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 type | Interventional |
|---|---|
| Ages | 20 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | National Taiwan University Hospital Academic / other |
| Locations | 1 site (Taipei City, Taipei) |
| Status | Recruiting |
| Started | May 19, 2026 |
| Main results expected | January 31, 2029 |
| Study ends | July 31, 2029 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07726563 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
- Study coordinator: Li-Kai Tsai, MD, PhD
- Email: milikai@ntuh.gov.tw
- Phone: +886972651560
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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.