New hope for ALS: first human trial of Gene-Targeting drug begins
NCT ID NCT06351592
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This study tests an experimental drug called ALN-SOD in people with ALS caused by a mutation in the SOD1 gene. The drug is given via spinal injection to target the root cause of the disease. The main goal is to check safety, but researchers will also measure effects on biomarkers and symptoms. 54 participants are being recruited for this early-stage trial.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ALN-SOD
- What this could lead to
- If it works, this could slow or stop the progression of ALS in people with SOD1 mutations, potentially preserving function and extending life.
- What could go wrong
- This is a very early (first-in-human) trial with only 54 participants, so safety and effectiveness are not yet known. The drug may not work or could cause unexpected side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 54 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Mar 2032
An estimate. End dates often move.
- 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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18 years and older
- 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.
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
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Concord Repatriation General Hospital
RECRUITINGConcord, New South Wales, 2139, Australia
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Hanyang University Seoul Hospital
RECRUITINGSeoul, 04763, South Korea
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Hokkaido University Hospital
RECRUITINGSapporo, Hokkaido, 060-8648, Japan
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KU Leuven
RECRUITINGLeuven, Vlaams-Brabant, 3000, Belgium
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Kaohsiung Chang Gung Memorial Hospital
RECRUITINGKaohsiung City, 83301, Taiwan
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Karolinska University Hospital, Karolinska Institutet-ALS Center-Department of Clinical Neuroscience
RECRUITINGHuddinge, Stockholm County, 141 57, Sweden
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Kyoto University Hospital
RECRUITINGKyoto, 606-8507, Japan
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MTZ Clinical Research powered by Pratia
RECRUITINGWarsaw, 02-172, Poland
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Macquarie University
RECRUITINGSydney, New South Wales, 2109, Australia
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Medical University of Silesia
RECRUITINGZabrze, Silesian Voivodeship, 41-800, Poland
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Montreal Neurological Institute and Hospital
RECRUITINGMontreal, Quebec, H3A 2B4, Canada
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Noorlands University Hospital-Department of Neurology
RECRUITINGUmeå, Noorland, 907 37, Sweden
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Seoul National University Hospital
RECRUITINGSeoul, 3080, South Korea
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Sunnybrook Research Institute
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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Sunshine Coast University Hospital
RECRUITINGBirtinya, Queensland, 4575, Australia
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Szpital Uniwersytecki w Krakowie, Oddzial Kliniczny Neurologii
RECRUITINGKrakow, Lesser Poland Voivodeship, 30-688, Poland
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Taipei Veterans General Hospital
RECRUITINGTaipei, 11211, Taiwan
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Toho University Omori Medical Center
RECRUITINGŌta-ku, Tokyo, 143-8541, Japan
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Tokushima University Hospital
RECRUITINGTokushima, Tokushima, 770-0042, Japan
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Universitaetsklinikum Ulm AoR
RECRUITINGUlm, Baden-Wurttemberg, 89081, Germany
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University Hospital - London Health Sciences Centre
RECRUITINGLondon, Ontario, N6A 5A5, Canada
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University of Alberta Hospital, Edmonton, Division of Neurology
RECRUITINGEdmonton, Alberta, T6G 2G3, Canada
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