- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT04042025
Długoterminowe badanie obserwacyjne pacjentów otrzymujących onasemnogen Abeparvovec-xioi
Długoterminowe badanie kontrolne pacjentów biorących udział w badaniach klinicznych dotyczących rdzeniowego zaniku mięśni otrzymujących AVXS-101
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.
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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New South Wales
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Randwick, New South Wales, Australia, 2145
- Sydney Children's Hospital
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Ghent, Belgia, 9000
- Universitair Ziekenhuis Gent
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Liège
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Liège, Liège, Belgia, B-4000
- Centre de Référence des Maladies Neuromusculaires
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Paris, Francja, 75012
- Hôpital Armand Trousseau
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Tokyo, Japonia, 162-8666
- Tokyo Women's Medical University Hospital
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Ontario
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Ottawa, Ontario, Kanada, K1H8L1
- Children's Hospital of Eastern Ontario Research Institute
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California
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Palo Alto, California, Stany Zjednoczone, 94304
- Stanford University Medical Center
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Colorado
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Aurora, Colorado, Stany Zjednoczone, 80045
- Children's Hospital Colorado
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60611
- Ann Robert H. Lurie Children's Hospital of Chicago
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Maryland
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Baltimore, Maryland, Stany Zjednoczone, 21287
- John Hopkins Hospital - David M. Rubenstein Child Health Building
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Massachusetts
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Boston, Massachusetts, Stany Zjednoczone, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, Stany Zjednoczone, 02115
- Boston Children's Hospital
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Michigan
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Grand Rapids, Michigan, Stany Zjednoczone, 49503
- Spectrum Health Hospitals Helen DeVos Children's Hospital
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Missouri
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St Louis, Missouri, Stany Zjednoczone, 63110
- Washington Unviersity School of Medicine in Saint Louis
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New York
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New York, New York, Stany Zjednoczone, 10032
- Columbia University Medical Center
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North Carolina
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Durham, North Carolina, Stany Zjednoczone, 27713
- Duke University
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Ohio
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Columbus, Ohio, Stany Zjednoczone, 43205
- Nationwide Children's Hospital
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Pennsylvania
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Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- Children's Hospital of Philadelphia
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Strasburg, Pennsylvania, Stany Zjednoczone, 17579
- Clinic for Special Children
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Texas
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Dallas, Texas, Stany Zjednoczone, 75235
- Children's Health Specialty Center Dallas Campus
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Utah
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Salt Lake City, Utah, Stany Zjednoczone, 84112
- University of Utah Health
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Virginia
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Norfolk, Virginia, Stany Zjednoczone, 23507
- Children's Hospital of The King's Daughters
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Richmond, Virginia, Stany Zjednoczone, 23298
- Virginia Commonwealth University
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Wisconsin
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Madison, Wisconsin, Stany Zjednoczone, 53792
- University of Wisconsin, Madison
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Taipei, Tajwan, 10048
- National Taiwan University Hospital
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Genova, Włochy, 16147
- Instituto Gianninia Gaslini
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Milan, Włochy, 20133
- Istituto Neurologico di Ricerca
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Milan, Włochy, 20122
- Universita Degli Studi Di Milano
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Roma
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Roma, Roma, Włochy, 00168
- Fondazione Policlinico Universitario Agostino Gemelli
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Newcastle upon Tyne, Zjednoczone Królestwo, NE1 4LP
- The Newcastle Upon Tyne Hospitals NHS Foundation Trust
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London
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London, London, Zjednoczone Królestwo, WC1N 3JH
- Great Ormond Street Hospital for Children NHS Foundation Trust
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dziecko
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Any participant with SMA who received onasemnogene abeparvovec-xioi gene replacement therapy in a Novartis Gene Therapies-sponsored clinical study
- Participant/parent/legal guardian willing and able to complete the informed consent process and comply with study procedures and visit schedule
Exclusion Criteria:
- Parent/legal guardian unable or unwilling to participate in the long-term follow-up safety study
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Inny: Intravenous (IV) & Intrathecal (IT) Onasemnogene Abeparvovec-xioi
Participants received treatment with IV onasemnogene abeparvovec-xioi in an onasemnogene abeparvovec-xioi or received treatment with IT onasemnogene abeparvovec-xioi in an onasemnogene. |
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.
Inne nazwy:
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Zmiana od linii bazowej w pomiarach wysokości
Ramy czasowe: Do 5 lat
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Do 5 lat
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Zmiana od linii bazowej w pomiarach wagi
Ramy czasowe: Do 5 lat
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Do 5 lat
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Całkowita liczba uczestników przyjmujących jednocześnie leki i według rodzaju leków
Ramy czasowe: Do 5 lat
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Do 5 lat
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Liczba uczestników z innymi terapiami SMA ogółem i według rodzaju leków
Ramy czasowe: Od 6 do 15 lat
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Od 6 do 15 lat
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Number of Participants Who Reach Developmental Milestones
Ramy czasowe: Up to 5 years
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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. |
Up to 5 years
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Change From Baseline in Hammersmith Functional Motor Scale - Expanded (HFMSE) Score
Ramy czasowe: Up to 5 years
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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. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change From Baseline in Pulmonary Assessment Results and Require Ventilatory Support
Ramy czasowe: Up to 15 years
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Participants will receive pulmonary assessments by a pulmonologist or appropriate clinician. Respiratory device data will be reviewed for participants receiving non-invasive ventilatory support. |
Up to 15 years
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Number of Participants Who Experience Swallowing Dysfunction and Require Nutritional Support
Ramy czasowe: Up to 5 years
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Assessed via the swallowing function questionnaire, formed of 4 yes/ no questions and 1 body weight question. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change from Baseline in Physical Examination Findings
Ramy czasowe: Up to 5 years
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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. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change From Baseline in Vital Signs Measurements
Ramy czasowe: Up to 5 years
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Vital sign measurements will include blood pressure, respiratory rate, pulse, axillary temperature, and pulse oximetry. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change From Baseline in Clinical Laboratory Assessments
Ramy czasowe: Up to 5 years
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Blood samples will be collected for hematology (including complete blood cell count) and chemistry. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change From Baseline in Cardiac Assessments
Ramy czasowe: Up to 5 years
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Cardiac assessments will include a 12-lead electrocardiogram, transthoracic echocardiogram and Troponin-I. |
Up to 5 years
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Number of Participants Who Experience a Clinically Significant Change From Baseline in Observational Phase Questionnaire Results
Ramy czasowe: Year 6 to Year 15
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The observational phase questionnaire includes 7 yes/no questions. Observation categories include: adverse events, hospitalizations, concomitant medications, ventilatory support and feeding support. |
Year 6 to Year 15
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Number of Participants Who Experience at Least One Serious Adverse Event (SAE)
Ramy czasowe: Up to 15 years
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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:
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Up to 15 years
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Number of Participants Who Experience at Least One Adverse Event of Special Interest (AESI)
Ramy czasowe: Up to 15 years
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An AESI is defined as an AE occurring during any study phase that fulfills one of the following criteria:
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Up to 15 years
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Change From Baseline in Bayley Scales of Infant and Toddler Development
Ramy czasowe: Up to 42 months, 15 days of age
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Third Edition (Bayley-III) to be performed in all patients up to 42 months, 15 days of age. |
Up to 42 months, 15 days of age
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Change From Baseline in Revised Upper Limb Module (RULM) Score
Ramy czasowe: Up to 5 years
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RULM score is based on a scale from 0 to 37 where lower scores reflect poorer upper limb functional ability. |
Up to 5 years
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Change From Baseline in Cogstate Computerized Cognitive Battery Performed in Age 48 Months and Older
Ramy czasowe: Up to 5 years
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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)). |
Up to 5 years
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Change From Baseline in Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5) Performed in All Participants 5 to 21 Years of Age
Ramy czasowe: Up to 5 years
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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. |
Up to 5 years
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Change From Baseline in Assessment of Caregiver Experience With Neuromuscular Disease (ACEND)
Ramy czasowe: Up to 5 years
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ACEND score is based on a scale from 1 to 41 where higher scores represent a better caregiver experience |
Up to 5 years
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Współpracownicy i badacze
Sponsor
Śledczy
- Krzesło do nauki: Sitra Tauscher-Wisniewski, MD, Novartis Gene Therapies, Inc.
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby ośrodkowego układu nerwowego
- Choroby Układu Nerwowego
- Choroby nerwowo-mięśniowe
- Choroby genetyczne, wrodzone
- Choroby neurodegeneracyjne
- Choroby zwyrodnieniowe układu nerwowego
- Choroby rdzenia kręgowego
- Choroba neuronu ruchowego
- Zanik mięśni, kręgosłup
- Wrodzone, dziedziczne i noworodkowe choroby i nieprawidłowości
- Rdzeniowe zaniki mięśniowe wieku dziecięcego
- Zolgensma
Inne numery identyfikacyjne badania
- AVXS-101-LT-002
- 2019-002611-26 (Numer EudraCT)
- 205305 (Inny identyfikator: JapicCTI)
- COAV101A12103 (Inny identyfikator: Novartis Pharmaceuticals)
- 2019 (Grant/umowa NIH USA)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
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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