Testing a new drug for ALS caused by SOD1 gene mutations
Official title: First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Ascending Doses of Intrathecally Administered ALN-SOD in Participants With Amyotrophic Lateral Sclerosis and SOD1 Mutations
Run by Regeneron Pharmaceuticals · NCT06351592 · Data updated 2026-11-12
This study is testing a new drug for adults with ALS caused by SOD1 gene mutations to see if it's safe and how it affects their symptoms and certain markers in their blood and spinal fluid.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 54 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 22 sites (Concord, New South Wales and 21 other locations) |
| Status | Recruiting |
| Started | August 28, 2024 |
| Main results expected | March 21, 2032 |
| Study ends | March 21, 2032 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT06351592 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults with ALS due to a known or likely pathogenic SOD1 mutation and specific respiratory function criteria.
✕Probably not a fit
Patients with concurrent participation in other clinical trials or those with severe psychiatric conditions 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 clinical trial is investigating an experimental drug called ALN-SOD in adults with amyotrophic lateral sclerosis (ALS) linked to mutations in the superoxide dismutase-1 (SOD1) gene. It is the first time this drug will be administered to humans, focusing on its safety and tolerability. The study will also evaluate the drug's effects on specific biomarkers in the blood and cerebrospinal fluid, its concentration in these fluids over time, and the body's immune response to the drug. Additionally, the trial aims to assess any changes in ALS symptoms resulting from the treatment.
Why it matters
Potential benefit: If successful, this study could provide a new therapeutic option for patients with SOD1-ALS.
How similar studies have gone: While this approach is novel in humans, similar studies targeting genetic mutations in ALS have shown promise in preclinical models.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Weakness attributable to ALS and a SOD1 variant that has been previously described as associated with ALS or is considered likely to cause ALS, as defined in the protocol 2. Slow Vital Capacity (SVC) ≥50% predicted value based on age, gender and height, measured in upright position 3. Body Mass Index (BMI) ≤35 kg/m2 at time of screening 4. If participants are taking riluzole or edaravone, they must be on a stable dose for at least 4 weeks prior to initial dosing visit and are expected to remain at that dose until the end of the study 5. Platelet count \>50,000/microliter 6. Has normal blood pressure readings, as defined in the protocol Key Exclusion Criteria: 1. Concurrent participation in another interventional clinical trial 2. Has had a tracheostomy 3. Has dementia, as assessed by the investigator 4. Has uncontrolled psychiatric disease, including psychosis, active or recent suicidal ideation, untreated major depression, in the past 30 days 5. Has a medical history of brain or spinal disease/injury that would interfere with the Lumbar Puncture (LP) process, CSF circulation or safety assessment, as defined in the protocol 6. Presence of an implanted shunt for the drainage of CSF or an implanted Central Nervous System (CNS) catheter 7. Presents any concern to the study investigator that might confound the results of the study or poses an additional risk to the participant by their participation in the study 8. Was hospitalized (ie, \>24 hours) for any reason other than ALS within 30 days of screening 9. Has received treatment with tofersen within 6 months prior to screening NOTE: Other protocol defined inclusion / exclusion criteria apply
Where it's running
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Concord Repatriation General Hospital
Concord, New South Wales, Australia Recruiting -
Macquarie University
Sydney, New South Wales, Australia Recruiting -
Sunshine Coast University Hospital
Birtinya, Queensland, Australia Recruiting -
KU Leuven
Leuven, Vlaams-Brabant, Belgium Recruiting -
University of Alberta Hospital, Edmonton, Division of Neurology
Edmonton, Alberta, Canada Recruiting -
University Hospital - London Health Sciences Centre
London, Ontario, Canada Recruiting
Show 16 more locations
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Sunnybrook Research Institute
Toronto, Ontario, Canada Recruiting -
Montreal Neurological Institute and Hospital
Montreal, Quebec, Canada Recruiting -
Universitaetsklinikum Ulm AoR
Ulm, Baden-Wurttemberg, Germany Recruiting -
Hokkaido University Hospital
Sapporo, Hokkaido, Japan Recruiting -
Tokushima University Hospital
Tokushima, Tokushima, Japan Recruiting -
Toho University Omori Medical Center
Ōta-ku, Tokyo, Japan Recruiting -
Kyoto University Hospital
Kyoto, Japan Recruiting -
Szpital Uniwersytecki w Krakowie, Oddzial Kliniczny Neurologii
Krakow, Lesser Poland Voivodeship, Poland Recruiting -
Medical University of Silesia
Zabrze, Silesian Voivodeship, Poland Recruiting -
MTZ Clinical Research powered by Pratia
Warsaw, Poland Recruiting -
Hanyang University Seoul Hospital
Seoul, South Korea Recruiting -
Seoul National University Hospital
Seoul, South Korea Recruiting -
Noorlands University Hospital-Department of Neurology
Umeå, Noorland, Sweden Recruiting -
Karolinska University Hospital, Karolinska Institutet-ALS Center-Department of Clinical Neuroscience
Huddinge, Stockholm County, Sweden Recruiting -
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, Taiwan Recruiting -
Taipei Veterans General Hospital
Taipei, Taiwan Recruiting
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
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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.