Spinal Muscular AtrophyACE SMANCT06419322
Acceptability, Feasibility, Safety and Efficacy of a Optimized Rehabilitation Program for Treated Patients With Spinal Muscular Atrophy (SMA).
A study testing Optimized rehabilitation program in people with Spinal Muscular Atrophy, run by University of Oxford at 1 site in United Kingdom.
Trial summary
The goal of this study is to investigate the acceptability, feasibility, safety and efficacy of an optimized rehabilitation program for treated patients with spinal muscular atrophy (SMA) compared to the current rehabilitation program in the United Kingdom. Read more about this study
- Who is it for?
- Ages 1 year to 10 years
- Conditions the study is for
- Spinal Muscular Atrophy
- What is being tested?
- Optimized rehabilitation program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 14 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 1 Jun 2024to 31 Aug 2026
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 1 year to 10 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Genetically confirmed SMA considered as a non-sitter, sitter or walker
- Post-symptomatically treated and on stable dose for 12 months with any disease-modifying market-approved drug
- Patients from 1-10 years of age at baseline
- Parent(s)/legal guardian(s) of patients less than 16 years of age must provide written informed consent prior to the patient's participation in the study
- Willing and able to comply with all protocol requirements and procedures.
- Willing and able to comply with all protocol requirements and procedures
- Carer's child has been included in study.
Who cannot join
- The participant may not enter the trial if ANY of the following apply:
- Any acute or chronic condition which, as assessed by the investigator, significantly interferes with the rehabilitation of the patient
- Need of diurnal and/or invasive ventilation, naps excluded
- Currently enrolled in a treatment study; or treatment with an experimental therapy
- Any surgical and/or medical intervention, according to the investigator, 3 months before baseline and/or during the study participation.
- Carer (considered as participant) Eligibility Criteria:
- No exclusion criteria.
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Oxford Brookes University
Oxford, Oxfordshire, OX3 0BP
About this study
Official title: A Monocentric, Prospective and Longitudinal Study Investigating the Acceptability, Feasibility, Safety and Efficacy of an Optimized Rehabilitation Program for Treated Patients With SMA Compared to the Current Rehabilitation Program in United Kingdom: ACE SMA.
The goal of this study is to investigate the acceptability, feasibility, safety and efficacy of an optimized rehabilitation program for treated patients with spinal muscular atrophy (SMA) compared to the current rehabilitation program in the United Kingdom. The aim is to provide patients with more hands on physiotherapy and access to rehabilitation devices at home to support parents currently providing rehabilitation on their own.
Read the detailed description
The main study objective is to investigate whether an optimized rehabilitation program would be accepted and is feasible within the SMA patient community.
The optimized program will comprise of goal orientated rehabilitation with more frequent hands on physiotherapy (every 2 weeks) as well as a SMA approved rehabilitation device used at home on a weekly basis, to provide the most appropriate therapy for each individual patient. All study participants will receive the optimized rehabilitation program over 12 months. An external control group will be used to determine the potential efficacy.
Research study visits will take place at baseline, month 6 and month 12. At these visits a general physical exam will be undertaken alongside collecting the participant and carer perception, satisfaction and compliancy of the rehabilitation program. Motor function assessments according to age and ambulatory status will be assessed to help evaluate potential therapeutic benefits.
- Conditions
- Spinal Muscular Atrophy
- Being tested
- Optimized rehabilitation program
- Keywords
- physiotherapy, rehabilitation, SMA, acceptability, feasibility, United Kingdom, physical therapy, prospective, Spinal Muscular Atrophy
- Medical subject headings
- Muscular Atrophy, Spinal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Optimized rehabilitation programOther
Consisting of: goal-oriented rehabilitation, hands on physiotherapy sessions and home use of SMA approved rehabilitation device.
| Study group | Role | What they receive |
|---|---|---|
| Treated cohort | Other | Not described Receives: Other: Optimized rehabilitation program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Acceptability of an optimized rehabilitation program. Measured as number of eligible patients who accepted to participate in the study compared to the number of eligible patients who have refused to participate. Endpoint: 70% of acceptability.
Number of eligible patients who accepted to participate in the study compared to the number of eligible patients who have refused to participate.
Measured: Baseline visit
Feasibility of an optimized rehabilitation program. Measured as the number of patients who complete the study compared to the number of included patients. Endpoint: 60% of feasibility.
Number of patients who complete the study compared to the number of included patients.
Measured: Month 12 (end of study)
Secondary outcomes (3)
Safety of an optimized rehabilitation program. Measured as the number of serious adverse events (SAE) compared to the year before the baseline.
Number of Serious Adverse Events (SAEs).
Measured: From baseline to month 12 (end of study)
Carer perception and satification measured through the Clinical Global Impression scale - Improvement (CGI I). Comparison of CGI-S score with CGI-I score of the treated group.
Potential effects of the optimized rehabilitation program on patients experience.
Measured: Month 6 and Month 12 (end of study).
Carer perception and satification measured through the Clinical Global Impression scale - Severity (CGI-S). Comparison of CGI-S score with CGI-I score of the treated group.
Potential effects of the optimized rehabilitation program on patients experience.
Measured: Baseline visit: CGI-S.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2024
- Study start1 Jun 2024
- Primary completion30 Jun 2026
- Study completion31 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Spinal Muscular AtrophyStudies of the same condition, open and under way.
- More trials run by University of OxfordThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- All participants will receive the optimized rehabilitation program (intervention). An external control group will be used to determine the potential efficacy.
- Masking
- None (open label)
- Enrolment
- 14 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Oxford
- Sponsor type
- University, hospital or other
- Collaborators
- Oxford Brookes University, Oxford University Hospitals NHS Trust, ACE SMA Charity, Hoffmann-La Roche, Scholar Rock, Inc., Biohaven Therapeutics Ltd., Rally Round Rupert Charity
- Responsible party
- Sponsor
- Investigators
- Charlotte Lilien, Principal investigator, University of Oxford, Department of Paediatrics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06419322
- Sponsor's protocol ID
- ACE SMA
- Other IDs
- PID17165
- Acronym
- ACE SMA
- Status last verified
- Sep 2026
- First submitted
- 2 May 2024
- Last updated
- 15 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No