German-speaking real-world data on the use of innovative therapies in SMA

Researchers consulted the SMArtCARE registry, which focuses on SMA in Germany, Austria and Switzerland, in the context of innovative therapies available since 2017:

  • data from 2,140 SMA patients listed in the registry were analysed,
  • 60% of them received treatment with nusinersen, 24% with risdiplam and 11% with gene therapy (onasemnogene aboparvovec),
  • two-thirds of treated patients continued with the initial innovative therapy, reflecting their satisfaction (with both its efficacy and mode of administration),
  • for the others, switching from one therapy to another most often occurred when a new innovative drug was launched on the market, more for convenience (a more suitable method of administration) than because of a real decrease in the efficacy of their initial treatment.

The authors point out that, according to their data, switching rarely results in any real functional benefit.

 

Treatment evolution in spinal muscular atrophy: insights from the SMArtCARE registry. Voigt-Müller C, Pfaffenlehner M, Bernert G et al. Brain. 2025 Dec