Clinical Trials

Overview

Risdiplam (Evrysdi™) – Roche

Risdiplam was developed in collaboration with Roche, the SMA Foundation and PTC Therapeutics. Marketed as Evrisdy™, it is the third disease-modifying treatment available in Europe for 5q SMA.

Risdiplam is an oral small molecule, designed to increase the amount of SMN protein made by the SMN2 gene. Risdiplam is distributed throughout the body, raising the levels of SMN protein in various organs, not just the central nervous system.

About Evrysdi™

Method of Action

Like nusinersen, risdiplam is a selective SMN2 gene splicing modifier. This means that it works by helping the “backup” SMN2 gene to produce more of the full-length, functional SMN protein that is missing in SMA.

View Method of Action

Trials of risdiplam (RO7034067)

Trial Name
MANATEE
Age:
Part 1: 2-10 years; Part 2: 2-25 years
Aim:
This trial will study the safety and efficacy of GYM329 in combination with risdiplam in patients with spinal muscular atrophy (SMA). The trial has two parts; Part 1 is the dose-finding part in SMA patients that are either ambulant (aged 2-10 years) or non-ambulant (aged 5-10 years) within separate cohorts, and Part 2 is the pivotal part in SMA patients aged 2-25 years that are ambulant.
Status:
Part 1 - Active, not recruiting; Part 2: not yet recruiting 
Locations:
Australia, Belgium, Canada, Croatia, Italy, Japan, Netherlands, Poland, Portugal, Spain, UK, USA
Identifier:
NCT05115110
Trial Name
RAINBOWFISH
Age:
Up to 6 weeks old
Aim:
To investigate the efficacy, safety, pharmacokinetics, and pharmacodynamics of risdiplam in infants aged from birth to 6 weeks who have been genetically diagnosed with SMA but are not yet presenting with symptoms
Status:
Active, not recruiting
Locations:
Belgium, Italy, Poland, Russian Federation, Australia, Brazil, China, Saudi Arabia, Taiwan & USA
Identifier:
NCT03779334
Trial Name
JEWELFISH
Age:
6 Months to 60 Years old
Aim:
To investigate the safety, tolerability, PK, and PK/PD relationship of risdiplam in adults, children and infants with SMA previously enrolled in Study BP29420 (Moonfish) with the splicing modifier RO6885247 or previously treated with nusinersen, olesoxime or AVXS-101.
Status:
Completed
Locations:
Belgium, France, Germany, Italy, the Netherlands, Poland, Switzerland, UK & USA
Identifier:
NCT03032172
Trial Name
SUNFISH
Age:
2 to 25 Years old
Aim:
To investigate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of Risdiplam in Type 2 and 3 SMA patients
Status:
Complete
Locations:
Belgium, Croatia, France, Italy, Poland, Russian Federation, Serbia, Spain, Switzerland, Turkey, Ukraine, Brazil, Canada, China, Japan, Saudi Arabia and USA
Identifier:
NCT02908685
Trial Name
FIREFISH
Age:
Type 1 SMA – 1 to 7 Months old
Aim:
To investigate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of risdiplam in infants with Type 1 SMA
Status:
Complete
Locations:
Belgium, Croatia, France, Germany, Italy, Poland, Russian Federation, Serbia, Spain, Turkey, UK, Brazil, China, Japan and USA
Identifier:
NCT02913482
Trial Name
PUPFISH
Age:
<20 days at first dose
Aim:
This study will evaluate the pharmacokinetics (PK) and safety of risdiplam in participants with spinal muscular atrophy (SMA) under 20 days of age at first dose.
Status:
Recruiting
Locations:
Belgium, Canada, Germany, Italy, Norway, Poland, US
Identifier:
NCT05808764
Trial Name
HINALEA 1
Age:
< 2 years of age
Aim:
This study will evaluate the effectiveness and safety of risdiplam administered as an early intervention in paediatric patients with spinal muscular atrophy after gene therapy
Status:
Recruiting
Locations:
Poland, US (more sites to be added in coming months)
Identifier:
NCT05861986
Trial Name
HINALEA 2
Age:
< 2 years of age
Aim:
This study will evaluate the effectiveness and safety of risdiplam administered as in paediatric patients with spinal muscular atrophy who experienced a plateau or decline in function after gene therapy
Status:
Recruiting
Locations:
Germany, Israel, Poland, Qatar, UK, US
Identifier:
NCT06321965
Trial Name
PHENO SMART
Status:
Recruting
Aim:
Characterization of New Phenotypes of Patients With Spinal Muscular Atrophy Treated With SMN Restoring Therapy.
Participation criteria:
Age 0-15 years, treated with a therapy that restores SMN protein expression (e.g. nusinersen, risdiplam, onasemnogene abeparvovec).
Locations:
France
Identifier:
NCT06321965

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