Alle Studien
RekrutierungPHASE4INTERVENTIONELL

A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Participants With Spinal Muscular Atrophy After Gene Therapy

This study is investigating a new approach for young children under two years old who have Spinal Muscular Atrophy (SMA). These children have already received a gene therapy called onasemnogene abeparvovec. Now, doctors want to see if adding another medicine called Risdiplam as an early treatment can further improve their health and whether it is safe. SMA is a serious genetic condition that weakens muscles. This research aims to understand if giving Risdiplam after gene therapy provides extra benefits for these children. The study is open to children with a specific genetic type of SMA and two copies of the SMN2 gene. It's a way to find out if this combination treatment can offer better outcomes for very young children battling this condition.

Auf einen Blick

Status
Rekrutierung
Phase
PHASE4
Sponsor
Hoffmann-La Roche
Einschreibeziel
28
Starten
30 May 2024
Geschätzte Fertigstellung
31 Mar 2029

Worum geht es in dieser Studie?

This study is called 'A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Participants With Spinal Muscular Atrophy After Gene Therapy.' That's a bit of a mouthful, so let's break it down. It's looking into a medicine called Risdiplam for young children who have Spinal Muscular Atrophy (SMA).

SMA is a condition that affects the nerves that control muscles, leading to muscle weakness over time. This study is for children who have already received a gene therapy treatment for their SMA. Gene therapy aims to correct some of the underlying problems of SMA. Now, doctors want to see if adding Risdiplam, a different type of medicine, to their treatment plan makes them even better. They're also checking how safe it is to use Risdiplam in this way.

The main goal is to find out if giving Risdiplam sớm to children who've already had gene therapy can help them regain or keep more muscle strength and function, and to ensure this is done safely. This research is important because it could lead to better ways to treat SMA for very young children.

Wichtige Erkenntnisse

  • This study is for very young children (under 2 years) with SMA.
  • Children must have already received gene therapy (onasemnogene abeparvovec).
  • It tests if adding Risdiplam provides extra benefits and is safe.
  • Risdiplam helps the body make more vital protein for muscle health.
  • Participation involves giving Risdiplam and having regular health checks.
  • Sie können Ihr Kind jederzeit von der Studie zurückziehen.

Wer könnte berechtigt sein?

To join this study, children need to be less than two years old. They must have a confirmed diagnosis of a specific type of SMA, which means genetic tests showed they have changes in their SMN1 gene. They also need to have exactly two copies of another gene called SMN2.

Crucially, they must have already received the gene therapy treatment called onasemnogene abeparvovec. This gene therapy should have been given to them at least 13 weeks ago, but no more than 30 weeks ago. If they had Risdiplam before the gene therapy, it must have been for a very short time (less than 3 weeks) and stopped at least one day before the gene therapy. The doctors also need to feel that the child hasn't gotten significantly worse since their gene therapy treatment.

There are also reasons why a child couldn't join. For example, if they have other serious health problems, need a breathing machine (invasive ventilation or tracheostomy), or have certain blood test results that aren't normal. Children who have recently been in hospital for serious illnesses or have had other similar SMA treatments that interfere with the SMN2 gene would also not be able to take part.

Könnte diese Studie für Sie geeignet sein?

Beantworten Sie diese kurzen Fragen, um zu sehen, ob Sie möglicherweise berechtigt sind. Dies ist nur ein Leitfaden – das Forschungsteam trifft die endgültige Entscheidung.

  1. Is my child under 2 years old?
  2. Does my child have a confirmed diagnosis of 5q SMA?
  3. Has my child received onasemnogene abeparvovec gene therapy?
  4. Was the gene therapy given between 13 and 30 weeks ago?
  5. Does my child have two copies of the SMN2 gene?
  6. Does my child NOT require a breathing machine (invasive ventilation/tracheostomy)?
Beantworten Sie jede Frage, um Ihr Ergebnis zu sehen.

Was beinhaltet die Teilnahme?

If your child takes part in this study, they will receive the medicine Risdiplam. This is an "open-label" study, meaning both you and the study team will know your child is receiving Risdiplam. It's a "single-arm" study, which means all children in the study will get Risdiplam; there isn't a group that gets a placebo or different treatment.

The study involves regular visits to a clinic at different times to check your child's health, do physical examinations, take measurements, and perhaps collect blood samples. These visits are to see how the Risdiplam is affecting your child's SMA and to check for any side effects. The exact number of visits and the full duration of treatment and follow-up will be explained by the study team, but it will involve ongoing assessments over a period of time.

Potenzielle Risiken und Vorteile

Taking part in a study like this could potentially offer your child an earlier chance to receive Risdiplam, which might provide additional benefits on top of the gene therapy they've already had, possibly improving their muscle strength and overall health. However, like all medicines, Risdiplam can have side effects, and some benefits might not be seen or might not be as great as hoped. There's also the unknown aspect of combining these two treatments. You and your child can withdraw from the study at any time, for any reason, without it affecting your child's future medical care.

Standorte (16)

  • Universität von Arkansas für medizinische Wissenschaften
    Verifizierte Postleitzahl
    Little Rock, Vereinigte Staaten· Rekrutierung
  • Children's Hospital of Colorado
    Verifizierte Postleitzahl
    Aurora, Vereinigte Staaten· Rekrutierung
  • University of Florida Pediatrics
    Verifizierte Postleitzahl
    Gainesville, Vereinigte Staaten· Rekrutierung
  • Children's Healthcare of Atlanta Center for Advanced Pediatrics
    Verifizierte Postleitzahl
    Atlanta, Vereinigte Staaten· Rekrutierung
  • Ann and Robert H. Lurie Children Hospital of Chicago
    Verifizierte Postleitzahl
    Chicago, Vereinigte Staaten· Zurückgezogen
  • Helen DeVos Children's Hospital at Spectrum Health
    Verifizierte Postleitzahl
    Grand Rapids, United States· Zurückgezogen
  • Columbia University Medical Center
    Verifizierte Postleitzahl
    New York, Vereinigte Staaten· Zurückgezogen
  • Children'S Hospital of Philadelphia
    Verifizierte Postleitzahl
    Philadelphia, Vereinigte Staaten· Zurückgezogen
  • The University of Texas Southwestern Medical Center at Dallas
    Verifizierte Postleitzahl
    Dallas, Vereinigte Staaten· Rekrutierung
  • Cook Children's Jane and John Justin Neurosciences Center
    Verifizierte Postleitzahl
    Fort Worth, Vereinigte Staaten· Rekrutierung
  • Children's Hospital of the King's Daughter
    Verifizierte Postleitzahl
    Norfolk, United States· Zurückgezogen
  • Charité - Universitätsmedizin Berlin SPZ Abteilung Neuropaediatrie
    Verifizierte Postleitzahl
    Berlin, Deutschland· Rekrutierung

Häufige Fragen

What is SMA?

SMA, or Spinal Muscular Atrophy, is a genetic condition that causes muscles to become weak over time because of problems with the nerves that control them.

What is Risdiplam?

Risdiplam is a medicine for SMA that helps the body to produce more of a protein called SMN, which is usually missing or low in people with SMA.

Was ist Gentherapie?

Gene therapy, like onasemnogene abeparvovec, is a treatment that aims to deliver a working copy of the gene that is faulty in SMA to the body's cells.

Will my child definitely get better if they join?

No, there's no guarantee your child will definitely get better. This study is testing if adding Risdiplam after gene therapy can offer more benefits, but outcomes can vary for each child.

Can I take my child out of the study if I change my mind?

Yes, you can withdraw your child from the study at any time without having to give a reason, and it won't affect their regular medical care.

Wie Sie mehr erfahren können

Reference Study ID Number: BN44620 https://forpatients.roche.com/ No attachments to email below.

Sprechen Sie immer mit Ihrem Hausarzt oder Spezialisten, bevor Sie sich entscheiden, an einer Studie teilzunehmen.

Interessiert daran, teilzunehmen?

Registrieren Sie Ihr Interesse

Teilen Sie Ihre Details und das Forschungsteam für "A Study Evaluating the Effectiveness and Safety of Risdiplam… wird Sie kontaktieren, wenn Sie möglicherweise infrage kommen. Sprechen Sie immer mit Ihrem Hausarzt, bevor Sie zustimmen, teilzunehmen.

Diskussion

Community-Diskussion

Bereitgestellt von unserem Forum bei community.patient.info. Bitte seien Sie respektvoll — dies ist kein medizinischer Rat.