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A Study to Evaluate the Efficacy and Safety of Taldefgrobep Alfa in Participants With Spinal Muscular Atrophy

This study is testing a new medicine, taldefgrobep alfa, for children and young adults aged 4 to 21 who have Spinal Muscular Atrophy (SMA). It aims to find out if this new medicine, when given alongside their current SMA treatment (like nusinersen, risdiplam, or if they've had onasemnogene abeparvovec), can safely help improve muscle strength and movement even more. The researchers believe that taldefgrobep alfa works by blocking a protein called myostatin, which normally limits muscle growth. By blocking it, they hope to help people with SMA build more muscle. This study compares the new medicine to a dummy treatment (placebo) to understand its effects better.

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Estado
Activo, no reclutando
Fase
FASE3
Patrocinador
Biohaven Pharmaceuticals, Inc.
Objetivo de inscripción
269
Inicio
06 Jul 2022
Estimación de finalización
01 Dec 2027

¿De qué trata este estudio?

This study is about a new medicine called taldefgrobep alfa. It's being tested for people living with Spinal Muscular Atrophy, also known as SMA. SMA is a condition that affects muscles, making them weaker over time. There are already some good treatments available for SMA that help by increasing a specific protein in the body. This new medicine is designed to work in a different way, making it a possible addition to existing treatments.

Our muscles have a natural 'brake' on their growth, controlled by a protein called myostatin. Taldefgrobep alfa works by blocking this myostatin protein. The idea is that by removing this 'brake', muscles might be able to grow bigger and stronger. In earlier studies, this medicine was well tolerated, meaning people didn't seem to have significant problems with it. The hope is that by combining this new approach with existing SMA medicines, people with SMA could see even greater improvements in their movement and overall muscle function.

This study will compare taldefgrobep alfa with a 'placebo', which is a dummy treatment that looks just like the real medicine but contains no active ingredient. This is a common and important way for researchers to truly understand if a new medicine is effective and safe. Comparing it to a placebo helps ensure that any improvements seen are genuinely due to the study medicine and not just other factors.

Puntos clave

  • This study tests a new medicine, taldefgrobep alfa, for SMA.
  • It's for people aged 4-21 who are already on other SMA treatments.
  • The medicine aims to boost muscle growth by blocking a protein called myostatin.
  • Participants will receive either the new medicine or a dummy treatment (placebo).
  • The goal is to see if it can further improve muscle strength and movement.
  • The study also checks how safe the new medicine is.

¿Quién puede ser elegible?

To be part of this study, you would typically need to meet certain conditions. First, you must have a confirmed diagnosis of Spinal Muscular Atrophy (SMA) that's been checked by genetic tests, and you should be between 4 and 21 years old. It doesn't matter if you can walk or not; both ambulant and non-ambulant individuals can be considered. A key requirement is that you are already on a stable dose of an existing SMA treatment, such as nusinersen, risdiplam, or have previously received onasemnogene abeparvovec, and you expect to continue with that treatment throughout the study.

There are also some reasons why someone might not be able to join. For example, if you have already tried other medicines that block myostatin, you wouldn't be eligible for this study. Your weight must be at least 15 kilograms. Also, if you need a machine to help you breathe during the day while you're awake, you wouldn't be able to participate (though using a breathing machine overnight or for naps is usually fine). If you've had spinal fusion surgery in the last six months, or if you have certain types of implanted medical devices in your brain or spine, you would also be excluded.

¿Podría este estudio ser adecuado para ti?

Responde estas preguntas rápidas para ver si puedes ser elegible. Esto es solo una guía: el equipo de investigación toma la decisión final.

  1. Do you have a genetically confirmed diagnosis of Spinal Muscular Atrophy (SMA)?
  2. Are you between 4 and 21 years old?
  3. Are you currently taking or have you previously received an approved SMA treatment (like nusinersen, risdiplam, or onasemnogene abeparvovec)?
  4. Do you weigh at least 15 kilograms (around 2 stone 5 lbs)?
  5. Do you not need a breathing machine to help you breathe during the daytime while you're awake (using one overnight or for naps is okay)?
  6. Have you not received any other 'anti-myostatin' treatments in the past?
Responde cada pregunta para ver tu resultado.

¿En qué consiste la participación?

If you decide to take part in this study, you would likely have a series of visits to the study clinic. These visits would involve various assessments to check your muscle strength, movement, and overall health. You would receive either the study medicine, taldefgrobep alfa, or a placebo (a dummy treatment) through injections. The study team would closely monitor your health and any changes you experience throughout the trial. They'll also check your blood or other samples from time to time. The exact number of visits, tests, and the total length of your involvement would be fully explained by the study team before you make any decisions.

Riesgos y beneficios potenciales

Taking part in any clinical study has potential benefits and potential risks. A possible benefit of being in this study is that you might receive a new medicine, taldefgrobep alfa, which could potentially improve your muscle strength and movement. However, there's no guarantee, and you might receive the placebo group, which would not contain the active medicine. As with any medicine, there could be side effects or risks associated with taldefgrobep alfa, which would be fully explained to you by the study team. You always have the right to withdraw from the study at any time, for any reason, without it affecting your medical care.

Ubicaciones (53)

  • Phoenix Children's
    Código postal verificado
    Phoenix, Estados Unidos
  • UCSD & Rady Children's
    Código postal verificado
    La Jolla, Estados Unidos
  • Children's Hospital of Los Angeles
    Código postal verificado
    Los Angeles, United States
  • UCSF Benioff Children's Hospital, Medical Center
    Código postal verificado
    San Francisco, Estados Unidos
  • Hospital de Niños de Colorado
    Código postal verificado
    Aurora, Estados Unidos
  • UF Health, Shands Hospital
    Código postal verificado
    Gainesville, Estados Unidos
  • Rare Disease Research
    Código postal verificado
    Atlanta, Estados Unidos
  • Northwestern University - Feinberg School of Medicine - Ann & Robert H. Lurie Children's Hospital of Chicago
    Código postal verificado
    Chicago, Estados Unidos
  • Indiana University -Riley Research
    Código postal verificado
    Indianápolis, Estados Unidos
  • University of Iowa
    Código postal verificado
    Iowa City, Estados Unidos
  • Centro Médico de la Universidad de Kansas
    Código postal verificado
    Fairway, Estados Unidos
  • Boston Children's Hospital - Harvard
    Código postal verificado
    Boston, Estados Unidos

Preguntas comunes

What is Spinal Muscular Atrophy (SMA)?

SMA is a condition that causes muscles to become weaker over time due to a problem with specific nerve cells.

What does 'adjunctive therapy' mean?

It means the new medicine, taldefgrobep alfa, would be given alongside your current SMA treatment, not instead of it.

¿Qué es un 'placebo'?

A placebo is a fake medicine that looks like the real thing but has no active ingredients. It helps researchers compare the effects of the active medicine.

What is myostatin?

Myostatin is a natural protein in your body that slows down muscle growth. This new medicine aims to block it.

¿Sabré si estoy recibiendo el medicamento real o el placebo?

No, typically in these types of studies, neither you nor your doctor will know who is getting the active medicine or the placebo. This is to ensure the study results are as fair and accurate as possible.

Cómo obtener más información

Siempre hable con su médico de cabecera o especialista antes de decidir participar en un estudio.

Discusión

Discusión comunitaria

Impulsado por nuestro foro en community.patient.info. Por favor, sea respetuoso — esto no es un consejo médico.