Amyotrophic Lateral SclerosisPhase 2IMODALSNCT02059759
Immuno-modulation in Amyotrophic Lateral Sclerosis- a Phase II Study of Safety and Activity of Low Dose Interleukin-2
A Phase 2 study testing 1.0 MIU IL-2 per day and 2.0 MIU IL-2 per day in people with Amyotrophic Lateral Sclerosis, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
Trial summary
The primary objective is to evaluate in ALS patients the regulatory T cell early response to two low-doses of IL-2 at 1 and 2 MIU per day after one course of 5 consecutive days comparatively to placebo. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Amyotrophic Lateral Sclerosis
- What is being tested?
- 1.0 MIU IL-2 per day and 2.0 MIU IL-2 per day
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 36 participants
- Where
- 1 siteFrance
- Study dates
- Sep 2015to 25 May 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient has been correctly informed
- The patient must have given his/her informed and signed consent.
- The patient must be insured or beneficiary of a health insurance plan.
- The patient is at least 18 years old and less than 75 years old
- Probable, or laboratory-supported probable or definite ALS as defined by El Escorial Revised ALS diagnostic criteria (according to Airlie House Conference 1988)
- Stable on riluzole treatment for more than 3 months with liver function test results < 2ULN
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- Disease duration ≤ 5 years
- Vital capacity ≥ 70% of normal
- Ability to swallow without the requirement for nasogastric or PEG feeding
- Agreement for patient to use an adequate method of contraception throughout the study and for 2 weeks after post study visit
- The patient is available and willing to participate in seven study visits occurring at the CHU within the next six months
Who cannot join
- The patient is participating in another interventional study
- Within the past three months, the patient has participated in another interventional
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection
- The patient is an adult under guardianship
- The patient refuses to sign the consent
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- It is impossible to correctly inform the patient
- Other life threatening disease
- Presence of contra-indicated concomitant treatments or with potential neuroprotective benefit (see section 11.2 of the protocol)
- Presence of tracheostomy or non-invasive ventilation
- Use of Percutaneous endoscopic gastrostomy (PEG) or nasogastric tube
- Presence of clinical infection (treated or untreated)
- Positive serology for CMV, EBV (confirmed by viral load), or HIV
- Vaccination within 8 weeks prior to first experimental dosing
- Other disease precluding functional assessments
- Cancer within the past 5 years (except stable non-metastatic basal cell skin carcinoma or in situ carcinoma of the cervix)
- Severe cardiac or pulmonary disease
- Documented auto-immune disorders except asymptomatic Hashimoto thyroiditis
- Women of child bearing age without contraception or pregnant or breast feeding
- Any clinically significant laboratory abnormality (excepting cholesterol, triglyceride and glucose)
Trial locations and contacts
1 site in 1 country.
About this study
The primary objective is to evaluate in ALS patients the regulatory T cell early response to two low-doses of IL-2 at 1 and 2 MIU per day after one course of 5 consecutive days comparatively to placebo.
Read the detailed description
This is a phase II study on ld-IL-2 as a therapeutic agent for ALS which aims at defining the activity and safety of a range a doses for subsequent use of the best dose in a phase II/III trial. For ethical reasons, ld-IL-2 must be tested as an add-on therapy to riluzole hence all patients will need to be treated with riluzole for at least three months prior to entry. A randomized (1:1:1), placebo-controlled, double-blind, parallel group trial will be carried out to assess ld-IL-2 activity on regulatory T cells and immuno-inflammatory markers in ALS patients treated for 3 months (5 days every four weeks repeated three times).
The secondary objectives of this study are:
- To evaluate maintenance of Tcell response after three repeated 5-day courses at one course every four weeks for 12 weeks.
- To evaluate the safety of ld-IL-2 therapy in an ALS population, with an overall follow-up of 6 months (up to 15 weeks after last administration); C. To evaluate functional changes throughout the study; D. To evaluate changes in other pre-defined blood cytology parameters, and a blood biomarker for axonal damage.
- Conditions
- Amyotrophic Lateral Sclerosis
- Being tested
- Placebo, 1.0 MIU IL-2 per day, 2.0 MIU IL-2 per day
- Keywords
- low-dose interleukin 2
- Medical subject headings
- Amyotrophic Lateral Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Patients in this arm will receive sub-cutaneous injections of placebo (same vehicle as for experimental arms, and same volume) for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
1.0 MIU IL-2 per dayDrug
Also called Aldesleukine, Proleukin
Patients in this arm will receive sub-cutaneous injections corresponding to 1.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
2.0 MIU IL-2 per dayDrug
Also called Aldesleukine, Proleukin
Patients in this arm will receive sub-cutaneous injections corresponding to 2.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Patients in this arm will receive sub-cutaneous injections of placebo (same vehicle as for experimental arms, and same volume) for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
Intervention: Placebo Receives: Drug: Placebo |
| 1.0 IL-2 | Experimental | Patients in this arm will receive sub-cutaneous injections corresponding to 1.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
Intervention: 1.0 MIU IL-2 per day Receives: Drug: 1.0 MIU IL-2 per day |
| 2.0 IL-2 | Experimental | Patients in this arm will receive sub-cutaneous injections corresponding to 2.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months).
Intervention: 2.0 MIU IL-2 per day Receives: Drug: 2.0 MIU IL-2 per day |
What is being measured
The primary outcome is the main question the study is designed to answer.
CD4+ CD25+ CD127- FoxP3+(Treg) cells: change in percentage of total lymphocytes
Treg refers to regulatory T cells
Measured: Day 8
Secondary outcomes (83)
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 1
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 2
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 3
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 4
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 5
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 6
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 7
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 8
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 29
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 30
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 31
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 32
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 33
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 34
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 35
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 36
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 57
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 58
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 59
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 60
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 61
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 62
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 63
Presence/absence of specific, pre-defined adverse events.
The pre-defined events include: injection site reaction, flu like syndrome, fatigue, gastro-intestinal signs, allergic signs.
Measured: Day 64
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Day 1
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Day 8
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Day 29
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Day 57
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Day 64
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Week 13
Presence/absence of abnormal vital signs
(based on a systematic check of vital signs: pulse, blood pressure, oxymetry, temperature)
Measured: Week 25
MedDRA classification of all adverse events throughout the study
MedDRA refers to "Medical Dictionary for Regulatory Activities"
Measured: Week 25
Thyroid function: blood T4
Measured: Baseline (day 0 to day -15)
Thyroid function: blood T4
Measured: Week 13
Thyroid function: blood TSH
Measured: Baseline (day 0 to day -15)
Thyroid function: blood TSH
Measured: Week 13
Presence/absence of clinically significant abnormality on a lung x-ray
Measured: Baseline (day 0 to day -15)
Presence/absence of clinically significant abnormality on a lung x-ray
Measured: Week 13
Presence/absence of clinically significant abnormality on an electrocardiogram
Measured: Baseline (day 0 to day -15)
Presence/absence of clinically significant abnormality on an electrocardiogram
Measured: Week 13
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration )
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Day 1
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Day 8
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Day 29
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Day 57
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Day 64
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Week 13
Presence/absence of a clinically significant abnormality among routine laboratory tests
The routine blood tests considered are:
- haemogram (hemoglobin, hematocrit, red blood cell count, white blood cell count, leukocyte formula, platelets, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration)
- blood biochemistry (ionogram, urea, creatinine, glucose, C reactive protein, procalcitonin, protein, albumin)
- liver function panel (aspartate transaminase, alanine transaminase, gamma-glutamyl transpeptidase, bilirubin)
- iron metabolism (iron, ferritin, transferrin)
Measured: Week 25
Vital capacity (% of normal)
This is a measure of respiratory function.
Measured: Baseline (day 0 to day -15)
Vital capacity (% of normal)
This is a measure of respiratory function.
Measured: Day 1
Vital capacity (% of normal)
This is a measure of respiratory function.
Measured: Week 13
Vital capacity (% of normal)
This is a measure of respiratory function.
Measured: Week 25
The ALSFRS Questionnaire
Measured: Day 1
The ALSFRS Questionnaire
Measured: Day 29
The ALSFRS Questionnaire
Measured: Day 57
The ALSFRS Questionnaire
Measured: Week 13
The ALSFRS Questionnaire
Measured: Week 25
Tregs (absolute number and % CF4+ cells)
Measured: Day 1
Tregs (absolute number and % CF4+ cells)
Measured: Day 8
Tregs (absolute number and % CF4+ cells)
Measured: Day 57
Tregs (absolute number and % CF4+ cells)
Measured: Day 64
Tregs (absolute number and % CF4+ cells)
Measured: Week 13
Tregs (absolute number and % CF4+ cells)
Measured: Week 25
Total lymphocyte number
Measured: Day 1
Total lymphocyte number
Measured: Day 8
Total lymphocyte number
Measured: Day 57
Total lymphocyte number
Measured: Day 64
Total lymphocyte number
Measured: Week 13
Total lymphocyte number
Measured: Week 25
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: Day 1
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: Day 8
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: Day 57
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: Day 64
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: Week 13
CD56+(NK), CD19+(B), CD3+, CD4+, CD8+ cell populations: numbers and percentages of total lymphocytes
Measured: week 25
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Day 1
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Day 8
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Day 57
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Day 64
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Week 13
effector T cells: number and % of CD4 cells
This is measured as CD4+ lymphocytes minus regulatory T cells
Measured: Week 25
Phosphorylated neurofilament heavy protein (pNfH) levels in serum
Measured: day 1
Light chain neurofilament levels in serum
Measured: Day 1
Light chain neurofilament levels in serum
Measured: Week 13
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2014 (estimated)
- Study startSep 2015
- Primary completion25 May 2016
- Study completion25 May 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Amyotrophic Lateral SclerosisStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Raul Juntas-Morales, MD, Study director, CHRU de Montpellier
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02059759
- Sponsor's protocol ID
- LOCAL/2014/WC-01
- Other IDs
- 2014-001327-71, 2014
- Acronym
- IMODALS
- Status last verified
- Nov 2025
- First submitted
- 7 Feb 2014
- Last updated
- 17 Nov 2025
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Camu W, Mickunas M, Veyrune JL, Payan C, Garlanda C, Locati M, Juntas-Morales R, Pageot N, Malaspina A, Andreasson U, Kirby J, Suehs C, Saker S, Masseguin C, De Vos J, Zetterberg H, Shaw PJ, Al-Chalabi A, Leigh PN, Tree T, Bensimon G. Repeated 5-day cycles of low dose aldesleukin in amyotrophic lateral sclerosis (IMODALS): A phase 2a randomised, double-blind, placebo-controlled trial. EBioMedicine. 2020 Sep;59:102844. doi: 10.1016/j.ebiom.2020.102844. Epub 2020 Jul 7.
PubMed 32651161
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Immuno-modulation in Amyotrophic Lateral Sclerosis- a Phase II Study of Safety and Activity of Low Dose Interleukin-2
- ClinicalTrials.gov ID
- NCT02059759
- Acronym / sponsor ID
- IMODALS / LOCAL/2014/WC-01
- Conditions
- Amyotrophic Lateral Sclerosis
- Keywords
- low-dose interleukin 2
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- Sep 2015
- Primary completion
- 25 May 2016 (actual)
- Study completion
- 25 May 2016 (actual)
- First posted
- 11 Feb 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective is to evaluate in ALS patients the regulatory T cell early response to two low-doses of IL-2 at 1 and 2 MIU per day after one course of 5 consecutive days comparatively to placebo.
Detailed description
This is a phase II study on ld-IL-2 as a therapeutic agent for ALS which aims at defining the activity and safety of a range a doses for subsequent use of the best dose in a phase II/III trial. For ethical reasons, ld-IL-2 must be tested as an add-on therapy to riluzole hence all patients will need to be treated with riluzole for at least three months prior to entry. A randomized (1:1:1), placebo-controlled, double-blind, parallel group trial will be carried out to assess ld-IL-2 activity on regulatory T cells and immuno-inflammatory markers in ALS patients treated for 3 months (5 days every four weeks repeated three times).
The secondary objectives of this study are:
- To evaluate maintenance of Tcell response after three repeated 5-day courses at one course every four weeks for 12 weeks.
- To evaluate the safety of ld-IL-2 therapy in an ALS population, with an overall follow-up of 6 months (up to 15 weeks after last administration); C. To evaluate functional changes throughout the study; D. To evaluate changes in other pre-defined blood cytology parameters, and a blood biomarker for axonal damage.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboPatients in this arm will receive sub-cutaneous injections of placebo (same vehicle as for experimental arms, and same volume) for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). Intervention: Placebo |
| 1.0 IL-2 | Experimental | Drug: 1.0 MIU IL-2 per dayPatients in this arm will receive sub-cutaneous injections corresponding to 1.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). Intervention: 1.0 MIU IL-2 per day |
| 2.0 IL-2 | Experimental | Drug: 2.0 MIU IL-2 per dayPatients in this arm will receive sub-cutaneous injections corresponding to 2.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). Intervention: 2.0 MIU IL-2 per day |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- The patient has been correctly informed
- The patient must have given his/her informed and signed consent.
- The patient must be insured or beneficiary of a health insurance plan.
- The patient is at least 18 years old and less than 75 years old
- Probable, or laboratory-supported probable or definite ALS as defined by El Escorial Revised ALS diagnostic criteria (according to Airlie House Conference 1988)
Key exclusion criteria (20 listed)
- The patient is participating in another interventional study
- Within the past three months, the patient has participated in another interventional
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection
- The patient is an adult under guardianship
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPatients in this arm will receive sub-cutaneous injections of placebo (same vehicle as for experimental arms, and same volume) for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). | Drug | Placebo |
| 1.0 MIU IL-2 per dayAlso: Aldesleukine, ProleukinPatients in this arm will receive sub-cutaneous injections corresponding to 1.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). | Drug | 1.0 IL-2 |
| 2.0 MIU IL-2 per dayAlso: Aldesleukine, ProleukinPatients in this arm will receive sub-cutaneous injections corresponding to 2.0 MIU of IL-2 per injection for 5 consecutive days at the beginning of three consecutive months (a total of 15 injections, 5 per month for 3 months). | Drug | 2.0 IL-2 |
Primary outcome
CD4+ CD25+ CD127- FoxP3+(Treg) cells: change in percentage of total lymphocytes
Time frame: Day 8
Treg refers to regulatory T cells
83 secondary outcomes
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 1
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 2
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 3
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 4
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 5
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 6
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 7
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 8
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 29
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 30
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 31
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 32
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 33
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 34
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 35
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 36
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 57
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 58
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 59
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 60
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 61
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 62
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 63
Presence/absence of specific, pre-defined adverse events.
Time frame: Day 64
Presence/absence of abnormal vital signs
Time frame: Day 1
Presence/absence of abnormal vital signs
Time frame: Day 8
Presence/absence of abnormal vital signs
Time frame: Day 29
Presence/absence of abnormal vital signs
Time frame: Day 57
Presence/absence of abnormal vital signs
Time frame: Day 64
Presence/absence of abnormal vital signs
Time frame: Week 13
Presence/absence of abnormal vital signs
Time frame: Week 25
MedDRA classification of all adverse events throughout the study
Time frame: Week 25
Thyroid function: blood T4
Time frame: Baseline (day 0 to day -15)
Thyroid function: blood T4
Time frame: Week 13
Thyroid function: blood TSH
Time frame: Baseline (day 0 to day -15)
Thyroid function: blood TSH
Time frame: Week 13
Presence/absence of clinically significant abnormality on a lung x-ray
Time frame: Baseline (day 0 to day -15)
Presence/absence of clinically significant abnormality on a lung x-ray
Time frame: Week 13
Presence/absence of clinically significant abnormality on an electrocardiogram
Time frame: Baseline (day 0 to day -15)
Presence/absence of clinically significant abnormality on an electrocardiogram
Time frame: Week 13
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2025.
- Results publication: PubMed 32651161Camu W, Mickunas M, Veyrune JL, Payan C, Garlanda C, Locati M, Juntas-Morales R, Pageot N, Malaspina A, Andreasson U, Kirby J, Suehs C, Saker S, Masseguin C, De Vos J, Zetterberg H, Shaw PJ, Al-Chalabi A, Leigh PN, Tree T, Bensimon G. Repeated 5-day cycles of low dose aldesleukin in amyotrophic lateral sclerosis (IMODALS): A phase 2a randomised, double-blind, placebo-controlled trial. EBioMedicine. 2020 Sep;59:102844. doi: 10.1016/j.ebiom.2020.102844. Epub 2020 Jul 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Raul Juntas-Morales, MD study director
CHRU de Montpellier
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing 1.0 MIU IL-2 per day and 2.0 MIU IL-2 per day in people with Amyotrophic Lateral Sclerosis, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
CD4+ CD25+ CD127- FoxP3+(Treg) cells: change in percentage of total lymphocytes (time frame: Day 8). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02059759, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Nov 2025.