Clinical trial Recruiting at 22 sites Phase1; Phase2 Interventional Ages 18 and up

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

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment54 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Locations22 sites (Concord, New South Wales and 21 other locations)
StatusRecruiting
StartedAugust 28, 2024
Main results expectedMarch 21, 2032
Study endsMarch 21, 2032
Registry record updatedSeptember 11, 2026
Trial IDNCT06351592 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

  • 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
  • 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

Similar studies

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

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    This study tests whether breathing patterns, MRI changes in the brainstem and spinal cord, and blood markers can reveal early ALS signs, especially in people with genetic risk or early symptoms.

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  • Plasmapheresis for ALS with anti-NRIP autoantibody

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

    Recruiting National Taiwan University Hospital · Taipei City, Taipei · NCT07726563

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    Recruiting Johns Hopkins University · Baltimore, Maryland · NCT07521930

  • Do video recordings of multidisciplinary clinics help ALS patients and caregivers?

    This study tests whether providing a video recording of ALS multidisciplinary clinic visits, in addition to written notes, helps patients and their caregivers manage information and feel better about care.

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  • Measuring Hsp90 levels in the human brain

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  • NB-4746 in people with ALS

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    Recruiting at 12 sites Phase 1/2 Nura Bio · Concord, New South Wales and 11 other locations · NCT07369076

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.