Characterization of the Clinical-epidemiological Profile of Patients With SMA5q Types II and III: Observational Study
- Registration Number
- NCT04404764
- Lead Sponsor
- Hospital Israelita Albert Einstein
- Brief Summary
This study aims to characterize the clinical-epidemiological profile and baseline characteristics of patients with spinal muscular atrophy (SMA) 5q types II and III in follow-up at the Brazilian Unified Public Health System (SUS). The study data will be based on patients´ medical records from several Brazilian public hospitals, which will be defined by the Brazilian Ministry of Health (MS).
- Detailed Description
This is a retrospective cross-sectional observational study to characterize the clinical and epidemiological profile of patients with spinal muscular atrophy (SMA) 5q types II and III, in follow-up at the Brazilian Unified Public Health System (SUS). This study aims to provide baseline data, which in the future may be used by the Brazilian Ministry of Health (MS) to assess the effectiveness of nusinersen. The clinical and epidemiological data will be collected from patients´ medical records, such as the score for the Hammersmith Functional Motor Scale - Expanded (HFMSE) and the Revised Upper Limb Module (RULM) at baseline, the WHO motor milestones at baseline, disease duration, age at the time of disease diagnosis, age at the time of disease screening, SMN2 (gene copy number), history of hospitalizations, history and characterization of previous surgical procedures, treatment dosage used, patient caregiver´s profile (ie, a family member or companion, who is responsible for taking care of the patient for most of the time). Other variables of interest that will also be collected are patient´s age and gender, geographic distribution, attending physician expertise and care structure where the patients were treated. The data acquisition will be performed using a paper and eletronic CRF (Case report Form). Written informed consent will be obtained from patients who meet the study elegibility criteria. The study will be performed in Brazilian public hospitals (centers) that are able to provide the treatment with nusinersen under the SUS scope. The total sample of patients and number of participating centers will be defined by the MS - SCTIE (Secretariat of Science, Technology and Strategic Supplies)/ DECIT (Department of Science and Technology). However, the initial estimation is a sample of 100 patients to be included in 10-15 centers.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 155
- Participants of both sexes, in any age group, who have a clinical diagnosis of SMA 5q type II or type III, in follow-up at SUS, undergoing treatment with nusinersen or not
- Clinical and molecular diagnosis of SMA 5q type II (disease started after 6 months of age), or Clinical and molecular diagnosis of SMA 5q type III (disease started after 18 months of age)
- Refusal to provide written informed consent (either the patient or a legal representative)
- Symptom onset after 19 years of age
- Need for invasive ventilatory support for 16 hours or more per day for more than 21 consecutive days
- Be participating or have participated in another clinical study aimed at specific treatment of SMA 5q other than with the drug nusinersen
- Having undergone treatment with gene therapy
Caretaker Eligibility Criteria:
Inclusion Criteria:
• First-degree family member or companion responsible for taking care of the patient with clinical diagnosis of SMA 5q type II or type III
Exclusion Criteria:
- Illiteracy
- Refusal to participate in the study
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Treated with nusinersen at SUS Nusinersen Injectable Product Patients with Spinal Muscular Atrophy (SMA) 5q types II and III treated with nusinersen in the Brazilian Unified Public Health System
- Primary Outcome Measures
Name Time Method Expanded Hammersmith Functional Motor Scale Baseline Hammersmith Functional Motor Scale-Expanded (HFMSE) scores range from 0 to 66, with higher scores indicating better motor function.
- Secondary Outcome Measures
Name Time Method WHO motor milestones Unique evaluation at the time of inclusion The six World Health Organization (WHO) motor milestones are sitting without support, standing with assistance, hands and knees crawling, walking with assistance, standing alone, and walking alone.
Treatment with nusinersen Registration of the dose used at the time of inclusion in the study To undergo intrathecal administration of nusinersen at a dose of 12 mg
Disease duration At the time of inclusion in the study Time between diagnosis and age at inclusion in the study
Revised Upper Limb Module In the inclusion of the study Revised Upper Limb Module (RULM) scores range from 0 to 37, with higher scores indicating better function.
Clinical features Unique evaluation SMN2 (gene copy number);
History of hospitalizations Documented in the period prior to the inclusion of the study Records of need for hospitalizations
History and characterization of previous surgical procedures In the period prior to the inclusion of the study History of comorbidities
Trial Locations
- Locations (9)
Universidade Federal de São Paulo
🇧🇷São Paulo, Brazil
Universidade Federal de Minas Gerais - Hospital das Clínicas
🇧🇷Belo Horizonte, Brazil
Hospital de Clínicas da Universidade Estadual de Campinas - Unicamp
🇧🇷Campinas, Brazil
Associação Hospitalar de Prot Infancia Dr Raul Carneiro - Hospital Infantil Pequeno Príncipe
🇧🇷Curitiba, Brazil
Hospital Infantil Dr. Albert Sabin
🇧🇷Fortaleza, Brazil
Hospital de Clínicas de Porto Alegre
🇧🇷Porto Alegre, Brazil
Instituto de Puericultura e Pediatria Martagão Gesteira da Universidade Federal do rio de Janeiro - UFRJ
🇧🇷Rio De Janeiro, Brazil
Hospital Universitario Pedro Ernesto
🇧🇷Rio De Janeiro, Brazil
Hospital das Clínicas da Faculdade de Medicina de São Paulo - HCFMUSP
🇧🇷São Paulo, Brazil