NCT04729907CompletedPhase 3
A Study to Learn About the Long-Term Safety of Higher Doses of Nusinersen (BIIB058) Given as Injections to Participants With Spinal Muscular Atrophy (SMA) Who Took Part in an Earlier Nusinersen Trial (ONWARD)
A Long-Term Extension Study of Nusinersen (BIIB058) Administered at Higher Doses in Participants With Spinal Muscular Atrophy Who Previously Participated in an Investigational Study With Nusinersen
Source: ClinicalTrials.gov · Last updated 11 Aug 2026
Brief summary (registry, in English)
In this study, researchers will learn more about the use of nusinersen (BIIB058) in participants with spinal muscular atrophy (SMA). This study is an extension study and will enroll only those participants who have completed treatment in the parent study, 232SM203. The main goal of the study is to learn about the long-term safety of nusinersen. The main questions researchers want to answer are: * How many participants have adverse events and serious adverse events during the study? * How do the results of electrocardiograms (ECGs), vital signs, and laboratory tests including blood and urine tests change after treatment? * How many participants have a low platelet count after treatment? * How many participants had a change in the time it took for their heart to recharge between beats after treatment? * How does each participant's height and other measures of growth change after treatment? * How much do the results of neurological exams that check movement, reflexes, and brain function change after treatment? Researchers will also learn about the effect of nusinersen on mobility using various tests. They will study body movements, reflexes, balance, and coordination. They will also record if participants need help with breathing. The 232SM302 study will be done as follows: * Participants will be screened to check if they can join the study. * Participants will receive their 1st dose of nusinersen in this study about 4 months after their final dose in the parent study. * Each participant will receive nusinersen once every 4 months during the treatment period. * Nusinersen will be given through a lumbar puncture, which involves injecting the drug into the fluid around the spinal cord in the lower back. * The treatment period will last for up to 64 months (1921 days). * There will be a follow-up safety period that lasts from 4 to 8 weeks. * In total, participants will have up to 19 study visits. Participants will stay in the study for close to 6 years.
- Status (registry)
- Completed
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 115 (actual)
- First submitted
- 11 Dec 2020
- Start date
- 19 Apr 2021
- Primary completion date
- 30 Jul 2026
- Lead sponsor
- Biogen
- Diseases
- Spinal muscular atrophy
- NCT number
- NCT04729907
- EU CT number
- 2023-505637-27-00
- EudraCT number
- 2020-004708-32
What you commit to
- Study type: Interventional · Phase 3
- Participants enrolled: 115
- From 19 Apr 2021 to the primary completion date, 30 Jul 2026
- 39 sites in 16 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Treatment with another investigational therapy or enrollment in another interventional clinical study
- Treatment with an approved therapy for SMA after the Day 302 Visit of Study 232SM203 (NCT04089566)
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Who the study is looking for
- Completed the Day 302 visit in study 232SM203 (NCT04089566) in accordance with the study protocol
Age in the registry: 2 years to 64 years · Sex: All · Does not accept healthy volunteers
Sites (39)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Hospital de Clinicas de Porto Alegre Coordinator of this site? Confirm its status | Porto Alegre | Brazil | Unknown status |
| Hospital das Clinicas FMUSP Coordinator of this site? Confirm its status | São Paulo | Brazil | Unknown status |
| London Health Sciences Centre (LHSC) - Children's Hospital Coordinator of this site? Confirm its status | London | Canada | Unknown status |
| Hospital Luis Calvo Mackenna Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Clinica Las Condes Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Clinica MEDS La Dehesa Coordinator of this site? Confirm its status | Santiago | Chile | Unknown status |
| Peking University First Hospital Coordinator of this site? Confirm its status | Beijing | China | Unknown status |
| Guangzhou Woman and Children's Medical Center Coordinator of this site? Confirm its status | Guangzhou | China | Unknown status |
| The Children's Hospital of Zhejiang University School of Medicine Coordinator of this site? Confirm its status | Hangzhou | China | Unknown status |
| Hospital Universitario San Ignacio Coordinator of this site? Confirm its status | Bogotá | Colombia | Unknown status |
| Medical Center- University of Freiburg Coordinator of this site? Confirm its status | Freiburg im Breisgau | Germany | Completed |
| Justus-Liebig-Universitaet Giessen Coordinator of this site? Confirm its status | Giessen | Germany | Completed |
| Tallinn Children´s Hospital Coordinator of this site? Confirm its status | Tallinn | Estonia | Unknown status |
| Sant Joan De Deu Barcelona Hospital Coordinator of this site? Confirm its status | Esplugues De Llobregat | Spain | Completed |
| Hospital Universitario La Paz Coordinator of this site? Confirm its status | Madrid | Spain | Completed |
| Hospital Universitario Y Politecnico La Fe Coordinator of this site? Confirm its status | Valencia | Spain | Completed |
| Centro Clinico Nemo Coordinator of this site? Confirm its status | Milan | Italy | Completed |
| Fondazione Policlinico Universitario Agostino Gemelli IRCCS Coordinator of this site? Confirm its status | Rome | Italy | Completed |
| Kurume University Hospital Coordinator of this site? Confirm its status | Kurume-shi | Japan | Unknown status |
| Hyogo Medical University Hospital Coordinator of this site? Confirm its status | Nishinomiya-shi | Japan | Unknown status |
| Tokyo Women's Medical University Hospital Coordinator of this site? Confirm its status | Shinjuku-ku | Japan | Unknown status |
| Saint George University Hospital Medical Center Coordinator of this site? Confirm its status | Beirut | Lebanon | Unknown status |
| Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde" Coordinator of this site? Confirm its status | Guadalajara | Mexico | Unknown status |
| Hospital Infantil de Mexico Federico Gomez Coordinator of this site? Confirm its status | Mexico City | Mexico | Unknown status |
| Instituto Nacional de Pediatria Coordinator of this site? Confirm its status | Mexico City | Mexico | Unknown status |
| Russian Children Neuromuscular Center of Veltischev Coordinator of this site? Confirm its status | Moskva | Russia | Unknown status |
| Regional Pediatric Clinical Hospital #1 Coordinator of this site? Confirm its status | Yekaterinburg | Russia | Unknown status |
| King Fahad Specialist Hospital Coordinator of this site? Confirm its status | Dammam | Saudi Arabia | Unknown status |
| National Guard Health Affairs: King Abdulaziz Medical City Coordinator of this site? Confirm its status | Jeddah | Saudi Arabia | Unknown status |
| King Faisal Specialist Hospital & Research Center Coordinator of this site? Confirm its status | Riyadh | Saudi Arabia | Unknown status |
| Kaohsiung Medical University Chung-Ho Memorial Hospital Coordinator of this site? Confirm its status | Kaohsiung City | Taiwan | Unknown status |
| National Taiwan University Hospital Coordinator of this site? Confirm its status | Taipei | Taiwan | Unknown status |
| Children's Hospital Colorado Coordinator of this site? Confirm its status | Aurora | United States | Unknown status |
| The Johns Hopkins Hospital Coordinator of this site? Confirm its status | Baltimore | United States | Unknown status |
| Boston Children's Hospital Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| Ann & Robert H. Lurie Children's Hospital of Chicago Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| St. Jude Children's Research Hospital Coordinator of this site? Confirm its status | Memphis | United States | Unknown status |
| Children's Medical Center Coordinator of this site? Confirm its status | Plano | United States | Unknown status |
| Stanford University Medical Center Coordinator of this site? Confirm its status | Sacramento | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.