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Muscular Atrophy, SpinalPhase 3STELLAR-1NCT07221669

A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety When Given Before Symptoms Appear in Babies With Genetically Diagnosed Spinal Muscular Atrophy (SMA)

A Phase 3 study testing Salanersen in people with Muscular Atrophy, Spinal, run by Biogen at 14 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In this study, researchers will learn more about the effects and safety of BIIB115, also known as salanersen. Specifically, researchers will learn more about how salanersen works in babies who have been diagnosed with SMA through genetic testing but have not yet started showing signs or symptoms. Read more about this study

Who is it for?
Ages 0 to 42 days
Conditions the study is for
Muscular Atrophy, Spinal
What is being tested?
Salanersen
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
14 sitesin 7 countries
Study dates
28 Apr 2026to 29 May 2032
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 0 to 42 days
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • -≤42 days of age at first dose of salanersen.
  • Genetic documentation of 5q SMA homozygous gene deletion or mutation or compound heterozygous mutation.
  • Two or three copies of the survival motor neuron 2 (SMN2) gene.
  • Ulnar compound muscle action potential (CMAP) amplitude ≥2 millivolt (mV) at Screening and Day 1 predose.
  • Body weight ≥3rd percentile for age based on World Health Organization (WHO) Child Growth Standards at the time of informed consent.

Who cannot join

  • Any clinical signs or symptoms at Screening or Day 1 predose that are, in the opinion of the Investigator, strongly suggestive of SMA.
  • Areflexia on neurologic examination at biceps, knee, or ankle at Screening or Day 1 Predose.
  • Hypoxemia (oxygen saturation <96% awake or asleep without any supplemental oxygen or respiratory support, or for altitudes >1000 meters (m), oxygen saturation of <92% awake or asleep without any supplemental oxygen or respiratory support).
  • Diagnosis of neonatal respiratory distress syndrome necessitating surfactant replacement therapy or invasive ventilatory support.
  • Any reason, anatomical or otherwise (including hematology/coagulation laboratory results), that presents increased risk of complication from the LP procedures or safety assessments.
  • Any prior treatment with an approved SMA disease-modifying therapy (e.g., nusinersen, onasemnogene abeparvovec-xioi [OA], and/or risdiplam), a myostatin inhibitor therapy, or an investigational drug given for the treatment of SMA.
  • Note: Other protocol-defined inclusion/exclusion criteria will apply.

Trial locations and contacts

14 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

US Biogen Clinical Trial Center contact

866-633-4636

clinicaltrials@biogen.com

Global Biogen Clinical Trial Center contact

clinicaltrials@biogen.com

14 sites in 7 countries

Brazil4 sites, 4 recruiting
  • Hospital da Crianca de Brasilia

    Distrito Federal, 70684-831

    55 800 002 2345

    Janiana Monteiro

    Recruiting
  • Hospital de Clinicas de Porto Alegre (HCPA) - PPDS

    Porto Alegre, Rio Grande do Sul, 90560-030

    55505359

    Jonas Alex Morales Saute

    Recruiting
  • PSEG Centro de Pesquisa Clinica

    Sai Paula, 4038002

    55115572-4555

    Paulo Victor Sgobbi de Souza

    Recruiting
  • Instituto Da Criança HC FMUSP

    São Paulo, 05403-900

    55 11 2661-8500

    Edmar Zanoteli

    Recruiting

Other trials in Brazil

United States3 sites, 3 recruiting
  • Ann and Robert H Lurie Childrens Hospital of Chicago

    Chicago, Illinois, 60611

    312-227-4637

    Nancy Kuntz

    Recruiting
  • Neurology Rare Disease Center

    Flower Mound, Texas, 75028

    972-999-1011

    Diana Castro

    Recruiting
  • Childrens Hospital of the Kings Daughter Norfolk

    Norfolk, Virginia, 23507

    757-668-6981, proud.research@chkd.org

    Erika, erika.paradiso@chkd.org

    Recruiting

Other trials in United States

China3 sites, 3 recruiting
  • Guangzhou Woman and Children's Medical Center_Guangzhou

    Guangzhou, 5106236

    Recruiting
  • Childrens Hospital of Fudan University_Shanghai

    Shanghai, 201122

    Recruiting
  • The Third Affiliated Hospital of Zhengzhou University - North Campus

    Zhengzhou, Henan, 450052

    Recruiting

Other trials in China

Australia1 site, 1 recruiting
  • Sydney Children's Hospital_Randwick

    Randwick, New South Wales, 2031

    Recruiting

Other trials in Australia

Chile1 site, 1 recruiting
  • Clinica MEDS La Dehesa_Lo Barnechea

    Lo Barnechea, 7691236

    +5 (698) 234-7983

    Claudia Castiglioni

    Recruiting

Other trials in Chile

India1 site, 1 recruiting
  • Royal Institute of Child Neurosciences

    Ahmedabad, Gujarat, 380054

    +91-990996055

    Siddharth Shah

    Recruiting

Other trials in India

Japan1 site, 1 recruiting
  • Japan Institute for Health Security National Center for Global Health and Medicine

    Tokyo, 162-8655

    Recruiting

Other trials in Japan

About this study

Official title: An Open-Label Study to Assess the Efficacy and Safety of Multiple Doses of Salanersen (BIIB115) Delivered Intrathecally to Treatment-Naïve, Presymptomatic Infants With Genetically Diagnosed Spinal Muscular Atrophy

In this study, researchers will learn more about the effects and safety of BIIB115, also known as salanersen.

Specifically, researchers will learn more about how salanersen works in babies who have been diagnosed with SMA through genetic testing but have not yet started showing signs or symptoms. Most people with SMA have changes in a gene called survival motor neuron 1, also known as SMN1. These changes lower the amount of SMN protein in their bodies. Without enough of this protein, motor neurons and muscles cannot work properly. A similar gene called SMN2 can help replace some of the lost SMN protein in the body. Salanersen works by helping the SMN2 gene to make more SMN protein.

Read more

In this study, participants will have either 2 SMN2 copies or 3 SMN2 copies. The higher the copy number, the less severe the participant's SMA is.

The main goal of this study is to see if starting salanersen before signs or symptoms appear can prevent signs or symptoms of SMA or make them less severe. Researchers will use different tests to learn if motor symptoms are changing, including the World Health Organization (WHO) motor milestones.

The main questions researchers want to answer in this study are:

  • How many participants with 2 copies of the SMN2 gene can sit without support at 12 months?
  • How many participants with 3 copies of the SMN2 gene can walk alone at 18 months?

Researchers will also learn more about:

  • The effects on participants' motor symptoms and how many new movement milestones participants achieve.
  • How many participants stay free of SMA symptoms
  • How much salanersen gets into the fluid surrounding the brain and spinal cord.
  • How much salanersen gets into the blood.
  • How many participants have adverse events or serious adverse events. Adverse events are health problems that may or may not be caused by the study drug.

This study will be done as follows:

  • First, participants will be screened to check if they can join the study. The screening period will be up to 28 days.
  • This is an "open label" study. This is a study in which the participants, study doctor, and site staff know which study drug participants are receiving. In this study, all participants will receive salanersen through an intrathecal injection, or one that is given into the fluid surrounding the brain and spinal cord.
  • There will be 2 parts in this study. During Part 1, participants will receive 2 doses of salanersen, about 12 months apart from each other. Part 1 will last up to 25 months.
  • During Part 2, participants will continue to receive salanersen. They will receive up to 3 doses, 12 months apart from each other. Part 2 will last up to 36 months.
  • During Part 1, participants will have up to 11 clinic visits and up to 3 phone calls. During Part 2, participants will have up to 7 clinic visits and up to 12 phone calls.
Read the detailed description

For Part 1 of the study, the primary objective is to evaluate the clinical efficacy of salanersen in participants with genetically diagnosed SMA, and the secondary objective is to evaluate safety and tolerability, pharmacokinetics (PK), and effect on biomarkers after treatment with salanersen in participants with genetically diagnosed SMA.

For Part 2 of the study, the primary objective is to evaluate the long-term clinical efficacy of salanersen in participants with genetically diagnosed SMA, and the secondary objective is to evaluate the long-term safety and tolerability, PK, and effect on biomarkers after treatment with salanersen in participants with genetically diagnosed SMA.

Being tested
Salanersen
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.

  • SalanersenDrug

    Also called BIIB115

    Administered intrathecally

Study groups in NCT07221669
Study groupRoleWhat they receive
SalanersenExperimentalIn Part 1 of the study, participants will receive two doses of salanersen, 80 milligrams (mg) by intrathecal (IT) lumbar puncture (LP), approximately 12 months apart. Participants who complete Part 1 of the study will receive three doses of salanersen, 80 mg by IT LP, approximately 12 months apart, in Part 2 of the study.
Receives: Drug: Salanersen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Percentage of Participants with 2 Survival Motor Neuron 2 (SMN2) Copies Sitting Without Support (for at Least 10 Seconds)

    Measured: At Month 12

  2. Part 1: Percentage of Participants with 3 SMN2 Copies Walking Alone (for at Least 5 Steps)

    Measured: At Month 18

  3. Part 2: Percentage of Participants Attaining and Maintaining World Health Organization (WHO) Motor Milestones

    The WHO motor milestones will include six key developmental milestones: sitting without support, standing with assistance, hands-and-knees crawling, walking with assistance, standing alone, and walking alone.

    Measured: Up to Day 1825

Secondary outcomes (16)
  1. Part 1: Percentage of Participants Attaining World Health Organization (WHO) Motor Milestones

    The WHO motor milestones will include six key developmental milestones: sitting without support, standing with assistance, hands-and-knees crawling, walking with assistance, standing alone, and walking alone.

    Measured: Up to Day 730

  2. Parts 1 and 2: Percentage of Participants Attaining Hammersmith Infant Neurological Examination Section 2 (HINE-2) Motor Milestones

    Section 2 of the HINE is used to assess motor milestones and includes 8 motor milestone categories: voluntary grasp (0 to 3), ability to kick in supine position (0 to 4), head control (0 to 2), rolling (0 to 3), sitting (0 to 4), crawling (0 to 4), standing (0 to 3), and walking (0 to 3). Total HINE-2 score is the sum of points from each item and can range from 0 to 26, with higher scores depicting a better level of ability.

    Measured: Up to Day 1825

  3. Parts 1 and 2: Change From Baseline in Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) Motor Function Scale

    The CHOP INTEND test is designed to evaluate the motor skills of participants with significant motor weakness. It includes 16 items (capturing neck, trunk, and proximal and distal limb strength) structured to move from easiest to hardest with the grading including gravity eliminated (lower scores) to antigravity movements (higher scores). All item scores range from 0-4. The total score ranges from 0-64, with higher scores depicting better motor function.

    Measured: Up to Day 1825

  4. Parts 1 and 2: Change From Baseline in Compound Muscle Action Potential (CMAP) Amplitudes

    CMAP is a well validated method for tracking disease progression in neuromuscular disorders such as SMA and amyotrophic lateral sclerosis and has been proposed as a potential biomarker of a therapeutic effect in SMA. CMAPs will be performed for the following nerve-muscle pairs: ulnar-abductor digiti minimi and peroneal-tibialis anterior.

    Measured: Up to Day 1825

  5. Part 1: Percentage of Participants who Remain Free of Clinically Manifested Spinal Muscular Atrophy (SMA)

    Measured: Up to Day 730

  6. Part 2: Hammersmith Functional Motor Scale Expanded (HFMSE) Total Score

    The HFMSE is a tool used to assess motor function in individuals with SMA. Participants will be asked to complete a specific movement and are then graded on the quality and execution of that movement. Higher scores indicate higher levels of motor ability. The overall score is the sum of the scores for all 33 items, with a maximum score of 66 with higher scores depicting better ability to perform activities.

    Measured: Up to Day 1825

  7. Part 2: Change From Baseline in Hammersmith Functional Motor Scale Expanded (HFMSE)

    The HFMSE is a tool used to assess motor function in individuals with SMA. Participants will be asked to complete a specific movement and are then graded on the quality and execution of that movement. Higher scores indicate higher levels of motor ability. The overall score is the sum of the scores for all 33 items, with a maximum score of 66 with higher scores depicting better ability to perform activities.

    Measured: Up to Day 1825

  8. Part 2: Revised Upper Limb Module (RULM) Total Score

    The RULM is developed to assess upper limb functional abilities of participants with SMA. This test consists of a total of 20 upper limb performance items that are reflective of activities of daily living. The RULM is scored from 0 to 37 points, with higher scores indicating better function.

    Measured: Up to Day 1825

  9. Part 2: Change From Baseline in Revised Upper Limb Module (RULM)

    The RULM is developed to assess upper limb functional abilities of participants with SMA. This test consists of a total of 20 upper limb performance items that are reflective of activities of daily living. The RULM is scored from 0 to 37 points, with higher scores indicating better function.

    Measured: Up to Day 1825

  10. Part 2: Percentage of Participants who Develop Spinal Muscular Atrophy (SMA) Subtypes (Type 1, 2,3a and 3b) As Assessed by the Investigator

    Measured: Up to Day 1825

  11. Parts 1 and 2: Time to Death (Overall Survival)

    Measured: Up to Day 1825

  12. Parts 1 and 2: Time to Death or Permanent Ventilation

    Permanent ventilation is defined as tracheostomy or ≥16 hours ventilation/day continuously for >21 days in the absence of an acute reversible event.

    Measured: Up to Day 1825

  13. Parts 1 and 2: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Measured: Up to Day 1825

  14. Parts 1 and 2: Concentration of Salanersen in Cerebrospinal Fluid (CSF)

    Measured: Up to Day 1460

  15. Parts 1 and 2: Concentration of Salanersen in Serum

    Measured: Up to Day 1825

  16. Parts 1 and 2: Change From Baseline in Plasma Levels of Neurofilament Light Chain (NfL)

    Measured: Up to Day 1825

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Oct 2025
  2. Study start28 Apr 2026
  3. Primary completion28 Nov 2028 (estimated)
  4. Study completion29 May 2032 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07221669
Sponsor's protocol ID
277SM302
Other IDs
2025-523116-37, 2025
Acronym
STELLAR-1
Status last verified
Oct 2026
First submitted
24 Oct 2025
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Salanersen in people with Muscular Atrophy, Spinal, run by Biogen at 14 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Brazil, United States, China, Australia, Chile and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact US Biogen Clinical Trial Center (866-633-4636, clinicaltrials@biogen.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: Percentage of Participants with 2 Survival Motor Neuron 2 (SMN2) Copies Sitting Without Support (for at Least 10 Seconds) (time frame: At Month 12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2026.

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