SMA1 Clinical Program


About SMA1

Spinal muscular atrophy (SMA) is a progressive neurodegenerative disease that affects motor neurons in the spinal cord and adversely affects the skeletal muscles.  Progressive muscle weakness impairs breathing, eating, crawling/walking, and other activities.  SMA is caused by a mutation in the survival motor neuron gene 1 (SMN1), and it follows an autosomal recessive pattern of inheritance. The global incidence of all types of SMA, whose severity is modulated by the number of SMN2 gene copies, is approximately 1:10,000 live births.  

 SMA Type 1 (SMA1) is a very severe form with early onset and diagnosis occurring at less than 6 months of age.  Untreated SMA1 patients do not survive beyond 18 months of age.  SMA1 patients typically have 1-2 copies of the SMN2 gene.  The global incidence of SMA1 is approximately 1:17,000 live births.  

Photo credit: Levi Gershkowitz

About GB221

GB221 is an investigational gene therapy created by GEMMABio.  It consists of an adeno-associated virus (AAV) encasing a functional copy of a codon-optimized SMN1 gene in a modified transgene cassette designed to reduce motor and sensory neurotoxicity.  It is a one-time treatment that is delivered directly to the cerebrospinal fluid (CSF) via intra-cisterna magna (ICM) injection.  

 In preclinical studies, GB221 improved survival and neuromotor function in a mouse model of SMA1.  Furthermore, the investigational new therapy demonstrated high levels of motor neuron transduction without toxicity in non-human primates (NHPs). 

Clinical Trial Participation 

As of late November 2025, the clinical trial for GB221 is expected to open in Brazil within the next few months.  For more information about the study and eligibility criteria, please visit clinicaltrials.gov (NCT07070999). 

For physicians:
To learn more about our investigational therapeutics or to inquire about participation in one of our clinical trials, please submit a request to clinical_studies@gemmabiotx.com

All other inquiries:
Connect with us at info@gemmabiotx.com.  

Expanded Access Policy

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