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Amyotrophic Lateral SclerosisPhase 3NCT03836716

Arimoclomol in Amyotropic Lateral Sclerosis - Open Label Extension Trial

A Phase 3 study testing Arimoclomol in people with Amyotrophic Lateral Sclerosis, run by ZevraDenmark at 23 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

A multicenter, non-randomized, open label trial, to assess long term safety and efficacy of Arimoclomol in subjects with Amyotrophic Lateral Sclerosis (ALS) who have completed the ORARIALS-01 trial. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Amyotrophic Lateral Sclerosis
What is being tested?
Arimoclomol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
23 sitesin 11 countries
Study dates
19 Sep 2019to 2 Jul 2021
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is able to comprehend and is willing to provide written informed consent and is capable and willing to comply with trial procedures, or in the circumstance that the subject is incompetent, informed consent/assent is provided in accordance with local regulation and/or procedures
  • Subject has completed the ORARIALS-01 trial (i.e., met one of the surrogate survival endpoints of tracheostomy or PAV or has completed the 76 weeks randomized treatment period)
  • Subject completed ORARIALS-01 while on treatment, where on treatment is defined as having taken the last dose of IMP within 2 weeks of the End of Trial visit (whether at week 76 or prior)

Who cannot join

  • Known or suspected allergy or intolerance to the IMP (Arimoclomol or constituents)
  • Exposure to any other investigational treatment, advanced therapy medicinal product or use of any other prohibited concomitant medications
  • Women who are lactating or pregnant, or men or women unwilling to use a highly effective method of birth control if not surgically sterile (defined as bilateral tubal ligation, bilateral oophorectomy, or hysterectomy for women; vasectomy for men) for female participants until 4 weeks after last dose and for male participants until 3 months after last dose. Pre-menopausal women must have a negative pregnancy test prior to dosing with trial medication.
  • Any of the following medically significant conditions:
  • Clinically significant renal or hepatic disease OR clinical laboratory assessment (results ≥ 3 times the upper limit of normal [ULN] for aspartate aminotransferase and/or alanine aminotransferase, bilirubin ≥ 2 times the ULN, or creatinine ≥ 1.5 times the ULN).
  • Any new condition or worsening of existing condition which, in the opinion of the investigator, would put the subject at undue risk.
  • Any serious adverse event or moderate/severe adverse event from the ORARIALS-01 trial which is ongoing at the time of transitioning to ORARIALS-02 and assessed as probably related to IMP

Trial locations and contacts

23 sites in 11 countries.

23 sites in 11 countries

United States7 sites
  • University of Virginia Health System

    Charlottesville, Virginia, 22908

  • University of Miami

    Miami, Florida, 33136

  • Hospital for Special Surgery

    New York, New York, 10021

  • UC Irvine Health ALS and Neuromuscular Center

    Orange, California, 92868

  • University of Pensylvania, Perelman Center for Advanced Medicine - Penn Neuroscience Center

    Philadelphia, Pennsylvania, 19107

  • St. Joseph's Hospital and Medical Center (SJHMC) - Barrow Neurological Institute (BNI) - The Gregory W. Fulton ALS and Neuromuscular Disease Center

    Phoenix, Arizona, 85013

  • Providence Brain & Spine Institute

    Portland, Oregon, 97213

Other trials in United States

Germany3 sites
  • Charite - Universitaetsmedizin Berlin - Campus Virchow-Klinikum (CVK) - Ambulanz fuer ALS und andere Motoneuronenerkrankungen

    Berlin, 13353

  • Medizinische Hochschule Hannover (MHH) - Klinik fuer Neurologie

    Hanover, 30625

  • Universitaetsklinikum Ulm - Klinik fuer Neurologie

    Ulm, 89081

Other trials in Germany

France2 sites
  • Centre Hospitalier Regional Universitaire (CHRU) Montpellier - Hopital Gui De Chauliac

    Montpellier, 34295

  • Groupe Hospitalier Pitie-Salpetriere - Centre d'Investigation Clinique Neurosciences 1422

    Paris, 75013

Other trials in France

Italy2 sites
  • Instituti Clinica Scientifici Maugeri

    Milan, 20138

  • Azienda Ospedaliero Universitaria (AUO) di Torino - Citta'della Salute e della Scienza di Torino

    Torino, 10126

Other trials in Italy

Poland2 sites
  • Centrum Medyczne NeuroProtect

    Warsaw, 01-684

  • Citi Clinic

    Warsaw, 02-473

Other trials in Poland

Spain2 sites
  • Hospital Universitario Vall d'Hebron ALS Unit. Consultas Externas; Office: 9-10-11

    Barcelona, 08035

  • Hospital Carlos III - Hospital Universitario La Paz, ALS Unit

    Madrid, 28046

Other trials in Spain

Belgium1 site
  • Catholic University Leuven

    Leuven

Other trials in Belgium

Canada1 site
  • London Health Sciences Centre

    London, Ontario, N6A 5A5

Other trials in Canada

Netherlands1 site
  • University Medical Center Utrecht

    Utrecht, 3584CX

Other trials in Netherlands

Sweden1 site
  • Umeå University Hospital

    Umeå, 90737

Other trials in Sweden

United Kingdom1 site
  • Leonard Wolfson Experimental Neurology Centre

    London, WC1N 3BG

Other trials in United Kingdom

About this study

Official title: Open Label, Non-randomized Extension Trial to Assess Long Term Safety and Efficacy of Arimoclomol in Subjects With Amyotropic Lateral Sclerosis Who Have Completed the ORARIALS-01 Trial

A multicenter, non-randomized, open label trial, to assess long term safety and efficacy of Arimoclomol in subjects with Amyotrophic Lateral Sclerosis (ALS) who have completed the ORARIALS-01 trial.

Read the detailed description

The planned duration of the open-label trial was 152 weeks, but the trial was terminated early as a consequence of the results of ORARIALS-01 which did not meet any of its efficacy endpoints. Therefore, the actual mean duration of open-label treatment was approximately 28 weeks (range approximately 2 to 71 weeks).

Being tested
Arimoclomol
Keywords
Arimoclomol, ALS
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.

  • ArimoclomolDrug

    2 capsules (2 x 124 mg arimoclomol base; equivalent to 2 x 200 mg arimoclomol citrate) taken 3 times daily

Study groups in NCT03836716
Study groupRoleWhat they receive
ArimoclomolExperimental248 mg arimoclomol base (equivalent to 400 mg arimoclomol citrate) 3 times daily
Receives: Drug: Arimoclomol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) Over the Open-label Treatment Period

    Adverse event (AE) data were collected throughout the trial until early termination. The average duration of exposure was 198.7 days (approximately 28 weeks; standard deviation 99.57 days; minimum 16 days, maximum 494 days). 58 participants (48.3%) were exposed less than 6 months; 55 participants (45.8%) were exposed 6 to less than 12 months; 7 participants (5.8%) were exposed 12 to less than 18 months. No participant was treated for 76 weeks.

    Participants with on-treatment TEAEs are reported. An on-treatment TEAE is any TEAE in the on-treatment period defined as the time from first dose of IMP until 14 days since the last preceding administration of IMP (either before a temporary IMP interruption with duration >14 days or the last dose at the end of trial). A participant may have several on-treatment periods separated by interruption intervals.

    Measured: From Day 1 in ORARIALS-02 to Early Termination, an average of approximately 28 weeks

  2. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Hematology (1)

    Standard hematology parameters. White blood cell differential count for basophils, eosinophils, leukocytes, lymphocytes, monocytes, and neutrophils, and platelet count.

    Measured: Week 76

  3. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Hematology (2)

    Standard hematology parameters. Percentage of leukocytes were determined for basophils, eosinophils, lymphocytes, monocytes, and neutrophils

    Measured: Week 76

  4. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Erythrocytes

    Standard hematology parameter.

    Measured: Week 76

  5. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Hematocrit

    Standard hematology parameter.

    Measured: Week 76

  6. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Hemoglobin

    Standard hematology parameter.

    Measured: Week 76

  7. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Clinical Chemistry (1)

    Standard clinical chemistry parameters. Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase, Gamma Glutamyl Transferase, and Lactate Dehydrogenase.

    Measured: Week 76

  8. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Clinical Chemistry (2)

    Standard clinical chemistry parameters. Calcium, Calcium Corrected, Cholesterol, Glucose, HDL Cholesterol, LDL Cholesterol, Potassium, Sodium, Triglycerides, and Urea Nitrogen.

    Measured: Week 76

  9. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Clinical Chemistry (3)

    Standard clinical chemistry parameters. Bilirubin, Creatinine, Direct Bilirubin, and Indirect Bilirubin.

    Measured: Week 76

  10. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Albumin and Protein

    Standard clinical chemistry parameters.

    Measured: Week 76

  11. Mean and Change From Baseline in Clinical Safety Laboratory Tests - Cystatin C

    Standard clinical chemistry parameter.

    Measured: Week 76

  12. Mean and Change From Baseline in Vital Signs - Blood Pressure

    Standard vital signs. Systolic and diastolic blood pressure.

    Measured: Week 76

  13. Mean and Change From Baseline in Vital Signs - Pulse Rate

    Standard vital signs measurement.

    Measured: Week 76

  14. Mean and Change From Baseline in Vital Signs - Respiratory Rate

    Standard vital signs measurement.

    Measured: Week 76

  15. Mean and Change From Baseline in Vital Signs - Temperature

    Standard vital signs measurement.

    Measured: Week 76

  16. Number of Participants With Potentially Clinically Significant Abnormalities in Clinical Safety Laboratory Tests and Vital Signs Over the Open-label Treatment Period

    Clinical safety laboratory data and vital signs were collected throughout the trial until early termination. The average duration of exposure was 198.7 days (approximately 28 weeks; standard deviation 99.57 days; minimum 16 days, maximum 494 days). 58 participants (48.3%) were exposed less than 6 months; 55 participants (45.8%) were exposed 6 to less than 12 months; 7 participants (5.8%) were exposed 12 to less than 18 months. No patient was treated for 76 weeks.

    Measured: From Day 1 in ORARIALS-02 to Early Termination, an average of approximately 28 weeks

  17. Columbia-Suicide Severity Rating Scale (C-SSRS) Over the Open-label Treatment Period

    The C-SSRS is a detailed questionnaire assessing both suicidal behavior and suicidal ideation through a series of simple, plain-language questions administered as an interview by a qualified investigator or delegate.

    Measured: From Day 1 in ORARIALS-02 to Early Termination, an average of approximately 28 weeks

Secondary outcomes (2)
  1. Change in ALS Functional Rating Scale - Revised (ALSFRS-R) From Baseline to Week 76

    The ALSFRS-R is an ordinal rating scale used to determine subjects' subjective assessment of their capability and independence with 12 functional activities ('speech', 'salivation', 'swallowing', handwriting', 'cutting food and handling utensils', 'dressing and hygiene', 'turning in bed and adjusting bed clothes', 'walking', 'dyspnoea', 'orthopnoea' and 'respiratory insufficiency'). Each activity is rated on a 5-point scale (from 0 [no ability] to 4 [normal]), giving a maximal ALSFRS-R score of 48. A lower score corresponds to a lower capability and independence.

    Measured: Week 76

  2. Change in Percentage (%) Predicted Slow Vital Capacity (SVC) From Baseline to Week 76 (for Subjects Who Did Not Meet the Survival Endpoint in the ORARIALS-01 Trial)

    Slow vital capacity (SVC) measures the volume that can be exhaled from a full inhalation after exhaling to a maximum as slowly as possible. Predicted SVC was derived per European Community of Coal and Steel (ECCS) reference equations:

    • If male: Predicted SVC = 0.061 x height (cm) - 0.028 x age (years) - 4.65
    • If female: Predicted SVC = 0.0466 x height (cm) - 0.024 x age (years) - 3.28

    Measured: 76 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Feb 2019
  2. Study start19 Sep 2019
  3. Primary completion2 Jul 2021
  4. Study completion2 Jul 2021

Why it stopped: As a consequence of the results of ORARIALS-01 which did not meet any of its efficacy endpoints. The planned duration was 152 weeks. After termination, the actual mean duration of treatment was approx. 28 weeks (range approx. 2 to 71 weeks).

Resources

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Non-randomized open label
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03836716
Sponsor's protocol ID
ORARIALS-02
Status last verified
Aug 2023
First submitted
7 Feb 2019
Last updated
24 Aug 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Arimoclomol in people with Amyotrophic Lateral Sclerosis, run by ZevraDenmark at 23 sites in 11 countries.

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 3 inclusion and 7 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: stopped early, as of the sponsor's last update on 24 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, Germany, France, Italy, Poland and 6 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Aug 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Over the Open-label Treatment Period (time frame: From Day 1 in ORARIALS-02 to Early Termination, an average of approximately 28 weeks). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Aug 2023.

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