Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Longitudinal integrated biomarker profiling linked to ALS clinical features

Official title: LONgitudinal and Integrated Evaluation of Biomarkers in reLation to phenotYpe in ALS

Run by Istituto Auxologico Italiano · NCT07312240 · Data updated 2026-11-12

This project will test whether repeated blood and spinal-fluid biomarker measurements combined with deep clinical profiling can help predict disease course in adults with ALS.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment140 (estimated)
SponsorIstituto Auxologico Italiano
Academic / other
Locations1 site (Milan, Lombardy)
StatusRecruiting
StartedApril 17, 2025
Main results expectedDecember 15, 2027
Study endsDecember 15, 2027
Registry record updatedDecember 31, 2025
Trial IDNCT07312240 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with a diagnosis of ALS who can safely undergo lumbar puncture and provide informed consent are ideal candidates.

Probably not a fit

Patients with severe medical comorbidities, recent traumatic/inflammatory/vascular/neoplastic CNS disease, or contraindications to lumbar puncture are unlikely to be eligible and would not benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center longitudinal protocol enrolls adults with ALS and neurologic controls to collect serial blood and cerebrospinal fluid samples alongside detailed clinical, genetic, and imaging phenotyping. Primary assays include neurofilament light chain (NfL) and complementary markers such as GFAP, p‑tau181, Aβ42, and Aβ40 measured in CSF and blood to probe different aspects of neurodegeneration and astrocytic activation. Participants undergo lumbar puncture, routine blood chemistry, genetic analysis, and deep phenotyping at baseline and planned follow-ups to map biomarker trajectories against clinical progression. All procedures and follow-up visits are conducted at Istituto Auxologico Italiano IRCCS in Milan to refine prognostic models and improve patient stratification for care and future trials.

Why it matters

Potential benefit: If successful, this approach could improve prognostic accuracy and help match patients to the most appropriate treatments or clinical trials.

How similar studies have gone: Neurofilament levels in blood and CSF have consistently correlated with ALS severity and survival, but integrating multiple CSF/blood biomarkers with deep phenotyping is a relatively novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria ALS patients:

* diagnosis of Amyotrophic Lateral Sclerosis (ALS);
* age ≥18 y;
* feasibility of lumbar puncture (LP);
* informed consent.

Exclusion Criteria ALS patients:

* severe medical comorbidities;
* recent traumatic, inflammatory, vascular, or neoplastic Central Nervous System disease; contraindications to LP.

Inclusion Criteria Controls:

* age ≥18 y;
* individuals undergoing LP for neurological symptoms;
* no evidence of nervous system pathology;
* informed consent.

Where it's running

  • Istituto Auxologico Italiano IRCCS
    Milan, Lombardy, Italy
    Recruiting

Study contacts

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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.