NIH-funded research U01 cooperative agreement

Expanded access to pridopidine for people with ALS

Official title: An Intermediate-Size Expanded Access Protocol for Amyotrophic Lateral Sclerosis with Pridopidine

Funded at Massachusetts General Hospital · NIH-11189730 · Data updated 2026-11-12

This program offers people living with ALS access to the experimental drug pridopidine while collecting information about safety and how it affects symptoms.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital
NIH-funded
Lab location1 site (Boston, United States)
Project startSeptember 25, 2023
Project endAugust 31, 2027
Funding year2025
Award (this year)$7,928,222
NIH project number5U01NS136021-03
Project IDNIH-11189730 on NIH RePORTER

Who could benefit from this research

Could help

Adults diagnosed with ALS who meet site-specific eligibility criteria and can attend clinic visits or participate remotely are the most likely candidates to qualify for this program.

Less likely to help

People with medical problems or medications that make pridopidine unsafe, or those with very advanced disease where benefit is unlikely, may not receive benefit from this program.

What this research studies

Pridopidine targets the Sigma-1 receptor, a protein linked to ALS, and this expanded access protocol provides eligible patients a way to receive it outside of a randomized trial. Participants will get the medication at participating sites and attend regular clinic visits for safety checks, blood tests, and symptom measurements. The program may also collect biomarker samples and use remote tools (like a smartphone app) to track function and daily changes. It builds on animal studies and earlier human testing that showed safety and hints of benefit, and gives more people the chance to try the medicine.

Why it matters

Potential benefit: If effective for some people, pridopidine could improve motor or bulbar symptoms or slow disease progression for a subset of patients with ALS.

How similar studies have gone: Pridopidine improved outcomes in ALS mouse models and a HEALEY platform trial in 162 participants showed safety and trends toward benefit but did not meet its primary endpoint.

Where this research is happening

  • Massachusetts General Hospital
    Boston, United States
    Active

Researchers

  • Principal investigator: Paganoni, Sabrina — Massachusetts General Hospital
  • Study coordinator: Paganoni, Sabrina

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.