Neuromuscular

Spinal Muscular Atrophy

Also known as SMA Type 1 (Werdnig-Hoffmann), SMA Type 2, SMA Type 3 (Kugelberg-Welander), SMA Type 4

Spinal muscular atrophy is caused by deletion or mutation of the SMN1 gene, leading to insufficient SMN protein and progressive loss of motor neurons. Type 1 (the most severe) presents before 6 months and was historically fatal by age 2.

ORPHA:70 ↗Gene SMN1Prevalence 1-9 per 100,000 (Orphanet)Onset All ages (type-dependent)Genetic (autosomal recessive)

80

studies recruiting now

as of 7 Sept 2026

462

studies registered in total

as of 7 Sept 2026

8

countries with a recruiting site

as of 7 Sept 2026

23 Jul 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 80 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About Spinal Muscular Atrophy

Spinal muscular atrophy is caused by deletion or mutation of the SMN1 gene, leading to insufficient SMN protein and progressive loss of motor neurons. Type 1 (the most severe) presents before 6 months and was historically fatal by age 2. Nusinersen (Spinraza), onasemnogene abeparvovec (Zolgensma), and risdiplam (Evrysdi) have transformed outcomes. Newborn screening now allows pre-symptomatic treatment before any motor loss occurs.

Common clinical features

Proximal muscle weaknessSkeletal muscle atrophyIntercostal muscle weaknessAxial muscle weaknessQuadriceps muscle weaknessRecurrent respiratory infectionsDifficulty climbing stairsHypotonia

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Spinal Muscular Atrophy. Not eligibility rules; those are set by each study.

  • SMA type (1, 2, 3, or 4) and current treatment status (nusinersen, risdiplam, or gene therapy) are the most important eligibility factors
  • SMN2 copy number must typically be confirmed - higher copy number correlates with milder disease and affects trial arms
  • Pre-symptomatic infants identified through newborn screening have access to specific early intervention trials

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).