Nusinersen

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Spinraza, Nusinersen sodium

BIOGEN INC. BIIB · Spinal Muscular Atrophy; Muscular Atrophy, Spinal

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    6

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA209531,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Spinal Muscular Atrophy; Muscular Atrophy, Spinal Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 19 Aug 20146 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 23 Dec 2016

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

  1. NusinersenPDUFAOccurred

    · PDUFA date · BIOGEN INC. BIIB

    BIOGEN INC.: PDUFA date in EX-99.1 (8-K) filed 30 October 2025

    continued generic erosion of TECFIDERA in Europe Delivered progress across key late-stage pipeline programs during the third quarter •LEQEMBI IQLIK, the first and only FDA-approved anti-amyloid treatment to offer an at-home subcutaneous injection in a maintenance setting and launched in October 2025. FDA rolling submission underway for LEQEMBI IQLIK treatment initiation •Today announced that high dose nusinersen (SPINRAZA) in SMA was successfully resubmitted with the FDA with an updated PDUFA date of April 3, 2026 •Today announced both litifilimab Phase 3 studies for systemic lupus erythematosus fully enrolled with expected data readout for both studies now accelerated to H2 2026 •New analysis of dapirolizumab pegol Phase 3 data presented at American College of Rheumatology Convergence underscores the potential for a differentiated profile in systemic lupus erythematosus Advanced Biogen’s immunology strategy with new early-stage programs •IRAK4 degrader (BIIB142) for autoimmune disease, including lupus, initiated Phase 1 study in healthy volunteers •Added a preclinical C5aR1 antagonist through a licensing agreement with Vanqua Bio, adding a proven immune mechanism with the potential to address a broad range of inflammatory disorders Biogen updates full year 2025 guidance to reflect stronger underlying business outlook and investment for growth from business development transactions expected to close in the fourth quarter •Full year 2025 Non-GAAP diluted EPS expected to be between $14.50 and $15.00, including expected improved business impact of approximately $0.25 EPS, offset by an expected approximately ($1.25) EPS impact in the fourth quarter from acquired IPR&D expense •Increased expected full year 2025 total revenue to be approximately flat to increasing 1%, at constant currency, versus full year 2024, up from approximately flat previously 1 Biogen Inc.

    Source: 0000875045-25-000047 (opens in a new tab)

    213days ago

FDA designations

No FDA designations are on record for Nusinersen. Editors add each one with its source.

Filed application

No filed application is on record for Nusinersen. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Nusinersen.

Clinical trials

Trials linked to Nusinersen
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT05067790ClinicalTrials.gov record for NCT05067790 (opens in a new tab)ASCENDA Study to Learn About the Effect of Higher Doses of Nusinersen (BIIB058) Given as Injections to Participants With Spinal Muscular Atrophy (SMA) Who Were Previously Treated With Risdiplam (ASCEND)Phase 3Active, not recruiting45 (actual)24 Sep 2027 (estimated) No
NCT04729907ClinicalTrials.gov record for NCT04729907 (opens in a new tab)ONWARDA Study to Learn About the Long-Term Safety of Higher Doses of Nusinersen (BIIB058) Given as Injections to Participants With Spinal Muscular Atrophy (SMA) Who Took Part in an Earlier Nusinersen Trial (ONWARD)Phase 3Completed115 (actual)30 Jul 2026 (actual) No
NCT04089566ClinicalTrials.gov record for NCT04089566 (opens in a new tab)DEVOTEStudy of Nusinersen (BIIB058) in Participants With Spinal Muscular AtrophyPhase 3Completed145 (actual)21 Feb 2024 (actual) Yes First posted Results on ClinicalTrials.gov for NCT04089566 (opens in a new tab)

Posted results on ClinicalTrials.gov for DEVOTE

  • Part B Infantile-onset SMA: Change From Baseline in CHOP-INTEND Total Score for 50/28mg Nusinersen Versus CS3B Matched Sham Control Group (score on scale)
    • Part B: Infantile-Onset SMA: 50/28 mg Nusinersen vs CS3B Matched Sham Control Group: Least square (LS) mean difference 26.06 (95% CI 17.941 to 34.172), p-value < 0.0001, ANCOVA, superiority

Serious adverse events (Part A: From first dose of the study up to Day 389 Part B: From first dose of the study up to Day 399 Part C: From first dose of the study up to Day 361): Part A: 28/28 mg Nusinersen 1 of 6; Part B: Infantile-Onset SMA: 12/12 mg Nusinersen 18 of 25; Part B: Infantile-Onset SMA: 50/28 mg Nusinersen 30 of 50; Part B: Later-Onset SMA: 12/12 mg Nusinersen 4 of 8; Part B: Later-Onset SMA: 50/28 mg Nusinersen 2 of 16; Part C: 50/28 mg Nusinersen 6 of 40

Source: ClinicalTrials.gov results for NCT04089566 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing DEVOTE (3), newest first

  1. Musculoskeletal deformities in children with spinal muscular atrophy: a multicenter cross-sectional study with longitudinal follow-up.

    Annals of physical and rehabilitation medicine · 2026 Apr

  2. High-dose nusinersen for spinal muscular atrophy: a phase 3 randomized trial.

    Nature medicine · 2026 Mar

  3. Scientific rationale for a higher dose of nusinersen.

    Annals of clinical and translational neurology · 2022 Jun

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02594124ClinicalTrials.gov record for NCT02594124 (opens in a new tab)SHINEA Study for Participants With Spinal Muscular Atrophy (SMA) Who Previously Participated in Nusinersen (ISIS 396443) Investigational StudiesPhase 3Completed292 (actual)21 Aug 2023 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02594124 (opens in a new tab)

Posted results on ClinicalTrials.gov for SHINE

Serious adverse events (From Day 1 up to the end of the study (up to 2848 days)): Infantile SMA Onset CS3A 11 of 13; Infantile SMA Onset CS3B Previous Control 23 of 24; Infantile SMA Onset CS3B Previous ISIS 396443 59 of 65; Infantile SMA Onset 232SM202 9 of 12; Later SMA Onset 232SM202 5 of 8; Later SMA Onset CS12 Type 2 12 of 20; Later SMA Onset CS12 Type 3 6 of 25; Later SMA Onset CS4 Previous Control 26 of 42; Later SMA Onset CS4 Previous ISIS 396443 47 of 83

Source: ClinicalTrials.gov results for NCT02594124 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing SHINE (1), newest first

  1. Long-Term Comparative Efficacy and Safety of Risdiplam and Nusinersen in Children with Type 1 Spinal Muscular Atrophy.

    Advances in therapy · 2024 Jun

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02292537ClinicalTrials.gov record for NCT02292537 (opens in a new tab)CHERISHA Study to Assess the Efficacy and Safety of Nusinersen (ISIS 396443) in Participants With Later-onset Spinal Muscular Atrophy (SMA)Phase 3Completed126 (actual)20 Feb 2017 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02292537 (opens in a new tab)

Posted results on ClinicalTrials.gov for CHERISH

  • Change From Baseline in Hammersmith Functional Motor Scale - Expanded (HFMSE) Score at Month 15 (scores on a scale)
    • Sham Procedure vs Nusinersen: LS Mean Difference 4.9 (95% CI 3.1 to 6.7), p-value 0.0000001, ANCOVA, superiority

Serious adverse events (From signing of Informed Consent to the end of the Follow-up period (Month 15)): Sham Procedure 12 of 42; Nusinersen 14 of 84

Source: ClinicalTrials.gov results for NCT02292537 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing CHERISH (2), newest first

  1. An Integrated Safety Analysis of Infants and Children with Symptomatic Spinal Muscular Atrophy (SMA) Treated with Nusinersen in Seven Clinical Trials.

    CNS drugs · 2019 Sep

  2. Nusinersen versus Sham Control in Later-Onset Spinal Muscular Atrophy.

    The New England journal of medicine · 2018 Feb 15

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT02193074ClinicalTrials.gov record for NCT02193074 (opens in a new tab)ENDEARA Study to Assess the Efficacy and Safety of Nusinersen (ISIS 396443) in Infants With Spinal Muscular AtrophyPhase 3Terminated122 (actual)21 Nov 2016 (actual) Yes First posted Results on ClinicalTrials.gov for NCT02193074 (opens in a new tab)

Posted results on ClinicalTrials.gov for ENDEAR

  • Percentage of Motor Milestones Responders (percentage of participants)
    • Control vs Nusinersen: Difference in percentages 50.68 (95% CI 31.81 to 66.48), p-value < 0.0001, Fisher Exact, superiority or other
  • Time to Death or Permanent Ventilation (proportion of participants)
    • Control vs Nusinersen: Estimate not given, p-value 0.0046, Log Rank, superiority or other
    • Control vs Nusinersen: Hazard Ratio (HR) 0.530 (95% CI 0.3156 to 0.8902), p-value 0.0164, Cox proportional hazards model, superiority or other

Serious adverse events (Screening through Day 394 (± 7 days) or early termination): Control 39 of 41; Nusinersen 61 of 80

Source: ClinicalTrials.gov results for NCT02193074 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing ENDEAR (5), newest first

  1. Long-Term Comparative Efficacy and Safety of Risdiplam and Nusinersen in Children with Type 1 Spinal Muscular Atrophy.

    Advances in therapy · 2024 Jun

  2. An Integrated Safety Analysis of Infants and Children with Symptomatic Spinal Muscular Atrophy (SMA) Treated with Nusinersen in Seven Clinical Trials.

    CNS drugs · 2019 Sep

  3. Survival, Motor Function, and Motor Milestones: Comparison of AVXS-101 Relative to Nusinersen for the Treatment of Infants with Spinal Muscular Atrophy Type 1.

    Advances in therapy · 2019 May

  4. Nusinersen versus Sham Control in Infantile-Onset Spinal Muscular Atrophy.

    The New England journal of medicine · 2017 Nov 2

  5. Treatment of infantile-onset spinal muscular atrophy with nusinersen: a phase 2, open-label, dose-escalation study.

    Lancet (London, England) · 2016 Dec 17

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

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FDA actions

Original approvals and new-indication supplements for Nusinersen, newest first
ApplicationActionDateOutcomeReviewSource
NDA209531Action letter for NDA209531 (opens in a new tab) Supplement 16 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209531Action letter for NDA209531 (opens in a new tab) Supplement 10 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209531Action letter for NDA209531 (opens in a new tab) Supplement 3 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA209531Action letter for NDA209531 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedpriorityDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

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EU status (EMA)

AuthorisedOrphan medicine

Spinraza (EMEA/H/C/004312)

Authorised
Therapeutic area
Muscular Atrophy, Spinal
Marketing authorisation holder
Biogen Netherlands B.V.
Active substance (INN)
nusinersen
ATC code
M09
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

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Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.