A reliable biomarker to predict response to gene therapy in SMA

French clinicians from the Filnemus network report the results of a prospective study aimed at measuring the predictive value of muscle action potential amplitude (CMAP) coupled with a motor score in infants with spinal muscular atrophy (SMA) destined to receive gene replacement therapy.

  • 13 symptomatic infants followed at the Necker Enfants Malades University Hospital (Paris) and 12 in the rest of France were included in the study.
  • A low CMAP at the median nerve level (< 0.5 mV) coupled with a poor CHOP-INTEND score were found to be correlated with non-acquisition of sitting at six months.

This biomarker could thus help pediatric SMA specialists to select infants with type 1 SMA who are most likely to benefit from gene therapy.

 

A new score combining compound muscle action potential (CMAP) amplitudes and motor score is predictive of motor outcome after AVXS-101 (Onasemnogene Abeparvovec) SMA therapy. Barrois R, Barnerias C, Deladrière E et al. Neuromuscul Disord. 2023 Apr;33(4):309-314.