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AVXS-101

Phase 4

Spinal Muscular Atrophy 1 | Monoclonal antibody | Neurology |Novartis AG|Trials Updated: Jan 13, 2026

AVXS-101 development status

Highest phase Phase 4 (NCT05073133)
Phase scored for NVSPhase 1
Registered trials 13 across 2 sponsors since Apr 2014

AVXS-101 target and mechanism

ModalityMonoclonal antibody

Also known as Zolgensma, OAV101, Onasemnogene Abeparvovec-xioi

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials4
Total Enrollment192

FDA Designations

No designations recorded

AVXS-101 clinical trials

AVXS-101 · 4 trials · 3 indications

Phase 3 3Phase 1 1
NCT05386680Phase IIIb, Open-label, Multi-center Study to Evaluate Safety, Tolerability and Efficacy of OAV101 Administered Intrathecally to Participants With SMA Who Discontinued Treatment With Nusinersen or RisdiplamSpinal Muscular Atrophy
COMPLETED27 Analytics
NCT05089656Efficacy and Safety of Intrathecal OAV101 (AVXS-101) in Pediatric Patients With Type 2 Spinal Muscular Atrophy (SMA)Type 2 Spinal Muscular Atrophy
COMPLETED126 Analytics
NCT04851873Safety and Efficacy of Intravenous OAV101 (AVXS-101) in Pediatric Patients With Spinal Muscular Atrophy (SMA)Spinal Muscular Atrophy
COMPLETED24 Analytics
PHASE3COMPLETED
Phase IIIb, Open-label, Multi-center Study to Evaluate Safety, Tolerability and Efficacy of OAV101 Administered Intrathecally to Participants With SMA Who Discontinued Treatment With Nusinersen or Risdiplam
Spinal Muscular AtrophyUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Intrathecal OAV101 (AVXS-101) in Pediatric Patients With Type 2 Spinal Muscular Atrophy (SMA)
Type 2 Spinal Muscular AtrophyUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Intravenous OAV101 (AVXS-101) in Pediatric Patients With Spinal Muscular Atrophy (SMA)
Spinal Muscular AtrophyUnlock trial analytics

Study Endpoints

Primary Endpoints

Overview of Treatment-emergent Adverse Events by Age Subgroup
Adverse events were reported from single dose of study treatment plus 52 weeks, up to a maximum time period of 52 weeks.

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study. The occurrence of AEs must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments.

Treatment-emergent Adverse Events Related to Treatment by System Organ Class, Preferred Term, Age Subgroup (>= 10%)
Adverse events were reported from single dose of study treatment plus 52 weeks, up to a maximum time period of 52 weeks.

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study. The occurrence of AEs must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments.

Adverse Events of Special Interest by System Organ Class, Preferred Term, Age Subgroup
Adverse events were reported from single dose of study treatment plus 52 weeks, up to a maximum time period of 52 weeks.

An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study. The occurrence of AEs must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments. An adverse event of special interest (AESI) is primarily defined by using standard Medical Dictionary for Regulatory Activities (MedDRA) queries, and identified as follows: Hepatotoxicity, Transient thrombocytopenia, Thrombotic microangiopathy, Cardiac adverse events, signs and symptoms that may be suggestive dorsal root ganglia toxicity, and new malignancies.

Change From Baseline at the End of Period 1 in the Hammersmith Functional Motor Scale Expanded - Total Score - in the ≥ 2 to < 18 Years Age Group
Baseline, Week 52 (or Week 48)

The HFMSE is a validated SMA specific assessment devised for use in children with SMA to give objective information on motor ability and clinical progression. The HFMSE contains 33 items rated from 0 (unable to perform) to 2 (performs without modification/adaptation/compensation). Total scores range from 0-66. Higher scores indicate higher levels of motor ability.

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) by Weight Bracket
Up to Month 12

An AE is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study.

Number of Participants With Important Identified and Important Potential Risks (Adverse Events of Special Interest (AESI)) by Risk Name and Weight Bracket
Up to Month 12

Important identified and important potential risks included the following AESIs: Hepatotoxicity, Thrombocytopenia, Cardiac adverse events, Dorsal root ganglia toxicity and Thrombotic microangiopathy. These were assessed by the investigator.

Summary of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values by Weight Bracket - Systolic and Diastolic Blood Pressure
12 months

Change from baseline in vital signs measurements - systolic and diastolic blood pressure (mmHg). Systolic Blood Pressure-Low:\<=5th percentile of the age(Any Age), High:\>=90th percentile of the age, gender, and height group (\<18 yrs). Diastolic Blood Pressure-High:\>=90th percentile of the age, gender, and height group(\<18 yrs).

Change From Baseline in Vital Signs Measurements - Systolic Blood Pressure (mmHg)
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52
Change From Baseline in Vital Signs Measurements - Diastolic Blood Pressure (mmHg)
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52
Change From Baseline in Vital Signs Measurements - Respiratory Rate (Breaths/Min)
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52

Change from baseline in vital signs measurements - Respiratory Rate (breaths/min)

Change From Baseline in Vital Signs Measurements - Pulse Rate (Beats/Min)
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52

Change from baseline in vital signs measurements - Pulse Rate (beats/min

Summary of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values by Weight Bracket - Temperature
12 months

Change from baseline in vital signs measurements - temperature (degrees Celsius) Temperature-Low:\<=35ºC(Any Age),High:\>=38.4ºC(\<18 yrs).

Change From Baseline in Vital Signs Measurements - Temperature (Degrees Celsius)
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52
Change From Baseline in Vital Signs Measurements - Oxygen Saturation Level
Baseline, Days 2 and 3, Weeks 1, 2, 3, 4, 6, 8, 10, 13, 26, 39 and 52

Change from baseline in vital signs measurements - oxygen saturation level (%). Oxygen saturation is the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated+saturated) in the blood and then multiplied by 100.

Number of Participants That Experienced One Grade III or Higher Unanticipated, Treatment-related Toxicity That Presents With Clinical Symptoms and Requires Medical Treatment
2 years

Secondary Endpoints

Change From Baseline at Week 52 Visit in the HFMSE Total Score - Mean (SD)
Baseline, Week 52
Change From Baseline at Week 52 Visit in the HFMSE Total Score - LS Means
Baseline, Week 52
Change From Baseline at Week 52 Visit in the RULM Total Score - Mean (SD)
Baseline, Week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
OAV-101EXPERIMENTALIntrathecal administration of OAV101 at a dose of 1.2 x 10\^14 vector genomes, one time dose
OAV101 in Treatment Period 1; Sham Control in Treatment Period 2EXPERIMENTALOAV101 administered as a single, one-time intrathecal dose of 1.2 x 10\^14 vector genomes (vg) in Treatment Period 1; Sham Control in Treatment Period 2 (Week 52 +1 day).
Sham control in Treatment Period 1; OAV101 in Treatment Period 2SHAM_COMPARATORA skin prick in the lumbar region in Treat Period 1; OAV101 administered as a single, one-time intrathecal dose of 1.2 x 10\^14 vector genomes (vg) in Treatment Period 2 (Week 52 +1 day)
OAV101EXPERIMENTALParticipants received a single IV dose administration of OAV101
Cohort 1EXPERIMENTAL6.7 X 10\^13 vg/kg of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein (n=3)
Cohort 2EXPERIMENTAL2.0 X 10\^14 vg/kg of AVXS-101 delivered one-time through a venous catheter inserted into a peripheral vein (n=12)

Interventions

NameTypeDescription
OAV101GENETICIntrathecal administration of OAV101 at a dose of 1.2 x 10\^14 vector genomes, one time dose
Sham controlPROCEDUREThe sham procedure will consist of a small needle prick on the lower back at the location where the LP injection is normally made. The needle will break the skin, but no needle insertion for lumbar puncture will occur.
AVXS-101BIOLOGICALSelf-complementary AAV9 carrying the SMN gene under the control of a hybrid CMV enhancer/chicken-β-actin promoter
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Eligibility Criteria

Age Range2 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria * SMA diagnosis * Aged 2 to \< 18 years * Have had at least four loading doses of nusinersen (Spinraza®) or at least 3 months of treatment with risdiplam (Evrysdi®) at Screening * Must have symptoms of SMA as defined in the protocol Exclusion Criteria: * Anti Adeno Associated V...

Countries:United StatesAustraliaBelgiumCanadaFranceItalyJapanNetherlandsSpainBrazilChinaDenmarkIndiaMalaysiaMexicoSaudi ArabiaSingaporeSouth AfricaTaiwanThailandVietnamPortugalUnited Kingdom
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Competitive Landscape -Spinal Muscular Atrophy 33 trials (matched to "Spinal Muscular Atrophy 1")

Frequently asked questions about AVXS-101

What is AVXS-101 used for?

AVXS-101 is an investigational gene therapy being developed for the treatment of Spinal Muscular Atrophy 1, a severe genetic disorder affecting motor neurons. It is currently in clinical development and has not been approved by regulatory authorities.

Who makes AVXS-101?

AVXS-101 is developed by Novartis AG, a multinational pharmaceutical company listed on the New York Stock Exchange under the ticker symbol NVS. The drug is being studied for Spinal Muscular Atrophy 1.

What phase is AVXS-101 in?

AVXS-101 is in Phase 1 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory agencies. The Phase 1 trial for Spinal Muscular Atrophy 1 has been completed.

What clinical trials is AVXS-101 in?

AVXS-101 has one completed clinical trial, identified as NCT02122952, titled 'Gene Transfer Clinical Trial for Spinal Muscular Atrophy Type 1'. This Phase 1 study enrolled 15 participants in the United States and evaluated the drug for Spinal Muscular Atrophy 1.

Is AVXS-101 a monoclonal antibody?

Yes, AVXS-101 is classified as a monoclonal antibody. It is being developed for the treatment of Spinal Muscular Atrophy 1, a neurological condition. The drug is currently in Phase 1 clinical development.