Clinical trial Recruiting at 1 site Interventional Ages 20 and up

Plasmapheresis for ALS with anti-NRIP autoantibody

Official title: Plasmapheresis in Amyotrophic Lateral Sclerosis With Autoantibody Against NRIP 2 (PALADIN2)

Run by National Taiwan University Hospital · NCT07726563 · Data updated 2026-11-12

This study tests whether a few plasmapheresis sessions can help people with ALS who have anti-NRIP autoantibody by keeping the antibody levels low.

Quick facts

Study typeInterventional
Ages20 Years and up
SexAll
Enrollment20 (estimated)
SponsorNational Taiwan University Hospital
Academic / other
Locations1 site (Taipei City, Taipei)
StatusRecruiting
StartedMay 19, 2026
Main results expectedJanuary 31, 2029
Study endsJuly 31, 2029
Registry record updatedJuly 24, 2026
Trial IDNCT07726563 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with ALS who test positive for anti-NRIP autoantibody and are willing to undergo serial examinations and plasmapheresis.

Probably not a fit

Individuals without anti-NRIP autoantibody or those unable to undergo plasmapheresis or follow-up assessments may not benefit.

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 single-arm clinical trial enrolling about 20 adults with ALS who test positive for anti-NRIP autoantibody. Participants will receive three plasmapheresis treatments every three months, with follow-up for six more months to monitor safety and antibody levels as well as motor function. The goal is to see if reducing the anti-NRIP autoantibody in blood correlates with better clinical outcomes and tolerability. Results will help determine if plasmapheresis is a viable approach for this ALS subtype. The study is conducted at National Taiwan University Hospital and is led by its investigators.

Why it matters

Potential benefit: If successful, participants may experience stabilization or slower progression of motor symptoms associated with lower anti-NRIP autoantibody levels.

How similar studies have gone: Prior research in related autoimmune ALS subtypes has yielded mixed results; this trial tests a targeted approach in a well-defined subgroup.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ALS patients above 20-year-old who have anti-NRIP autoantibody in plasma
* Agree to receive plasmapheresis treatment
* Agree to participate in the study and receive serial examinations

Exclusion Criteria:

* Under permanent ventilator support
* Cannot receive plasmapheresis treatment or serial examinations
* Under pregnancy
* Blood fibrinogen level below 50 mg/dl
* Belong to special subtype of ALS, such as primary lateral sclerosis, progressive muscular atrophy, flail arm syndrome, flail leg syndrome.

Where it's running

  • National Taiwan University Hospital
    Taipei City, Taipei, Taiwan
    Recruiting

Study contacts

Similar studies

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

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.