Improvement of upper limb motor function in non-ambulant SMA type II or III on long-term nusinersen

Longitudinal data from 256 individuals with genetically confirmed SMA treated with nusinersen (Spinraza) were extracted from the SMArtCARE registry.

  • Before treatment was started :

• 180 had SMA type II and were able to sit up, 107 were 5 years old or younger, 73 were older than 5 years;

• 37 had lost the ability to sit up alone;

• 39 had SMA type III and had lost the ability to walk and partially sit.

  • Almost 90% had 14 months of follow-up data on nusinersen, half of them 38 months.
  • Almost one third had a functionally significant improvement in their Revised Upper Limb Module (RULM) score, and almost a quarter in their Hammersmith Functional Motor Scale Expanded (HFMSE) score.
  • Only 4.3% had a clinically significant deterioration in their HFMSE score and 1.2% in their RULM score.

 

Improved upper limb function in non-ambulant children with SMA type 2 and 3 during nusinersen treatment: a prospective 3-years SMArtCARE registry study. Pechmann A, Behrens M, Dörnbrack K et al. Orphanet J Rare Dis. 2022 Oct 23;17(1):384.