The HEALEY ALS Platform Trial is a perpetual multi-center, multi-regimen clinical trial evaluating the safety and efficacy of investigational products for the treatment of ALS.
The HEALEY ALS Platform Trial is a perpetual multi-center, multi-regimen clinical trial evaluating the safety and efficacy of investigational products for the treatment of ALS. This trial is designed as a perpetual platform trial. This means that there is a single Master Protocol dictating the conduct of the trial. In this trial, multiple investigational products for ALS will be tested simultaneously or sequentially. Each investigational product will be tested in a regimen. Each regimen consists of a placebo-controlled trial, meaning that the active investigational product and matching placebo will be tested in each regimen. The additional details that govern the testing of each investigational product will be summarized in separate regimen-specific appendices (RSAs). Each regimen will have a separate ClinicalTrials.gov posting, which will include specific information about the regimen. All regimen-specific outcome measures will be detailed in each regimen posting. Participants will have an equal chance to be randomized to all regimens that are active at the time of screening. Once randomized to a regimen, participants will be randomized in a 3:1 ratio to either study drug or placebo. The following regimens are active in the trial: Regimen A - Zilucoplan Regimen B - Verdiperstat Regimen C - CNM-Au8 Regimen D - Priodopidine Regimen E - SLS-005 Trehalose Regimen F - ABBV-CLS-7262 Regimen G - DNL343 New regimens will be continuously added as new investigational products become available. The HEALEY ALS Platform Trial will enroll additional participants as each new regimen is available.
Inclusion Criteria:
1. Sporadic or familial ALS diagnosed as clinically possible, probable, lab-supported
probable, or definite ALS defined by revised El Escorial criteria.
2. Age 18 years or older.
3. Capable of providing informed consent and complying with study procedures, in the
SI's opinion.
4. Time since onset of weakness due to ALS ≤ 36 months at the time of the Master
Protocol Screening Visit.
5. Vital Capacity ≥ 50% of predicted capacity at the time of the Master Protocol
Screening Visit measured by Slow Vital Capacity (SVC), or, if required due to
pandemic-related restrictions, Forced Vital Capacity (FVC) measured in person.
6. Participants must either not take riluzole or be on a stable dose of riluzole for ≥
30 days prior to the Master Protocol Screening Visit.
7. Participants must either not take edaravone or have completed at least one cycle
(typically 14 days) of edaravone prior to the Master Protocol Screening Visit.
8. Participants must have the ability to swallow pills and liquids at the time of the
Master Protocol Screening Visit and, in the SI's opinion, have the ability to
swallow for the duration of the study.
9. Geographically accessible to the site.
10. Participants must either not take Relyvrio/ Albrioza or have started Relyvrio/
Albrioza ≥ 30 days prior to the Master Protocol Screening Visit.
Exclusion Criteria:
1. Clinically significant unstable medical condition (other than ALS) that would pose a
risk to the participant, according to SI's judgment (e.g., cardiovascular
instability, systemic infection, untreated thyroid dysfunction), or clinically
significant laboratory abnormality or EKG changes. Clinically significant abnormal
liver or kidney function is exclusionary. The following values [alanine
aminotransferase (ALT) or aspartate aminotransferase (AST) > 3 times the upper limit
of normal (ULN) or estimated Glomerular Filtration Rate (eGFR) < 30 mL/min/1.73m2]
are exclusionary regardless of clinical symptoms.
2. Presence of unstable psychiatric disease, cognitive impairment, dementia or
substance abuse that would impair ability of the participant to provide informed
consent, in the SI's opinion.
3. Active cancer or history of cancer, except for the following: basal cell carcinoma
or successfully treated squamous cell carcinoma of the skin, cervical carcinoma in
situ, prostatic carcinoma in situ, or other malignancies curatively treated and with
no evidence of disease recurrence for at least 3 years.
4. Use of investigational treatments for ALS (off-label use or active participation in
a clinical trial) within 5 half-lives (if known) or 30 days (whichever is longer)
prior to the Master Protocol Screening Visit.
5. Exposure at any time to any gene therapies under investigation for the treatment of
ALS (off-label use or investigational).
6. If female, breastfeeding, known to be pregnant, planning to become pregnant during
the study, or of child-bearing potential and unwilling to use effective
contraception, for the duration of the trial and for 3 months, or as specified in
each RSA, after discontinuing study treatment.
7. If male of reproductive capacity, unwilling to use effective contraception for the
duration of the trial and for 3 months, or as specified in each RSA, after
discontinuing study treatment.
8. Anything that would place the participant at increased risk or preclude the
participant's full compliance with or completion of the study, in the SI's opinion.
9. If a participant is being re-screened, the disqualifying condition has not been
resolved, or the mandatory wash-out duration has not occurred.