Understanding fatigue in patients with spinal muscular atrophy treated with nusinersen
Official title: Characterizing Perceived Physical Fatigability in Nusinersen-treated Adolescents and Adults: The SMA EFFORT
Run by Columbia University · NCT06955897 · Data updated 2026-11-12
This study is trying to see how nusinersen treatment affects fatigue in people with spinal muscular atrophy and how that fatigue impacts their daily activities.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 45 (estimated) |
| Sponsor | Columbia University Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | April 24, 2025 |
| Main results expected | September 6, 2027 |
| Study ends | March 26, 2028 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT06955897 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals with spinal muscular atrophy who have been on a stable dosing regimen of nusinersen for at least six months.
✕Probably not a fit
Patients who have had recent injuries or surgeries affecting their physical abilities, or those receiving other investigational treatments, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This project investigates perceived physical fatigability in individuals with spinal muscular atrophy (SMA) who are receiving nusinersen treatment. It utilizes the SMA EFFORT, a patient-reported outcome measure specifically designed for SMA, to assess how fatigue affects daily activities. The study aims to characterize changes in perceived physical fatigability before and after nusinersen dosing, providing insights into the endurance of patients during routine tasks. By focusing on a diverse cohort of patients, the research seeks to fill the gap in understanding the impact of fatigue on their quality of life.
Why it matters
Potential benefit: If successful, this study could lead to improved management strategies for fatigue in SMA patients, enhancing their overall quality of life.
How similar studies have gone: While there is ongoing research into fatigue in SMA, this specific approach using the SMA EFFORT is novel and has not been extensively tested in previous studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. All types of 5qSMA (homozygous deletion or point mutation of the SMN1 gene and any number of SMN2 copies) 2. Receiving a stable dosing regimen of 12 or 28 mg nusinersen for at least 6 months Exclusion Criteria: 1. An injury or surgery within the previous 3 months that would impact their ability to perform in-clinic function and/or fatigability assessments 2. Enrolled in an ongoing clinical trial, or extension study, expanded access program, or long-term registry of an investigational or recently approved medication 3. Receiving adjuvant and/or dual therapy (e.g., muscle-targeted, NMJ, or symptomatic treatments)
Where it's running
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Columbia University Irving Medical Center
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Jacqueline Montes, Pt, EdD — Columbia University
- Study coordinator: Rafael Rodriguez-Torres, DPT
- Email: rsr2157@cumc.columbia.edu
- Phone: 3472877093
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Pregnancy-time treatment of fetal SMA: a registry of mother-child outcomes
This registry collects information on pregnancies where a fetus diagnosed with spinal muscular atrophy was treated with a disease‑modifying therapy in the womb to see how the pregnancy and baby fare after birth.
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Intrathecal Zolgensma in spinal muscular atrophy patients in Japan
This study tests the safety and real‑world effectiveness of intrathecal onasemnogene abeparvovec in SMA patients in Japan.
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Spinal muscular atrophy patients get a single intrathecal gene therapy dose to see how it works in real-world U.S. settings
This study tests whether a one-time intrathecal dose of ITVISMA® (onasemnogene abeparvovec-brve) is safe and effective for SMA patients in real-world U.S. clinical practice.
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Salanersen (BIIB115) for improving movement in people 15–60 with spinal muscular atrophy who are treatment‑naïve or previously on risdiplam
This trial tests whether salanersen helps movement and is safe for people aged 15 to 60 with spinal muscular atrophy who are either new to treatment or have taken risdiplam.
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CuidAME: Spain's longitudinal registry for spinal muscular atrophy
This project collects long-term clinical and treatment data from children and adults with genetically confirmed 5q spinal muscular atrophy in Spain to track outcomes over time.
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Apitegromab for infants under 2 with spinal muscular atrophy
This trial will test whether adding apitegromab to approved SMA therapy helps infants under 2 with 5q SMA reach better motor milestones.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.