Apitegromab for Spinal Muscular Atrophy in Infants and Toddlers

This study is looking at how a drug called apitegromab works in children under 2 years old with Spinal Muscular Atrophy (SMA). Apitegromab is given through an IV every four weeks. Participants in this study will also be receiving standard SMA treatments like nusinersen or risdiplam. Researchers want to understand how apitegromab moves through the body, what effects it has, and if it helps improve motor skills. To join, your child must be under 2 years old, have a confirmed diagnosis of 5q autosomal recessive SMA, and have received or be receiving an approved SMA treatment. The study aims to enroll 52 participants, but the current recruitment status is unclear.

Study design
This is a double-blind, Phase 2 study, meaning neither you nor the study team will know if your child is receiving the active drug or a placebo. It plans to enroll 52 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will evaluate outcomes for apitegromab for up to 52 weeks and motor function for up to 48 weeks.

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NCT07047144

A Study to Evaluate How Apitegromab Works in Subjects Who Are Less Than 2 Years Old and Have Spinal Muscular Atrophy

Recruiting
PHASE2Up to 2InterventionalTreatment
Scholar Rock, Inc.
~52 participants
Updated 2026-05-01 on ClinicalTrials.gov
What's tested:ApitegromabNusinersenRisdiplam

At a glance

Recruiting sites
24 of 25 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Evaluate the PK of apitegromab in subjects <2 years old with SMA
Measured over 52 Weeks
+2 more outcomes measured
Spinal Muscular Atrophy
SMA
Spinal Muscular Atrophy Type 2
Spinal Muscular Atrophy Type 3
Neuromuscular Manifestations
Anti-myostatin
25 sites across 17 states
Texas4
Italy3
California2
Belgium2
Spain2
Arizona1
Colorado1
Georgia1

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  • Evaluate the PK of apitegromab in subjects <2 years old with SMA52 Weeks

    Apitegromab concentrations in serum

  • Evaluate the PD of apitegromab in subjects <2 years old with SMA52 Weeks

    Total latent myostatin concentrations in serum

  • Evaluate the motor function outcomes (ie, efficacy) due to apitegromab treatment48 Weeks

    Change from baseline in the raw score of the Bayley Scale of Infant and Toddler Development, Fourth Edition - Gross Motor Subscale (BSID-4 GMS) at 48 weeks. BSID-4 GMS is a standardized assessment commonly used to evaluate development across 5 domains in infants and young children. It consists of 58 items, scored from 0 to 2 for each item, with higher scores indicating better gross motor development.