Recruiting

Onasemnogene Abeparvovec

Sponsor:

Novartis Pharmaceuticals

Code:

NCT07448610

Conditions

Spinal Muscular Atrophy

Eligibility Criteria

Sex: All

Age: 2 - 70+

Healthy Volunteers: Not accepted

Interventions

Onasemnogene Abeparvovec-brve

Study Details

Brief summary:

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).

Conditions

Spinal Muscular Atrophy

Study ID

NCT07448610

Start date

Aug 27, 2026

Status verified date

Sep, 2026

Completion date

Jun 30, 2032

Anticipated

Primary completion date

May 3, 2032

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 2 - 70+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

36 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Onasemnogene Abeparvovec-brve

Participants with spinal muscular atrophy, including:

  • independently ambulatory children/adolescents (≥ 2 years to < 18 years);
  • independently ambulatory adults (≥ 18 years);
  • Non-ambulatory adults (≥ 18 years)

Interventions

Onasemnogene Abeparvovec-brve

administered once via lumbar puncture with systemic corticosteroid prophylaxis per label.

Primary outcome measure

  • Change from baseline in HFMSE for independently ambulatory participants [ Time Frame: Baseline, 6, 12, 18 and 24 months ]
  • Change from baseline in RULM for non-ambulatory (including walkers with assistance) participants [ Time Frame: Baseline, 6, 12, 18 and 24 months ]

Central Contacts and Locations

Central contacts

Locations

Columbia University Medical Center

Recruiting

New York, New York, United States, 10032

Principal Investigator:

Claudia Chiriboga

More Information

Sponsor

Novartis Pharmaceuticals

Last update posted

Sep 18, 2026

Last verified

Sep, 2026

Keywords

  • Spinal muscular atrophy
  • SMA
  • onasemnogene abeparvovec-brve
  • intrathecal gene therapy
  • ITVISMA®
  • real-world evidence
  • sponsor-funded
  • real-world pragmatic trial;
  • motor function
  • safety.

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-24. This information was provided to ClinicalTrials.gov by Novartis Pharmaceuticals on 2026-09-18. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.