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Evaluation of clinical and laboratory parameters of adult patients with SMA under treatment with nusinerse

Completed
Conditions
G12.1
Other inherited spinal muscular atrophy
Registration Number
DRKS00015702
Lead Sponsor
Klinik für Neurologie Universitätsklinikum Essen
Brief Summary

Between July 13, 2017, and May 1, 2019, 173 patients were screened, of whom 139 (80%) were eligible for data analysis. Of these, 124 (89%) were included in the 6-month analysis, 92 (66%) in the 10-month analysis, and 57 (41%) in the 14-month analysis; patients with missing baseline HFMSE scores were excluded from these analyses. Mean HFMSE scores were significantly increased compared with baseline at 6 months (mean difference 1·73 [95% CI 1·05-2·41], p<0·0001), 10 months (2·58 [1·76-3·39], p<0·0001), and 14 months (3·12 [2·06-4·19], p<0·0001). Clinically meaningful improvements (=3 points increase) in HFMSE scores were seen in 35 (28%) of 124 patients at 6 months, 33 (35%) of 92 at 10 months, and 23 (40%) of 57 at 14 months. To 14-month follow-up, the most frequent adverse effects among 173 patients were headache (61 [35%] patients), back pain (38 [22%]), and nausea (19 [11%]). No serious adverse events were reported.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
378
Inclusion Criteria

genetically confirmed 5q-SMA
Planned treatment with Nusinersen
Patient is able to give informed consent

Exclusion Criteria

Pregnancy
< 18 y.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change of Hammersmith functional Evaluation Score (HFMSE) at 6 and 12 months after treatment with nusinersen
Secondary Outcome Measures
NameTimeMethod
Change in Revised Upper Limb Module (RULM) score after 6 and 12 months treatment with nusinersen
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