Evaluating MN-166 for treating ALS over 12 months with an extension phase
Official title: A Phase 2b/3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 12 Month Clinical Trial to Evaluate the Efficacy and Safety of MN-166 (Ibudilast) Followed by Open-Label Extension Phase in Subjects With Amyotrophic Lateral Sclerosis
Run by MediciNova · NCT04057898 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if a new treatment called MN-166 can help people with ALS feel better over a year, with an option to continue for another six months.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 230 (estimated) |
| Sponsor | MediciNova Industry-sponsored |
| Locations | 16 sites (Orange, California and 15 other locations) |
| Trial ID | NCT04057898 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 to 80 with a diagnosis of familial or sporadic ALS and a disease onset of 18 months or less.
✕Probably not a fit
Patients with advanced ALS or those who do not meet the eligibility criteria may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2b/3 multicenter, randomized, double-blind, placebo-controlled study designed to assess the efficacy, safety, and tolerability of MN-166 in patients diagnosed with amyotrophic lateral sclerosis (ALS). Participants will undergo a screening phase followed by a 12-month double-blind treatment phase where they will be randomly assigned to receive either MN-166 or a matching placebo. After this phase, eligible participants will have the option to continue into a 6-month open-label extension phase. The study aims to provide insights into the potential benefits of MN-166 for ALS patients.
Why it matters
Potential benefit: If successful, this treatment could improve the quality of life and disease progression for patients with ALS.
How similar studies have gone: Previous studies have shown promise in treating ALS with similar approaches, but this specific application of MN-166 is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Major Inclusion Criteria: * Male or female subjects age 18 - 80 years, inclusive; * Diagnosis of familial or sporadic ALS as defined by the El Escorial-Revised (2000) research diagnostic criteria for ALS \[clinically definite, clinically probable, probable-laboratory-supported\]; * ALS onset of ≤18 months from first clinical signs of weakness prior to screening; * If currently using riluzole, subject must be on a stable dose for at least 30 days prior to initiation of study drug; * If currently using edaravone, subject should have completed at least 14 days of their initial treatment cycle prior to initiation of study drug; * Last documented pulmonary function test result (i.e., slow vital capacity or forced vital capacity) must be greater than or equal to 70% predicted; * Able to swallow study medication capsules; * No known allergies to the study drug or its excipients; * Received pneumococcal vaccine within 6 years prior to starting clinical trial. Major Exclusion Criteria: * Confirmed hepatic insufficiency or abnormal liver function (AST and/or ALT \>3 times upper limit of normal); * Currently diagnosed with a clinically significant psychiatric disorder or dementia that would preclude evaluation of symptoms; * Currently use or treated with parenteral (intramuscular or intravenous) high dose (\>25 mg/week) Vitamin B12 within 30 days prior to study drug administration; * Poor peripheral venous access that will limit the ability to draw blood as judged by the Investigator; * Currently participating, or has participated in a study with an investigational or marketed compound or device within 30 days or 5 half-lives, whichever is shorter, prior to signing the informed consent; * Use of tracheostomy or \>22/24-hour ventilatory support.
Where it's running
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University of California
Orange, California, United States Recruiting -
Mayo Clinic
Jacksonville, Florida, United States Recruiting -
Augusta University
Augusta, Georgia, United States Recruiting -
Indiana University IU Health Neuroscience Center
Indianapolis, Indiana, United States Recruiting -
Johns Hopkins University
Baltimore, Maryland, United States Recruiting -
Hennepin Healthcare Research Institute
Minneapolis, Minnesota, United States Recruiting
Show 10 more locations
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SUNY Upstate Medical University
Syracuse, New York, United States Recruiting -
Duke University
Durham, North Carolina, United States Recruiting -
Lehigh Valley Health Network
Allentown, Pennsylvania, United States Recruiting -
University of Virginia Health System
Charlottesville, Virginia, United States Recruiting -
University of Alberta Hospital
Edmonton, Alberta, Canada Recruiting -
McMaster University Medical Center
Hamilton, Ontario, Canada Recruiting -
Sunnybrook Research Institute
Toronto, Ontario, Canada Recruiting -
Montreal Neurological Institute and Hospital
Montreal, Quebec, Canada Recruiting -
University of Saskatchewan - Sastakoon Hospital
Saskatoon, Saskatchwean, Canada Recruiting -
Hopital de L'Enfant-Jesus, CHU de Quebec-Universite Laval
Quebec, Canada Recruiting
Study contacts
- Study coordinator: Project Management Team
- Email: clinicaltrialinfo@medicinova.com
- Phone: 858-373-1500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.