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January 18, 2024Journal of Neuromuscular DiseasesOpen Access

Real-World Outcomes in Patients with Spinal Muscular Atrophy Treated with Onasemnogene Abeparvovec Monotherapy: Findings from the RESTORE Registry

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Key result

In 168 patients with spinal muscular atrophy treated with onasemnogene abeparvovec monotherapy, 100% maintained or achieved motor milestones and 48.5% experienced an adverse event.

Why the study?

Long-term, real-world effectiveness and safety data of disease-modifying treatments for spinal muscular atrophy are needed for a larger number and broader range of patients than included in clinical trials.

Does onasemnogene abeparvovec monotherapy improve motor milestones and maintain safety in patients with spinal muscular atrophy in a real-world setting?

Population

168 patients with SMA treated with onasemnogene abeparvovec monotherapy

Design

Prospective multicenter multinational observational registry

Authors

LSLaurent ServaisCentre National de la Recherche ScientifiqueDVDarryl C. De VivoColumbia University Irving Medical CenterJKJanbernd KirschnerUniversità Cattolica del Sacro Cuore

Discussion

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Member takes

Implication

Real-world SMA outcomes with onasemnogene abeparvovec align with trials; extends evidence to broader populations but remains hypothesis-generating pending RCTs.

Study Design

Type

Observational (n=168)

Multicenter

Yes

Structured PICO

Does onasemnogene abeparvovec monotherapy improve motor milestones and maintain safety in patients with spinal muscular atrophy in a real-world setting?

P
Population
168 patients with spinal muscular atrophy treated with onasemnogene abeparvovec monotherapy in a real-world registry.
E
Exposure
Onasemnogene abeparvovec monotherapy
O
Outcome
Motor milestones, CHOP INTEND score, and safety (adverse events)safety

Real-world data from the RESTORE registry confirms the effectiveness and safety of onasemnogene abeparvovec monotherapy in patients with spinal muscular atrophy, with better outcomes observed in those identified by newborn screening.

Cite This Study

Servais et al. (2024) conducted an observational in Spinal muscular atrophy (SMA) (n=168). Onasemnogene abeparvovec monotherapy was evaluated on Maintenance or achievement of motor milestones. In 168 patients with spinal muscular atrophy treated with onasemnogene abeparvovec monotherapy, 100% maintained or achieved motor milestones and 48.5% experienced an adverse event.

synapsesocial.com/papers/6a957207aa92d0f3572ca3c6https://doi.org/10.3233/jnd-230122
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Onasemnogene abeparvovec for presymptomatic infants with two copies of SMN2 at risk for spinal muscular atrophy type 1: the Phase III SPR1NT trial2022 · 319 citations
  2. 2Cardiac pathology in spinal muscular atrophy: a systematic review2017 · 114 citations
  3. 3Immunogenicity and toxicity of AAV gene therapy2022 · 404 citations
  4. 4Onasemnogene abeparvovec in spinal muscular atrophy: an Australian experience of safety and efficacy2022 · 76 citations
  5. 5Safety of Onasemnogene Abeparvovec for Patients With Spinal Muscular Atrophy 8.5 kg or Heavier in a Global Managed Access Program2022 · 32 citations