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ASsessing The REAl-world Safety & Effectiveness of Spinal Muscular Atrophy Participants Treated With Intrathecal Onasemnogene Abeparvovec-brve (OAV101B) (ITVISMA®): A U.S. Pragmatic Multicenter Study (STREAM)
ASsessing The REAl-world Safety & Effectiveness of Spinal Muscular Atrophy Participants Treated With Intrathecal Onasemnogene Abeparvovec-brve (OAV101B) (ITVISMA®): A U.S. Pragmatic Multicenter Study (STREAM)

NCT07448610

Not Yet RecruitingPhase 4

Sponsor: Novartis Pharmaceuticals

Conditions: Spinal Muscular Atrophy

Interventions: Onasemnogene Abeparvovec-brve

The primary purpose is to address critical evidence in the treatment landscape for Spinal Muscular Atrophy (SMA), specifically focusing on the intrathecal formulation of onasemnogene abeparvovec-brve (ITVISMA®). U.S. Pragmatic Multicenter Study (STREAM).

Eligibility overview

Sex: ALL

Age: 2 Years to 100 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Key Inclusion Criteria:

A participant will be enrolled in STREAM only if all the following conditions are met:

* The participant has a genetically confirmed diagnosis of SMA (biallelic SMN1 deletion or mutation).
* He or she is ≥ 2 years of age on the day of the intrathecal injection.
* The treating Investigator intends to administer within the current episode of care, a single dose of ITVISMA® (1.2 × 10¹⁴ vg) in routine U.S. practice after written informed consent obtained.
* One of the following functional categories applies at screening:

  1. independently ambulatory child/adolescent 2 - \<18 years; or
  2. independently ambulatory adult (≥ 18 years).
  3. non-ambulatory (includes walkers with assistance) adult \> 18 years with entry level RULM at baseline
* At least 1 year of pre-treatment medical history, including motor-function documentation, can be retrieved from the site electronic record.

Key Exclusion Criteria:

A participant will be excluded if any of the following conditions apply:

* Contraindication for lumbar puncture as determined by the investigator (e.g., spinal anatomy that precludes safe lumbar puncture)
* An uncontrolled acute illness, active infection, febrile illness or acute medical condition, within 30 days prior to dosing
* Inability to tolerate corticosteroids administered by mouth or gastrostomy tube
* Current participation in another interventional clinical trial that would interfere with the objectives or endpoints of STREAM. Note: participation in observational cohort studies or non-interventional studies in which the participant does not receive treatment or undergo procedures which may compromise this study data integrity may be allowed following Sponsor approval
* Planned relocation or any circumstance that is likely to prevent completion of the minimum 12-month follow-up.

Other protocol inclusion, exclusion criteria may apply.