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Trial ยท NCT03779334

A Study of Risdiplam in Infants With Genetically Diagnosed and Presymptomatic Spinal Muscular Atrophy

NCT03779334, Phase 2, Active not recruiting, Hoffmann-La Roche; results first posted 2024-03-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Risdiplam in Infants With Genetically Diagnosed and Presymptomatic Spinal Muscular Atrophy. Trials, record NCT03779334. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03779334

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Trial

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

Title
A Study of Risdiplam in Infants With Genetically Diagnosed and Presymptomatic Spinal Muscular Atrophy
NCT number
NCT03779334
Status
Active not recruiting
Phases
Phase 2
Enrollment
26 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Muscular Atrophy, Spinal
Interventions
Risdiplam
First posted
2018-12-19
Last updated
2026-10-08
Other registries' IDs
eudract:2018-002087-12
Results first posted
2024-03-05

Source ClinicalTrials.gov

Registered outcomes28

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

ListOutcomeTime frameDescription
Primary
Percentage of Participants With Two Copies of the Survival Motor Neuron (SMN) 2 Gene (Excluding the Known SMN2 Gene Modifier Mutation c.859G>C) and Baseline Compound Muscle Action Potential (CMAP) >=1.5 Millivolt (mV) Who Are Sitting Without Support
At Month 12
The Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III) Gross Motor Scale is a commonly used measure of infant and toddler development (0 to 42 months). The normed-scores derived from the BSID-III are used in clinical practice to detect infants with developmental delays, as well as to evaluate developmental progress and the impact of therapeutic interventions. The gross motor scale consists of 72 items scored at 0 (unable to perform the activity) or 1 (criteria for item achieved). Item 22, "sits without support for 5 seconds", is not considered achieved if the infant sits alone for less than 5 seconds before losing balance and falling over, or if the infant uses his or her arms to prop him- or herself up. 90% CI for one sample binomial was computed using Clopper-Pearson (exact) method. An exact binomial test was performed. If the lower limit of the two-sided 90% CI was above the 5% threshold, the primary objective of the study was considered achieved.
SecondaryPercentage of Participants Developing Clinically Manifested SMAAt Month 12 and 24
SecondaryTime to Permanent Ventilation and/or DeathUp to 7 years
SecondaryPercentage of Participants Who Are Alive Without Permanent VentilationAt Month 12 and 24
SecondaryPercentage of Participants AliveAt Month 12 and 24
SecondaryPercentage of Participants Who Achieve the Attainment Level of the Motor Milestones as Assessed in the Hammersmith Infant Neurological Examination-2 (HINE-2)At Month 12 and 24HINE-2 assessment includes head control, sitting, voluntary grasp, ability to kick, rolling, crawling, standing, and walking
SecondaryPercentage of Participants With Two Copies of the SMN2 Gene Sitting Without Support for 5 Seconds (Independent of the CMAP Value at Baseline).At Month 12
Assessed in Item 22 of the BSID-III Gross Motor Scale. The BSID-III is a commonly used measure of infant and toddler development (0 to 42 months). The normed-scores derived from the BSID-III are used in clinical practice to detect infants with developmental delays, as well as to evaluate developmental progress and the impact of therapeutic interventions. The gross motor scale consists of 72 items scored at 0 (unable to perform the activity) or 1 (criteria for item achieved). Item 22, "sits without support for 5 seconds", is not considered achieved if the infant sits alone for less than 5 seconds before losing balance and falling over, or if the infant uses his or her arms to prop him- or herself up. 90% CI for one sample binomial was computed using Clopper-Pearson (exact) method.
SecondaryPercentage of Participants Sitting Without Support for 5 SecondsAt Month 24Assessed with BSID-III Gross Motor Scale
SecondaryPercentage of Participants Sitting Without Support for 30 SecondsAt Month 12 and 24Assessed with BSID-III Gross Motor Scale
SecondaryPercentage of Participants Standing for at Least 3 SecondsAt Month 24Assessed with BSID-III Gross Motor Scale

Outcomes28

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Percentage of Participants With Two Copies of the Survival Motor Neuron (SMN) 2 Gene (Excluding the Known SMN2 Gene Modifier Mutation c.859G>C) and Baseline Compound Muscle Action Potential (CMAP) >=1.5 Millivolt (mV) Who Are Sitting Without Support
At Month 12
Primary efficacy population included all infants in the intent-to-treat (ITT) population with two SMN2 copies (excluding the known SMN2 gene modifier mutation c.859G\>C) and a baseline compound muscle action potential (CMAP) amplitude \>/= 1.5 mV.
percentage of participantsNUMBER
SECONDARYPercentage of Participants Developing Clinically Manifested SMAAt Month 12 and 24
SECONDARYTime to Permanent Ventilation and/or DeathUp to 7 years
SECONDARYPercentage of Participants Who Are Alive Without Permanent VentilationAt Month 12 and 24
SECONDARYPercentage of Participants AliveAt Month 12 and 24
SECONDARYPercentage of Participants Who Achieve the Attainment Level of the Motor Milestones as Assessed in the Hammersmith Infant Neurological Examination-2 (HINE-2)At Month 12 and 24
SECONDARYPercentage of Participants With Two Copies of the SMN2 Gene Sitting Without Support for 5 Seconds (Independent of the CMAP Value at Baseline).At Month 12
Intent-to-treat (ITT) population included all enrolled participants, regardless of whether they received risdiplam or not. Only participants with two copies of the SMN2 gene were included in this outcome measure.
percentage of participantsNUMBER
SECONDARYPercentage of Participants Sitting Without Support for 5 SecondsAt Month 24
SECONDARYPercentage of Participants Sitting Without Support for 30 SecondsAt Month 12 and 24
SECONDARYPercentage of Participants Standing for at Least 3 SecondsAt Month 24

Results by group17

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Two Copies of the Survival Motor Neuron (SMN) 2 Gene (Excluding the Known SMN2 Gene Modifier Mutation c.859G>C) and Baseline Compound Muscle Action Potential (CMAP) >=1.5 Millivolt (mV) Who Are Sitting Without Support
2 SMN2 Copies, Risdiplam80.090% Confidence Interval 34.26 to 98.98percentage of participants
Percentage of Participants With Two Copies of the SMN2 Gene Sitting Without Support for 5 Seconds (Independent of the CMAP Value at Baseline).2 SMN2 Copies, Risdiplam87.590% Confidence Interval 52.93 to 99.36percentage of participants
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 122 SMN2 Copies, RisdiplamBaseline46.50Full Range 35.0 to 52.0score on a scale
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 123 SMN2 Copies, RisdiplamBaseline55.00Full Range 44.0 to 62.0score on a scale
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 12>/=4 SMN2 Copies, RisdiplamBaseline50.00Full Range 44.0 to 52.0score on a scale
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 122 SMN2 Copies, RisdiplamChange from Baseline at Month 129.50Full Range -6.0 to 20.0score on a scale
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 123 SMN2 Copies, RisdiplamChange from Baseline at Month 128.00Full Range 2.0 to 20.0score on a scale
Change From Baseline Score in the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale at Month 12>/=4 SMN2 Copies, RisdiplamChange from Baseline at Month 1216.00Full Range 8.0 to 19.0score on a scale
Percentage of Participants Who Achieve a Score of 40 or Higher, 50 or Higher, and 60 or Higher in the CHOP INTEND Motor Function Scale at Month 122 SMN2 Copies, RisdiplamScore >=4075.090% Confidence Interval 40.03 to 95.36percentage of participants
Percentage of Participants Who Achieve a Score of 40 or Higher, 50 or Higher, and 60 or Higher in the CHOP INTEND Motor Function Scale at Month 123 SMN2 Copies, RisdiplamScore >=4010090% Confidence Interval 79.42 to 100.00percentage of participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED2 SMN2 Copies, Risdiplam8
Overall StudySTARTED3 SMN2 Copies, Risdiplam13
Overall StudySTARTED>/=4 SMN2 Copies, Risdiplam5
Overall StudyPrimary Efficacy Population2 SMN2 Copies, Risdiplam5
Overall StudyPrimary Efficacy Population3 SMN2 Copies, Risdiplam0
Overall StudyPrimary Efficacy Population>/=4 SMN2 Copies, Risdiplam0
Overall StudyCOMPLETED2 SMN2 Copies, Risdiplam0
Overall StudyCOMPLETED3 SMN2 Copies, Risdiplam0
Overall StudyCOMPLETED>/=4 SMN2 Copies, Risdiplam0
Overall StudyNOT COMPLETED2 SMN2 Copies, Risdiplam8

Adverse events264

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disorders2 SMN2 Copies, Risdiplam181
otherAnaemiaBlood and lymphatic system disorders3 SMN2 Copies, Risdiplam1131
otherAnaemiaBlood and lymphatic system disorders>/=4 SMN2 Copies, Risdiplam050
otherCryptorchismCongenital, familial and genetic disorders2 SMN2 Copies, Risdiplam181
otherCryptorchismCongenital, familial and genetic disorders3 SMN2 Copies, Risdiplam0130
otherCryptorchismCongenital, familial and genetic disorders>/=4 SMN2 Copies, Risdiplam050
otherCystoid macular oedemaEye disorders2 SMN2 Copies, Risdiplam181
otherCystoid macular oedemaEye disorders3 SMN2 Copies, Risdiplam0130
otherCystoid macular oedemaEye disorders>/=4 SMN2 Copies, Risdiplam050
otherRetinal pigmentationEye disorders2 SMN2 Copies, Risdiplam080

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality2 SMN2 Copies, Risdiplam08
Total, all-cause mortality3 SMN2 Copies, Risdiplam013
Total, all-cause mortality>/=4 SMN2 Copies, Risdiplam05
Total, other adverse events2 SMN2 Copies, Risdiplam88
Total, other adverse events3 SMN2 Copies, Risdiplam1213
Total, other adverse events>/=4 SMN2 Copies, Risdiplam45
Total, serious adverse events2 SMN2 Copies, Risdiplam38
Total, serious adverse events3 SMN2 Copies, Risdiplam013
Total, serious adverse events>/=4 SMN2 Copies, Risdiplam15

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40802943DERIVED

Source PubMed

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/NCT03779334

GET https://conductscience.org/api/trials/v1/NCT03779334/registered?page=2