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Trial · NCT03505099

Pre-Symptomatic Study of Intravenous Onasemnogene Abeparvovec-xioi in Spinal Muscular Atrophy (SMA) for Patients With Multiple Copies of SMN2

NCT03505099, Phase 3, Completed, Novartis Gene Therapies; results first posted 2022-01-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pre-Symptomatic Study of Intravenous Onasemnogene Abeparvovec-xioi in Spinal Muscular Atrophy (SMA) for Patients With Multiple Copies of SMN2. Trials, record NCT03505099. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03505099

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Trial

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

Title
Pre-Symptomatic Study of Intravenous Onasemnogene Abeparvovec-xioi in Spinal Muscular Atrophy (SMA) for Patients With Multiple Copies of SMN2
NCT number
NCT03505099
Status
Completed
Phases
Phase 3
Enrollment
30 participants, actual
Lead sponsor
Novartis Gene Therapies
Conditions
Spinal Muscular Atrophy
Interventions
onasemnogene abeparvovec-xioi
First posted
2018-04-23
Last updated
2026-01-26
Other registries' IDs
eudract:2017-004087-35
Results first posted
2022-01-11
Limitations and caveats
Link to the full study results: https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17902

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryCohort 1: Number of Participants Who Achieved Sitting Alone for at Least 30 SecondsFrom Day 1 up to 18 months of age visit
Defined by the Bayley Scales of Infant and Toddler Development (BSID) Gross Motor (GM) subtest performance criteria number 26, confirmed by video recording, as a participant who sits for at least 30 seconds without assistance from another person or object. The participant was allowed to use their upper extremities.
PrimaryCohort 2: Number of Participants Who Achieved Standing Alone for at Least 3 SecondsFrom Day 1 up to 24 months of age visitDefined by the BSID GM subtest performance criteria number 40, confirmed by video recording, as a participant who stands alone for at least 3 seconds unsupported.
SecondaryCohort 1: Event-free Survival at 14 Months of AgeFrom Day 1 up to 14 months of ageEvent-free survival at 14 months of age was defined as the number of participants who did not die, did not require permanent ventilation and did not withdraw from the study by 14 months of age.
SecondaryCohort 1: Number of Participants Who Achieved the Ability to Maintain Weight at or Above the Third Percentile Without the Need for Non-Oral or Mechanical Feeding SupportFrom Day 1 up to 18 months of age
The ability to maintain weight at or above the third percentile without the need for non-oral or mechanical feeding support was defined by meeting the following criteria at each visit up to 18 months of age: * Did not receive nutrition through mechanical support (i.e., feeding tube) * Maintained weight (≥ third percentile for age and sex as defined by World Health Organization \[WHO\] guidelines) consistent with the participant's age at the assessment.
SecondaryCohort 2: Number of Participants Who Achieved the Ability to Walk AloneFrom Day 1 up to 24 months of age visitDefined by the BSID GM subtest performance criteria number 43, confirmed by video recording, as a participant who takes 5 coordinated independent steps.

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCohort 1: Number of Participants Who Achieved Sitting Alone for at Least 30 SecondsFrom Day 1 up to 18 months of age visitIntent-to-Treat (ITT) population (cohort 1) - All enrolled participants with bi-allelic SMN1 deletions and 2 copies of SMN2 without the SMN2 gene modifier mutation (c.859G\>C) who received AVXS-101.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYCohort 2: Number of Participants Who Achieved Standing Alone for at Least 3 SecondsFrom Day 1 up to 24 months of age visitITT population (cohort 2) - All enrolled participants with bi-allelic SMN1 deletions and 3 copies of SMN2 without the SMN2 gene modifier mutation (c.859G\>C) who received AVXS-101.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 1: Event-free Survival at 14 Months of AgeFrom Day 1 up to 14 months of ageITT population (cohort 1) - All enrolled participants with bi-allelic SMN1 deletions and 2 copies of SMN2 without the SMN2 gene modifier mutation (c.859G\>C) who received AVXS-101.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 1: Number of Participants Who Achieved the Ability to Maintain Weight at or Above the Third Percentile Without the Need for Non-Oral or Mechanical Feeding SupportFrom Day 1 up to 18 months of ageITT population (cohort 1) - All enrolled participants with bi-allelic SMN1 deletions and 2 copies of SMN2 without the SMN2 gene modifier mutation (c.859G\>C) who received AVXS-101.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 2: Number of Participants Who Achieved the Ability to Walk AloneFrom Day 1 up to 24 months of age visitITT population (cohort 2) - All enrolled participants with bi-allelic SMN1 deletions and 3 copies of SMN2 without the SMN2 gene modifier mutation (c.859G\>C) who received AVXS-101.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group5

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

OutcomeGroupCategoryValueSpreadUnits
Cohort 1: Number of Participants Who Achieved Sitting Alone for at Least 30 SecondsCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN214Participants
Cohort 2: Number of Participants Who Achieved Standing Alone for at Least 3 SecondsCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN215Participants
Cohort 1: Event-free Survival at 14 Months of AgeCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN214Participants
Cohort 1: Number of Participants Who Achieved the Ability to Maintain Weight at or Above the Third Percentile Without the Need for Non-Oral or Mechanical Feeding SupportCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN213Participants
Cohort 2: Number of Participants Who Achieved the Ability to Walk AloneCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN214Participants

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN214
Overall StudySTARTEDCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN215
Overall StudyReceived AVXS-101Cohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN214
Overall StudyReceived AVXS-101Cohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN215
Overall StudyCOMPLETEDCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN214
Overall StudyCOMPLETEDCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN215
Overall StudyNOT COMPLETEDCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN20
Overall StudyNOT COMPLETEDCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN20

Adverse events276

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: Bi-allelic Deletions of SMN1 and 2 Copies of SMN21141
otherLymphadenopathyBlood and lymphatic system disordersCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN20150
otherMicrocytic anaemiaBlood and lymphatic system disordersCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN21141
otherMicrocytic anaemiaBlood and lymphatic system disordersCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN22153
otherThrombocytopeniaBlood and lymphatic system disordersCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN21141
otherThrombocytopeniaBlood and lymphatic system disordersCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN20150
otherIron deficiency anaemiaBlood and lymphatic system disordersCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN20140
otherIron deficiency anaemiaBlood and lymphatic system disordersCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN21151
otherDacryostenosis congenitalCongenital, familial and genetic disordersCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN21141
otherDacryostenosis congenitalCongenital, familial and genetic disordersCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN21151

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN2014
Total, all-cause mortalityCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN2015
Total, other adverse eventsCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN21414
Total, other adverse eventsCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN21515
Total, serious adverse eventsCohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN2514
Total, serious adverse eventsCohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN2315

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34383289DERIVEDPubMed
35715566DERIVEDPubMed
35715567DERIVEDPubMed

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 comparisons2

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

ComparisonSource
Cohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN2 vs Cohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN2: deaths from any causeTrial comparisons
Cohort 1: Bi-allelic Deletions of SMN1 and 2 Copies of SMN2 vs Cohort 2: Bi-allelic Deletions of SMN1 and 3 Copies of SMN2: serious adverse eventsTrial comparisons

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/NCT03505099

GET https://conductscience.org/api/trials/v1/NCT03505099/events?page=2