Phase IIIb, Open-label, Multi-center Study to Evaluate Safety, Tolerability and Efficacy of OAV101 Administered Intrathecally to Participants With SMA Who Discontinued Treatment With Nusinersen or Risdiplam

Last updated: October 8, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Completed

Phase

3

Condition

Muscular Dystrophy

Myasthenia Gravis (Chronic Weakness)

Spinal Muscular Atrophy

Treatment

OAV101

Clinical Study ID

NCT05386680
COAV101B12302
  • Ages 2-17
  • All Genders

Study Summary

This was a Phase IIIb open-label, single arm, multi-center study to evaluate the safety, tolerability and efficacy of OAV101B in participants with SMA aged 2 to <18 years after the discontinuation of treatment with nusinersen or risdiplam. The study aimed to enroll approximately 28 participants across each of 2 age brackets (2 to <6 years, and 6 to <18 years).

Eligibility Criteria

Inclusion

Inclusion Criteria

  • SMA diagnosis

  • Aged 2 to < 18 years

  • Have had at least four loading doses of nusinersen (Spinraza®) or at least 3 monthsof treatment with risdiplam (Evrysdi®) at Screening

  • Must have symptoms of SMA as defined in the protocol

Exclusion

Exclusion Criteria:

  • Anti Adeno Associated Virus Serotype 9 (AAV9) antibody titer using an immunoassay isreported as elevated

  • Clinically significant abnormalities in test results during screening

  • Contraindications for lumbar puncture procedure

  • At Baseline, participants are excluded if they received:

  • nusinersen (Spinraza®) or

  • risdiplam (Evrysdi®) within a defined timeframe

  • Vaccinations 2 weeks prior to administration of OAV101

  • Hospitalization for a pulmonary event, or for nutritional support within 2 monthsprior to Screening or inpatient major surgery planned.

  • Presence of an infection or febrile illness up to 30 days prior to administration ofOAV101

  • Requiring invasive ventilation

Study Design

Total Participants: 27
Treatment Group(s): 1
Primary Treatment: OAV101
Phase: 3
Study Start date:
January 12, 2023
Estimated Completion Date:
November 29, 2024

Study Description

Eligible participants received a single OAV101B administration of 1.2x1014 vector genomes on Day 1 (Treatment period) and were followed for a period of 52 weeks.

Participants were admitted to the hospital on Day -1 for pre-treatment baseline procedures. After receiving OAV101B on Day 1, participants underwent in-patient safety monitoring over the next 48 hours, after which the participant could be discharged, based on Investigator judgment.

Connect with a study center

  • Novartis Investigative Site

    Parkville, Victoria 3052
    Australia

    Site Not Available

  • Novartis Investigative Site

    Parkville 2153770, Victoria 2145234 3052
    Australia

    Site Not Available

  • Novartis Investigative Site

    Leuven, 3000
    Belgium

    Site Not Available

  • Novartis Investigative Site

    Leuven 2792482, 3000
    Belgium

    Site Not Available

  • Novartis Investigative Site

    Montreal, Quebec H4A 3J1
    Canada

    Site Not Available

  • Novartis Investigative Site

    Montreal 6077243, Quebec 6115047 H4A 3J1
    Canada

    Site Not Available

  • Novartis Investigative Site

    Bron 3029931, 69677
    France

    Site Not Available

  • Novartis Investigative Site

    Bron Cedex, 69677
    France

    Site Not Available

  • Novartis Investigative Site

    Toulouse 2972315, 31059
    France

    Site Not Available

  • Novartis Investigative Site

    Toulouse Cedex, 31059
    France

    Site Not Available

  • Novartis Investigative Site

    Roma, RM 00168
    Italy

    Site Not Available

  • Novartis Investigative Site

    Roma 8957247, RM 00168
    Italy

    Site Not Available

  • Novartis Investigative Site

    Kurume city, Fukuoka 830-0011
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kurume 1858088, Fukuoka 1863958 830-0011
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shinjuku ku, Tokyo 162 8666
    Japan

    Site Not Available

  • Novartis Investigative Site

    Shinjuku Ku, Tokyo 1850144 162 8666
    Japan

    Site Not Available

  • Novartis Investigative Site

    Utrecht, 3584
    Netherlands

    Site Not Available

  • Novartis Investigative Site

    Utrecht 2745912, 3584
    Netherlands

    Site Not Available

  • Novartis Investigative Site

    Barcelona 3128760, Catalonia 3336901 08035
    Spain

    Site Not Available

  • Novartis Investigative Site

    Barcelona, Catalunya 08035
    Spain

    Site Not Available

  • Boston Childrens Hospital

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Novartis Investigative Site

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Boston Childrens Hospital

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Site Not Available

  • Child Hosp Of The Kings Daughters

    Norfolk, Virginia 23507
    United States

    Site Not Available

  • Novartis Investigative Site

    Norfolk, Virginia 23507
    United States

    Site Not Available

  • Child Hosp Of The Kings Daughters

    Norfolk 4776222, Virginia 6254928 23507
    United States

    Site Not Available

  • Novartis Investigative Site

    Madison, Wisconsin 53792-7375
    United States

    Site Not Available

  • University of Wisconsin Madison Medical School

    Madison, Wisconsin 53792-7375
    United States

    Site Not Available

  • University of Wisconsin Madison Medical School

    Madison 5261457, Wisconsin 5279468 53792-7375
    United States

    Site Not Available

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