Long-Term Safety & Efficacy of Apitegromab in Patients With SMA Who Completed Previous Trials of Apitegromab
- Conditions
- Spinal Muscular AtrophySpinal Muscular Atrophy Type 3Spinal Muscular Atrophy Type 2SMANeuromuscular DiseasesMuscular AtrophyAtrophyMuscular Atrophy, SpinalNeuromuscular ManifestationsAnti-myostatin
- Interventions
- Registration Number
- NCT05626855
- Lead Sponsor
- Scholar Rock, Inc.
- Brief Summary
The ONYX study is an Open-Label, Multicenter, Extension study that will evaluate the long-term safety and efficacy of Apitegromab in Patients with Type 2 and Type 3 SMA who have completed TOPAZ or SAPPHIRE.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 238
- Patients have completed the Phase 2 TOPAZ (Study SRK-015-002) trial or the Phase 3 SAPPHIRE (Study SRK-015-003) trial. (For TOPAZ, completed is defined as completion of Visit EC14 in Extension Period C or participating in TOPAZ at the time the trial is ended. For SAPPHIRE, completed is defined as completion of Visit 14 or participating in SAPPHIRE at the time the trial is ended)
- Estimated life expectancy >2 years from the Baseline Visit (Day 1)
- Able to receive study drug infusions and provide blood samples through the use of a peripheral IV or a long-term IV access device that the patient has placed for reasons independent from the trial
- Able to adhere to the requirements of the protocol, including travel to the trial site and completing all trial procedures and trial visits
- Females of childbearing potential must have a negative pregnancy test at the Baseline Visit and agree to use at least 1 highly effective method of contraception throughout the trial and for 20 weeks after the last dose of apitegromab
- Patient permanently discontinued study treatment during the feeder trial (i.e., TOPAZ or SAPPHIRE)
- Nutritional status that was not stable over the past 6 months and is not anticipated to be stable throughout the trial or medical necessity for a gastric/nasogastric feeding tube, where the majority of feeds are given by this route, as assessed by the Investigator
- Patient is currently enrolled in any investigational drug trial other than TOPAZ or SAPPHIRE
- Prior history of severe hypersensitivity reaction or intolerance to SMN-targeted therapies
- Prior history of severe hypersensitivity reaction or intolerance to apitegromab
- Use of chronic daytime noninvasive ventilatory support for >16 hours daily in the 2 weeks before dosing, or anticipated to regularly receive such daytime ventilator support chronically throughout the trial
- Any acute or comorbid condition interfering with the well-being of the patient at the patient's last visit in TOPAZ or SAPPHIRE, (including active systemic infection, the need for acute treatment, or inpatient observation due to any reason). After resolution of the condition, the patient can be enrolled in the trial if they meet all the other eligibility criteria.
- Pregnant or breastfeeding
- Any other condition or clinically significant laboratory result or ECG value that, in the opinion of the Investigator, may compromise safety or compliance, would preclude the patient from successful completion of the trial, or interfere with the interpretation of the results
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Treatment Period Apitegromab Patients who are ≥2 years of age with Type 2 and Type 3 SMA will receive apitegromab 20 mg/kg every 4 weeks by intravenous (IV) infusion during the 104-week Treatment Period
- Primary Outcome Measures
Name Time Method Evaluate the long-term safety and tolerability of apitegromab in patients with Type 2 and Type 3 SMA Up to 6 years Incidence of TEAEs and SAEs by severity
- Secondary Outcome Measures
Name Time Method Further evaluate the immunogenicity of apitegromab Up to 6 years Presence or absence of antidrug antibody (ADA) against apitegromab in serum from blood samples
Evaluate the long-term efficacy of apitegromab by assessing changes in motor function outcome measures at prespecified time points Up to 6 years 30-Second Sit-to-Stand
Trial Locations
- Locations (49)
UZ Gent
🇧🇪Gent, Belgium
CHR Citadelle
🇧🇪Liege, Belgium
Hopital Trousseau - I-Motion
🇫🇷Paris, France
Lurie Children's Hospital of Chicago
🇺🇸Chicago, Illinois, United States
Columbia University Medical Center
🇺🇸New York, New York, United States
Phoenix Childrens Hospital
🇺🇸Phoenix, Arizona, United States
UCSD Altman Clinical and Translational Research
🇺🇸La Jolla, California, United States
Helen DeVos Children's Hospital
🇺🇸Grand Rapids, Michigan, United States
The Children's Hospital of Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
Johns HopkinsHospital
🇺🇸Baltimore, Maryland, United States
Nationwide Children's Hospital
🇺🇸Columbus, Ohio, United States
UZ Leuven
🇧🇪Leuven, Belgium
Stanford Neuroscience Health Center
🇺🇸Palo Alto, California, United States
Boston Children's Hospital
🇺🇸Boston, Massachusetts, United States
Nemours Biomedical Research
🇺🇸Orlando, Florida, United States
University of Iowa
🇺🇸Iowa City, Iowa, United States
Wake Forest University School of Medicine
🇺🇸Winston-Salem, North Carolina, United States
Children's Hospital Los Angeles
🇺🇸Los Angeles, California, United States
UMC Utrecht
🇳🇱Utrecht, Netherlands
University of Texas Southwestern - Pediatric Neurology
🇺🇸Dallas, Texas, United States
Istituto Giannina Gaslini, Centro Traslazionale di Miologia e Patologie Neurodegenerative
🇮🇹Genova, Italy
Universitätskinderklinik Bonn, Abteilung für Neuropädiatrie und SPZ
🇩🇪Bonn, Germany
Oregon Health & Science University
🇺🇸Portland, Oregon, United States
CHRU de Lille - Hpital Jeanne de Flandre
🇫🇷Lille, France
NeuroMuscular Omnicentre
🇮🇹Milano, Italy
Uniwersyteckie Centrum Kliniczne
🇵🇱Gdańsk, Poland
Uniwersytecki Szpital Kliniczny w Poznaniu, Oddział Kliniczny Neurologii Dzieci i Młodzieży
🇵🇱Poznań, Poland
Instytut Pomnik - Centrum Zdrowia Dziecka
🇵🇱Warsaw, Poland
Seattle Children's Hospital
🇺🇸Seattle, Washington, United States
University of Utah
🇺🇸Salt Lake City, Utah, United States
St. Jude Children's Research Hospital
🇺🇸Memphis, Tennessee, United States
University of Wisconsin Hospital
🇺🇸Madison, Wisconsin, United States
Children's Specialty Group PLLC (Children's Hospital of The King's Daughters)
🇺🇸Newport News, Virginia, United States
Universitatsklinikum Freiburg
🇩🇪Freiburg, Germany
University of Oxford
🇬🇧Oxford, United Kingdom
CHU Toulouse Hopital des Enfants
🇫🇷Toulouse, France
Fondazione Policlinico Universitario A. Gemelli
🇮🇹Roma, Italy
UOC NEUROLOGIA E MALATTIE NEUROMUSCOLARI A.O.U Policlinico G. Martino
🇮🇹Messina, Italy
Carlo Besta Neurological Research Institute
🇮🇹Milano, Italy
Leeds Children's Hospital Clinical Research
🇬🇧Leeds, United Kingdom
Hospital Universitari i Politecnic La Fe
🇪🇸Valencia, Spain
Great Ormond Street Hospital for Children
🇬🇧London, United Kingdom
Washington University Medical Campus
🇺🇸Saint Louis, Missouri, United States
Hospital Sant Joan de Deau
🇪🇸Barcelona, Spain
Klinikum der Universitat Munchen, Dr. von Haunersches Kinderspital, Abteilung fur Kinderneurologie und Entwicklungsneurologie
🇩🇪Munchen, Bayern, Germany
Universitatsklinikum Essen
🇩🇪Essen, Germany
Gillette Children's Specialty Healthcare
🇺🇸Saint Paul, Minnesota, United States
Children's Hospital Colorado
🇺🇸Aurora, Colorado, United States
University of Kansas Medical Center
🇺🇸Fairway, Kansas, United States