ALS drug trial pulled before it even started
NCT ID NCT03474263
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study planned to test an experimental drug called IC14 in people with rapidly progressing ALS. The drug was given by IV over two weeks, and brain scans measured inflammation. However, the trial was withdrawn before enrolling any participants, so no data on safety or effectiveness were collected.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IC14 (a monoclonal antibody targeting CD14)
- What this could lead to
- If it worked, this could point toward a treatment that slows ALS by reducing brain inflammation.
- What could go wrong
- This trial was withdrawn before enrolling anyone, so no results exist. It was a small, early-phase study focused on biomarkers, not on proving the drug helps patients feel better or live longer.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Expected to start
-
Sep 2019
An estimate. Start dates often move.
- Expected to finish
-
Jul 2021
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. Capable of providing informed consent and informed consent form signed prior to initiation of any study-specific procedures. 2. Familial or sporadic ALS defined as clinically possible, probable, or definite by El Escorial Criteria. 3. Rapidly progressive ALS defined by the Revised ALS Functional Rating Scale (ALSFRS-R) slope ≥1 (48 minus ALSFRS-R score at screening / disease duration in months ≥ 1). 4. Upper Motor Neuron Burden Score of ≥ 25 (out of 45) at screening 5. First symptoms of ALS within 3 years of the screening visit 6. Age between 18 and 80 years at the time of the screening visit. 7. Not taking riluzole or edaravone or on a stable dose of riluzole or edaravone for at least 3 months prior to screening visit. 8. Adequate bone marrow reserve, renal and liver function: 1. absolute neutrophil count ≥ 1500/µL 2. lymphocyte count \< 6000/µL 3. platelet count ≥ 150,000/µL 4. hemoglobin ≥ 11 g/dL 5. creatinine clearance ≥ 60 mL/min 6. alanine transaminase (ALT) and/or aspartate transaminase (AST) ≤ 3x upper limits of normal (ULN) 7. total bilirubin ≤ 1.5x ULN 8. serum albumin ≥ 2.8 g/dL 9. Females of childbearing potential should be using and committed to continue using one of the following acceptable birth control methods: 1. Sexual abstinence (inactivity) for 1 month prior to screening through study completion; or 2. Intrauterine device (IUD) in place for at least 3 months prior to study through study completion; or 3. Stable hormonal contraception for at least 3 months prior to study through study completion; or 4. Surgical sterilization (vasectomy) of male partner at least 6 months prior to study. 10. To be considered of non-childbearing potential, females should be surgically sterilized (bilateral tubal ligation, hysterectomy, or bilateral oophorectomy at least 2 months prior to study) or be post-menopausal and at least 3 years since last menses. 11. Males with female partners of childbearing potential must use contraception through study completion. 12. Ability to safely lie flat for 90 min for magnetic resonance-positron emission tomography (MR-PET) procedures in the opinion of the Investigator. 13. Patients must also have a genotype associated with a high or mixed affinity translocator protein (TSPO) (Ala/Ala or Ala/Thr) and ability to safely undergo MR-PET scans based on the opinion of the Investigator. Exclusion Criteria: 1. Dependence on invasive or non-invasive ventilation, defined as being unable to lay supine without it, unable to sleep without it, or continuous daytime use; presence of tracheostomy at screening; or presence of diaphragm pacing system at screening. 2. Exposure to any experimental treatment for ALS within the last 30 days or five half-lives, whichever is longer. 3. Treatment within 12 months with immunomodulator or immunosuppressant agent (including but not limited to cyclophosphamide, cyclosporine, interferon-α, interferon-β-1a, rituximab, alemtuzumab, azathioprine, etanercept, infliximab, adalimumab, certolizumab, golimumab, anakinra, rilonacept, secukinumab, tocilizumab, mycophenolate mofetil, methotrexate, cell-depleting agents, total lymphoid irradiation, dimethyl fumarate). Treatment with intravenous immunoglobulin (IVIG) within 2 months. Non-steroidal anti-inflammatory drugs (NSAIDs) are acceptable. 4. Exposure at any time to any cell or gene therapies under investigation for the treatment of ALS. 5. Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other opportunistic infections; or major episode of infection requiring hospitalization or treatment with intravenous (IV) antibiotics within 4 weeks. 6. Live-attenuated vaccines within 30 days before dosing. Subjects must agree to forego live-attenuated vaccines throughout the study, including 60 days after the last dose of study drug. 7. History of severe allergic or anaphylactic reactions to human, humanized or murine monoclonal antibodies. 8. History of one or more of the following: cardiac insufficiency (New York Heart Association \[NYHA\] III/IV), uncontrolled cardiac arrhythmias, unstable ischemic heart disease, or uncontrolled hypertension (systolic blood pressure \> 170 mmHg or diastolic blood pressure \> 110 mmHg). 9. History of myocardial infarction, or cerebrovascular accident. 10. Unstable pulmonary, renal, hepatic, endocrine or hematologic disease. 11. Autoimmune disease, mixed connective tissue disease, scleroderma, polymyositis, or significant systemic involvement secondary to rheumatoid arthritis. 12. Evidence of active malignant disease, malignancies diagnosed within the previous 5 years, or breast cancer diagnosed within the previous 5 years (except skin cancers other than melanoma). 13. History of human immunodeficiency virus infection or other immunodeficiency illness. 14. Unstable psychiatric illness defined as psychosis or untreated major depression within 90 days. 15. History of drug abuse (not including marijuana use) or alcoholism within the past 12 months. 16. Significant neuromuscular disease other than ALS. 17. Other ongoing disease that may cause neuropathy, such as toxin exposure, dietary deficiency, uncontrolled diabetes, hyperthyroidism, cancer, systemic lupus erythematosus or other connective diseases, infection with HIV, hepatitis B virus (HBV), or hepatitis C (HCV), Lyme disease, multiple myeloma, Waldenström's macroglobulinemia, amyloid, and hereditary neuropathy. 18. Pregnancy or breastfeeding. 19. Deprivation of freedom by administrative or court order. 20. Any contraindication to undergo magnetic resonance imaging (MRI) studies such as history of a cardiac pacemaker or pacemaker wires; metallic particles in the body; vascular clips in the head; prosthetic heart valves; or severe claustrophobia. 21. Unwilling or unable to discontinue benzodiazepine usage \[other than lorazepam (Ativan®), clonazepam (Klonopin®), or zolpidem (Ambien®)\] for one day prior to and during scanning. 22. Research imaging-related radiation exposure exceeds current institutional Radiology Department guidelines
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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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Royal Brisbane & Women's Hospital
Herston, Queensland, 4006, Australia
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