Condition
Amyotrophic Lateral Sclerosis (ALS) clinical trials and research
As of November 12, 2026, Find a Trial lists 36 Amyotrophic Lateral Sclerosis (ALS) clinical trials that are recruiting, at sites in 22 countries (most in United States (13), Italy (4), Germany (4)). By phase: Phase 1/2 (4), Phase 2 (3), Phase 1 (3), Early Phase 1 (2). The most active sponsors are Neuralink Corp (3), Duke University (2). There are also 11 NIH-funded research projects on Amyotrophic Lateral Sclerosis (ALS), with $41.5 million in listed awards. Every study is explained in plain English. Data from ClinicalTrials.gov and NIH RePORTER, updated November 12, 2026.
- 36Clinical trials
- 11NIH research projects
- 22Countries
Newest Amyotrophic Lateral Sclerosis (ALS) clinical trials
All recruiting trials (36)
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Early detection of respiratory impairment in ALS using breathing, MRI, and blood markers
This study tests whether breathing patterns, MRI changes in the brainstem and spinal cord, and blood markers can reveal early ALS signs, especially in people with genetic risk or early symptoms.
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Plasmapheresis for ALS with anti-NRIP autoantibody
This study tests whether a few plasmapheresis sessions can help people with ALS who have anti-NRIP autoantibody by keeping the antibody levels low.
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Implanted brain interface to let people with severe paralysis control assistive devices
It will try an implanted brain interface that records and stimulates brain signals so adults with severe paralysis can control assistive devices and receive sensory feedback.
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Do video recordings of multidisciplinary clinics help ALS patients and caregivers?
This study tests whether providing a video recording of ALS multidisciplinary clinic visits, in addition to written notes, helps patients and their caregivers manage information and feel better about care.
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Measuring Hsp90 levels in the human brain
This trial tests whether a PET tracer called [11C]HSP990 can measure Hsp90 levels in the brains of healthy adults and people with Parkinson's disease, Alzheimer's disease, or ALS.
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NB-4746 in people with ALS
This trial tests NB-4746 against placebo to see if it is safe and may help people with ALS.
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Single-cell profiling of peripheral nerves to find blood and skin biomarkers and new targets for ALS
This project will try to find proteins in peripheral nerves, blood, and skin that signal early ALS in adults with recent-onset disease, people with genetic risk, and healthy controls.
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Daily lung insufflation training to help protect breathing in ALS
This project will test whether using a home LIC Trainer twice daily can slow breathing decline and delay the need for ventilatory support in people with ALS.
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Healing ALS Registry (HAROS) for people with ALS, MND, and PLS
This fully remote registry asks people with ALS, MND, or PLS to enter monthly health, treatment, and lifestyle information to try to see which therapies and education relate to better physical outcomes.
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Finding early biological signs of ALS
This project will test whether a molecular fingerprint in spinal fluid can detect ALS early in people with ALS gene mutations, in early ALS patients, and in matched controls.
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Using ultra-high field and metabolic MRI to understand resilience and degeneration in the aging and diseased brain
This project will try advanced 3T and 7T MRI scans, including sodium and phosphorus imaging, to see if metabolic and connectivity changes explain resilience and degeneration in adults with MS, NMOSD, MOGAD, Alzheimer’s, Parkinson’s, or healthy aging.
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Electrical stimulation to reduce facial pain and improve jaw movement and chewing in people with motor neuron disease
This trial will try one 30-minute session of non-invasive facial electrical stimulation to see if it reduces jaw and facial pain and improves chewing and jaw movement for people with ALS or PLS.
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PHENOGENE-1A (cromolyn) treatment for people with mild to moderate ALS
This study will test whether inhaled PHENOGENE-1A (cromolyn) helps people with mild to moderate ALS maintain function and lung capacity over 24 weeks while they continue riluzole.
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Robotically implanted Neuralink N1 brain-computer interface to control external devices
This study will test whether a robotically implanted Neuralink N1 brain-computer interface can safely help people with high spinal cord injuries or ALS control computers and other external devices.
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XS228CN motor neuron progenitor cell therapy for ALS: safety, tolerability and early efficacy
This study will test whether XS228CN iPSC-derived motor neuron progenitor cells are safe and tolerable in adults with definite or probable ALS who have preserved lung function.
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Early Non-Invasive Ventilation in ALS
This study tests whether starting non-invasive ventilation earlier in adults with ALS can help improve breathing and quality of life.
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Usnoflast Neuromuscular Investigation for ALS treatment efficacy
This study tests Usnoflast at different doses against placebo to see if it helps adults with ALS.
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Intestinal microbiome transplant for people with ALS
This 24-week treatment tests whether taking MTP-101C capsules after antibiotic conditioning and bowel prep can change the gut microbiome and a blood marker in people with fast-progressing ALS who can swallow pills.
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Robotically implanted brain chip to help control external devices
This tests a wireless, rechargeable brain implant (Neuralink N1) and a robot surgical system (R1) to help people with severe arm and hand paralysis control external devices.
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Personalized genetic and biomarker approach for ALS
This study is testing how genetic and biomarker information can help understand the differences in ALS for 200 newly diagnosed patients.
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Using a new PET tracer to measure TDP-43 protein in dementia and ALS
This study is testing a new imaging method to see if it can safely detect a specific protein linked to frontotemporal dementia and ALS in the brains of people with these conditions and healthy volunteers.
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High-calorie nutrition for ALS patients with PEG feeding
This study is testing if a high-calorie diet can help ALS patients who are fed through a tube maintain their weight and live longer.
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Evaluating VGN-R13 for treating ALS
This study is testing a new gene therapy called VGN-R13 to see if it can safely help people with ALS feel better.
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Examining how communication affects ALS patients and their caregivers
This study is testing how different ways of talking can help ALS patients communicate better with their caregivers.
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Identifying protein biomarkers in biofluids for neurodegenerative disorders
This study is trying to find specific proteins in blood and other fluids that could help doctors diagnose and manage neurodegenerative diseases like Parkinson's and Alzheimer's earlier and better.
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Improving nutritional status and frailty in patients with motor neuron disease using silkworm pupa powder
This study is testing if adding silkworm pupa powder to the diets of people with motor neuron disease, like ALS, can help improve their nutrition, muscle strength, and overall health.
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HD-tDCS in ALS: a multicenter test of diaphragmatic motor cortex stimulation
This trial tests whether high-definition transcranial direct current stimulation (HD-tDCS) can help people with ALS by targeting the diaphragmatic motor area to improve breathing and disease progression.
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Robotically implanted brain-computer interface for controlling devices
This study is testing a new brain implant and robot to see if they can help people with severe movement limitations control devices more easily.
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Improving motor function in ALS patients using pulse stimulation
This study is testing if a new brain stimulation treatment can improve movement and daily function in people with ALS.
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Using regulatory T cells to treat neurodegenerative diseases
This study is testing if injections of specially made immune cells can help people with neurodegenerative diseases like ALS, Alzheimer's, and Multiple System Atrophy feel better.
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Influence of Smell and Taste on Nutrition in ALS Patients
This study tests whether olfactory and gustatory changes affect the nutrition of adults with ALS.
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Testing a new drug for ALS caused by SOD1 gene mutations
This study is testing a new drug for adults with ALS caused by SOD1 gene mutations to see if it's safe and how it affects their symptoms and certain markers in their blood and spinal fluid.
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Evaluating the safety and tolerability of FB418 in healthy adults and elderly
This study is testing how safe and well-tolerated a new drug called FB418 is in healthy adults and older people by giving them single and multiple doses.
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MindEx multifocal cognitive brain‑machine interface for people with severe paralysis
This trial will test the MindEx system, which uses four tiny implanted brain chips to let people with severe paralysis control a computer or tablet with their thoughts.
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Evaluating a new imaging biomarker for neuroinflammation in neurodegenerative diseases
This study is testing a new imaging tool to see if it can help us understand brain inflammation in people with neurodegenerative diseases like ALS, Alzheimer’s, multiple sclerosis, and Parkinson’s, as well as in healthy volunteers.
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Evaluating retinal imaging for neurodegenerative diseases
This study is testing if special eye scans can help spot early signs of neurodegenerative diseases like Alzheimer's and Parkinson's in people.
NIH-funded research (11)
Early-stage science funded by the US National Institutes of Health. Most of these projects don't enroll patients, but they show what is being worked on.
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Investigating how DNA damage and repair mechanisms are altered in ALS and frontotemporal dementia.
This study is looking at how problems with DNA repair might contribute to conditions like ALS and frontotemporal dementia, and it’s testing ways to fix these issues in cells from patients to help develop new treatments.
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CNM-Au8 Expanded Access for ALS patients across the U.S.
A wide-access program is testing CNM-Au8, a neuroprotective medicine, for people with ALS across all 50 states.
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Access to CNM-Au8 for people with ALS
This program offers people with ALS access to CNM-Au8, an experimental oral therapy that aims to protect motor neurons and support cellular energy.
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Biomarker test for early ALS diagnosis using Nano-QuIC detection of misfolded TDP-43
A new blood, spinal fluid, or nasal swab test using Nano-QuIC aims to detect misfolded TDP-43 early in people at risk for ALS to speed up diagnosis and treatment.
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Engineered regulatory immune cells to protect nerves in ALS
Engineered regulatory immune cells (CAR Tregs) that seek out misfolded SOD1 and calm inflammation around motor neurons in people with ALS.
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Using engineered immune cells to treat ALS
This study is exploring a new way to help people with ALS by using specially designed immune cells to target harmful proteins in the body, with the hope of reducing inflammation and slowing down the disease.
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Understanding ALS Risk in Workers with Certain Occupations
This project is creating a group of people at higher risk for ALS to learn how their jobs and genes might lead to the disease.
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Investigating new treatments for frontotemporal dementia and ALS using gene editing
This study is looking at ways to help people with frontotemporal dementia and ALS by using a special gene-editing tool to fix a harmful gene that causes these diseases.
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Understanding motor neuron damage in ALS patients
This study is looking into what causes damage to the nerves that control movement in people with ALS, using advanced imaging and brain analysis to better understand the connection between brain changes and the symptoms you experience, all with the goal of improving how we diagnose and understand the condition.
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Access to a new treatment for ALS using a neuroprotective drug.
This study is looking for people with ALS to try a new drug called CNM-Au8® that might help protect their nerve cells and improve their energy, with the hope of slowing down the progression of the disease.
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Understanding how work-related exposures and genetics affect ALS risk
This study is looking for people who might be at a higher risk for ALS because of their jobs, especially those in production and metal work, to see how their work and genetics might affect their chances of developing the disease over time.
Related topics
Quick answers
How many Amyotrophic Lateral Sclerosis (ALS) clinical trials are recruiting right now?
36, as of November 12, 2026. We update this list each time we refresh our data from ClinicalTrials.gov.
Where are these trials running?
In 22 countries. The most sites are in United States (13 trials), Italy (4 trials), Germany (4 trials), Canada (4 trials), Poland (4 trials). Each study page lists its sites and which ones are recruiting.
What phases are they in?
Phase 1/2: 4, Phase 2: 3, Phase 1: 3, Early Phase 1: 2. Trials with no phase listed are usually device, behavioural or observational studies.
How do I join one?
Open a study, check the "Is this trial a fit for you?" section, then contact the study team listed on the page. They will ask a few screening questions. Asking is free and does not commit you to anything. Talk it over with your doctor first.
Find the studies that fit you
A list is a starting point. Tell us your situation in your own words and we'll rank the studies that match and explain why. It's free and needs no account.