MedPath

Risdiplam

Generic Name
Risdiplam
Brand Names
Evrysdi
Drug Type
Small Molecule
Chemical Formula
C22H23N7O
CAS Number
1825352-65-5
Unique Ingredient Identifier
76RS4S2ET1
Background

Risdiplam is an orally bioavailable mRNA splicing modifier used for the treatment of spinal muscular atrophy (SMA). It increases systemic SMN protein concentrations by improving the efficiency of SMN2 gene transcription. This mechanism of action is similar to its predecessor nusinersen, the biggest difference being their route of administration: nusinersen requires intrathecal administration, as does the one-time gene therapy onasemnogene abeparvovec, whereas risdiplam offers the ease of oral bioavailability.

Risdiplam was approved by the FDA in August 2020 for the treatment of spinal muscular atrophy (SMA). Set to be substantially cheaper than other available SMA therapies, risdiplam appears to provide a novel and relatively accessible treatment option for patients with SMA regardless of severity or type.

Indication

Risdiplam is indicated for the treatment of spinal muscular atrophy (SMA).

Associated Conditions
Spinal Muscular Atrophy (SMA)

Adult SMA Research and Clinical Hub

Recruiting
Conditions
Spinal Muscular Atrophy (SMA)
Interventions
First Posted Date
2025-05-18
Last Posted Date
2025-05-18
Lead Sponsor
Newcastle-upon-Tyne Hospitals NHS Trust
Target Recruit Count
600
Registration Number
NCT06978985
Locations
🇬🇧

University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom

🇬🇧

North Bristol NHS Trust, Bristol, United Kingdom

🇬🇧

Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

and more 15 locations

A Study Evaluating the Effectiveness and Safety of Risdiplam Administered in Pediatric Patients With Spinal Muscular Atrophy Who Experienced a Plateau or Decline in Function After Gene Therapy

Phase 4
Recruiting
Conditions
Muscular Atrophy, Spinal
Interventions
First Posted Date
2023-05-17
Last Posted Date
2025-05-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
28
Registration Number
NCT05861999
Locations
🇺🇸

Children'S Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

🇺🇸

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

🇺🇸

Valley Children's Hospital, Madera, California, United States

and more 15 locations

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

Phase 4
Recruiting
Conditions
Muscular Atrophy, Spinal
Interventions
First Posted Date
2023-05-17
Last Posted Date
2025-05-18
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
28
Registration Number
NCT05861986
Locations
🇵🇱

Instytut Pomnik Centrum Zdrowia Dziecka, Warszawa, Poland

🇺🇸

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

🇺🇸

Children's Hospital of Colorado, Aurora, Colorado, United States

and more 13 locations

A Study to Investigate the Pharmacokinetics and Safety of Risdiplam in Infants With Spinal Muscular Atrophy

Phase 2
Recruiting
Conditions
Muscular Atrophy, Spinal
Interventions
First Posted Date
2023-04-11
Last Posted Date
2025-05-20
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
10
Registration Number
NCT05808764
Locations
🇺🇸

University Of Michigan, Ann Arbor, Michigan, United States

🇵🇱

Instytut Pomnik - Centrum Zdrowia Dziecka, Warszawa, Poland

🇺🇸

Ann and Robert H. Lurie Children Hospital of Chicago, Chicago, Illinois, United States

and more 10 locations

Risdiplam in Patients With Spinal Muscular Atrophy Previously Treated With Nusinersen

Phase 4
Active, not recruiting
Conditions
Spinal Muscular Atrophy
Interventions
First Posted Date
2022-08-31
Last Posted Date
2024-02-07
Lead Sponsor
Clinic for Special Children
Target Recruit Count
10
Registration Number
NCT05522361
Locations
🇺🇸

Clinic for Special Children, Strasburg, Pennsylvania, United States

Long-term Follow-up Study of Risdiplam in Participants With Spinal Muscular Atrophy (SMA)

Phase 4
Active, not recruiting
Conditions
Spinal Muscular Atrophy
Interventions
Device: SMA-DAT Application and ADAM Sensor
First Posted Date
2022-02-10
Last Posted Date
2025-03-06
Lead Sponsor
Genentech, Inc.
Target Recruit Count
402
Registration Number
NCT05232929
Locations
🇺🇸

Barrow Neurological Institute, Phoenix, Arizona, United States

🇺🇸

Phoenix Children's Hospital, Phoenix, Arizona, United States

🇺🇸

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

and more 36 locations

Investigating NMJ Defects in SMA Following Central and Peripheral SMN Restoration

Recruiting
Conditions
Spinal Muscular Atrophy
First Posted Date
2022-02-02
Last Posted Date
2024-12-31
Lead Sponsor
Bakri Elsheikh
Target Recruit Count
30
Registration Number
NCT05219487
Locations
🇺🇸

The Ohio State University Wexner Medical Center, Columbus, Ohio, United States

A Study to Investigate the Safety and Efficacy of RO7204239 in Combination With Risdiplam (RO7034067) in Participants With Spinal Muscular Atrophy

Phase 2
Active, not recruiting
Conditions
Spinal Muscular Atrophy (SMA)
Interventions
First Posted Date
2021-11-10
Last Posted Date
2025-03-24
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
259
Registration Number
NCT05115110
Locations
🇺🇸

Nemours Children's Hospital, Orlando, Florida, United States

🇧🇪

Chr de La Citadelle, Liège, Belgium

🇵🇹

Hospital de Santa Maria, Lisboa, Portugal

and more 32 locations

Bioavailability and Bioequivalence of Two Risdiplam Tablets in Healthy Participants

Phase 1
Completed
Conditions
Muscular Atrophy, Spinal
Interventions
First Posted Date
2021-01-22
Last Posted Date
2023-03-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
131
Registration Number
NCT04718181
Locations
🇺🇸

Dallas Clinical Research Unit, Dallas, Texas, United States

🇺🇸

Daytona Beach Clinical Rsch Unit, Daytona Beach, Florida, United States

🇺🇸

Covance Clinical Research Unit, Inc, Madison, Wisconsin, United States

and more 1 locations

An Expanded Access Program for Risdiplam in Participants With Spinal Muscular Atrophy (SMA)

Conditions
Muscular Atrophy, Spinal
First Posted Date
2020-02-05
Last Posted Date
2020-10-05
Lead Sponsor
Genentech, Inc.
Registration Number
NCT04256265
Locations
🇺🇸

Arkansas Children's Hospital; Pediatrics, Little Rock, Arkansas, United States

🇺🇸

Children's Hospital Los Angeles, Los Angeles, California, United States

🇺🇸

Ann and Robert H. Lurie Children Hospital of Chicago, Chicago, Illinois, United States

and more 26 locations
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