
- Air Force Specialized Hospital
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Metoda próbkowania
Badana populacja
The participants must have a confirmed diagnosis of 5q-autosomal recessive SMA type I or type II with at least two survival motor neuron 2 (SMN2) copies for which Risdiplam is prescribed as per the SmPC.
Opis
Inclusion Criteria:
- Maximum age to be 6 months for type I participants and 5 years for type II participants at the time of diagnosis.
- Participants must start/have started treatment with Risdiplam within 6 months of diagnosis.
- Participant to be receiving adequate nutrition and hydration at index date, in the opinion of the Investigator.
- Participant to be adequately recovered from any acute illness at the time index date.
Exclusion Criteria:
- Participants not receiving treatment for disease with Risdiplam according to standard of care and in line with the current summary of product characteristics (SPC)/local labeling.
- Participants not receiving the Roche studied medicinal product, but a biosimilar.
- Concomitant or previous administration in any investigational drug or device study.
- Concomitant or previous administration of approved treatment for SMA other than Risdiplam.
- Unstable gastrointestinal, renal, hepatic, endocrine or cardiovascular system diseases at index date.
- Participants requiring invasive ventilation or tracheostomy at index date.
- Participants requiring awake non-invasive ventilation due to respiratory insufficiency or with awake hypoxemia with or without ventilator support or with history of respiratory failure or severe pneumonia, and have not fully recovered their pulmonary function at the time of index date.
- Severe contractures of joints of lower limbs and upper limbs at the time of index date.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Modele obserwacyjne: COHORT
- Perspektywy czasowe: PROSPECTIVE
Liczba grup / kohort
Kohorty i interwencje
Grupa / KohortaGrupa / Kohorta |
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Risdiplam Observational Arm
Data will be collected before, during and after treatment from participants who receive risdiplam treatment according to standard of care and Summary of Product Characteristics (SmPC). Participant data will be collected only during routine clinical interactions, with no additional study visits mandated. |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
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Change From Index Date in Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score at Month 12
Ramy czasowe: Baseline, Month 12
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CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by the World Health Organization (WHO). Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Month 12
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Change From Index Date in Hammersmith Functional Motor Scale Expanded (HFMSE) Score at Months 12
Ramy czasowe: Baseline, Months 12
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HFMSE assessment is performed for participants who are ≥ 2 years and are sitters or walkers. Items on the original HFMS were expanded to capture higher functioning in SMA patients using 13 relevant additional items adapted from the gross motor function measure (GMFM) with their scoring adapted to a three-point scale as in the original HFMS. The score ranges between 0 - 66, a higher score indicates a higher level of function. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Months 12
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
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Przeżycie całkowite w 24. miesiącu
Ramy czasowe: W 24. miesiącu
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W 24. miesiącu
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Czas do utraty funkcji połykania oceniany przez lekarza prowadzącego badanie
Ramy czasowe: Do 24. miesiąca
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Do 24. miesiąca
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Change From Index Date in CHOP-INTEND Score at Month 24
Ramy czasowe: Baseline, Month 24
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CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Month 24
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Percentage of Participants with CHOP-INTEND Score Improvement ≥ 4 Points Compared to Index Date at Months 12 and 24
Ramy czasowe: Baseline, Months 12 and 24
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CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal-oriented items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. The index date (D1) is when the participant was administered the first dose of Risdiplam. |
Baseline, Months 12 and 24
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Percentage of Participants with CHOP-INTEND Score ≥ 40 at Months 12 and 24
Ramy czasowe: At Months 12 and 24
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CHOP-INTEND assessment is performed for participants aged <2 years or aged >2 years who are not able to sit > 10 seconds as defined by WHO. Information regarding the 16 items in the CHOP-INTEND motor assessment are to be collected. It includes both active movements, spontaneous or goal orientated items and of reflexive movements. It assesses head, neck, and trunk as well as proximal and distal limb strength. The score ranges from 0-64, higher scores representing better motor function outcomes. |
At Months 12 and 24
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Change From Baseline in HFMSE Score at Month 24
Ramy czasowe: Baseline, Month 24
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HFMSE assessment is performed for participants who are ≥ 2 years and are sitters or walkers. Items on the original HFMS were expanded to capture higher functioning in SMA patients using 13 relevant additional items adapted from the GMFM with their scoring adapted to a three-point scale as in the original HFMS. The score ranges between 0 - 66, a higher score indicates a higher level of function. Baseline visit correspond with the index date (D1) where the participant was administered the first dose of Risdiplam. |
Baseline, Month 24
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Number of Participants who Require Ventilatory Assistance
Ramy czasowe: Up to 2 years follow-up per participant
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Invasive ventilation and non-invasive ventilation due to respiratory insufficiency. Participants on permanent ventilation and when using it as temporary respiratory support will be assessed. |
Up to 2 years follow-up per participant
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Duration of Ventilation
Ramy czasowe: Up to 2 years follow-up per participant
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Number of hours spent per day of non-invasive or invasive ventilation. Duration for both permanent ventilation and when used as temporary respiratory support will be assessed. |
Up to 2 years follow-up per participant
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Time Until Permanent Ventilation
Ramy czasowe: Up to 2 years follow-up per participant
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Time until permanent ventilation is defined as ≥ 16 hours of non-invasive ventilation per day or intubation for > 21 consecutive days in the absence of, or following the resolution of, an acute reversible event or tracheostomy. |
Up to 2 years follow-up per participant
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Ventilation-free Survival
Ramy czasowe: Up to 2 years follow-up per participant
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Assessed by duration of time from a specified index date until the initiation of permanent ventilation. |
Up to 2 years follow-up per participant
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Change From Baseline in Growth Pattern
Ramy czasowe: Up to Month 24
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Growth patterns will be compared to standardized growth charts. |
Up to Month 24
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Number of Participants With Musculoskeletal Abnormalities
Ramy czasowe: Up to Month 24
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Musculoskeletal abnormalities include scoliosis, kyphosis or other deformities |
Up to Month 24
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Bulbar Function as Assessed by the Study Physician Versus Baseline
Ramy czasowe: Up to Month 24
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Bulbar function measures the ability to feed orally, chew, and ability to swallow versus baseline data. It also assesses the speaking and crying functions of the participant. |
Up to Month 24
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Number of Participants With Adverse Events (AE) Serious Adverse Events (SAE)
Ramy czasowe: Up to 2 years follow-up per participant
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Data for incidence, seriousness, severity, and relatedness of all AEs reported or documented in medical notes by physicians during the safety observation period will also be reported. |
Up to 2 years follow-up per participant
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Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Dyrektor Studium: Clinical Trials, Hoffmann-La Roche
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- ML45655
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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