7 Days and older, any sex, with Muscular Atrophy, Spinal. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Part B Infantile-onset SMA: Change From Baseline in CHOP-INTEND Total Score for 50/28mg Nusinersen Versus CS3B Matched Sham Control GroupPrimary· Baseline, Day 183
The CHOP-INTEND test was designed to evaluate the motor skills of infants with significant motor weakness. It included 16 items (capturing neck, trunk, and proximal and distal limb strength), nine of which were scored 0, 1, 2, 3, or 4, five were scored as 0, 2, or 4, one was scored as 0, 1, 2, or 4, and one as 0, 2, 3, or 4 with higher scores indicating greater muscle strength and function. Total score was calculated as the sum of scores for each item. Total score ranged from 0 (worst possible score) and 64 (best possible score). The change from baseline to Day 183 in the CHOP-INTEND total score
Group
Value
95% CI
Part B: Infantile-Onset SMA: 50/28 mg Nusinersen
42.9
38.7 – 47.2
CS3B Matched Sham Control Group
16.9
10.1 – 23.7
Parts A and C: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (TESAEs)Primary· Part A: From the first dose of the study drug up to Day 389, Part C: From the first dose of the study drug up to Day 361
An adverse event (AE) was any unfavorable \& unintended sign (including an abnormal assessment such as an abnormal laboratory value), symptom, or disease temporally associated with use of an investigational product, whether or not related to investigational product. An SAE was any untoward medical occurrence that at any dose resulted in death, in the view of Investigator, placed participant at immediate risk of death, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, resulted in a birth defect. AE and SA
TEAEs
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
4
Part C: Nusinersen 50/28 mg
37
TESAEs
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
6
Parts A and C: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Blood Chemistry Parameters)Primary· Parts A and C: Baseline up to Day 302
Blood chemistry parameters included protein, albumin, creatinine, blood urea nitrogen, bilirubin (total and direct), alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transferase, glucose, calcium, phosphorus, bicarbonate, chloride, sodium, potassium, cystatin C, and creatine kinase. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline
Alkaline Phosphatase Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
2
Alanine Aminotransferase Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
6
Aspartate Aminotransferase Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
8
Bicarbonate Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
6
Bicarbonate Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Bilirubin Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
1
Indirect Bilirubin Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
4
Part C: Nusinersen 50/28 mg
12
Indirect Bilirubin Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
1
Parts A and C: Number of Participants With Shifts From Baseline in Clinical Laboratory Parameters (Hematology Parameters)Primary· Parts A and C: Baseline up to Day 302
Hematology parameters included complete blood cell count, with differential and platelet count, and absolute neutrophil count. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high postbaseline values. The categories with at least one participant with shift from baseline in these pa
Basophils Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
2
Part C: Nusinersen 50/28 mg
6
Basophils/Leukocytes Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
2
Part C: Nusinersen 50/28 mg
6
Eosinophils Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
3
Eosinophils/Leukocytes Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
3
Part C: Nusinersen 50/28 mg
9
Hematocrit Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Hematocrit Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
0
Hemoglobin Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
3
Lymphocytes Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
1
Parts A and C: Number of Participants With Shifts From Baseline in UrinalysisPrimary· Parts A and C: Baseline up to Day 302
Urinalysis included assessments of urine total protein, specific gravity, pH, protein, glucose, ketones, bilirubin, blood, red blood cells (RBC), white blood cells (WBC), epithelial cells, bacteria, casts and crystals. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high postbasel
Specific Gravity Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
2
Part C: Nusinersen 50/28 mg
1
pH Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Protein High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
4
Part C: Nusinersen 50/28 mg
9
Glucose High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Ketones High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
8
Occult Blood High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
2
Part C: Nusinersen 50/28 mg
4
RBC High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
1
WBC High/positive
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Parts A and C: Number of Participants With Shifts From Baseline in Cerebrospinal Fluid (CSF) ParametersPrimary· Part A: Baseline up to Day 269, Part C: Baseline up to Day 241
CSF parameters included cell count, total protein, and glucose. These parameters were flagged as low, normal, or high relative to parameter's normal range or as unknown if no result was available, by the Investigator. Here, shift to low indicates values that were normal, high or unknown at baseline and shifted to low values postbaseline. Shift to high indicates values that were normal, low or unknown at baseline and shifted to high values postbaseline. The categories with at least one participant with shift from baseline in these parameters are reported.
Glucose Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
2
Glucose Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
2
Protein Shift to Low
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
3
Protein Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
8
Erythrocytes Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
2
Part C: Nusinersen 50/28 mg
8
Leukocytes Shift to High
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
6
Parts A and C: Number of Participants With Shifts From Baseline in Electrocardiograms (ECGs)Primary· Parts A and C: Baseline up to Day 302
The ECGs were assessed by the investigator to be normal, abnormal and abnormal AE. The number of participants with ECG shifts from normal to each of the categorical values denoting an abnormal scan (abnormal not AE, abnormal AE) was assessed. Shift from baseline to worst post-baseline values were reported. The categories with at least one participant with shift from baseline in ECG are reported.
Baseline: Normal; Postbaseline: Normal
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
10
Baseline: Normal; Post-baseline: Abnormal, not AE
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
3
Part C: Nusinersen 50/28 mg
12
Baseline: Abnormal, not AE; Post-baseline: Abnormal, not AE
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
3
Part C: Nusinersen 50/28 mg
17
Baseline: Unknown; Post-baseline: Abnormal, not AE
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
1
Parts A and C: Number of Participants With Abnormalities in Vital Sign ParametersPrimary· Parts A and C: Baseline up to Day 302
Vital sign assessment included temperature, pulse rate, systolic blood pressure, diastolic blood pressure, and respiratory rate. As pre-specified in protocol, the criteria for determining potentially clinically relevant abnormalities in vital signs included: temperature \< 36.0 and \> 38.0 degrees Celsius (C), pulse rate \< 60 and \> 100 beats per minute (bpm), systolic blood pressure \[\< 90, \> 140 and \> 160 millimeters of mercury (mmHg)\], diastolic blood pressure \< 50, \> 90 and \> 100 mmHg and respiratory rate \< 12 and \> 20 breaths per minute. The categories with at least one particip
Temperature <36.0 C
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
4
Part C: Nusinersen 50/28 mg
13
Pulse rate <60 bpm
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
14
Pulse rate >100 bpm
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
6
Part C: Nusinersen 50/28 mg
19
Systolic blood pressure <90 mmHg
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
4
Part C: Nusinersen 50/28 mg
13
Systolic blood pressure >140 mmHg
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
3
Diastolic blood pressure <50 mmHg
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
7
Diastolic blood pressure >90 mmHg
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
0
Part C: Nusinersen 50/28 mg
1
Respiratory rate <12 breaths/min
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
1
Part C: Nusinersen 50/28 mg
7
Parts A and C: Change From Baseline in Growth Parameters (Body Height)Primary· Parts A and C: Baseline, Day 302
Group
Value
95% CI
Part A: Nusinersen 28/28 mg
7.2
± 1.70
Part C: 50/28 mg Nusinersen
0.8
± 3.12
Part C: Change From Baseline in Growth Parameters (Head Circumference)Primary· Baseline, Day 302
As pre-specified in the protocol, head circumference was measured for participants with infantile-onset SMA only.
Group
Value
95% CI
Part C: Nusinersen 50/28 mg
2.0
± NA
Part C: Change From Baseline in Growth Parameters (Chest Circumference)Primary· Baseline, Day 302
As pre-specified in protocol, chest circumference was measured for participants with infantile-onset SMA only.
Group
Value
95% CI
Part C: Nusinersen 50/28 mg
2.5
± NA
Part C: Change From Baseline in Growth Parameters (Arm Circumference)Primary· Baseline, Day 302
As pre-specified in the protocol, arm circumference was measured for participants with infantile-onset SMA. Here, negative change from baseline indicated reduction in arm circumference.
Group
Value
95% CI
Part C: Nusinersen 50/28 mg
-1.0
± NA
Adverse events — posted to ClinicalTrials.gov
Time frame: Part A: From first dose of the study up to Day 389 Part B: From first dose of the study up to Day 399 Part C: From first dose of the study up to Day 361.
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Part A: 28/28 mg Nusinersen
Serious: 1/6 (17%)
Deaths: 0/6
Part B: Infantile-Onset SMA: 12/12 mg Nusinersen
Serious: 18/25 (72%)
Deaths: 6/25
Part B: Infantile-Onset SMA: 50/28 mg Nusinersen
Serious: 30/50 (60%)
Deaths: 10/50
Part B: Later-Onset SMA: 12/12 mg Nusinersen
Serious: 4/8 (50%)
Deaths: 0/8
Part B: Later-Onset SMA: 50/28 mg Nusinersen
Serious: 2/16 (13%)
Deaths: 0/16
Part C: 50/28 mg Nusinersen
Serious: 6/40 (15%)
Deaths: 0/40
Serious adverse events (69 terms)
Reaction
System
Part A: 28/28 mg Nusinersen
Part B: Infantile-Onset SM…
Part B: Infantile-Onset SM…
Part B: Later-Onset SMA: 1…
Part B: Later-Onset SMA: 5…
Part C: 50/28 mg Nusinersen
Respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Pneumonia
Infections and infestations
—
—
—
—
—
—
Pneumonia aspiration
Infections and infestations
—
—
—
—
—
—
Cardiac arrest
Cardiac disorders
—
—
—
—
—
—
Bronchiolitis
Infections and infestations
—
—
—
—
—
—
Covid-19
Infections and infestations
—
—
—
—
—
—
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Fall
Injury, poisoning and procedural complications
—
—
—
—
—
—
Femur fracture
Injury, poisoning and procedural complications
—
—
—
—
—
—
Sudden infant death syndrome
General disorders
—
—
—
—
—
—
Cardio-respiratory arrest
Cardiac disorders
—
—
—
—
—
—
Pneumonia viral
Infections and infestations
—
—
—
—
—
—
Respiratory tract infection
Infections and infestations
—
—
—
—
—
—
Oxygen saturation decreased
Investigations
—
—
—
—
—
—
Atelectasis
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Tracheostomy malfunction
Injury, poisoning and procedural complications
—
—
—
—
—
—
Traumatic haemothorax
Injury, poisoning and procedural complications
—
—
—
—
—
—
Gait disturbance
General disorders
—
—
—
—
—
—
Pyrexia
General disorders
—
—
—
—
—
—
Organ failure
General disorders
—
—
—
—
—
—
Abortion spontaneous
Pregnancy, puerperium and perinatal conditions
—
—
—
—
—
—
Leukocytosis
Blood and lymphatic system disorders
—
—
—
—
—
—
Cardiomyopathy
Cardiac disorders
—
—
—
—
—
—
Dysphagia
Gastrointestinal disorders
—
—
—
—
—
—
Adenoviral upper respiratory infection
Infections and infestations
—
—
—
—
—
—
Other adverse events (222 terms — click to expand)
The primary objectives of this study are to examine the clinical efficacy of nusinersen administered intrathecally at higher doses to participants with spinal muscular atrophy (SMA), as measured by change in Children's Hospital of Philadelphia-Infant Test of Neuromuscular Disorders (CHOP-INTEND) total score (Part B); to examine the safety and tolerability of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A and C).
The secondary objectives of this study are to examine the clinical efficacy of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A, B and C); to examine the effect of nusinersen administered intrathecally at higher doses to participants with SMA (Parts A and C); to examine the safety and tolerability of nusinersen administered intrathecally at higher doses to participants with SMA, to examine the effect of nusinersen administered intrathecally at higher doses compared to the currently approved dose in participants with SMA (Part B).
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT06555419 — A Study to Find Out How Nusinersen is Processed in the Body When Given Through the ThecaFlex DRx™ System in Adult and Pe
· Phase 1
· recruiting
NCT04576494 — Study of the Functional Effects of Nusinersen in 5q-spinal Muscular Amyotrophy Adults (SMA Type 2 or 3 Forms)
· NA
· completed
NCT05067790 — A Study to Learn About the Effect of Higher Doses of Nusinersen (BIIB058) Given as Injections to Participants With Spina
· Phase 3
· active not recruiting
NCT05187260 — Antisense Oligonucleotide for Spinal Muscular Atrophy
· unknown
NCT04729907 — A Study to Learn About the Long-Term Safety of Higher Doses of Nusinersen (BIIB058) Given as Injections to Participants
· Phase 3
· active not recruiting
Other recruiting trials for Muscular Atrophy, Spinal
Currently open trials in the same condition.
NCT07221669 — A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety When Given Before Symptoms Appear in Ba
· Phase 3
· recruiting
NCT06555419 — A Study to Find Out How Nusinersen is Processed in the Body When Given Through the ThecaFlex DRx™ System in Adult and Pe
· Phase 1
· recruiting
NCT05861999 — A Study Evaluating the Effectiveness and Safety of Risdiplam Administered in Pediatric Patients With Spinal Muscular Atr
· Phase 4
· recruiting
NCT05861986 — A Study Evaluating the Effectiveness and Safety of Risdiplam Administered as an Early Intervention in Pediatric Particip
· Phase 4
· recruiting
NCT05808764 — A Study to Investigate the Pharmacokinetics and Safety of Risdiplam in Infants With Spinal Muscular Atrophy
· Phase 2
· recruiting
Other Biogen trials
Trials by the same sponsor.
NCT07483632 — A Study to Learn About the Safety of Diroximel Fumarate (DRF) and Dimethyl Fumarate (DMF) and Their Effects on Relapses
· Phase 3
· not yet recruiting
NCT06628687 — A Study to Learn How BIIB141 (Omaveloxolone) Affects the Health of Participants With Friedrich's Ataxia Who Took it Duri
· recruiting
NCT07444450 — A Study to Learn About the Safety and Effects of Salanersen (BIIB115) When Given to Babies With Spinal Muscular Atrophy
· Phase 3
· not yet recruiting
NCT07444489 — A Study to Learn More About the Long-Term Safety and Effects of Felzartamab Infusions in Adults With Kidney Transplants
· Phase 3
· not yet recruiting
NCT07444476 — A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety in Participants Aged 15 to 60 Years Wit
· Phase 3
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Biogen
Last refreshed: 5 June 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04089566.