All studies
Active not recruitingPHASE3INTERVENTIONAL

Long-Term Safety & Efficacy of Apitegromab in Patients With SMA Who Completed Previous Trials of Apitegromab

This study, called ONYX, is designed for people with type 2 and type 3 Spinal Muscular Atrophy (SMA) who have previously taken part in other studies (TOPAZ or SAPPHIRE) looking at a medicine called apitegromab. The main goals are to understand the long-term safety of apitegromab and how well it continues to work over time. It's an 'open-label' study, meaning both participants and the study team will know which treatment is being given. This research is important for gathering more information about apitegromab to help people with SMA.

At a glance

Status
Active not recruiting
Phase
PHASE3
Sponsor
Scholar Rock, Inc.
Enrolment target
238
Start
17 Apr 2023
Estimated completion
02 May 2029

What is this study about?

This study is called ONYX, and it's looking into a medicine called apitegromab. If you have Spinal Muscular Atrophy (SMA) type 2 or type 3 and have already finished a previous study with apitegromab (like TOPAZ or SAPPHIRE), this study offers a chance to continue receiving the treatment. The main aim is to understand the long-term effects of this medicine.

SMA is a genetic condition that affects the nerves responsible for muscle movement. It can lead to muscle weakness and problems with movement, breathing, and eating. Apitegromab is a treatment being investigated to help manage some of these symptoms. By continuing to study it, researchers hope to learn more about how consistently safe and effective it is over many years.

This is an 'extension' study, which means it builds on information gathered from earlier studies. It's an 'open-label' study, so everyone involved, including you and the doctors, will know you are receiving apitegromab. This way, the researchers can collect important information about how the drug performs in real-world conditions over a longer period.

Key takeaways

  • This study is for people with SMA types 2 and 3 who have previously taken apitegromab in another study.
  • It aims to observe the long-term safety and benefits of apitegromab.
  • You will receive the study medication through an IV drip and attend regular clinic visits.
  • Participation helps researchers understand the medicine better for future patients.
  • You can withdraw from the study at any time without affecting your medical care.

Who may be eligible?

To join this study, you must have successfully finished an earlier study involving apitegromab, either the TOPAZ or SAPPHIRE trial. You should also generally be in good health, with an expected lifespan of more than two years.

You'll need to be able to receive the study drug through an IV (a drip in your arm) and provide blood samples. It's also important to be able to attend all clinic visits and follow the study instructions carefully.

Some things might prevent you from joining. For example, if you stopped taking the study drug early in a previous trial, or if you have severe allergies to certain medicines, including apitegromab. If you're currently in another drug study, or if your nutrition isn't stable, you might not be able to participate.

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. Have you already completed an earlier apitegromab study (TOPAZ or SAPPHIRE)?
  2. Are you able to receive medicines through an IV drip and provide blood samples?
  3. Do you feel well enough to attend regular clinic appointments and follow instructions?
  4. Are you not currently in another drug study (other than TOPAZ or SAPPHIRE)?
  5. For women, are you not pregnant and willing to use effective birth control during the study?
Answer every question to see your result.

What does participation involve?

If you join the ONYX study, you will continue to receive the study medicine, apitegromab, through an intravenous (IV) infusion, which is like a drip into your vein. You will have regular visits to the clinic so the study team can check your health, see how the medicine is affecting you, and monitor for any side effects. These visits will involve physical examinations, providing blood samples, and answering questions about your well-being and any changes you notice.

The study is designed to look at the long-term effects of apitegromab, so it will continue for an extended period. The exact total duration will be discussed by the study team, but it's important to be prepared for ongoing participation. You'll need to commit to attending all scheduled appointments and following the study guidelines. The study team will provide more details on the schedule and what each visit involves.

Potential risks and benefits

Participating in this study might offer continued access to a potential treatment for your SMA. The information gained will also help future patients. However, like all medicines, apitegromab may have side effects, and some may be serious. The study team will explain all known risks. You can choose to leave the study at any time and for any reason, without it affecting your medical care.

Locations (49)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Phoenix Childrens Hospital
    Verified postcode
    Phoenix, United States
  • UCSD Altman Clinical and Translational Research
    Verified postcode
    La Jolla, United States
  • Children's Hospital Los Angeles
    Verified postcode
    Los Angeles, United States
  • Stanford Neuroscience Health Center
    Verified postcode
    Palo Alto, United States
  • Children's Hospital Colorado
    Verified postcode
    Aurora, United States
  • Nemours Biomedical Research
    Verified postcode
    Orlando, United States
  • Lurie Children's Hospital of Chicago
    Verified postcode
    Chicago, United States
  • University of Iowa
    Verified postcode
    Iowa City, United States
  • University of Kansas Medical Center
    Verified postcode
    Fairway, United States
  • Johns HopkinsHospital
    Verified postcode
    Baltimore, United States
  • Boston Children's Hospital
    Verified postcode
    Boston, United States
  • Helen DeVos Children's Hospital
    Verified postcode
    Grand Rapids, United States

Common questions

What is Spinal Muscular Atrophy (SMA)?

SMA is a genetic condition that causes muscle weakness and wasting over time, affecting movement, breathing, and other bodily functions.

What is apitegromab?

Apitegromab is an investigational medicine being studied to see if it can help improve muscle strength and function in people with SMA.

Do I have to pay to be in this study?

No, all study-related treatments and procedures are provided at no cost if you qualify and choose to participate.

What does 'Phase 3' mean for a study?

Phase 3 means the medicine has been tested in earlier stages and is now being studied in a larger group of people to confirm its effectiveness, monitor side effects, and compare it to existing treatments or a placebo.

Can my family doctor still care for me if I join?

Yes, you will continue to see your regular doctors for all your usual medical care while participating in the study.

How to find out more

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

Discussion

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