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A Study to Determine the Safety, Pharmacokinetics, and Pharmacodynamics of DNL343 in Participants With Amyotrophic Lateral Sclerosis

Primary Purpose

Amyotrophic Lateral Sclerosis

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
DNL343
Placebo
Sponsored by
Denali Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Amyotrophic Lateral Sclerosis focused on measuring ALS

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Diagnosis of sporadic or familial ALS
  • Less than 3 years since ALS symptom onset
  • Stable doses of approved ALS treatments (riluzole and/or edaravone) for at least 2 months prior to screening
  • Participants must be able to swallow the study intervention
  • Vital capacity >50% predicted at screening
  • Women must have been surgically sterilized or be postmenopausal
  • Men, and sex partner if a woman of childbearing potential, must use highly effective contraception

Key Exclusion Criteria:

  • Any history of unstable or poorly controlled psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematologic, immunologic, or allergic disease, or other major disorders
  • Positive serum pregnancy test or currently lactating or breastfeeding
  • History of malignancy within 5 years
  • History of clinically significant neurologic disorders other than ALS

Sites / Locations

  • HonorHealth
  • University of California at San Diego
  • California Pacific Medical Center
  • PPD Orlando
  • Emory University
  • Atrium Health Neurosciences Institute
  • Centre for Human Drug Research (CHDR)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

DNL343 (High Dose)

DNL343 (Low Dose)

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Incidence of treatment-emergent adverse events (TEAEs) throughout the double-blind period

Secondary Outcome Measures

PK parameter: Maximum concentration (Cmax) of DNL343 in plasma
PK parameter: Time to reach maximum concentration (tmax) of DNL343 in plasma
PK parameter: Trough concentration (Ctrough) of DNL343 in plasma
PK parameter: Area under the concentration-time curve from time zero to 24 hours (AUC24) of DNL343 in plasma
Cerebrospinal fluid-to-plasma concentration ratio of DNL343 following multiple oral doses

Full Information

First Posted
August 7, 2021
Last Updated
January 13, 2023
Sponsor
Denali Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05006352
Brief Title
A Study to Determine the Safety, Pharmacokinetics, and Pharmacodynamics of DNL343 in Participants With Amyotrophic Lateral Sclerosis
Official Title
A Phase 1b, Multicenter, Randomized, Placebo-Controlled, Double-Blind Study, Followed by an Open-Label Extension, to Determine the Safety, Pharmacokinetics, and Pharmacodynamics of DNL343 in Participants With Amyotrophic Lateral Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 11, 2021 (Actual)
Primary Completion Date
December 15, 2022 (Actual)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Denali Therapeutics Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1b, multicenter, randomized, placebo-controlled, double-blind study of 28 days, followed by an 18-month open-label extension, designed to evaluate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of DNL343 in participants with amyotrophic lateral sclerosis (ALS)
Detailed Description
This clinical trial information was submitted voluntarily under the applicable law and, therefore, certain submission deadlines may not apply. (That is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CFR 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act or 42 CFR 11.24 and 11.44.).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyotrophic Lateral Sclerosis
Keywords
ALS

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
DNL343 (High Dose)
Arm Type
Experimental
Arm Title
DNL343 (Low Dose)
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
DNL343
Intervention Description
Oral repeating dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral repeating dose
Primary Outcome Measure Information:
Title
Incidence of treatment-emergent adverse events (TEAEs) throughout the double-blind period
Time Frame
28 Days
Secondary Outcome Measure Information:
Title
PK parameter: Maximum concentration (Cmax) of DNL343 in plasma
Time Frame
19 months
Title
PK parameter: Time to reach maximum concentration (tmax) of DNL343 in plasma
Time Frame
19 months
Title
PK parameter: Trough concentration (Ctrough) of DNL343 in plasma
Time Frame
19 months
Title
PK parameter: Area under the concentration-time curve from time zero to 24 hours (AUC24) of DNL343 in plasma
Time Frame
19 months
Title
Cerebrospinal fluid-to-plasma concentration ratio of DNL343 following multiple oral doses
Time Frame
19 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Diagnosis of sporadic or familial ALS ≤ 4 years since ALS symptom onset Stable doses of approved ALS treatments (riluzole and/or edaravone) for at least 2 months prior to screening Participants must be able to swallow the study intervention Vital capacity >50% predicted at screening Women must have been surgically sterilized, be postmenopausal, or for participants of childbearing potential, must not be pregnant, and both the participant and the male partner must use highly effective contraception Men, and sex partner if a woman of childbearing potential, must use highly effective contraception Key Exclusion Criteria: Any history of unstable or poorly controlled psychiatric, endocrine, pulmonary, cardiovascular, gastrointestinal, hepatic, pancreatic, renal, metabolic, hematologic, immunologic, or allergic disease, or other major disorders Positive serum pregnancy test or currently lactating or breastfeeding History of malignancy within 5 years History of clinically significant neurologic disorders other than ALS
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Linus Sun, MD, PhD
Organizational Affiliation
Denali Therapeutics Inc.
Official's Role
Study Director
Facility Information:
Facility Name
HonorHealth
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85251
Country
United States
Facility Name
University of California at San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
California Pacific Medical Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
Facility Name
PPD Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Atrium Health Neurosciences Institute
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Facility Name
Centre for Human Drug Research (CHDR)
City
Leiden
State/Province
South Holland
ZIP/Postal Code
2333
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Determine the Safety, Pharmacokinetics, and Pharmacodynamics of DNL343 in Participants With Amyotrophic Lateral Sclerosis

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