Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    Phase I Gene Transfer Clinical Trial for Spinal Muscular Atrophy Type 1 Delivering AVXS-101

    Summary
    EudraCT number
    2020-001235-27
    Trial protocol
    Outside EU/EEA  
    Global end of trial date
    14 Dec 2017

    Results information
    Results version number
    v2(current)
    This version publication date
    20 Aug 2022
    First version publication date
    11 Aug 2021
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    AE data

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    AVXS-101-CL-101
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02122952
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Gene Therapies, Inc.
    Sponsor organisation address
    2275 Half Day Road, Bannockburn, IL, United States, 60015
    Public contact
    Novartis Gene Therapies EU Ltd., EMEA Medical Information, +353 (1) 566-2364, medinfoEMEA.gtx@novartis.com
    Scientific contact
    Novartis Gene Therapies EU Ltd., EMEA Medical Information, +353 (1) 566-2364, medinfoEMEA.gtx@novartis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-002168-PIP01-17
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Dec 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Dec 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of the trial was to evaluate the safety and efficacy of intravenous delivery of AVXS-101 as a treatment of spinal muscular atrophy Type 1 (SMN1).
    Protection of trial subjects
    The study was performed in accordance with ethical principles that have their origin in the Declaration of Helsinki and were consistent with International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP) and applicable regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    05 May 2014
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    15 Years
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 15
    Worldwide total number of subjects
    15
    EEA total number of subjects
    0
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    2
    Infants and toddlers (28 days-23 months)
    13
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    A total of 15 participants took part in the trial at a single site in the United States between May 2014 and December 2017.

    Pre-assignment
    Screening details
    The study was designed to include 4 sequential dosing cohorts (Cohorts 1,2A, 2B and 3). The study did not escalate to Cohort 3 as planned and Cohort 2A and 2B were combined and referred to as Cohort 2.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Cohort 1
    Arm description
    6.7 X 10^13 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.
    Arm type
    Experimental

    Investigational medicinal product name
    AVXS-101
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    AVXS-101 was administered as an intravenous (IV) infusion over 60 minutes at a dose of 6.7 X 10^13 vg/kg as assessed using quantitative polymerase chain reaction (qPCR).

    Arm title
    Cohort 2
    Arm description
    2.0 X 10^14 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.
    Arm type
    Experimental

    Investigational medicinal product name
    AVXS-101
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    AVXS-101 was administered as an intravenous (IV) infusion over 60 minutes at a dose of 2.0 X 10^14 vg/kg. When measured initially by a qPCR assay, the Cohort 2 dose was assessed as 2.0 x 10^14 vg/kg. Subsequently the Cohort 2 dose was directly measured by a more developed and further validated droplet digital polymerase chain reaction (ddPCR) method to be 1.1 X 10^14 vg/kg. The dose is subsequently referred to as 2.0 X 10^14 vg/kg throughout the following results.

    Number of subjects in period 1
    Cohort 1 Cohort 2
    Started
    3
    12
    Completed
    3
    12

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Cohort 1
    Reporting group description
    6.7 X 10^13 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Reporting group title
    Cohort 2
    Reporting group description
    2.0 X 10^14 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Reporting group values
    Cohort 1 Cohort 2 Total
    Number of subjects
    3 12 15
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 2 2
        Infants and toddlers (28 days-23 months)
    3 10 13
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    0 0 0
        From 65-84 years
    0 0 0
        85 years and over
    0 0 0
    Age continuous
    Units: months
        arithmetic mean (standard deviation)
    6.3 ± 0.75 3.4 ± 2.06 -
    Gender categorical
    Units: Subjects
        Female
    2 7 9
        Male
    1 5 6
    Race
    Units: Subjects
        White
    3 11 14
        Other
    0 1 1
    Ethnicity
    Units: Subjects
        Not Hispanic or Latino
    3 10 13
        Hispanic or Latino
    0 2 2
    Survival of motor neuron 2 (SMN2) copy number = 2
    Units: Subjects
        SMN2 copy number = 2
    3 12 15
    Bi-allelic deletions of SMN1
    Units: Subjects
        Bi-allelic deletions of SMN1
    3 12 15
    Exon 7 gene modifier mutation
    Units: Subjects
        Exon 7 gene modifier mutation
    3 12 15

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Cohort 1
    Reporting group description
    6.7 X 10^13 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Reporting group title
    Cohort 2
    Reporting group description
    2.0 X 10^14 vector gram per kilogram (vg/kg) of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Primary: Number of Participants Who Experienced a Treatment-related Unacceptable Toxicity

    Close Top of page
    End point title
    Number of Participants Who Experienced a Treatment-related Unacceptable Toxicity [1]
    End point description
    Unacceptable toxicity was defined as one grade III or higher unanticipated, treatment-related toxicity that presented with clinical symptoms and required medical treatment.
    End point type
    Primary
    End point timeframe
    Up to 24 months post-dose
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No comparative statistical analysis was planned.
    End point values
    Cohort 1 Cohort 2
    Number of subjects analysed
    3
    12
    Units: Participants
    1
    3
    No statistical analyses for this end point

    Secondary: Number of Participants Who Experienced Permanent Ventilation or Death

    Close Top of page
    End point title
    Number of Participants Who Experienced Permanent Ventilation or Death
    End point description
    Permanent ventilation was defined as the requirement of ≥16-hour respiratory assistance, including non-invasive ventilatory support, per day continuously for ≥2 weeks in the absence of an acute reversible illness, excluding perioperative ventilation or death.
    End point type
    Secondary
    End point timeframe
    Up to 13.6 months of age
    End point values
    Cohort 1 Cohort 2
    Number of subjects analysed
    3
    12
    Units: Participants
    0
    0
    No statistical analyses for this end point

    Secondary: Change from Baseline in Mean Children’s Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score

    Close Top of page
    End point title
    Change from Baseline in Mean Children’s Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) Score
    End point description
    Score ranges from 0 to 64, where 64 is the maximum possible score. A higher score is indicative of higher/better motor function. CHOP-INTEND assessments were discontinued once patients achieved higher functioning status, so the number of available data points decreased over time.
    End point type
    Secondary
    End point timeframe
    Baseline to 24 months post-dose
    End point values
    Cohort 1 Cohort 2
    Number of subjects analysed
    0 [2]
    6
    Units: Percentage Change
        arithmetic mean (standard deviation)
    ±
    30.7 ± 145.61
    Notes
    [2] - No participants had available data.
    No statistical analyses for this end point

    Secondary: Number of Participants Who Achieved Functional Independent Sitting

    Close Top of page
    End point title
    Number of Participants Who Achieved Functional Independent Sitting
    End point description
    Achievement of functional independent sitting was defined as the ability to maintain a sitting position independently for at least 30 seconds as confirmed per video evaluation by an expert central reviewer based on videos taken either at scheduled visits or provided by the parent/legal guardian.
    End point type
    Secondary
    End point timeframe
    Up to 24 months post-dose
    End point values
    Cohort 1 Cohort 2
    Number of subjects analysed
    3
    12
    Units: Participants
    0
    9
    No statistical analyses for this end point

    Other pre-specified: Number of Participants Who Achieved Functional Independent Sitting

    Close Top of page
    End point title
    Number of Participants Who Achieved Functional Independent Sitting
    End point description
    Achievement of functional independent sitting was defined as the ability to maintain a sitting position independently for at least 30 seconds as confirmed per video evaluation by an expert central reviewer based on videos taken either at scheduled visits or provided by the parent/legal guardian.
    End point type
    Other pre-specified
    End point timeframe
    Up to 24 months post-dose
    End point values
    Cohort 1 Cohort 2
    Number of subjects analysed
    3
    12
    Units: Participants
    0
    9
    Statistical analysis title
    Cohort 1 and 2 Versus PNCR
    Statistical analysis description
    Data for the current study were compared to historical control data (Pediatric Neuromuscular Clinical Research [PNCR], Finkel et al 2014 - PubMed 25080519) where 0 participants were able to sit independently.
    Comparison groups
    Cohort 1 v Cohort 2
    Number of subjects included in analysis
    15
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.001
    Method
    One-sided Exact Binomial Test
    Confidence interval

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were collected from the single dose of study treatment until 24 months post dose.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.0
    Reporting groups
    Reporting group title
    Cohort 1
    Reporting group description
    6.7 X 10^13 vg/kg of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Reporting group title
    Cohort 2
    Reporting group description
    2.0 X 10^14 vg/kg of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein.

    Serious adverse events
    Cohort 1 Cohort 2
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 3 (100.00%)
    10 / 12 (83.33%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Investigations
    Enterovirus test positive
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Human rhinovirus test positive
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Norovirus test positive
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oxygen saturation decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Transaminases increased
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Femur fracture
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Post procedural haemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Tachycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Atelectasis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia aspiration
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory distress
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Adenovirus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchitis
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Enterovirus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastroenteritis viral
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Influenza
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Parainfluenzae virus infection
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    0 / 3 (0.00%)
    7 / 12 (58.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 10
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia parainfluenzae viral
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia respiratory syncytial viral
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia viral
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Postoperative wound infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory syncytial virus bronchiolitis
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rhinovirus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Viral upper respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Cohort 1 Cohort 2
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 3 (100.00%)
    12 / 12 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    General disorders and administration site conditions
    Catheter site dermatitis
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Catheter site inflammation
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Catheter site pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Pyrexia
         subjects affected / exposed
    1 / 3 (33.33%)
    7 / 12 (58.33%)
         occurrences all number
    1
    12
    Secretion discharge
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Immune system disorders
    Food allergy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Hypersensitivity
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Aspiration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Atelectasis
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    3
    Cough
         subjects affected / exposed
    0 / 3 (0.00%)
    5 / 12 (41.67%)
         occurrences all number
    0
    11
    Dyspnoea
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    2
    Epistaxis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Hypoxia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Nasal congestion
         subjects affected / exposed
    0 / 3 (0.00%)
    6 / 12 (50.00%)
         occurrences all number
    0
    9
    Nasal oedema
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Pleural effusion
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Respiratory failure
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    5
    Respiratory tract congestion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    2
    Rhinitis allergic
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Rhinorrhoea
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    4
    Snoring
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Tachypnoea
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Upper respiratory tract congestion
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Wheezing
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Investigations
    Aspartate aminotransferase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Enterovirus test positive
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Eosinophil count increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Haemoglobin decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Human rhinovirus test positive
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Transaminases increased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    3
    Femur fracture
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Humerus fracture
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Lower limb fracture
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Mouth injury
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Procedural pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Tibia fracture
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Traumatic haematoma
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Wound
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Tachycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    3
    Ventricular hypertrophy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Eye disorders
    Blepharitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    2
    Chalazion
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Dry eye
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Abdominal pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Constipation
         subjects affected / exposed
    1 / 3 (33.33%)
    6 / 12 (50.00%)
         occurrences all number
    1
    8
    Diarrhoea
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    3
    Dysphagia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Gastric hypomotility
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 3 (33.33%)
    5 / 12 (41.67%)
         occurrences all number
    1
    6
    Haematemesis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Haematochezia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Hiatus hernia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Nausea
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Teething
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Vomiting
         subjects affected / exposed
    0 / 3 (0.00%)
    8 / 12 (66.67%)
         occurrences all number
    0
    11
    Skin and subcutaneous tissue disorders
    Acne infantile
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Alopecia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Decubitus ulcer
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Dermatitis allergic
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Eczema
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Erythema
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 12 (8.33%)
         occurrences all number
    1
    1
    Excessive granulation tissue
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    2
    0
    Rash
         subjects affected / exposed
    0 / 3 (0.00%)
    5 / 12 (41.67%)
         occurrences all number
    0
    6
    Rash generalised
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Skin discolouration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Urticaria
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Mastication disorder
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Muscular weakness
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Osteopenia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Scoliosis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Infections and infestations
    Alpha haemolytic streptococcal infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Bronchiolitis
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 12 (25.00%)
         occurrences all number
    0
    3
    Catheter site cellulitis
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Clostridium difficile colitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Conjunctivitis
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Ear infection
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 12 (16.67%)
         occurrences all number
    1
    2
    Enterovirus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    4 / 12 (33.33%)
         occurrences all number
    0
    5
    Gastroenteritis viral
         subjects affected / exposed
    0 / 3 (0.00%)
    4 / 12 (33.33%)
         occurrences all number
    0
    4
    Influenza
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Lower respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    2
    Metapneumovirus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Oral candidiasis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Otitis externa
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Otitis media
         subjects affected / exposed
    2 / 3 (66.67%)
    2 / 12 (16.67%)
         occurrences all number
    6
    3
    Otitis media acute
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Parainfluenzae virus infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Pharyngitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Pharyngitis streptococcal
         subjects affected / exposed
    1 / 3 (33.33%)
    2 / 12 (16.67%)
         occurrences all number
    1
    2
    Pneumonia
         subjects affected / exposed
    0 / 3 (0.00%)
    4 / 12 (33.33%)
         occurrences all number
    0
    4
    Pneumonia viral
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Pseudomonas infection
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Rhinovirus infection
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 12 (33.33%)
         occurrences all number
    1
    5
    Staphylococcal bacteraemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Staphylococcal infection
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Tonsillitis
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    1
    0
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 3 (33.33%)
    10 / 12 (83.33%)
         occurrences all number
    3
    28
    Urinary tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Viral infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Viral upper respiratory tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 12 (16.67%)
         occurrences all number
    0
    2
    Wound infection
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1
    Fluid overload
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    2
    Hyperglycaemia
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 12 (0.00%)
         occurrences all number
    3
    0
    Hypoglycaemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 12 (8.33%)
         occurrences all number
    0
    1

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    19 May 2014
    The following changes were made: • CHOP-INTEND and Ability Captured Through Interactive Video Evaluation – mini (ACTIVE-mini) assessed at additional time points • Urine, saliva, and feces sample collections added for future research of viral shedding • Blood sample collected at Day 60 to assess serum antibody, T-cell response (ELISpot), and for future research • Treat patients with positive T-cell immune response with prednisolone (1 to 2 mg/kg once daily) and close monitoring of T-cell immune reaction
    24 Jul 2014
    The following changes were made: • Safety laboratory assessments collected at additional time points • Direct bilirubin and albumin added to safety laboratory analyses • Immunology (anti-AAV9/SMN antibody and T-cells), research blood, and urinalysis collected at additional time points • Added vaccination recommendations • Prednisolone treatment changed to approximately 1 mg/kg once per day starting prophylactically 1 day prior to AVXS-101 infusion with a tapering protocol based on immune response to AVXS-101 o Dose could have been increased to approximately 2 mg/kg once per day, depending on T-cell response measured by ELISpot assay • Administer AVXS-101 within 8 hours of preparation
    08 Oct 2014
    The following changes were made: • Intermediate dose of 2.0 X 10^14 vg/kg Cohort 2 (n=3) added • High dose of 3.3 X 10^14 vg/kg moved to Cohort 3 (n=3)
    20 Jan 2015
    The following changes were made: • Secondary objective of study revised to the time from birth until death or time to ≥16-hour respiratory assistance continuously for ≥2 weeks in the absence of an acute reversible illness • Maintain prophylactic prednisolone treatment for ≤30 days • Revised prednisolone tapering schedule to be based on interferon-gamma T-cell response and aspartate aminotransferase/alanine aminotransferase values • Request permission for autopsy at time of death
    12 Mar 2015
    The following changes were made: • Primary objective of study revised to determination of safety based on the development of unacceptable toxicity: defined as the occurrence of any one Grade 3 or higher, unanticipated, treatment-related toxicity • Cohort 2 to include ≥3 and ≤6 patients and Cohort 3 to include up to 3 patients • Prednisolone did not need to be maintained for ≤30 days and revised tapering schedule • Research urine, saliva, and stool assessed at additional time points • Replace AE severity classifications with Common Terminology Criteria for Adverse Events (CTCAE) v4.03 classifications (Grades 1 to 5) • Severity of liver toxicity assessed using NIH Guideline for Severity Grading in Drug Induced Liver Injury (Grades 1 to 5), including assessments of association or relatedness to AVXS-101 • Required dose level toxicities to be unanticipated • Saliva, urine, and stool research samples collected at additional time points
    04 May 2015
    The following changes were made: • Bayley Scales added to exploratory outcome measures with fine and gross motor subtests administered to patients who achieved CHOP-INTEND scores ≥60 • Research urine assessed at additional time point • Removed severity of liver toxicity grading added in Protocol v11.0 • Stopping criteria required Grade 3 or higher AE toxicity, clinical symptoms, and medical treatment
    10 Jun 2015
    The following changes were made: • Removed Cohort 3 and Cohort 2 renamed Cohort 2A • Extended enrollment to 6 additional patients (intermediate dose) following gene transfer of first 9 patients • Addendum 2, v1.0 (24Jun2015) o Expand sample size with Cohort 2B (2.0E14 vg/kg) and added Cohort 3 (3.3E14 vg/kg), each consisting of 3 patients o The age of patients on the day of AVXS-101 infusion was decreased to 6 months of age or younger for Cohort 2B and Cohort 3
    21 Apr 2016
    The following changes were made: • Added secondary objective of change from baseline in CHOP-INTEND score, and improvement of motor function and muscle strength as determined by achievement of significant development milestones including but not limited to the ability to sit alone and roll over unassisted o Additionally, AveXis could provide videos of the physical exams, CHOP-INTEND assessments, and/or Bayley Scales assessments to an independent, blinded reviewer for confirmation of the development milestones • Added objective of compelling, demonstrable, documented evidence of efficacy as determined by changes in functional abilities as captured during videotaping sessions during site visits and/or captured by patient/parent/legal guardian at home • Added primary analysis for efficacy assessed when all patients reach 13.6 months of age, and follow-up safety analysis completed when the last patient reaches 24 months post-dose • Initial genetic testing and diagnosis could be completed by a different institution/laboratory and could be confirmed by AveXis through a third-party laboratory using an additional blood sample • Updates and clarifications to CHOP-INTEND requirements • Bayley Scales fine motor, gross motor, and cognition subtests administered for CHOP-INTEND scores ≥60 • During the first year, Bayley Scales gross and fine motor subtests assessed monthly, and cognition subtest assessed every 3 months. During the second year, all Bayley Scales subtests assessed every 3 months, except for patients being seen monthly for CHOP-INTEND assessments. For these patients, the first year assessment schedule was followed. • Assess the age at which significant motor milestones achieved using the Motor Milestone Development Survey and Gross Motor Skills Checklist.
    21 Nov 2016
    The following change was made: • This Institutional Review Board-approved amended protocol, which added a co-primary endpoint and secondary endpoints, was rescinded 23Jan2017, in response to feedback received from the FDA suggesting the objectives and endpoints set forth in Protocol dated 21Apr2016 be maintained due to the open-label nature of the study
    23 Jan 2017
    The following change was made: • Quarterly instead of monthly visits during the second year

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat Apr 27 19:13:33 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA