What this study is
This double-blind, Phase 2, multiple-dose study will be conducted to evaluate the PK/PD, efficacy, safety, and tolerability of apitegromab in subjects <2 years old with 5q autosomal recessive SMA who have delayed motor milestones for their age attributed to SMA at the discretion of the Investigator or a Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP-INTEND) score <55.
What's being tested
- Apitegromab
Intervention · DRUG
Apitegromab is a fully human anti-proMyostatin monoclonal antibody (mAb) of the immunoglobulin G4 (IgG4)/lambda isotype that specifically binds to human pro/latent myostatin with high affinity inhibiting myostatin activation. SRK-015 will be administered every 4 weeks by intravenous (IV) infusion.
- Nusinersen
Intervention · DRUG
Nusinersen is a current standard-of-care SMN therapy that targets the SMN2 gene. It will be administered intrathecally per the prescribing information.
- Risdiplam
Intervention · DRUG
Risdiplam is a current standard-of-care SMN therapy that targets the SMN2 gene. It will be administered orally per the prescribing information.
Study details
- Official title
- A Phase 2, Double-Blind Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Efficacy, and Safety of Apitegromab in Subjects <2 Years Old With Spinal Muscular Atrophy (SMA)
- Sponsor
- Scholar Rock, Inc.
- Conditions
- Spinal Muscular Atrophy · SMA · Spinal Muscular Atrophy Type 2 · Spinal Muscular Atrophy Type 3 · Neuromuscular Manifestations · Anti-myostatin
- Enrolling
- 52 people
- Starts
- 2025-09-15
- Est. completion
- 2029-03
- Design
- Quadruple-blind, randomized, parallel groups, Phase 2
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age Up to 2 YearsSex ALLHealthy volunteers Not acceptedYou may qualify if
- Is <2 years old at the time of the informed consent
- Had a gestational age of ≥35 weeks and gestational body weight ≥2.0 kg at birth
- Has confirmed diagnosis of 5q autosomal recessive SMA
- Has confirmed presence of SMN2 gene copy(ies)
- Must have been treated with an approved SMN1-targeted therapy (ie, onasemnogene abeparvovec-xioi) or are continuing to be treated with an approved SMN2-targeted therapy (ie, nusinersen or risdiplam)
- Body weight for age is no less than 1st percentile based on the WHO Child Growth Standards at the Screening Visit
- Has delayed motor milestones for age attributed to SMA at the discretion of the Investigator or a CHOP-INTEND score <55
You can't join if
- Nutritional status that is not anticipated to be stable throughout the study or medical necessity for a gastric feeding tube, where most feeds are administered by this route
- Major orthopedic issues such as severe scoliosis or severe contractures or interventional procedure, including spine or hip surgery, which is considered to have the potential to substantially limit the ability of the subject to be evaluated on any motor function outcome measures, within 6 months before Screening or anticipated during the study
- Any other physical limitations (eg, the subject requires cast for contractures) that would prevent the subject from undergoing motor function outcome measures throughout the study.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (23)
23 openPhoenix Children's Hospital
Phoenix, Arizona, United States
- Melony Valdez · Contact602-933-2017mvaldez8@phoenixchildrens.com
RecruitingChildren's Hospital of Orange County (CHOC)
Orange, California, United States
- Sabrine Serrano · Contact714-509-7926Sabrina.serrano@choc.org
RecruitingStanford Neuroscience Health Center (SNHC)
Palo Alto, California, United States
- Wendy Ao · Contact650-725-4341NeuromuscularResearch@stanford.edu
RecruitingChildren's Hospital Colorado
Aurora, Colorado, United States
- Hannah Kleiner · Contact720-222-1377hannah.kleiner@childrenscolorado.org
RecruitingChildren's Healthcare of Atlanta
Atlanta, Georgia, United States
- Julia Hunt · Contact404-785-4677julia.hunt@choa.org
RecruitingUniversity of Iowa
Iowa City, Iowa, United States
- Carrie Stephan · Contact319-356-2673carrie-stephan@iowa.edu
RecruitingHelen DeVos Children's Hospital at Spectrum Health
Grand Rapids, Michigan, United States
- Rosa Sifontes-Escamilla · Contact616-486-6342rosa.sifontes-escamilla@helendevoschildrens.org
RecruitingThe Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
- Karen Monono · Contact267-425-0158mononok@chop.edu
RecruitingUniversity of Texas Southwestern Medical Center
Dallas, Texas, United States
- Holly Lawrence · Contact214-456-9561Holly.Lawrence@utsouthwestern.edu
RecruitingNeurology Rare Disease Center
Flower Mound, Texas, United States
- Jennifer Avelar · Contact972-999-1011jennifer.avelar@neuromdcenter.com
RecruitingCook Children's Medical Center
Fort Worth, Texas, United States
- Kayla Blough · Contact682-303-1489kayla.blough@cookchildrens.org
RecruitingTexas Children's Hospital (TCH)-Clinical Care Center (CCC)
Houston, Texas, United States
- Kim Walker · Contact832-824-0253Kim.Walker@bcm.edu
Recruiting
11 sites outside the US
- Recruiting
UZ Leuven - Campus Gasthuisberg
Leuven, Belgium
RecruitingCHR Citadelle
Liège, Belgium
RecruitingHopital Trousseau - I-Motion
Paris, France
- Andreea Seferian · Contact+003 317 1738050a.seferian@institut-myologie.org
RecruitingFondazione I.R.C.C.S. - Istituto Neurologico Carlo Besta
Milan, Italy
RecruitingCentro Clinico NeMO Milano - Fondazione Serena Onlus
Milan, Italy
RecruitingFondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Italy
RecruitingUniversitair Medisch Centrum Utrecht
Utrecht, Netherlands
RecruitingHospital Sant Joan de Déu Barcelona
Barcelona, Spain
RecruitingHospital Universitari i Politecnico La Fecnic La Fe
Valencia, Spain
RecruitingLeeds General Infirmary Children's Research Department
Leeds, West Yorkshire, United Kingdom
- Anne-Marie Childs · Contact+44 11 3392 2160paedonc.research@nhs.net
Recruiting
Study team
Sponsor
Scholar Rock, Inc.
Study ID SRK-015-005
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.