A Double-blind, Randomized, Placebo-controlled, Multicentric, Phase II Study in Adult Patients With Amyotrophic Lateral Sclerosis (ALS) to Assess Efficacy, Safety, Tolerability and Pharmacokinetics of Multiple Intravenous Infusions of NX210c
Overview
- Phase
- Phase 2
- Intervention
- NX210c
- Conditions
- Amyotrophic Lateral Sclerosis
- Sponsor
- Axoltis Pharma
- Enrollment
- 80
- Locations
- 16
- Primary Endpoint
- The effect of NX210c on blood neurofilament light chain (NfL) or on a blood and cerebrospinal fluid (CSF) biomarker of BBB integrity.
- Status
- Active, not recruiting
- Last Updated
- 4 months ago
Overview
Brief Summary
This study will investigate the efficacy, safety, tolerability and pharmacokinetics (PK) of multiple intravenous infusions of NX210c, at two dose levels, in patients with Amyotrophic lateral sclerosis (ALS).
Detailed Description
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that predominantly affects motor neurons of both the brain and the spinal cord. This leads to muscular atrophy and paralysis, with the majority of patients succumbing to respiratory failure 3-4 years from symptom onset. To date, therapeutic options for ALS are limited and there is no curative treatment. Management of ALS is otherwise supportive and palliative. There is strong evidence for blood-brain and blood-spinal cord barrier dysfunction in the early stages of ALS. Preclinical in vitro and in vivo data have shown that NX210c exhibits important properties that may be suitable for the treatment of neurological disorders in humans i.e., blood-brain barrier (BBB) integrity restoration, neurotransmission enhancement and neuroprotection. Based on the safety data collected in a first-in-human single ascending dose study and a multiple ascending dose (MAD) study in healthy elderly subjects, NX210c has been demonstrated to be well tolerated and without safety concerns.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged ≥ 18 years, inclusive at screening.
- •Patients diagnosed as having possible, probable, probable laboratory-supported, or definite ALS according to El Escorial Revised criteria.
- •King's Clinical Staging Stage ≤3, disease duration of ≤ 36 calendar months
Exclusion Criteria
- •Patients with any cognitive or psychological disorder, intellectual disability or other significant impairment that would result in an inability to understand and sign the informed consent.
- •History of any clinically significant or unstable medical, neurological, psychiatric condition, disorder or disease (other than ALS) or social circumstances that, based on the investigator's judgment, would interfere with the conduct of the study or pose a risk to the patient if they were to participate.
Arms & Interventions
NX210c 5 mg/kg
Dose: 5 mg/kg
Intervention: NX210c
NX210c 10 mg/kg
Dose: 10 mg/kg
Intervention: NX210c
Placebo
Intervention: Placebo
Outcomes
Primary Outcomes
The effect of NX210c on blood neurofilament light chain (NfL) or on a blood and cerebrospinal fluid (CSF) biomarker of BBB integrity.
Time Frame: From predose to 6-week follow-up
Changes in serum NfL or changes in Albumin CSF/serum quotient (Qalb)