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Trial · NCT03921528

An Active Treatment Study of SRK-015 in Patients With Type 2 or Type 3 Spinal Muscular Atrophy

NCT03921528, Phase 2, Completed, Scholar Rock, Inc.; results first posted 2022-11-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. An Active Treatment Study of SRK-015 in Patients With Type 2 or Type 3 Spinal Muscular Atrophy. Trials, record NCT03921528. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03921528

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Trial

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

Title
An Active Treatment Study of SRK-015 in Patients With Type 2 or Type 3 Spinal Muscular Atrophy
NCT number
NCT03921528
Status
Completed
Phases
Phase 2
Enrollment
58 participants, actual
Lead sponsor
Scholar Rock, Inc.
Conditions
Spinal Muscular Atrophy, Spinal Muscular Atrophy Type 3, Spinal Muscular Atrophy Type 2, SMA, Neuromuscular Diseases, Muscular Atrophy, Atrophy, Muscular Atrophy, Spinal, Neuromuscular Manifestations
Interventions
SRK-015
First posted
2019-04-19
Last updated
2024-12-02
Results first posted
2022-11-17

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryCohort 1: Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Day 364 (Visit 15) [Month 12]Baseline up to 12 months
The Revised Hammersmith Scale (RHS) is a 36 item clinical assessment of physical abilities in patients with Type 2 SMA and ambulatory or nonambulatory patients with Type 3 SMA. For the ambulatory Type 3 patients 5-21 years of age in Cohort 1 (N=23), the primary endpoint was the change from baseline in RHS total score at month 12. The RHS has a minimum achievable score of 0 and a maximum achievable score of 69. The RHS includes 33 items that are graded on a scale of 0, 1, 2, where 0 denotes the lowest level and 2 denotes the highest level of ability/function. The remaining 3 items are scored 0 or 1, where 0 denotes an inability and 1 denotes an ability to achieve. Higher scores indicate increased motor function. A positive change from Baseline indicates improvement.
PrimaryCohort 2 and Cohort 3: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score at Day 364 (Visit 15) [Month 12]Baseline up to 12 months
Cohort 2: For the nonambulatory Type 2 and Type 3 patients 5-21 years of age in Cohort 2 (N=15), the primary efficacy endpoint was the change from baseline in HFMSE total score at month 12. Cohort 3: For the nonambulatory Type 2 patients ≥2 years of age in Cohort 3 (N=20), the primary efficacy endpoint was the change from baseline in HFMSE total score at month 12. The Hammersmith Functional Motor Scale Expanded (HFMSE) assesses the physical abilities of patients with Type 2 and Type 3 SMA comprises 33 items graded on a scale of 0, 1, or 2, where 0 denotes unable, 1 denotes performed with modification or adaptation, and 2 denotes performed without modification or adaptation.
SecondaryCohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsBaseline to 12 months
The Revised Hammersmith Scale (RHS) is a 36 item clinical assessment of physical abilities in patients with Type 2 SMA and ambulatory or nonambulatory patients with Type 3 SMA; it has a maximum achievable score of 69. The RHS includes 33 items that are graded on a scale of 0, 1, 2, where 0 denotes the lowest level and 2 denotes the highest level of ability/function. The remaining 3 items are scored 0 or 1, where 0 denotes an inability and 1 denotes an ability to achieve.
SecondaryCohort 1: Proportion of Patients Achieving Various Magnitudes of Change in RHS Score From BaselineBaseline to 12 months
The Revised Hammersmith Scale (RHS) is a 36 item clinical assessment of physical abilities in patients with Type 2 SMA and ambulatory or nonambulatory patients with Type 3 SMA; it has a maximum achievable score of 69. The RHS includes 33 items that are graded on a scale of 0, 1, 2, where 0 denotes the lowest level and 2 denotes the highest level of ability/function. The remaining 3 items are scored 0 or 1, where 0 denotes an inability and 1 denotes an ability to achieve.
SecondaryCohort 1: Change From Baseline in 6-Minute Walk Test (6MWT)Baseline to 12 months
6-Minute Walk Test The 6-Minute Walk Test (6MWT) is an assessment of exercise capacity and fatigue used for ambulatory patients with later-onset SMA who are directed to walk along a 25 meter course as fast as possible over 6 minutes.
SecondaryCohort 1: Change From Baseline in 30-Second Sit-to-StandBaseline to 12 monthsThe 30-Second Sit-to-Stand Test is an assessment of functional lower-limb strength that measures the maximal number of times a patient can transition from sitting to standing in 30 seconds.
SecondaryCohort 1: Change From Baseline in 10-Meter Walk/Run (From RHS)Baseline to 12 months
The 10 Meter Walk/Run test is an enhanced function of the RHS used for ambulatory patients with Type 3 SMA. It is a measure of the time taken to walk/run 10 meters. The time to perform is summarized only for patients able to complete the RHS 10-meter walk/run item.
SecondaryCohort 1: Change From Baseline in Timed Rise From Floor (From RHS)Baseline to 12 months
The timed rise from floor test is an enhanced function of the RHS used for ambulatory patients with Type 3 SMA. It is a measure of the time taken to rise to standing from the floor. The time to rise from floor is summarized only for patients able to complete the RHS rise from floor item.
SecondaryCohort 2 &3: Change From Baseline in HFMSE Total Score at Other Prespecified TimepointsBaseline to 12 months
The Hammersmith Functional Motor Scale Expanded (HFMSE) assesses the physical abilities of patients with Type 2 and Type 3 SMA comprises 33 items graded on a scale of 0, 1, or 2, where 0 denotes unable, 1 denotes performed with modification or adaptation, and 2 denotes performed without modification or adaptation.
SecondaryCohort 2 & 3: Proportion of Patients Achieving Various Magnitudes of Change in HFMSE Score From BaselineBaseline to 12 months
The Hammersmith Functional Motor Scale Expanded (HFMSE) assesses the physical abilities of patients with Type 2 and Type 3 SMA comprises 33 items graded on a scale of 0, 1, or 2, where 0 denotes unable, 1 denotes performed with modification or adaptation, and 2 denotes performed without modification or adaptation.

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCohort 1: Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Day 364 (Visit 15) [Month 12]Baseline up to 12 months
The ITT Population: all enrolled/randomized patients who receive at least 1 dose of study drug. The ITT Population was the main population for analysis of efficacy endpoints; the analysis includes all assessments from all patients with the exception of assessments after missing 3 consecutive doses due to site access restrictions caused by COVID-19. The last observation carried forward (LOCF) method was used to impute the 12-month primary endpoint for data missing for other reasons.
score on a scaleMEAN
PRIMARYCohort 2 and Cohort 3: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score at Day 364 (Visit 15) [Month 12]Baseline up to 12 months
The ITT Population: all enrolled/randomized patients who receive at least one dose of study drug. The ITT Population was the main population for analysis of efficacy endpoints; the analysis included all assessments from all patients with the exception of assessments after missing 3 consecutive doses due to site access restrictions caused by COVID-19. The last observation carried forward (LOCF) method was used to impute the 12-month primary endpoint for data missing for other reasons.
score on a scaleMEAN
SECONDARYCohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsBaseline to 12 months
1 patient in Cohort 1 Monotherapy did not complete Physical Therapy Assessments at V6 due to site imposed COVID-19 restrictions.~1 patient in Cohort 1 Dual Therapy withdrew consent following discontinuation of apitegromab after 3 months of treatment due to a nonserious TEAE of unresolved fatigue assessed as not related to apitegromab.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 1: Proportion of Patients Achieving Various Magnitudes of Change in RHS Score From BaselineBaseline to 12 monthsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 1: Change From Baseline in 6-Minute Walk Test (6MWT)Baseline to 12 monthsMetersMEAN
SECONDARYCohort 1: Change From Baseline in 30-Second Sit-to-StandBaseline to 12 monthsStandsMEAN
SECONDARYCohort 1: Change From Baseline in 10-Meter Walk/Run (From RHS)Baseline to 12 monthsSecondsMEAN
SECONDARYCohort 1: Change From Baseline in Timed Rise From Floor (From RHS)Baseline to 12 monthsSecondsMEAN
SECONDARYCohort 2 &3: Change From Baseline in HFMSE Total Score at Other Prespecified TimepointsBaseline to 12 months
1 patient in Cohort 2 and 3 patients in Cohort 3 (1 low dose and 2 high dose) missed 3 consecutive doses of apitegromab during the 12-month treatment period due to COVID-19-related site access restrictions and were not included in the primary analysis. In addition, 2 cohort 3 low dose patients skipped motor assessments at Day 168 (V8) and 1 cohort low dose patient at Day 365 (V15) due to COVID restrictions.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCohort 2 & 3: Proportion of Patients Achieving Various Magnitudes of Change in HFMSE Score From BaselineBaseline to 12 months
1 patient in Cohort 2 and 3 patients in Cohort 3 missed 3 consecutive doses of apitegromab during the 12-month treatment period due to COVID-19-related site access restrictions and were not included in the primary analysis.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group160

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

OutcomeGroupCategoryValueSpreadUnits
Cohort 1: Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Day 364 (Visit 15) [Month 12]Cohort 1 - Monotherapy-0.1Standard Deviation 5.01score on a scale
Cohort 1: Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Day 364 (Visit 15) [Month 12]Cohort 1 - Dual Therapy0.0Standard Deviation 2.56score on a scale
Cohort 2 and Cohort 3: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score at Day 364 (Visit 15) [Month 12]Cohort 20.6Standard Deviation 3.5score on a scale
Cohort 2 and Cohort 3: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score at Day 364 (Visit 15) [Month 12]Cohort 3 - Low Dose5.3Standard Deviation 8.93score on a scale
Cohort 2 and Cohort 3: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score at Day 364 (Visit 15) [Month 12]Cohort 3 - High Dose7.1Standard Deviation 6.42score on a scale
Cohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsCohort 1 - Monotherapy≥5pt at Day 56 (V4)1Participants
Cohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsCohort 1 - Dual Therapy≥5pt at Day 56 (V4)1Participants
Cohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsCohort 1 - Monotherapy≥5pt at Day 112 (V6)1Participants
Cohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsCohort 1 - Dual Therapy≥5pt at Day 112 (V6)1Participants
Cohort 1:Change From Baseline in the Revised Hammersmith Scale (RHS) Total Score at Other Prespecified TimepointsCohort 1 - Monotherapy≥5pt at Day 168 (V8)2Participants

Participant flow15

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1 - Monotherapy11
Overall StudySTARTEDCohort 1 - Dual Therapy12
Overall StudySTARTEDCohort 215
Overall StudySTARTEDCohort 3 - Low Dose10
Overall StudySTARTEDCohort 3 - High Dose10
Overall StudyCOMPLETEDCohort 1 - Monotherapy6
Overall StudyCOMPLETEDCohort 1 - Dual Therapy10
Overall StudyCOMPLETEDCohort 213
Overall StudyCOMPLETEDCohort 3 - Low Dose10
Overall StudyCOMPLETEDCohort 3 - High Dose10

Adverse events1,625

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUpper respiratory tract infectionInfections and infestationsCohort 1 - Monotherapy5119
otherUpper respiratory tract infectionInfections and infestationsCohort 1 - Dual Therapy5129
otherUpper respiratory tract infectionInfections and infestationsCohort 251510
otherUpper respiratory tract infectionInfections and infestationsCohort 3 - Low Dose41012
otherUpper respiratory tract infectionInfections and infestationsCohort 3 - High Dose51010
otherNasopharyngitisInfections and infestationsCohort 1 - Monotherapy4115
otherNasopharyngitisInfections and infestationsCohort 1 - Dual Therapy1125
otherNasopharyngitisInfections and infestationsCohort 261513
otherNasopharyngitisInfections and infestationsCohort 3 - Low Dose61023
otherNasopharyngitisInfections and infestationsCohort 3 - High Dose51019

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1 - Monotherapy011
Total, all-cause mortalityCohort 1 - Dual Therapy012
Total, all-cause mortalityCohort 2015
Total, all-cause mortalityCohort 3 - Low Dose010
Total, all-cause mortalityCohort 3 - High Dose010
Total, other adverse eventsCohort 1 - Monotherapy1111
Total, other adverse eventsCohort 1 - Dual Therapy1112
Total, other adverse eventsCohort 21515
Total, other adverse eventsCohort 3 - Low Dose1010
Total, other adverse eventsCohort 3 - High Dose910

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38330285DERIVED

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/NCT03921528

GET https://conductscience.org/api/trials/v1/NCT03921528/results?page=2