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Trial · NCT03381729

Study of Intrathecal Administration of Onasemnogene Abeparvovec-xioi for Spinal Muscular Atrophy

NCT03381729, Phase 1, Terminated, Novartis Gene Therapies; results first posted 2023-02-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Intrathecal Administration of Onasemnogene Abeparvovec-xioi for Spinal Muscular Atrophy. Trials, record NCT03381729. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03381729

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Intrathecal Administration of Onasemnogene Abeparvovec-xioi for Spinal Muscular Atrophy
NCT number
NCT03381729
Status
Terminated
Phases
Phase 1
Enrollment
32 participants, actual
Lead sponsor
Novartis Gene Therapies
Conditions
Spinal Muscular Atrophy
Interventions
Onasemnogene Abeparvovec-xioi
First posted
2017-12-22
Last updated
2026-01-26
Other registries' IDs
eudract:2020-003678-28
Results first posted
2023-02-16
Limitations and caveats
A comparison of the results from this study to the results from the natural history observational study (Pediatric Neuromuscular Clinical Research Network (PNCR), Finkel et al, 2014) are included in the Novartis Clinical Trial Results, as a historical control. These full results are available via this link: https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17933

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAge 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneFrom Day 1 up to Month 12
Defined by the Bayley Scales of Infant and Toddler Development (BSID) Gross Motor (GM) subtest performance criteria number 40, confirmed by video recording, as a participant who stands alone for at least 3 seconds unsupported.
PrimaryAge 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12Baseline and Month 12
The HFMSE contained 33 items which were scored on a scale of 0-2 with a total achievable score ranging from 0, if all activities are failed, to 66, if all the activities are achieved. A positive change from baseline indicates a better outcome.
PrimaryNumber of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)Adverse events were collected from the single dose of study treatment until the end of study visit (12 months for Cohort 1 and 2 and 15 months for Cohort 3)
A TEAE was defined as any event that began or worsened in severity on or after the administration of AVXS-101 through the last study visit. Evaluation of TEAEs included the number of participants with at least one: * TEAE * Serious TEAE * TEAE related to AVXS-101 * TEAE with Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 (grade 3 = severe or medically significant to grade 5 = death related to TEAE)
SecondaryNumber of Participants Who Achieved the Ability to Walk AloneFrom Day 1 up to Month 12Defined by the BSID GM subtest performance criteria number 43, confirmed by video recording, as a participant who takes 5 coordinated independent steps.
SecondaryAverage Number of Hours Per Day of Non-invasive Ventilatory SupportMonths 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12
Participants were assessed by a pulmonologist and may have been fitted with a non-invasive positive pressure ventilatory (e.g., Bilevel Positive Airway Pressure BiPAP) at the discretion of the pulmonologist and/or investigator. The number of hours per day of non-invasive ventilatory support was captured continuously by the device.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAge 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneFrom Day 1 up to Month 12
Intent-to-Treat (ITT) Set: All enrolled participants who were given an AVXS-101 intrathecal injection. Participants were analyzed according to the assigned dose. Data were only collected in participants aged 6 to \<24 months at time of dosing.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAge 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12Baseline and Month 12
ITT Set: All enrolled participants who were given an AVXS-101 intrathecal injection. Participants were analyzed according to the assigned dose. Data were only collected in participants aged 24 to \<60 months at time of dosing.
score on a scaleLEAST_SQUARES_MEAN
PRIMARYNumber of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)Adverse events were collected from the single dose of study treatment until the end of study visit (12 months for Cohort 1 and 2 and 15 months for Cohort 3)Safety Analysis Set: All participants given an AVXS-101 intrathecal injection. Participants were analyzed according to actual dose received.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Achieved the Ability to Walk AloneFrom Day 1 up to Month 12ITT Set: All enrolled participants who were given an AVXS-101 intrathecal injection. Participants were analyzed according to the assigned dose.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAverage Number of Hours Per Day of Non-invasive Ventilatory SupportMonths 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12Data were only collected in participants requiring BiPAP support.hours/dayMEAN

Results by group51

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsAble to Stand Alone1Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 2: 1.2E14 vg - Age 6 to <24 MonthsAble to Stand Alone1Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 3: 2.4E14 vg - Age 6 to <24 MonthsAble to Stand Alone0Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsUnable to Stand Alone2Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 2: 1.2E14 vg - Age 6 to <24 MonthsUnable to Stand Alone12Participants
Age 6 to <24 Months Only: Number of Participants Who Achieved the Ability to Stand AloneCohort 3: 2.4E14 vg - Age 6 to <24 MonthsUnable to Stand Alone4Participants
Age 24 to <60 Months Only: Change From Baseline in Hammersmith Functional Motor Scale-Expanded (HFMSE) Score at Month 12Cohort 2: 1.2E14 vg - Age 24 to <60 Months6.095% Confidence Interval 3.7 to 8.3score on a scale
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 MonthsTEAE3Participants
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)Cohort 2: 1.2E14 vg - Age 6 to <24 MonthsTEAE13Participants
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)Cohort 2: 1.2E14 vg - Age 24 to <60 MonthsTEAE12Participants

Participant flow20

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months3
Overall StudySTARTEDCohort 2: 1.2E14 vg - Age 6 to <24 Months13
Overall StudySTARTEDCohort 2: 1.2E14 vg - Age 24 to <60 Months12
Overall StudySTARTEDCohort 3: 2.4E14 vg - Age 6 to <24 Months4
Overall StudySTARTEDCohort 3: 2.4E14 vg - Age 24 to <60 Months0
Overall StudyReceived AVXS-101Cohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months3
Overall StudyReceived AVXS-101Cohort 2: 1.2E14 vg - Age 6 to <24 Months13
Overall StudyReceived AVXS-101Cohort 2: 1.2E14 vg - Age 24 to <60 Months12
Overall StudyReceived AVXS-101Cohort 3: 2.4E14 vg - Age 6 to <24 Months4
Overall StudyReceived AVXS-101Cohort 3: 2.4E14 vg - Age 24 to <60 Months0

Adverse events572

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLymphadenopathyBlood and lymphatic system disordersCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months03
otherLymphadenopathyBlood and lymphatic system disordersCohort 2: 1.2E14 vg - Age 6 to <24 Months213
otherLymphadenopathyBlood and lymphatic system disordersCohort 2: 1.2E14 vg - Age 24 to <60 Months112
otherLymphadenopathyBlood and lymphatic system disordersCohort 3: 2.4E14 vg - Age 6 to <24 Months04
otherLeukopeniaBlood and lymphatic system disordersCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months03
otherLeukopeniaBlood and lymphatic system disordersCohort 2: 1.2E14 vg - Age 6 to <24 Months113
otherLeukopeniaBlood and lymphatic system disordersCohort 2: 1.2E14 vg - Age 24 to <60 Months012
otherLeukopeniaBlood and lymphatic system disordersCohort 3: 2.4E14 vg - Age 6 to <24 Months04
otherTachycardiaCardiac disordersCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months03
otherTachycardiaCardiac disordersCohort 2: 1.2E14 vg - Age 6 to <24 Months213

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months03
Total, all-cause mortalityCohort 2: 1.2E14 vg - Age 6 to <24 Months013
Total, all-cause mortalityCohort 2: 1.2E14 vg - Age 24 to <60 Months012
Total, all-cause mortalityCohort 3: 2.4E14 vg - Age 6 to <24 Months04
Total, other adverse eventsCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months33
Total, other adverse eventsCohort 2: 1.2E14 vg - Age 6 to <24 Months1313
Total, other adverse eventsCohort 2: 1.2E14 vg - Age 24 to <60 Months1212
Total, other adverse eventsCohort 3: 2.4E14 vg - Age 6 to <24 Months44
Total, serious adverse eventsCohort 1: 6.0E13 Vector Genomes (vg) - Age 6 to <24 Months13
Total, serious adverse eventsCohort 2: 1.2E14 vg - Age 6 to <24 Months213

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
20190738BACKGROUNDPubMed
25358252BACKGROUNDPubMed
25516063BACKGROUNDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03381729

GET https://conductscience.org/api/trials/v1/NCT03381729/results?page=2