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Taking people in United StatesPhase 4

Real-world safety and effectiveness of intrathecal onasemnogene abeparvovec in spinal muscular atrophy

Studies how well onasemnogene abeparvovec-brve works and how safe it is in spinal muscular atrophy.

Plain-language title generated from the registry record
Registry title: ASsessing The REAl-world Safety & Effectiveness of Spinal Muscular Atrophy Participants Treated With Intrathecal Onasemnogene Abeparvovec-brve (OAV101B) (ITVISMA®): A U.S. Pragmatic Multicenter Study (STREAM)

Key facts

Where
Boston, Columbus, Little Rock, New York, Philadelphia, and Stanford, United StatesSee the 6 sites
Phase
Phase 4

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 2 and 100 years old?

Source: NCT07448610, who can take part

Where in United States

  • Boston Childrens HospitalBoston, United StatesTaking people
  • Ohio State University Medical CenterColumbus, United StatesTaking people
  • Arkansas Children's HospitalLittle Rock, United StatesTaking people
  • Columbia University Medical CenterNew York, United StatesTaking people
  • University of PennsylvaniaPhiladelphia, United StatesTaking people
  • Stanford HospitalStanford, United StatesTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
Print a page for my doctor

Trial details

Who runs it
Novartis Pharmaceuticals
Trial code
NCT07448610
Record updated
29 October 2026
Original description
The primary purpose is to address critical evidence in the treatment landscape for Spinal Muscular Atrophy (SMA), specifically focusing on the intrathecal formulation of onasemnogene abeparvovec-brve (ITVISMA®). U.S. Pragmatic Multicenter Study (STREAM).Read full original descriptionShow less

Onasemnogene Abeparvovec: ASsessing The REAl-world Safety & Effectiveness of Spinal Muscular Atrophy Participants Treated With Intrathecal Onasemnogene Abeparvovec-brve (ITVISMA®): A U.S. Pragmatic Multicenter Study (STREAM)

The primary purpose is to address critical evidence in the treatment landscape for Spinal Muscular Atrophy (SMA), specifically focusing on the intrathecal formulation of onasemnogene abeparvovec-brve (ITVISMA®). U.S. Pragmatic Multicenter Study (STREAM).

Inclusion: A participant will be enrolled in STREAM only if all the following conditions are met:; The participant has a genetically confirmed diagnosis of SMA (biallelic SMN1 deletion or mutation); He or she is ≥ 2 years of age on the day of the intrathecal injection; The treating Investigator intends to administer within the current episode of care, a single dose of ITVISMA® (1.2 × 10¹⁴ vg) in routine U.S. practice after written informed consent obtained; One of the following functional categories applies at screening:; independently ambulatory child/adolescent 2 - <18 years; or; independently ambulatory adult (≥ 18 years); non-ambulatory (includes walkers with assistance) adult > 18 years with entry level RULM at baseline; At least 1 year of pre-treatment medical history, including motor-function documentation, can be retrieved from the site electronic record.

Exclusion: An uncontrolled acute illness, active infection, febrile illness or acute medical condition, within 30 days prior to dosing; Inability to tolerate corticosteroids administered by mouth or gastrostomy tube; A participant will be excluded if any of the following conditions apply:; Contraindication for lumbar puncture as determined by the investigator (e.g., spinal anatomy that precludes safe lumbar puncture); Current participation in another interventional clinical trial that would interfere with the objectives or endpoints of STREAM. Note: participation in observational cohort studies or non-interventional studies in which the participant does not receive treatment or undergo procedures which may compromise this study data integrity may be allowed following Sponsor approval; Planned relocation or any circumstance that is likely to prevent completion of the minimum 12-month follow-up; Other protocol inclusion, exclusion criteria may apply.

ClinicalTrials.gov NCT07448610