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Salanersen

Phase 3

Muscular Atrophy, Spinal | Small molecule | Neurology |Biogen Inc.|Last Updated: Aug 18, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindSHAM_CONTROLLEDDMC
Total Trials2
Total Enrollment72

FDA Designations

BREAKTHROUGH_THERAPY

Clinical trial landscape

Salanersen · 3 trials · 2 indications

Phase 3 3
NCT07444450A Study to Learn About the Safety and Effects of Salanersen (BIIB115) When Given to Babies With Spinal Muscular Atrophy (SMA) Who Were Previously Treated With Onasemnogene AbeparvovecMuscular Atrophy, Spinal
RECRUITING42 Analytics
NCT07221669A 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)Muscular Atrophy, Spinal
RECRUITING30 Analytics
NCT07444476A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety in Participants Aged 15 to 60 Years With Spinal Muscular Atrophy (SMA) Who Are Either New to SMA Treatment or Were Previously Treated With RisdiplamSpinal Muscular Atrophy
RECRUITING90 Analytics
PHASE3RECRUITING
A Study to Learn About the Safety and Effects of Salanersen (BIIB115) When Given to Babies With Spinal Muscular Atrophy (SMA) Who Were Previously Treated With Onasemnogene Abeparvovec
Muscular Atrophy, SpinalUnlock trial analytics
PHASE3RECRUITING
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)
Muscular Atrophy, SpinalUnlock trial analytics
PHASE3RECRUITING
A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety in Participants Aged 15 to 60 Years With Spinal Muscular Atrophy (SMA) Who Are Either New to SMA Treatment or Were Previously Treated With Risdiplam
Spinal Muscular AtrophyUnlock trial analytics

Study Endpoints

Primary Endpoints

Parts A: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Part A: Up to Day 365
Part 1: Percentage of Participants with 2 Survival Motor Neuron 2 (SMN2) Copies Sitting Without Support (for at Least 10 Seconds)
At Month 12
Part 1: Percentage of Participants with 3 SMN2 Copies Walking Alone (for at Least 5 Steps)
At Month 18
Part 2: Percentage of Participants Attaining and Maintaining World Health Organization (WHO) Motor Milestones
Up to Day 1825

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.

Change From Baseline in Hammersmith Functional Motor Scale - Expanded (HFMSE) Total Score in Treatment-Naïve Cohort
At Month 12

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.

Secondary Endpoints

Part B: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Part B: Up to Day 1825
Parts A and B: Change From Baseline in Plasma Levels of Neurofilament Light Chain (NfL)
Part A: At Days 180 and 365; Part B: Up to Day 1825
Parts A and B: Change from Baseline in Compound Muscle Action Potential (CMAP) Amplitudes
Part A: At Day 365 and Part B: Up to Day 1825
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SalanersenEXPERIMENTALParticipants will receive a single dose of salanersen, 80 milligrams (mg) administered intrathecally on Day 1 in Part A. In Part B, participants will continue to receive four additional intrathecal doses of salanersen, 80 mg administered on Days 365, 730, 1095, and 1460.
Sham ProcedureSHAM_COMPARATORParticipants will undergo a sham procedure on Day 1 in Part A. In Part B, participants will receive four intrathecal doses of salanersen, 80 mg administered on Days 365, 730, 1095, and 1460.
Treatment-Naïve CohortEXPERIMENTALTreatment-naïve participants will receive salanersen 80 milligrams (mg) by intrathecal (IT) lumbar puncture (LP) every 12 months for a total of five doses.
Risdiplam-Treated CohortEXPERIMENTALRisdiplam-treated participants will receive salanersen 80 mg by IT LP every 12 months for a total of five doses.

Interventions

NameTypeDescription
SalanersenDRUGAdministered intrathecally
Sham ProcedurePROCEDUREA sham lumbar puncture is a skin-only needle prick at the usual lumbar puncture site. The needle does not enter the spinal canal.
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Eligibility Criteria

Age Range0 Days to 7 Months
SexALL
Healthy VolunteersNo
Study Sites1

Key Inclusion Criteria: * Genetic documentation of 5q spinal muscular atrophy (SMA) homozygous gene deletion or mutation or compound heterozygous mutation. * 2 copies of the survival motor neuron 2 (SMN2) gene. * Onasemnogene Abeparvovec (OA) dose given at ≤ 42 days of age and screening initiated l...

Countries:United StatesAustraliaBrazilChinaJapan
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Recent Changes (Last 90 Days)

LOWAug 19, 2026NCT07221669lastUpdatePostDate: changed
LOWAug 19, 2026NCT07221669lastUpdatePostDate: changed
LOWAug 19, 2026NCT07221669lastUpdatePostDate: changed
LOWAug 11, 2026NCT07221669lastUpdatePostDate: changed
LOWAug 11, 2026NCT07444450Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 11, 2026NCT07221669lastUpdatePostDate: changed
LOWAug 11, 2026NCT07444450Status: NOT_YET_RECRUITING → RECRUITING
LOWJul 31, 2026NCT07221669lastUpdatePostDate: changed
LOWJul 31, 2026NCT07221669lastUpdatePostDate: changed
LOWJul 6, 2026NCT07221669lastUpdatePostDate: changed
LOWJul 6, 2026NCT07221669lastUpdatePostDate: changed
LOWJun 16, 2026NCT07221669lastUpdatePostDate: changed
LOWJun 16, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 16, 2026NCT07221669lastUpdatePostDate: changed
LOWJun 16, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 16, 2026NCT07221669lastUpdatePostDate: changed
LOWJun 16, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 16, 2026NCT07221669lastUpdatePostDate: changed
LOWJun 16, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 9, 2026NCT07221669lastUpdatePostDate: changed

Frequently asked questions about Salanersen

What is Salanersen used for?

Salanersen is an investigational antisense oligonucleotide being developed for spinal muscular atrophy (SMA), a genetic neuromuscular disease. It is being studied in presymptomatic babies with a genetic diagnosis of SMA, in babies previously treated with onasemnogene abeparvovec, and in adults aged 15 to 60 years with SMA who are new to treatment or previously treated with risdiplam.

What does Salanersen target?

Salanersen is an antisense oligonucleotide (ASO), a class of small molecules that work by binding to RNA to modify gene expression. Its specific molecular target is not publicly disclosed in the available clinical trial information.

Who is developing Salanersen?

Salanersen is being developed by Biogen Inc., a biotechnology company traded on the Nasdaq under the ticker symbol BIIB. Biogen is conducting Phase 3 clinical trials of Salanersen across multiple countries, including the United States, Australia, Brazil, China, and Japan.

What phase is Salanersen in?

Salanersen is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug has received Breakthrough Therapy designation from the FDA, which is intended to expedite the development and review of drugs for serious conditions.

What clinical trials is Salanersen in?

Salanersen is being studied in three Phase 3 trials. NCT07221669 enrolls presymptomatic babies with genetically diagnosed SMA. NCT07444450 enrolls babies previously treated with onasemnogene abeparvovec. NCT07444476 enrolls participants aged 15 to 60 years with SMA who are new to treatment or previously treated with risdiplam. All trials are recruiting.

Is Salanersen the same as BIIB115?

Yes, Salanersen is also known as BIIB115. Clinical trial records refer to the drug as Salanersen (BIIB115), indicating that BIIB115 is the development code used by Biogen for this investigational antisense oligonucleotide.