Single-Ascending-Dose Safety/Tolerability of NP001 in Amyotrophic Lateral Sclerosis (ALS)

This study has been completed.
Sponsor:
Information provided by:
Neuraltus Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT01091142
First received: March 19, 2010
Last updated: October 4, 2010
Last verified: October 2010
  Purpose

Primary objectives: To assess the safety and tolerability of ascending doses of NP001 compared to placebo in subjects with ALS.

Secondary objective: To explore the effects of NP001 on biomarkers potentially relevant to ALS.


Condition Intervention Phase
Amyotrophic Lateral Sclerosis
Drug: NP001
Drug: Placebo
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Single-Ascending-Dose Safety and Tolerability Study of NP001 in Subjects With Amyotrophic Lateral Sclerosis (ALS)

Resource links provided by NLM:


Further study details as provided by Neuraltus Pharmaceuticals, Inc.:

Primary Outcome Measures:
  • Safety and tolerability of NP001 compared to placebo in subjects with ALS [ Time Frame: 6 mo. ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To explore the effects of NP001 on biomarkers potentially relevant to ALS [ Time Frame: 6 mo. ] [ Designated as safety issue: No ]

Estimated Enrollment: 56
Study Start Date: July 2010
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: NP001 Drug: NP001
Cohort 1: 0.3 mg/kg NP001(6:2 active:placebo) Cohort 2: 1.1 mg/kg NP001(6:2 active:placebo) Cohort 3: 2.1 mg/kg NP001(6:2 active:placebo) Cohort 4: 4.3 mg/kg NP001(6:2 active:placebo)
Placebo Comparator: Placebo Drug: Placebo
Cohort 1: placebo Cohort 2: placebo Cohort 3: placebo Cohort 4: placebo

Detailed Description:

This study is a double-blind, placebo-controlled single ascending dose safety and tolerability study. Approximately 32-56 subjects with clinical diagnosis of ALS according to modified El Escorial criteria are planned to receive a single dose of study drug, NP001.

  Eligibility

Ages Eligible for Study:   21 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Males and females, age 21 years - 75 years
  • Subjects must be in generally sound health as appropriate for their ALS diagnosis.
  • Subjects must have a clinical diagnosis of laboratory-supported probable or definite ALS, according to modified El Escorial criteria.
  • Subjects receiving riluzole must be on a stable dose for at least 30 days prior to enrollment.
  • Women of childbearing age must be non-lactating and surgically sterile or using an effective method of birth control and have a negative pregnancy test prior to dosing with study medication.
  • Subjects must understand the study and be willing to adhere to protocol requirements as evidenced by provision of written informed consent.
  • Subject must be willing and able to give signed informed consent that has been approved by the Institutional Review Board (IRB).
  • Subjects must be willing to have an intravenous infusion.
  • Subjects must have suitable veins for IV access as determined by examination.

Exclusion Criteria:

  • Subjects should not require nor are expected to require life sustaining interventions for the next six months or longer. (e.g. invasive ventilation).
  • Subjects must not have:

    • presence of a tracheotomy or invasive ventilation. Nocturnal non-invasive ventilation system (e.g. C-PAP) is allowed.
    • a diagnosis of neurologic disease known to mimic the muscle atrophy or weakness seen in ALS including MS, muscular dystrophy, spinal stenosis, peripheral neuropathy, inherited neuropathies or neuromuscular diseases, foramen magnum or brainstem tumor, or toxic conditions.
    • an active pulmonary disease under treatment including uncontrolled asthma, chronic obstructive pulmonary disease (pneumonia, bronchitis, etc.), pulmonary fibrosis, pulmonary infection in the last 2 months, or history of aspiration that may expose the subject to increased risk by participating in this trial as determined by the Investigator.
    • a history of unstable medical illness in the 3 months prior to screening including any emergent hospitalizations.
    • renal disease based on screening estimated creatinine clearance (eCcr) < 50 mL/minute (Cockcroft Gault estimate using ideal body weight) where:
    • evidence of elevated alanine aminotransferase greater than 3 times the upper limit of normal.
    • evidence of anemia, thrombocytopenia, or neutropenia (screening hematocrit <33%, platelet count < lower limit of normal for the site laboratory, or neutrophil count less than 1,500/mm3).
    • any condition that requires periodic red blood cell transfusions, erythropoietin or any blood dyscrasias undergoing active treatment in the past year.
    • clinical laboratory parameters that are clinically significant in the opinion of the Investigator.
    • systolic blood pressure in excess of 160 mmHg nor less than 100 mmHG or a diastolic blood pressure above 98 mmHg.
    • a history of G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency) determined by subject report.
    • a current history of hepatitis or HIV determined by subject report.
  • Subjects must not be using systemic immunosuppressants including steroids and chemotherapeutic agents. Inhaled steroids, eye drops and local topical use are permitted with concurrence of Medical Monitor.
  • Subjects must not have a hematologic disorder such as autoimmune anemia, or hemolytic anemia of any type including paroxysmal nocturnal hemoglobinuria or myoglobinuria.
  • Subjects must not have a history of unexplained jaundice determined by subject report.
  • Subjects must not have received IV Immunoglobulin (IG) within 30 days of the planned initial dose of study drug.
  • Subjects must not be participating in another drug study or have participated in a drug study within the last 30 days prior to enrollment. Observational trials with no intervention are acceptable provided permission for the other study Sponsor is obtained in writing.
  • Subjects must not have any other condition which in the Investigator's opinion would put the subject at risk by participating in this study.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01091142

Locations
United States, California
California Pacific Medical Center
San Francisco, California, United States, 94115
United States, Kansas
University of Kansas Medical Center - Landon Center on Aging
Kansas City, Kansas, United States, 66160
United States, Kentucky
Department of Neurology; University of Kentucky Medical Center
Lexington, Kentucky, United States, 40536
Sponsors and Collaborators
Neuraltus Pharmaceuticals, Inc.
Investigators
Principal Investigator: Robert G. Miller, MD Forbes Norris ALS Treatment and Research, California Pacific Medical Center
  More Information

No publications provided

Responsible Party: Nancy E. Isaac/VP Regulatory Affairs, Neuraltus Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT01091142     History of Changes
Other Study ID Numbers: NP001 Single Dose - ALS
Study First Received: March 19, 2010
Last Updated: October 4, 2010
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Sclerosis
Motor Neuron Disease
Amyotrophic Lateral Sclerosis
Pathologic Processes
Neurodegenerative Diseases
Nervous System Diseases
Neuromuscular Diseases
Spinal Cord Diseases
Central Nervous System Diseases
TDP-43 Proteinopathies
Proteostasis Deficiencies
Metabolic Diseases

ClinicalTrials.gov processed this record on September 18, 2014