Evidence map›Paper›PMID 30548438›Full record

Trial reportPediatric pulmonology2019

Health outcomes in spinal muscular atrophy type 1 following AVXS-101 gene replacement therapy.

Samiah Al-Zaidy, A Simon Pickard, Kavitha Kotha, Lindsay N Alfano, Linda Lowes, Grace Paul, Kathleen Church, Kelly Lehman, Douglas M Sproule, Omar Dabbous and 6 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Pediatric pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02122952 (Phase I Gene Transfer Clinical Trial for Spinal Muscular Atrophy Type 1 Delivering AVXS-101), which is not on this map. Cited by 107 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 3 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02122952 phase1completednot on this map

Phase I Gene Transfer Clinical Trial for Spinal Muscular Atrophy Type 1 Delivering AVXS-101

TypeinterventionalSponsorNovartis Gene TherapiesRan2014 to 2017Enrolled15ConditionsSpinal Muscular Atrophy 1ArmsAVXS-101
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 3 syntheses or guidelines pooled it, 214 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Spinal muscular atrophy: Biology, pathogenesis, and therapeutic advances.Therapeutic advances in neurological disorders · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Targeting the Neonatal Fc Receptor in Autoimmune Diseases: Pipeline and Progress.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  18. Article
  19. Article
  20. Review

47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Samiah Al-ZaidyDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
A Simon PickardDepartment of Pharmacy Systems, Outcomes, and Policy, University of Illinois, Chicago, Illinois.
Kavitha KothaCenter for Gene Therapy Nationwide Children's Hospital, Columbus, Ohio.
Lindsay N AlfanoDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
Linda LowesDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
Grace PaulCenter for Gene Therapy Nationwide Children's Hospital, Columbus, Ohio.
Kathleen ChurchDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
Kelly LehmanCenter for Gene Therapy Nationwide Children's Hospital, Columbus, Ohio.
Douglas M SprouleAveXis, Inc., Bannockburn, Illinois.
Omar DabbousAveXis, Inc., Bannockburn, Illinois.
Benit MaruAveXis, Inc., Bannockburn, Illinois.
Katherine BerryDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
W David ArnoldDepartment of Neurology, Ohio State University, Columbus, Ohio.
John T KisselDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
Jerry R MendellDepartment of Pediatrics, Ohio State University, Columbus, Ohio.
Richard ShellDepartment of Pediatrics, Ohio State University, Columbus, Ohio.ORCID 0000-0002-4938-9075
Nationwide Children's Hospital · USBaxalta (United States) · USThe Ohio State University · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal Muscular Atrophy type 1 (SMA1) is a rare genetic neuromuscular disease where 75% of SMA1 patients die/require permanent-ventilation by 13.6 months. This study assessed the health outcomes of SMA1 infants treated with AVXS-101 gene replacement therapy.

methodsTwelve genetically confirmed SMA1 infants with homozygous deletions of the SMN1 gene and two SMN2 gene copies received a one-time intravenous proposed therapeutic dose of AVXS-101 in an open label study conducted between December 2014 and 2017. Patients were followed for 2-years post-treatment for outcomes including (1) pulmonary interventions; (2) nutritional interventions; (3) swallow function; (4) hospitalization rates; and (5) motor function.

resultsAll 12 patients completed the study. Seven infants did not require noninvasive ventilation (NIV) by study completion. Eleven patients had stable or improved swallow function, demonstrated by the ability to feed orally; 11 patients were able to speak. The mean proportion of time hospitalized was 4.4%; the mean unadjusted annualized hospitalization rate was 2.1 (range = 0, 7.6), with a mean length of stay/hospitalization of 6.7 (range = 3, 12.1) days. Eleven patients achieved full head control and sitting unassisted and two patients were walking independently.

conclusionsAVXS-101 treatment in SMA1 was associated with reduced pulmonary and nutritional support requirements, improved motor function, and decreased hospitalization rate over the follow-up period. This contrasts with the natural history of progressive respiratory failure and reduced survival. The reduced healthcare utilization could potentially alleviate patient and caregiver burden, suggesting an overall improved quality of life following gene replacement therapy.

trial registrationClinicalTrials.gov number, NCT02122952.

Indexed as

Genetic TherapyChild, PreschoolHumansInfantInfant, NewbornMutationSpinal Muscular Atrophies of ChildhoodSurvival of Motor Neuron 1 ProteinTreatment OutcomeSMN1 protein, humanSurvival of Motor Neuron 1 ProteinAVXS-101gene replacementgene therapyhealth outcomesquality of lifeSMA1spinal muscular atrophy

Identifiers

PMID30548438
PMCPMC6590370
OpenAlexW2904099718

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.