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Spinal muscular atrophy with respiratory distress type 2 is a rare, genetic, motor neuron disease characterized by progressive early respiratory failure associated with diaphragm paralysis, distal muscular weakness, joint contractures, and axial hypotonia with preserved antigravity limb movements. Phenotype overlaps considerably with SMARD type 1 but is differentiated by a mutation in a different gene.
3 FDA-approved treatments are available for spinal muscular atrophy with respiratory distress type 2, including NUSINERSEN (SPINRAZA, approved 2016), onasemnogene abeparvovec-xioi (Zolgensma, approved 2019), and RISDIPLAM (EVRYSDI, approved 2020).
Brand Name | Generic Name | Mechanism | Approved | Market Status |
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Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for spinal muscular atrophy with respiratory distress type 2.
7 publications have been identified in PubMed for spinal muscular atrophy with respiratory distress type 2. Research spans Case Report / Case Series (57%), Review / Meta-Analysis (14%), and Basic Science / Preclinical (14%).
Pagliari E (2026). [PMID: 41486111](https://pubmed.ncbi.nlm.nih.gov/41486111/). *J Biomed Sci*. [Gene Therapy / Novel Therapeutics]
Bektaş H (2026). [PMID: 41468720](https://pubmed.ncbi.nlm.nih.gov/41468720/). *Neuromuscul Disord*. [Case Report / Case Series]
Ricardez Hernandez SM (2025). [PMID: 39461706](https://pubmed.ncbi.nlm.nih.gov/39461706/). *Exp Neurol*. [Basic Science / Preclinical]
Zhu J (2024). [PMID: 39170411](https://pubmed.ncbi.nlm.nih.gov/39170411/). *Heliyon*. [Case Report / Case Series]
Leśniak A (2024). [PMID: 39202358](https://pubmed.ncbi.nlm.nih.gov/39202358/). *Genes (Basel)*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 5:33 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
EVRYSDI | RISDIPLAM | — | 2020 | Available |
Zolgensma | onasemnogene abeparvovec-xioi | — | 2019 | Available |
SPINRAZA | NUSINERSEN | — | 2016 | Available |
Gene therapy approaches for spinal muscular atrophy with respiratory distress type 2 have been reported in the published literature.
View trials for spinal muscular atrophy with respiratory distress type 2
Rzepnikowska W (2024). [PMID: 39119929](https://pubmed.ncbi.nlm.nih.gov/39119929/). *Neuropathol Appl Neurobiol*. [Review / Meta-Analysis]
Zhou C (2024). [PMID: 38872814](https://pubmed.ncbi.nlm.nih.gov/38872814/). *Front Neurol*. [Case Report / Case Series]