Updated: January 10, 2026
Note to readers: Due to confidentiality of research solutions, I intentionally have not updated this page since January 2025. Please know that our researchers are moving mountains, and clinical trials are around the corner as a treatment for SMA-PME then downstream Farber disease as well. I will update this page when the research is made public. Please stay tuned.
What’s happening in Spinal Muscular Atrophy with Progressive Myoclonic Epilepsy (SMA-PME) research and treatment around the globe?
Our charity, SMA-PME Research, has its eyes on research solutions that we lump into six areas:
- Genetic research, especially in Europe and the United States
- Enzyme Replacement Therapy (ERT) in the United States
- ERT combined with Blood Brain Barrier (BBB) research in Japan
- Hematopoietic Stem Cell Transplantation (HSCT) in the United States
- BBB work in Italy
- Homeopathic treatments
- Genetic Research
- Genetic research focuses on correcting the mutation in the ASAH1 gene.
- Most researchers agree that a genetic treatment, properly dosed, will be a one-and-done treatment for SMA-PME. Other researchers believe more analysis is needed to ascertain whether a genetic treatment can be administered once or will be needed more than once.
- ERT
- ERT research focuses on delivering a protein to the patient’s circulatory system that will correct the problematic accumulation of acid ceramidase described on this website under “SMA-PME Disease.” ERT is an especially attractive area of research because a protein was developed circa 2020 by Aceragen Corporation. This protein, at this writing, is ready for patient trials. It has been tested on an SMA-PME mouse model. Two companies and one laboratory are bidding on the opportunity to use this intellectual property.
- ERT with BBB
- The Blood Brain Barrier (BBB) is the membrane in our bodies that separates the circulatory system from the nervous system. Epilepsy, a symptom of SMA-PME, originates in the brain. However, ERT is injected into the circulatory system, typically through a port installed in the arm or chest. Getting this larger protein across the BBB could be a challenge in treating SMA-PME.
- SMA-PME Research interacted with JCR Pharmaceuticals (JCR) in Kobe, Japan. JCR has vast experience in developing ERT solutions to other illnesses. Moreover, JCR has a patented BBB transport mechanism called J-Cargo complex ® that will allow larger particles to cross into the brain. Other organizations in other countries are also experimenting with methods to pass medicine across the BBB.
- HSCT
- HSCT reduced ceramide accumulation in all tissues investigated in two mouse models.
- HSCT is breaking research.
- BBB in Italy
- Our charity has caught wind of BBB work among some Italian researchers.
- Homeopathic treatments
- SMA-PME Research has intentions to follow leads regarding the use of homeopathic remedies to treat this genetic disorder:
- Nutrition
- Acupuncture
- Cannabidiol (CBD)