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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
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

Full criteria on ClinicalTrials.gov

Sites (39)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hospital de Clinicas de Porto Alegre
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Porto AlegreBrazilUnknown status
Hospital das Clinicas FMUSP
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São PauloBrazilUnknown status
London Health Sciences Centre (LHSC) - Children's Hospital
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LondonCanadaUnknown status
Hospital Luis Calvo Mackenna
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SantiagoChileUnknown status
Clinica Las Condes
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SantiagoChileUnknown status
Clinica MEDS La Dehesa
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SantiagoChileUnknown status
Peking University First Hospital
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BeijingChinaUnknown status
Guangzhou Woman and Children's Medical Center
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GuangzhouChinaUnknown status
The Children's Hospital of Zhejiang University School of Medicine
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HangzhouChinaUnknown status
Hospital Universitario San Ignacio
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BogotáColombiaUnknown status
Medical Center- University of Freiburg
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Freiburg im BreisgauGermanyCompleted
Justus-Liebig-Universitaet Giessen
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GiessenGermanyCompleted
Tallinn Children´s Hospital
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TallinnEstoniaUnknown status
Sant Joan De Deu Barcelona Hospital
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Esplugues De LlobregatSpainCompleted
Hospital Universitario La Paz
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MadridSpainCompleted
Hospital Universitario Y Politecnico La Fe
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ValenciaSpainCompleted
Centro Clinico Nemo
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MilanItalyCompleted
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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RomeItalyCompleted
Kurume University Hospital
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Kurume-shiJapanUnknown status
Hyogo Medical University Hospital
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Nishinomiya-shiJapanUnknown status
Tokyo Women's Medical University Hospital
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Shinjuku-kuJapanUnknown status
Saint George University Hospital Medical Center
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BeirutLebanonUnknown status
Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde"
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GuadalajaraMexicoUnknown status
Hospital Infantil de Mexico Federico Gomez
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Mexico CityMexicoUnknown status
Instituto Nacional de Pediatria
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Mexico CityMexicoUnknown status
Russian Children Neuromuscular Center of Veltischev
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MoskvaRussiaUnknown status
Regional Pediatric Clinical Hospital #1
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YekaterinburgRussiaUnknown status
King Fahad Specialist Hospital
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DammamSaudi ArabiaUnknown status
National Guard Health Affairs: King Abdulaziz Medical City
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JeddahSaudi ArabiaUnknown status
King Faisal Specialist Hospital & Research Center
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RiyadhSaudi ArabiaUnknown status
Kaohsiung Medical University Chung-Ho Memorial Hospital
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Kaohsiung CityTaiwanUnknown status
National Taiwan University Hospital
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TaipeiTaiwanUnknown status
Children's Hospital Colorado
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AuroraUnited StatesUnknown status
The Johns Hopkins Hospital
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BaltimoreUnited StatesUnknown status
Boston Children's Hospital
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BostonUnited StatesUnknown status
Ann & Robert H. Lurie Children's Hospital of Chicago
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ChicagoUnited StatesUnknown status
St. Jude Children's Research Hospital
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MemphisUnited StatesUnknown status
Children's Medical Center
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PlanoUnited StatesUnknown status
Stanford University Medical Center
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SacramentoUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.