Tears may hold key to ALS diagnosis, small study suggests
NCT ID NCT04953286
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether chemicals in tears and eye surface cells can help diagnose amyotrophic lateral sclerosis (ALS) or predict how the disease will progress. Researchers collected tear samples and performed eye exams on 55 people with ALS and healthy controls. The goal was to see if the tear 'metabolome' and 'lipidome' could distinguish ALS patients from others, potentially leading to a simple, non-invasive diagnostic tool.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a simple, non-invasive diagnostic test for ALS using tears, helping with earlier detection and monitoring.
- What could go wrong
- This is a small, completed observational study with only 55 participants. The findings are exploratory and need much larger trials to confirm if tear biomarkers are reliable for diagnosis or prognosis.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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55 people
The number who actually took part.
- Started
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Sep 2021
- Finished
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Sep 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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.
Case group selection criteria : Inclusion Criteria: * Patient with clinically defined or probable primary ALS according to Airlie House criteria(1) * Familial or sporadic form * ≥18 years of age * Patient affiliated with a social security plan * Informed consent signed by the patient Exclusion Criteria: * Motor neuron disease mimicking ALS * Pregnant or breastfeeding woman * Treatment that may have a neuroprotective effect * Any eye drops or treatments that may interfere with tear production * Lens wearer * Eye surgery ≤3 months * Any ocular pathology other than ametropia, oculomotor disorder, amblyopia * Any general pathology other than ALS with ocular repercussions * Protective measure of guardianship or curators Control group selection criteria: Inclusion Criteria: * No diagnosed neurological pathology * ≥18 years of age * Patient affiliated with a social security plan * Informed consent signed by the participant Exclusion Criteria: * Pregnant or breastfeeding woman * Treatment likely to have a neuroprotective effect * Any eye drops or treatments that may interfere with tear production * Lens wearer * Eye surgery ≤3 months * Any ocular pathology except ametropia, oculomotor disorder, amblyopia * Any general pathology with ocular repercussions * Protective measure of guardianship or curator
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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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Centre d'Investigation Clinique_CIC 1415
Tours, France
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Neurology Department, University Hospital of Tours, France
Tours, 37044, France
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Ophthalmology Department, University Hospital of Tours, France
Tours, 37000, France
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