Table 1 Parts B and C: baseline demographics and disease characteristics
From: High-dose nusinersen for spinal muscular atrophy: a phase 3 randomized trial
Part B: cohort with infantile-onset SMA | 50/28 mg (n = 50) | 12/12 mg (n = 25) | Matched sham (ENDEAR)a (n = 20) | ||
|---|---|---|---|---|---|
Age at first dose, weeks | Mean (s.d.) (range) Median (Q1, Q3) | 18.4 (9.15) (2 to 33) 18.4 (10.9 to 26.0) | 16.5 (8.03) (3 to 31) 15.9 (11.9 to 21.0) | 22.0 (7.96) (4 to 34) 22.2 (16.6 to 29.2) | |
Age at symptom onset, weeks | Mean (s.d.) (range) Median (Q1, Q3) | 7.5 (5.26) (1 to 21) 6.0 (3.0 to 12.0) | 5.8 (4.44) (2 to 20) 4.0 (3.0 to 8.0) | 8.8 (5.11) (1 to 19) 8.0 (5.5 to 13.0) | |
Disease duration at informed consent, weeks, mean (s.d.) (range) | 9.6 (5.29) (0 to 20) | 9.1 (6.11) (0 to 25) | 11.1 (4.92) (0 to 21) | ||
CHOP-INTEND total score, mean (s.d.) (range) | 20.9 (10.23) (5 to 56) | 19.9 (9.63) (0 to 39) | 23.6 (5.84) (11 to 33) | ||
HINE-2 score, mean (s.d.) (range) | 1.4 (1.36) (0 to 5) | 1.4 (1.29) (0 to 4) | 1.3 (1.02) (0 to 4) | ||
Plasma NfL, pg ml−1 | n Mean (s.d.) (range), pg ml−1 Geometric mean (95% CI) | 40 304.7 (283.9) (78.6 to 1,480.0) 253.3 (190.2 to 291.0) | 22 329.4 (175.9) (83.9 to 678.0) 287.6 (225.9 to 366.2) | 20 287.3 (140.4) (119.0 to 691.0) 260.3 (211.2 to 320.9) | |
Geography, n (%) | Asia-Pacific Europe North America South/Central America | 20 (40) 12 (24) 1 (2) 17 (34) | 8 (32) 7 (28) 0 10 (40) | 2 (10) 5 (25) 13 (65) 0 | |
Part B: cohort with later-onset SMA | 50/28 mg (n = 16) | 12/12 mg (n = 8) | Matched sham (CHERISH)b (n = 16) | Matched 12/12 mg (CHERISH)b (n = 32) | |
|---|---|---|---|---|---|
Age at first dose, years | Mean (s.d.) (range) Median (Q1, Q3) | 6.1 (2.59) (2.1 to 9.8) 6.1 (4.2 to 8.2) | 5.7 (3.00) (2.0 to 9.3) 5.7 (2.8 to 8.5) | 5.1 (1.82) (2.1 to 7.5) 5.1 (3.9 to 6.8) | 5.5 (1.83) (2.1 to 9.2) 5.4 (4.5 to 6.7) |
Age at symptom onset, months | Mean (s.d.) (range) Median (Q1, Q3) | 11.1 (4.11) (6.0 to 22.0) 11.5 (8.5 to 12.0) | 9.9 (2.36) (7.0 to 15.0) 9.0 (9.0 to 10.5) | 11.9 (3.85) (7.0 to 20.0) 10.5 (9.0 to 15.0) | 10.7 (3.49) (6.0 to 18.0) 10.0 (7.5 to 13.0) |
SMN2 copy number, n (%) | 2 3 ≥4 | 0 15 (94) 1 (6) | 1 (13) 7 (88) 0 | 3 (18.8) 12 (75.0) 1 (6.3) | 3 (9.4) 28 (87.5) 1 (3.1) |
HFMSE score | Mean (s.d.) (range) | 20.3 (10.05) (10.0 to 42.0) | 13.8 (4.59) (10.0 to 22.0) | 21.4 (7.49) (13.0 to 34.0) | 21.8 (8.60) (10.0 to 43.0) |
RULM score | Mean (s.d.) (range) | 20.2 (5.31) (12.0 to 30.0) | 14.9 (5.96) (4.0 to 25.0) | 20.9 (4.99) (12.0 to 28.0) | 20.6 (6.04) (11.0 to 33.0) |
WHO motor milestone | Mean (s.d.) (range) | 1.6 (1.09) (1.0 to 5.0) | 1.0 (0) (1.0 to 1.0) | 1.4 (0.62) (1.0 to 3.0) | 1.4 (1.01) (1.0 to 5.0) |
Plasma NfL, pg ml−1 | Mean (s.d.) (range) Geometric mean (95% CI) | 15.0 (14.45) (3.1 to 58.6) 10.9 (7.12 to 16.59) | 9.7 (3.32) (6.1 to 16.9) 9.3 (7.14 to 11.98) | 14.0 (10.1) (5.3 to 46.4) 11.8 (8.62 to 16.22) | 13.2 (9.6) (3.5 to 47.4) 10.6 (8.16 to 13.79) |
Part C | Infantile-onset SMA | Later-onset SMA | Total | ||
|---|---|---|---|---|---|
(n = 2) | Aged <18 years (n = 14) | Aged ≥18 years (n = 24) | n = 40 | ||
Age at first study dose, years, median (range) | 4.8 (4 to 6) | 10.3 (5 to 17) | 32.5 (19 to 65) | 23.0 (4 to 65) | |
Time on 12/12 mg nusinersen, years, median (range) | 3.2 (3 to 4) | 3.9 (2 to 4) | 3.9 (1 to 5) | 3.9 (1 to 5) | |
Sex, female, n (%) | 1 (50) | 6 (42.9) | 8 (33.3) | 15 (37.5) | |
Age at symptom onset, months, median (range) | 5 (4 to 6) | 11.5 (6 to 72) | 36.0 (12 to 192) | 24.0 (4 to 192) | |
SMN2 copy number, n (%) | 1 2 3 4 Other: 2–3 or 3–4 | 0 0 2 (100) 0 0 | 0 1 (7) 12 (86) 1 (7) 0 | 1 (4) 2 (8) 6 (25) 13 (54) 2 (8) | 1 (3) 3 (8) 20 (50) 14 (35) 2 (5) |
Achieved and maintained milestone, n (%) | Sat without support Stood without support Walked with support Walked (at least 4.6 meters) independently | 1 (50) 0 0 0 | 12 (86) 3 (21) 5 (36) 3 (21) | 24 (100) 19 (79) 18 (75) 18 (75) | 37 (93) 22 (55) 23 (58) 21 (53) |
HFMSE score | n Mean (s.d.) (range) | 2 17.5 (17.7) (5 to 30) | 13 28.2 (16.7) (0 to 49) | 23 40.6 (16.35) (7 to 64) | 38 35.1 (17.61) (0 to 64) |
RULM score | n Mean (s.d.) (range) | 2 15 (0) (15) | 12 23.2 (9.67) (0 to 34) | 24 32.2 (6.63) (17 to 37) | 38 28.4 (9.12) (0 to 37) |
Plasma NfL, pg ml−1 | Mean (s.d.) (range) Geometric mean (95% CI) | 6.8 (1.6) (5.7 to 8.0) 6.7 (0.76 to 59.55) | 5.0 (2.4) (0.7 to 9.5) 4.2 (2.75 to 6.46) | 6.5 (3.3) (1.9 to 14.4) 5.8 (4.67 to 7.12) | 6.0 (3.0) (0.7 to 14.4) 5.2 (4.34 to 6.32) |