Spinal injection drug targets genetic cause of ALS and dementia
NCT ID NCT05683860
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Researchers are testing repeated doses of an experimental drug called WVE-004 in adults who have ALS, frontotemporal dementia, or both, linked to a mutation in the C9orf72 gene. Participants receive the drug by spinal injection every 12 weeks for up to 96 weeks. The study tracks safety and whether the drug affects disease progression, measured by thinking and daily function. Only people who completed an earlier WVE-004 study can join.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- WVE-004, an experimental drug given by spinal injection
- What this could lead to
- If WVE-004 proves safe and shows signs of slowing disease, it could become a treatment option for people with C9orf72-linked ALS or FTD, conditions with few effective therapies.
- What could go wrong
- This is a small, early-stage extension study with only eight participants, so safety and benefit signals may not hold up in larger trials. Spinal injections carry risks, and the drug may fail to slow disease progression.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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8 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Jun 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants successfully completed the Phase 1b/2a study with WVE-004, WVE-004-001. * Participant has the ability and is willing to provide informed consent prior to any study procedures. In instances where signed written informed consent is unable to be obtained it is acceptable for the participant to provide consent with legally authorized representative signing on the participant's behalf. * In the opinion of the Investigator, the participant is able to tolerate all study procedures, is willing to comply with all other protocol requirements, and tolerated study drug in the parent study. * Participant is willing to practice highly effective contraception for the duration of the study and for 5 months after the last dose of study drug if the participant or their partner are of childbearing potential. In addition, willingness to forego sperm or ova (egg) donation for the duration of the study and 5 months after completion of the study. * Participant has identified a study partner(s) for the duration of the study. Exclusion Criteria: * Participant has a clinically significant medical finding on the physical examination other than C9orf72-associated ALS or FTD that, in the judgment of the Investigator or Sponsor, will make the participant unsuitable for participation in and/or completion of the trial procedures. * Participant received any other investigational drug, biological agent, or device within 1 month or 5 half-lives of study agent, whichever is longer. Participant received an investigational oligonucleotide within the past 6 months or 5 half-lives of the drug, whichever is longer. * Participant has a positive hepatitis B surface antigen or hepatitis C antibody test. * Participant who are pregnant (as determined by a serum pregnancy test) or breast feeding at the Screening visit, or plans to become pregnant during the trial. * Participants deemed to be at significant risk for suicidal behavior, based on Investigator assessment and/or active suicidal ideation. * Participant has a bone, spine, bleeding (e.g., hemophilia, Von Willebrand disease, or liver disease), or other disorder that exposes the participant to a risk of injury or unsuccessful lumbar puncture (LP). * Participant received prior treatment with viral or cellular-based gene therapy. * Participant anticipates using antiplatelet or anticoagulant therapy during the course of the study. Participants who received antiplatelet or anticoagulant therapy must complete a washout period before the Screening visit. * Participant was noncompliant, in the opinion of the Investigator or Sponsor, when participating in study WVE-004-001. * Participant is directly or indirectly involved in the conduct and administration of this trial as an Investigator, sub-investigator, trial coordinator, or other trial staff member, or the participant is a first-degree family member, significant other, or relative residing with one of the above persons involved directly or indirectly in the trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Erasmus MC
Rotterdam, 3015, Netherlands
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Universitair Medisch Centrum Utrecht
Utrecht, Netherlands
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University of Oxford - Nuffield Department of Clinical Neurosciences
Oxford, OX3 7LF, United Kingdom
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