Other HDAC inhibitors are in development for cancer treatment, and these, rather than trichostatin A, are more likely candidates for human
SMA trials in the future.
For more information on other
SMA trials and the International SMA Patient Registry is recruiting for, please see the press release below.
Beyond providing important information for
SMA trial planning going forward, their results also highlight the importance of carefully validating specific biomarkers in a preclinical trial situation.
Kids in the Ionis
SMA trial did so well that regulators asked them to halt the trial early, so that every kid in the study, including those getting the placebo, could receive the drug.
Not exact matches
The results were significant enough to prompt the FDA to halt the
trial early, in August 2016, and expand access to all
SMA - 1 patients.
Several
SMA treatment
trials are in progress, but the community is especially tracking a single - dose gene therapy that, if approved, would have its own cost and treatment implications.
As promising new therapies such as those directly targeting survivor motor neuron (SMN) are entering clinical
trials for infants, children, and adults with
SMA, researchers are searching for biomarkers in blood that can monitor their effectiveness.
The Patient Advisory Group of the International Coordinating Committee (ICC) for
SMA Clinical
Trials has published a family - friendly set of guidelines for care in spinal muscular atrophy (
SMA)-- click here to download the guide — to complement the physician guidelines published in August (for more on the physicians» consensus statement, see The Journal of -LSB-...]
«If you consider that this is the normally bleak clinical outlook for these patients, you can understand why the ISIS - SMNRx
trial represents such a watershed moment for
SMA.
«We are very pleased to see the great milestone of a disease - modifying drug treatment advancing into clinical
trials in
SMA patients,» said Kenneth Hobby, President of Families of
SMA.
The Columbia University
SMA Clinical Research Center is conducting an 18 month
trial of the effects of cardiovascular and strengthening exercise on individuals with
SMA Type III.
The Biomarkers for Spinal Muscular Atrophy (BforSMA) clinical
trial is a current pilot study looking to identify potential biomarkers (measures) that can be used to evaluate
SMA disease severity and future treatments.
The ICC's mission is to facilitate the conduct of efficient and successful clinical
trials in
SMA that lead to new treatments and ultimately improve care for people living with
SMA.
NEW YORK, NY May 4, 2012 — The Spinal Muscular Atrophy (
SMA) Foundation congratulates the members of the Pilot Study of Biomarkers for Spinal Muscular Atrophy (BforSMA)
Trial Group for the recent publication of study results in two articles published by the open - access, peer - reviewed journal, PLoS ONE.
The Registry has helped recruit participants and provide data for clinical
trials and other important
SMA research studies.
Nonetheless,
SMA parents are solidly behind future
trials.
Dr. Swoboda led a
trial of valproic acid in human
SMA, whose results are due out soon.
International Coordinating Committee for Clinical
Trials The International Coordinating Committee for Clinical
Trials in
SMA (ICC) is a volunteer committee composed of families and patients, clinicians, advocates, industry, and regulatory agencies from the
SMA community.
Preliminary clinical
trials are now underway to test several HDAC inhibitors in children who have
SMA.
The Patient Advisory Group of the International Coordinating Committee (ICC) for
SMA Clinical
Trials has published a family - friendly set of guidelines for care in spinal muscular atrophy (
SMA)-- click here to download the guide — to complement the physician guidelines published in August (for more on the physicians» consensus statement, see The Journal of Child Neurology.)
«The
SMA Foundation is taking a bold initiative to identify markers of disease severity in spinal muscular atrophy,» noted Richard Finkel, MD, a principal investigator for the
trial at the Children's Hospital of Philadelphia.
The identification of such biomarkers may help to assess drug efficacy and shorten the duration of clinical
trials of
SMA therapies.
«We are now able to make biochemical measurements that will help us objectively assess functional changes in children and adults with
SMA, and, hopefully, detect early signals of therapeutic success in new drug
trials for this devastating disease.»
This project is supported by the Patient Advisory Group of the International Coordinating Committee for
SMA Clinical
Trials which includes: Families of
SMA, Fight
SMA, Muscular Dystrophy Association,
SMA Foundation, and other
SMA advocacy groups.
The
SMA Foundation and RBM are continuing to analyze these results and plan to create a specific panel of biomarker assays for use in clinical
trials exploring new treatments for
SMA.
The
SMA - MAP panel is designed to evaluate the severity of
SMA and disease progression and can be used to assess drug efficacy and shorten the duration of clinical
trials for
SMA therapeutics.
The Registry has helped recruit participants for clinical
trials and has provided data for important
SMA research studies.
They noted that the present findings warrant a confirmatory clinical
trial for
SMA rTMS on PD, undertaken on a larger scale.
Measuring these biomarkers in
SMA clinical
trials may help researchers to efficiently predict and monitor
SMA progression and therapeutic efficacy.
«This Phase 1
trial in children with
SMA Type 2 will allow us to evaluate safety, optimal dosing and proof - of - concept for efficacy of AVXS - 101 compared to the well - characterized natural history using the one - time intrathecal route of administration,» said Dr. Sukumar Nagendran, Chief Medical Officer of AveXis.
U.S. Phase 1
Trial in SMA Type 2 (STRONG) The open - label, dose - comparison, multi-center Phase 1 trial — known as STRONG — is designed to evaluate the safety, optimal dosing, and proof of concept for efficacy of AVXS - 101 in two distinct age groups of patients with SMA Type 2, utilizing a one - time IT route of administra
Trial in
SMA Type 2 (STRONG) The open - label, dose - comparison, multi-center Phase 1
trial — known as STRONG — is designed to evaluate the safety, optimal dosing, and proof of concept for efficacy of AVXS - 101 in two distinct age groups of patients with SMA Type 2, utilizing a one - time IT route of administra
trial — known as STRONG — is designed to evaluate the safety, optimal dosing, and proof of concept for efficacy of AVXS - 101 in two distinct age groups of patients with
SMA Type 2, utilizing a one - time IT route of administration.
«We are quite pleased to initiate our first
trial of AVXS - 101 in patients with
SMA Type 2,» said Sean Nolan, President and Chief Executive Officer of AveXis.
The
trial will enroll 27 infants and children with a genetic diagnosis consistent with
SMA, including the bi-allelic deletion of SMN1 and three copies of SMN2 without the SMN2 genetic modifier, who are able to sit but have no historical or current ability to stand or walk.
And because several HDAC - blocking drugs are commonly used in other fields of medicine, including neurology, it proved relatively straightforward for physicians to take some of these drugs into clinical
trials in patients with
SMA.
There was no proof it would help (
trials are under way at Stanford, partly sponsored by the
SMA Foundation), but it had been safely used before on kids with sickle - cell anemia.
As director of the pediatric motor disorders research program at the University of Utah School of Medicine in Salt Lake City, she led the Project Cure
SMA Investigators Network, a
trial consortium that recently published the results of two placebo - controlled
trials of the HDAC - blocking agent valproic acid, neither of which demonstrated much clinical advantage from the drug1, 2.
RG7916 is currently under investigation in two clinical studies: SUNFISH, a
trial in childhood onset (Type II / III)
SMA patients, and FIREFISH, a
trial in infant onset (Type I) patients.
2013 Jul 8; Authors: Cano SJ, Mayhew A, Glanzman AM, Krosschell KJ, Swoboda KJ, Main M, Steffensen BF, Bérard C, Girardot F, Payan CA, Mercuri E, Mazzone E, Elsheikh B, Florence J, Hynan LS, Iannaccone ST, Nelson LL, Pandya S, Rose M, Scott C, Sadjadi R, Yore MA, Joyce C, Kissel JT, International Coordinating Committee for
SMA Clinical
Trials Rasch Task Force
SMA VALIANT
Trial: A prospective, double - blind, placebo controlled trial of valproic acid in ambulatory adults with spinal muscular atr
Trial: A prospective, double - blind, placebo controlled
trial of valproic acid in ambulatory adults with spinal muscular atr
trial of valproic acid in ambulatory adults with spinal muscular atrophy.
Scholar Rock is actively working to advance SRK - 015 into clinical
trials to improve muscle strength and motor function in patients with Spinal Muscular Atrophy (
SMA).
Beginning in 2005, Dr. De Vivo and the network will conduct clinical
trials in
SMA patients with drugs that are currently under study as well as any compounds newly discovered by Dr. Stockwell, Dr. Monani and others.