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Spinal Muscular AtrophySMANCT04177134

French Register of Patients With Spinal Muscular Atrophy

An observational study of Spinal Muscular Atrophy, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The primary objectives of the study are to obtain clinically meaningful data on survival and outcomes of all the patients with spinal muscular atrophy (SMA) 5q types 1 through 4 (according to international classification), being followed in the reference centers of the disease in France between September 1, 2016 and… Read more about this study

Who is it for?
Ages 0 days and older
Conditions the study is for
Spinal Muscular Atrophy
How many people
1,000 participants
Where
1 siteFrance
Study dates
31 Jan 2020to 31 Jan 2029
How long will I take part?
9 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 days and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: 1000 SMA 5q patients of type 1, 2, 3 and 4, followed or diagnosed between September 1, 2016 and August 31, 2024. It is estimated that approximately 50% of patients will be children.

Who may be able to join

  • Genetically confirmed SMA 5q patients through 1 to 4 types treated in reference centers in France between September 1, 2016 and August 31, 2024.
  • for prospective study: inform consent form signed by patient.
  • for retrospective data: information form with non-opposition have been given to participant.
  • Covered by a health insurance.

Who cannot join

  • Other type of SMA (not 5q).
  • Under guardianship or curatorship.
  • Unable to understand french language.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Susana Quijano-Roy, MD, PhD contact

+33147107890

susana.quijano-roy@aphp.fr

France1 site, 1 recruiting
  • Unité neuromusculaire, Service de Neurologie et Réanimation Pédiatrique, (French neuromuscular reference network (FILNEMUS), Hôpital Raymond Poincaré,

    Garches, 92380

    Recruiting

Other trials in France

About this study

The primary objectives of the study are to obtain clinically meaningful data on survival and outcomes of all the patients with spinal muscular atrophy (SMA) 5q types 1 through 4 (according to international classification), being followed in the reference centers of the disease in France between September 1, 2016 and August 31, 2024. The registry will collect retrospectively and prospectively the longitudinal data of the long-term follow-up for child and adult patients, under real life conditions of current medical practice, in order to document the clinical evolution of patients (survival, motor, respiratory, orthopedic and nutritional), the conditions of use of the treatments, the mortality rates of treated and untreated patients, the tolerance of the treatments, adverse events in order to better define their places in the therapeutic strategy.

Read the detailed description

As secondary objectives, the study aims:

  • to estimate the frequencies of patients with SMA 5q types 1 through 4 who have being treated in the reference centers between September 1 2016 and August 31 2024;
  • to describe overall demographic, familial, clinical, biological, and genetic characteristics of SMA 5q patients treated in all regions of France, by the type of SMA (type 1,2,3, and 4);
  • to study the impact of proactive and symptomatic medical interventions (bracing, IPPB devices) and medications (vaccinations, anti-infectious, digestive, nutritional supplements) in the evolution of patients;
  • to study the long-term evolution (survival, motor and respiratory functions, spinal shape, growth and nutritional function) of SMA 5q in treated and untreated populations, by new available therapies, throughout the register;
  • to study mortality rate of SMA 5q in treated and untreated populations, by new available therapies, throughout the register;
  • to identify and document the different therapeutic strategies by sub-populations and by discontinuation or follow-up of treatments;
  • to evaluate prognostic factors of responses to therapies;
  • to study the tolerance of treatments by type of treatments, by type of SMA and overall tolerance (including adverse events);
  • to estimate the costs of care for SMA 5q patients in different groups (types, ages);
  • to provide needful elements to evaluate the health care costs for the disease;
  • to study the autonomy and the quality of life of patients depending on different therapeutic strategies;
  • to study the impact of the disease on caregivers;
  • to facilitate development of scientific research on SMA in the conduct of trials on new therapeutic strategies.
Keywords
spinal muscular atrophy
Medical subject headings
Muscular Atrophy, Spinal

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Motor functional development or status

    • SMA Type 1 until 2 years of age: change of HINE (Hammersmith Infant Neurological Examination) score
    • Children: change in Vignos and Brooke scores (level of upper and Lower extremities autonomy)
    • Adults: change in Walton \& Boston scores (level of upper and Lower extremities autonomy)

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  2. Motor function scores

    • For children ≤ 2 years: change of CHOP INTEND (Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders) score will be evaluated
    • For children between 2 and 5 years, ambulatory or not: Change of total MFM-20 (Motor Function Measure 20) score will be evaluated. Change of 3 dimension scores will be evaluated: D1 (start and transfers station), D2 (axial and proximal motricity) and D3 (distal including the upper limb)
    • For children children > 6 years and adults, ambulatory or not: Change of total MFM-32 (Motor Function Measure 32) score will be evaluated. Change of 3 dimension scores will be evaluated: D1 (start and transfers station), D2 (axial and proximal motricity) and D3 (distal including the upper limb).
    • For ambulatory individuals: added 6MWT (6 minutes walking test)

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  3. Yearly changes of morbi-mortality-vital events

    Events of hospitalizations, recurrent infections, fractures, complications and death.

    Measured: 9 years

  4. Respiratory events

    Onset of respiratory support or change in the mode and time (including intubations).

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  5. Digestive-nutritional events

    Digestive events, onset of nutritional support or change in the mode and time

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  6. Yearly changes of spinal events

    Onset of spinal deformity, or increment of 5° or more in the Cobb angle (examination in supine position without brace ; if sitting possible, examination in the upright position, with or without brace or with or without implant (surgery)

    Measured: 9 years

Secondary outcomes (16)
  1. Frequency

    Frequencies of patients with SMA 5q of type 1,2,3 and 4 cared in the reference centres between September 1 2016 and August 31 2024.

    Measured: through study completion, an average of 9 year

  2. Responses to the treatments (nusinersen and salbutamol)

    Responses of the primary outcome measures to the therapies (salbutamol, nusinersen, onasemnogene, risdiplam)

    Measured: 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  3. Spinal status

    Evolution of scoliosis (Cobb angle) in the preoperative period (patients treated vs not treated with Garches brace): first and last Cobb angle (and ages)

    Measured: 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  4. Impact of spinal surgery techniques in scoliosis

    Impact of spinal surgery techniques in scoliosis (presurgical and last post surgical Cobb angle)

    Measured: 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  5. Mortality

    For treated and untreated patients. Rate of mortality will be assessed at 1,2 and 5 years.

    Measured: at 1, 2 and 5 years

  6. Pulmonary function

    Forced vital capacity (FVC) will be evaluated at least once per year for children > 5 years, by specifying the posture of realization of the test, lying vs sitting.

    Measured: at 6 months

  7. Respiratory muscles performance

    Peak expiratory and inspiratory pressures will be evaluated if possible for children > 5 years (MEP, MIP, PF, SNIP (sniff nasal inspiratory pressure)

    Measured: at 6 months

  8. Pulmonary function

    PCF (peak cough flow) will be evaluated at least once per year for children > 5 years, by specifying the posture of realization of the test, lying vs sitting.

    Measured: at 6 months

  9. Cardiological parameter

    ECG abnormality will be evaluated by Holter ECG 24h: P Wave, QRS Complex, QT Interval

    Measured: through study completion, an average of 9 year

  10. Cardiological function and anatomy

    Anatomic abnormalities will be evaluated by echocardiography.

    Measured: through study completion, an average of 9 year

  11. Biomarkers

    Change of biomarkers: Neurofilaments and CPK

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  12. Patient's quality of life: PedsQL (Pediatric Quality of Life Inventory) Child report

    Questionary as the "PedsQL Child report" will be used to evaluate patient's quality of life. Total Scale Score: 0.88 Child Self-Report; 0.90 Parent Proxy-Report.

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  13. Patient's quality of life: PedsQL parent report concerning child

    Questionary as the "PedsQL parent report concerning child" will be used to evaluate patient's quality of life. Total Scale Score: 0.88 Child Self-Report; 0.90 Parent Proxy-Report.

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  14. Patient's quality of life: QoL-gNMD for adult

    Questionary as "QoL-gNMD for adult" (Quality of Life in genetic Neuromuscular Disease) will be used to evaluate patient's quality of life.

    Measured: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  15. Caregiver burden assessement

    Questionnaire as "Work Productivity and Activity Impairment Questionnaire SMAv2" will be completed once a year by a member of neuromuscular center or patients or their relatives.

    Measured: at baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

  16. Caregiver burden assessement

    Questionnaire as "FICD+4 Burden Interview Questionnaire" will be completed once a year by a member of neuromuscular center or patients or their relatives.

    FICD (Family Impact of Childhood Disability)+4 Burden Interview Questionnaire: the multidimensional measurements to assess the impacts on time, expenses, work, relationships and health of caregiver.

    Measured: at baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Nov 2019
  2. Study start31 Jan 2020
  3. Primary completion31 Jan 2029 (estimated)
  4. Study completion31 Jan 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
1,000 participants (estimated)
Target duration
9 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04177134
Sponsor's protocol ID
APHP190245
Other IDs
N° IDRCB: 2019-A01161-56
Acronym
SMA
Status last verified
Mar 2025
First submitted
26 Sep 2019
Last updated
6 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Grimaldi L, Garcia-Uzquiano R, de la Banda MG, Oulhissane-Omar A, Tard C, Saugier-Veber P, Laugel V, Desguerre I, Cintas P, Vuillerot C, Audic F, Cances C, Stojkovic T, Urtizberea JA, Attarian S, Ropars J, Quijano-Roy S; Registre SMA France Study Group. REGISTRE SMA FRANCE: A nationwide observational registry of patients with spinal muscular atrophy in France. J Neuromuscul Dis. 2025 Nov;12(6):793-803. doi: 10.1177/22143602251353446. Epub 2025 Jul 8.

    PubMed 40625130
  • Gerin L, Ropars J, Garcia-Uzquiano R, Gomez-Garcia De la Banda M, Saugier-Veber P, Desguerre I, Salort-Campana E, Espil C, Barnerias C, Laugel V, Cances C, Audic F, Cintas P, Le Goff L, Mallaret M, Nougues MC, Drunat S, Tard C, Grimaldi L, Quijano-Roy S; R-SMA Study Group (FILNEMUS). Spectrum of Phenotypes in SMA Patients With 4 SMN2 Copies in the French Population: Registre SMA France. Neurol Genet. 2025 Apr 1;11(2):e200222. doi: 10.1212/NXG.0000000000200222. eCollection 2025 Apr.

    PubMed 40212804

Questions about this trial

What is this clinical trial studying?

An observational study of Spinal Muscular Atrophy, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Susana Quijano-Roy, MD, PhD (+33147107890, susana.quijano-roy@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Motor functional development or status (time frame: baseline, 1 year, 2 year, 3 year, 4 year, 5 year, 6 year, 7 year, 8 year and 9 year). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04177134, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2025.

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