A Study to Learn About the Safety of BIIB115 Injections and How BIIB115 is Processed in the Bodies of Healthy Adult Male Volunteers and of Pediatric Participants With Spinal Muscular Atrophy Who Previously Took Onasemnogene Abeparvovec

Last updated: July 4, 2025
Sponsor: Biogen
Overall Status: Active - Not Recruiting

Phase

1

Condition

Spinal Muscular Atrophy

Myasthenia Gravis (Chronic Weakness)

Muscular Dystrophy

Treatment

BIIB115

Salanersen

Salanersen-Matching Placebo

Clinical Study ID

NCT05575011
277HV101
2022-000956-12
2023-505643-39
  • Ages 6-55
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

In this study, researchers will learn about a study drug called BIIB115 in healthy adult male volunteers and in participants with spinal muscular atrophy (SMA). This study will focus on children with SMA.

The main objective of the study is to learn about the safety of BIIB115 and how participants respond to different doses of BIIB115. The main question researchers want to answer is:

• How many participants have adverse events and serious adverse events during the study?

Adverse events are unwanted health problems that may or may not be caused by the study drug.

Researchers will also learn about how the body processes BIIB115. They will do this by measuring the levels of BIIB115 in both the blood and the cerebrospinal fluid, also known as the CSF. This is the fluid around the brain and spinal cord.

The study will be split into 2 parts - Part A and Part B.

During Part A:

  • After screening, healthy volunteers will be randomly placed into 1 of 4 groups to receive either BIIB115 or a placebo. A placebo looks like the study drug but contains no real medicine.

  • Participants will receive a single dose of either BIIB115 or the placebo as an injection directly into the spinal canal on Day 1.

  • Neither the researchers nor the participants will know if the participants will receive BIIB115 or the placebo.

  • The Part A treatment and follow-up period will last for 13 months.

  • Participants will have up to 6 clinic visits and 4 phone calls.

During Part B:

  • After screening, children with SMA will be placed into 1 of 2 groups to receive BIIB115.

  • The doses of each group will be decided based on the results of Part A.

  • Both researchers and participants will know they are receiving BIIB115.

  • Participants will first receive 2 total doses of BIIB115 given at 2 different times.

  • The Part B treatment and follow-up period will last for 24 months.

  • Participants will have up to 14 clinic visits and 6 phone calls.

Part B Long-Term Extension:

  • After completing the 25 months in Part B, participants may move onto the long-term extension (LTE).

  • They will receive 5 more doses of BIIB115 at different times.

  • The Part B LTE treatment and follow-up will last for 60 months.

  • Participants will have up to 12 more clinic visits and 19 phone calls. In both Part A and Part B, participants will stay in the clinic for 24 hours after each dose so that researchers can check on their health. This 24-hour stay will not be required for the Part B LTE period.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

Part A:

  • Male healthy participants aged 18 to 55 years, inclusive

  • Have a body mass index of 18 to 30 kilograms per meter square (kg/m^2), inclusive

  • Must be in good health as determined by the investigator, based on medical historyand screening evaluations

Part B:

  • Age 0.5 to 12 years old, inclusive, at the time of informed consent

  • Weight ≥7 kg at the time of informed consent

  • Genetic diagnosis of SMA (5q SMA homozygous survival motor neuron 1 (SMN1) genedeletion or mutation or compound heterozygous mutation)

  • Survival motor neuron 2 (SMN2) copy number ≥1

  • Must have received intravenous (IV) onasemnogene abeparvovec per the approved labelor per guidelines including the steroid regimen and monitoring specified therein

  • Treatment with onasemnogene abeparvovec ≥180 days prior to first BIIB115 dose

  • Potential for improvement due to suboptimal clinical status secondary to SMA, asdetermined by the Investigator

Part B LTE

  • Completion of the assessments in Part B

  • Meets age-appropriate institutional criteria for use of anesthesia/sedation, if useis planned for study procedures (as assessed by the Investigator and eitheranesthesiologist or pulmonologist).

Exclusion

Key Exclusion Criteria:

Part A:

  • Any reason, anatomical or otherwise (including abnormal hematology/coagulation),that presents increase of risk of complication from multiple lumbar puncture (LP)procedures required for dosing and CSF collection, per the investigator discretion

  • History of any clinically significant cardiac, endocrine, gastrointestinal,hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic,dermatologic, psychiatric, or renal disease, or other major disease, as determinedby the Investigator

  • Chronic, recurrent, or serious infection, as determined by the investigator, within 90 days prior to screening or between screening and Day -1

  • Current enrollment or a plan to enroll in any interventional clinical study of adrug, biologic, or device, in which an investigational treatment or approved therapyfor investigational use is administered within 3 months (or 5 half-lives of theagent, whichever is longer) prior to randomization

Part B:

  • Severe or serious AEs related to onasemnogene abeparvovec therapy that are ongoingduring Screening

  • Interval of <180 days between onasemnogene abeparvovec therapy and first BIIB115dose

  • Ongoing steroid treatment following onasemnogene abeparvovec at time of screening

  • History of drug induced liver injury or liver failure per Hy's law definition

  • History of thrombotic micrangiopathy

  • Treatment with any SMN2-splicing modifier (nusinersen or risdiplam) after receivingonasemnogene abeparvovec. Treatment with nusinersen <12 months from the first doseof BIIB115.

  • Any reason, anatomical or otherwise (including abnormal hematology/coagulation),that presents increase of risk of complication from the LP procedures, CSFcirculation, or safety assessments, including a history of hydrocephalus orimplanted shunt for CSF drainage.

  • Permanent ventilation, defined as tracheostomy or ≥16 hours ventilation /daycontinuously for >21 days in the absence of an acute reversible event

Part B LTE:

  • Any new condition or worsening of an existing condition that, according to theInvestigator, would make the participant unsuitable for inclusion, could interferewith the assessment of safety, or would compromise the ability of the participant toundergo study procedures.

  • Clinically significant abnormalities in hematology, blood chemistry parameters, orelectrocardiograms (ECGs) prior to first LTE visit that would make the participantunsuitable for inclusion as assessed by the Investigator.

  • Treatment with an approved SMN2-splicing modifier (nusinersen or risdiplam).

NOTE: Other protocol-defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 62
Treatment Group(s): 4
Primary Treatment: BIIB115
Phase: 1
Study Start date:
October 10, 2022
Estimated Completion Date:
November 14, 2031

Study Description

The primary objective of the study is to assess the safety and tolerability of BIIB115 administered via intrathecal (IT) bolus injection to healthy participants in Part A, pediatric participants with spinal muscular atrophy who have previously received onasemnogene abeparvovec in Part B, and to participants who complete Part B in Part B LTE. The secondary objectives of the study is to evaluate the pharmacokinetics (PK) of BIIB115 in Parts A, B, and B LTE.

Connect with a study center

  • Universitair Ziekenhuis Gent

    Gent, 9000
    Belgium

    Site Not Available

  • Children's Hospital of Eastern Ontario

    Ontario, K1H 8L1
    Canada

    Site Not Available

  • Hôpital Armand Trousseau

    Paris, 75012
    France

    Site Not Available

  • Universitatsklinikum Essen

    Essen, 45147
    Germany

    Site Not Available

  • Universitaetsklinikum Freiburg

    Freiburg, 79106
    Germany

    Site Not Available

  • Universitaetsklinikum Heidelberg

    Heidelberg, 69120
    Germany

    Site Not Available

  • Schneider Children's Medical Center

    Petach-Tikvah, 4920235
    Israel

    Site Not Available

  • Fondazione Serena Onlus - Centro Clinico Nemo

    Milano, 20162
    Italy

    Site Not Available

  • Pediatric Neurology Unit, Catholic University

    Rome, 00168
    Italy

    Site Not Available

  • Kyungpook National University Hospital

    Daegu, 700-721
    Korea, Republic of

    Site Not Available

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Site Not Available

  • Centre For Human Drug Reasearch

    Leiden, 2333
    Netherlands

    Site Not Available

  • Centre For Human Drug Research

    Leiden, 2333
    Netherlands

    Site Not Available

  • UMC Utrecht

    Utrecht, 3584 CX
    Netherlands

    Site Not Available

  • Instytut Centrum Zdrowia Matki Polki Dept of Neurology

    Lodz, 93-338
    Poland

    Site Not Available

  • Instytut "Pomnik - Centrum Zdrowia Dziecka

    Warsaw, 04-730
    Poland

    Site Not Available

  • PRATIA S.A. MTZ Clinical Research Powered by Pratia

    Warszawa, 02-172
    Poland

    Site Not Available

  • Great Ormond Street Hospital for Children

    Bloomsbury, WC1N 3JH
    United Kingdom

    Site Not Available

  • Sheffield Childrens Hospital

    Sheffield, S10 2TH
    United Kingdom

    Site Not Available

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