Study of Acthar® Gel (Acthar) for Amyotrophic Lateral Sclerosis (ALS)
Amyotrophic Lateral Sclerosis
About this trial
This is an interventional treatment trial for Amyotrophic Lateral Sclerosis focused on measuring ALS
Eligibility Criteria
Inclusion Criteria:
- Is 18-75 years of age at Screening
- Has ALS symptom onset within 2 years prior to Screening
- Has forced vital capacity (FVC) no higher than 60% at screening
- If taking riluzole, is on a stable dose for 4 weeks before Screening
Exclusion Criteria:
- Has tracheostomy, diaphragm pacing, or an ongoing need for assisted ventilation of any type
- Has used any medication within a time period not allowed per protocol
- Has history of Type 1 or Type 2 diabetes mellitus, or any clinically significant infection
- Used edaravone less than 1 week before Screening
- Received any stem cell replacement therapy
- Used steroids within a time period not allowed per protocol
Sites / Locations
- Neuromuscular Research Center
- Mayo Clinic - Arizona
- University of California San Diego
- Loma Linda University Health System, Department of Neurology
- Keck School of Medicine, University of Southern California
- University of California Los Angeles
- University of California Irvine Medical Center
- California Pacific Medical Center
- University of California San Francisco
- Colorado Springs Neurological Associates
- Georgetown University
- George Washington University
- University of Florida - McKnight Brain Institute
- University of South Florida
- Emory University
- Augusta University
- Indiana University-Neuroscience Center of Excellence/Goodman Hall
- University of Kansas Medical Center
- University of Kentucky Chandler Medical Center
- John Hopkins Outpatient Center
- University of Massachusetts Medical School
- Mercy Health- Saint Mary's
- Neurology Associates
- University of Nebraska Medical Center - Physicians Clinical Neurosciences Center
- Las Vegas Clinic
- Jersey Shore University Medical Center
- Columbia Presbyterian Hospital
- Providence ALS Center
- Penn State Health Milton S. Hershey Medical Center
- Temple University School of Medicine
- Allegheny General Hospital
- Wesley Neurology Clinic
- Austin Neuromuscular Center
- Texas Neurology, P.A.
- The Methodist Hospital
- University of Vermont Medical Center
- VCU Medical Center
- Swedish Neuroscience Institute
- Medical College of Wisconsin/Froedtert Hospital
- IADIN
- STAT Research
- DIABAID
- INEBA
- Hospital Italiano de Buenos Aires
- Hospital Español
- Hospital Británico de Buenos Aires
- ILAIM
- Fundación Scherbovsky
- Instituto de Neurología y Neurorrehabilitación del Litoral (INNeL )
- Edmonton Kaye Clinic
- Recherche Sepmus inc
- Centre de recherché du Centre Hospitalier de l'Universite de Montreal (CRCHUM)
- Montreal Neurological Institute & Hospital
- Centro de Trastornos del Movimiento (CETRAM)
- Clinica Dávila
- Biomedica Research Group AV Salvador 149, oficina 1101
- Centro de Investigaciones Clínicas SAS
- Clinical Research Institute Saltillo S.A. de C.V.
- Hospital Universitario "Dr. José Eleuterio González"
- SMIQ BRCR Global México
- Clinical Research Institute S.C.
- Centro Especializado en Investigación Clínica S.C.
- Phylasis Clinicas Research
- FAICIC Clinical Researc
- Hospital Nivel IV Carlos Alberto Seguin Escobedo
- Hospital Nacional IV Alberto Sabogal Sologuren
- Hospital Almenara
- Instituto Neuro Cardiovascular de las Américas
- Hospital Nacional Cayetano Heredia
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Placebo Comparator
Experimental
Experimental
Arm A: Treatment Period Acthar
Arm B: Treatment Period Placebo
Arm C: Extension Period Acthar-Acthar
Arm D: Extension Period Placebo-Acthar
Participants receive one 0.2 mL subcutaneous (SC) injection (shot under the skin) of the study drug (Acthar), daily for up to 36 weeks. Those who do not continue into the extension period will have 3 weeks of tapering off the drug, ending their participation by Week 39.
Participants receive one 0.2 mL SC injection that looks like Acthar, but has no drug in it (Matching Placebo), daily for up to 36 weeks. Those who do not continue into the extension period will have 3 weeks of simulated tapering, ending their participation by Week 39.
Participants who receive Acthar during the treatment period and continue into the extension period do not go through the treatment-period tapering, but receive one 0.2 mL SC injection of Acthar, daily for up to 48 weeks, followed by 3 weeks of tapering off the drug, ending their participation within about 21 months.
Participants who receive Placebo during the treatment period and continue into the extension period do not go through the treatment-period simulated tapering, but receive one 0.2 mL SC injection of Acthar, daily for up to 48 weeks, followed by 3 weeks of tapering off the drug, ending their participation within about 21 months.