Clinical trial Recruiting at 4 sites Phase1; Phase2 Interventional Ages 18 to 75

LTX-002 in adults with ALS

Official title: A First-in-Human, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of Intrathecally Administered LTX-002 in Adult Participants With Amyotrophic Lateral Sclerosis

Run by Leal Therapeutics, Inc · NCT07660614 · Data updated 2026-11-12

A study will test whether the experimental drug LTX-002 is safe and tolerable in adults with ALS and see how the body handles the drug and how it affects ALS indicators.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment56 (estimated)
SponsorLeal Therapeutics, Inc
Industry-sponsored
Locations5 sites (Lübeck and 4 other locations)
StatusRecruiting
StartedApril 29, 2026
Main results expectedJune 2031
Study endsJune 2031
Registry record updatedAugust 18, 2026
Trial IDNCT07660614 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with ALS diagnosed by Gold Coast criteria, with symptom onset within 36 months and adequate vital capacity, who meet safety criteria and consent to lumbar puncture and study procedures.

Probably not a fit

Participants who do not respond to the drug or who experience safety concerns may not benefit from this treatment.

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

What this trial studies

This early-phase study investigates the safety, tolerability, pharmacokinetics, and pharmacodynamics of LTX-002 delivered via lumbar puncture in adults with ALS. Participants will undergo multiple clinic visits and occasional remote contacts, with assessments including medical history, neurologic exams, heart monitoring, and multiple samples (blood, urine, CSF) along with tests of lung function, speech, muscle strength, and ALS symptom scales. The study will compare LTX-002 to placebo and monitor effects on biomarkers in blood and CSF and functional outcomes related to movement, speech, and breathing.

Why it matters

Potential benefit: If successful, participants may experience potential stabilization or improvement in ALS-related measures and gain access to a potentially beneficial therapy.

How similar studies have gone: Previous similar approaches have shown safety signals in early-phase studies, but efficacy is still unproven for ALS.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of ALS per Gold Coast criteria
* ALS symptom onset less than 36 months prior to Screening
* Slow vital capacity ≥ 50% of predicted value
* Body mass index ≥18 and ≤40 kg/m2

Exclusion Criteria:

* Current evidence or history of a clinically significant medical condition that, in the Investigator's judgement, would impact the participant's safety, interpretation of study results, or place the participant at high risk of poor treatment compliance or of not completing the study
* History of brain or spinal abnormalities on magnetic imaging (MRI) or computed tomography (CT) that might interfere with the lumbar puncture (LP), cerebrospinal fluid (CSF) circulation or safety assessments
* Prior treatment with antisense oligonucleotide (ASO), small interfering RNA, stem cell therapy, or gene therapy for any indication
* Tracheostomy
* HIV, Hepatitis B or C infection (acute or chronic)
* Presence of implanted shunt (CSF) or vascular device
* Risk for uncontrolled bleeding
* Pregnant or breastfeeding

Where it's running

  • University Hospital Schleswig-Holstein, Campus Lübeck
    Lübeck, Germany
    Recruiting
  • AOU Città della Salute e della Scienza di Torino
    Torino, Italy
    Recruiting
  • Universitair Medisch Centrum Utrecht
    Utrecht, Netherlands
    Recruiting
  • Karolinska Universitetssjukhuset
    Stockholm, Sweden
    Recruiting
  • Istituto Neurologico "Carlo Besta"
    Milan, Italy
    Not yet recruiting

Study contacts

Similar studies

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

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  • ALS master protocol with LY4256984 in eligible completers

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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.