Recent Updates
Recently added Catalysts

Salanersen

Phase 3

Muscular Atrophy, Spinal | Small molecule | Other |Biogen Inc.|Last Updated: Jun 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindSHAM_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment72
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 AbeparvovecPHASE3 NOT YET_RECRUITING 42Sep 4, 2026Jul 26, 2033Jun 5, 2026 -
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)PHASE3 RECRUITING 30Apr 28, 2026May 29, 2032May 6, 20262 United States
Unlock Drug Trial Details
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.

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
Unlock Study Endpoints
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.
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.
Unlock Study Design Details
Eligibility Criteria
Age Range0 Days — 7 Months
SexALL
Healthy VolunteersNo

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 States
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWJun 5, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 5, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 5, 2026NCT07444450lastUpdatePostDate: changed
LOWJun 5, 2026NCT07444450lastUpdatePostDate: changed
LOWMay 26, 2026NCT07221669primaryCompletionDate: changed
LOWMay 26, 2026NCT07444450primaryCompletionDate: changed
LOWMay 24, 2026NCT07221669studyFirstPostDate: changed
LOWMay 24, 2026NCT07444450studyFirstPostDate: changed