Clinical trial No longer in our active list Phase2; Phase3 Interventional Ages 18 to 80

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

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment230 (estimated)
SponsorMediciNova
Industry-sponsored
Locations16 sites (Orange, California and 15 other locations)
Trial IDNCT04057898 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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  • Brain-computer interface chat tool for people with ALS

    This test compares a wearable brain-computer interface communication device to eye-tracking devices that people with ALS currently use to help them communicate.

    Recruiting Cognixion · Santa Barbara, California · NCT07871071

  • BIIB147 safety and how it behaves in adults with ALS

    This study tests BIIB147 in adults with ALS to see if it is safe and how the body handles it, including early and long-term effects.

    Recruiting at 2 sites Phase 1/2 Biogen · St Louis, Missouri and 1 other locations · NCT07855211

  • Aims to restore UNC13A function in people with ALS

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  • LTX-002 in adults with ALS

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.