Dual therapy, more effective in SMA?

The question of dual therapy, to gain in efficiency, is arising in SMA. Still, few studies have been published on this subject so far. Early work studying the effects of a double treatment has recently been published: 

  • an American study in a model mouse with a severe form of SMA shows that, compared to one of the treatments alone, the combination of Spinraza® and Evrysdi® increases the production of SMN, improves their motor function and their lifespan, even when symptoms have already appeared; 
  • another American study reports the benefits experienced by four patients with SMA and treated with Zolgensma® then Evrysdi® for one month.

Clinical trials, which are not taking place in France, are evaluating the effects of a double treatment on a larger scale: 

  • the RESPOND study combines Spinraza® with Zolgensma® in 60 infants;
  • the MANATEE trial combines Evrysdi® with an anti-myostatin, GYM329 (RO7204239) in 180 children.

 

Dual SMN inducing therapies can rescue survival and motor unit function in symptomatic ∆7SMA mice. Kray KM, McGovern VL, Chugh D et al. Neurobiol Dis. 2021 (Nov).159:105488.

 

Combination therapy with onasemnogene and risdiplam in spinal muscular atrophy type 1. Oechsel KF, Cartwright MS. Muscle Nerve. 2021 (Oct). 64(4):487-490.