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A Study to Learn How Nusinersen (Spinraza) Affects Participants With Spinal Muscular Atrophy (SMA) Who Took it Before or During Pregnancy And About The Health of Their Babies

This study is gathering information about how nusinersen (Spinraza), a medicine for Spinal Muscular Atrophy (SMA), affects pregnant women with SMA and their babies. As more women with SMA are now able to consider pregnancy, it's important to understand any potential effects of this treatment. This is an 'observational' study, meaning researchers will simply collect existing health information without changing anyone's medical care. They will follow pregnant women who've had nusinersen before or during pregnancy, and their babies, to learn about pregnancy outcomes like miscarriages, live births, and any health issues in the babies. This will help doctors and patients make informed decisions.

At a glance

Status
Recruiting
Sponsor
Biogen
Enrolment target
20
Start
15 Dec 2023
Estimated completion
31 Oct 2033

What is this study about?

This study aims to understand how a medicine called nusinersen, also known as Spinraza, affects pregnant women with Spinal Muscular Atrophy (SMA) and their babies. SMA is a condition that affects muscles. Nusinersen is a treatment that helps people with SMA. Because of treatments like nusinersen, more women with SMA are now reaching adulthood and considering having families. However, we don't have much information yet about how nusinersen might affect pregnancy or the health of the baby.

This study is 'observational', which means the researchers will simply collect information about what happens naturally. They won't ask anyone to change their medi cal care, including taking or stopping nusinersen. They'll look at the experiences of women who were treated with nusinersen before or during their pregnancy. The study will bring together information from different SMA patient registries in the US, UK, Germany, Austria, and Switzerland.

The main goal is to gather important health details about the pregnancies and the babies. This includes looking at things like miscarriages, live births, and any health problems the babies might have at birth or as they grow. By collecting this information, researchers hope to get a clearer picture of what to expect when women with SMA taking nusinersen become pregnant. They will also compare this information to women without SMA who haven't taken nusinersen.

Key takeaways

  • A study for pregnant women with SMA treated with nusinersen (Spinraza).
  • It's an 'observational' study, gathering existing health information only.
  • Aims to understand effects of nusinersen on pregnancy and baby's health.
  • No changes to your medical care or treatment are required.
  • Participation involves sharing medical information during and after pregnancy.
  • Contributes to important knowledge for women with SMA and their families.

Who may be eligible?

To be included in this study, you need to be a pregnant woman (or have been pregnant recently) with a confirmed diagnosis of Spinal Muscular Atrophy (SMA) that is linked to a specific change on chromosome 5q. You must also have received nusinersen (Spinraza) at some point before or during your pregnancy. This includes if you had the treatment up to 14 months before your last period before becoming pregnant, up to 14.5 months before you conceived, or at any time during your pregnancy. You should also be part of specific SMA research groups in the US, UK, Germany, Austria, or Switzerland.

You would not be able to join this study if you have been treated with another SMA medication called risdiplam during a specific timeframe around your pregnancy, or if you plan to use risdiplam during your pregnancy. The study is specifically looking at the effects of nusinersen, so having taken other SMA medications would make it difficult to understand just the effects of nusinersen.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you currently pregnant or have you recently been pregnant?
  2. Do you have a diagnosis of Spinal Muscular Atrophy (SMA)?
  3. Have you received nusinersen (Spinraza) before or during your pregnancy?
  4. Are you not receiving treatment with risdiplam around the time of your pregnancy?
Answer every question to see your result.

What does participation involve?

If you decide to take part, the study will begin collecting information from you. You'll be contacted around every three months during your pregnancy to ask about your health and how your pregnancy is progressing. Your doctors will also be contacted during each trimester of your pregnancy, when you're about 6 or 7 months pregnant, and again about four weeks after your baby is born.

After your baby is born, your baby's doctors will be contacted when your baby is 1, 2, 6, 12, 18, and 24 months old to gather information about their health and development. You will be part of the study from the time you join until the end of your pregnancy and up to 12 weeks after your baby is delivered. Your baby will continue in the study for up to two years after their birth. Overall, the study is expected to run for at least 10 years.

Potential risks and benefits

The potential benefit of participating in this study is contributing valuable information that will help women with SMA and their doctors make more informed decisions about pregnancy while receiving nusinersen. This study does not involve any changes to your medical care or treatment, so there are no direct medical risks from participating. Your role is to allow researchers to collect information about you and your baby's health from your existing medical records and through questionnaires. You have the right to withdraw from the study at any time without affecting your medical care.

Locations (14)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Stanford Neuroscience Health Center
    Verified postcode
    Palo Alto, United States· Recruiting
  • Boston Children's Hospital
    Verified postcode
    Boston, United States· Recruiting
  • Research Site
    Verified postcode
    Cambridge, United States· Active not recruiting
  • Columbia University Irving Medical Center
    Verified postcode
    New York, United States· Recruiting
  • University College London Hospitals NHS Foundation Trust
    Verified postcode
    London, United Kingdom· Recruiting
  • St George's University NHS Foundation Trust
    Verified postcode
    London, United Kingdom· Recruiting
  • The Northern Care Alliance NHS Foundation Trust
    Verified postcode
    Salford, United Kingdom· Recruiting
  • University Hospital Southampton NHS Foundation Trust
    Verified postcode
    Southampton, United Kingdom· Recruiting
  • Nottingham University Hospitals Trust
    Verified postcode
    Nottingham, United Kingdom· Recruiting
  • The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
    Verified postcode
    Oswestry, United Kingdom· Recruiting
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Verified postcode
    Sheffield, United Kingdom· Recruiting
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust
    Verified postcode
    Newcastle upon Tyne, United Kingdom· Recruiting

Common questions

What is nusinersen (Spinraza)?

Nusinersen, also known as Spinraza, is a medicine used to treat Spinal Muscular Atrophy (SMA).

What is an 'observational' study?

An observational study means researchers collect health information without asking anyone to change their current medical care or treatment.

Will I have to change my SMA treatment if I join?

No, you will not have to change your treatment or medical care. This study only collects information about what already happens.

How long will I be involved in the study?

You will be in the study until your pregnancy ends and for about 12 weeks after your baby is born. Your baby will be followed for up to 2 years.

What kind of information will be collected?

Researchers will collect information about your pregnancy, like any complications, and about your baby's health and development.

How to find out more

US Biogen Clinical Trial Center

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "A Study to Learn How Nusinersen (Spinraza) Affects Participa…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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