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Amyotrophic Lateral Sclerosis (ALS)Phase 2ASTRALSNCT06643481

A Clinical Trial to Learn About the Effects of VHB937 in People With Amyotrophic Lateral Sclerosis (ALS)

A Phase 2 study testing VHB937 in people with Amyotrophic Lateral Sclerosis (ALS), run by Novartis Pharmaceuticals at 74 sites in 17 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a multicenter, randomized, double-blind, placebo-controlled, parallel group Phase II study to evaluate the efficacy and safety of VHB937 in participants with early-stage ALS (within 2 years of ALS symptoms onset). Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Amyotrophic Lateral Sclerosis (ALS)
What is being tested?
VHB937
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
251 participants
Where
74 sitesin 17 countries
Study dates
17 Oct 2024to 10 Jul 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • are 18 years of age or older
  • male or female, if of childbearing potential, strict contraception required
  • have ALS confirmed by the trial doctors using different tests.
  • have mild symptoms of ALS as measured by the ALSFRS-R questionnaire (total score >=30).
  • have had symptoms of ALS (weakness) within 24 months of taking part in this trial.
  • have not received treatment for ALS or are currently on a stable dose of an approved treatment for ALS.
  • have the ability to slowly exhale a volume of air at least 60% of what is expected for the participant's sex, height and age.

Who cannot join

  • Use of other investigational drugs within 5 half-lives of screening, or within 30 days (e.g., small molecules) / or until the expected pharmacodynamic effect has returned to baseline (e.g., biologics), whichever is longer; or longer if required by local regulations.
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment and for 24 weeks after stopping study medication.
  • History or current diagnosis of cardiac conditions or ECG abnormalities indicating significant risk of safety for participants in the study.
  • Clinical evidence of liver or renal disease/injury.
  • Laboratory evidence of hematological abnormalities
  • Presence of unstable psychiatric disease, cognitive impairment, neurological disease other than ALS, dementia or substance abuse that would impair ability of the participant to provide informed consent, in the investigator's opinion.
Show all 10Show fewer
  • Participants that reported 'yes' on any suicidal ideation section except for the "Non-Suicidal Self-Injurious Behavior" in the past 2 years as per C-SSRS.
  • Presence of cancer, HIV, Hep B, Hep C, tuberculosis, uncontrolled diabetes
  • History of active severe respiratory disease, including Chronic Obstructive Pulmonary Disease, interstitial lung disease or pulmonary fibrosis.
  • Taking any prohibited medications

Trial locations and contacts

74 sites in 17 countries.

74 sites in 17 countries

United States21 sites
  • Emory University School of Medicine

    Atlanta, Georgia, 30322

  • Austin Neuromuscular Center

    Austin, Texas, 78759

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Atrium Health

    Charlotte, North Carolina, 28207

  • Univ of Cincinnati Medical Center

    Cincinnati, Ohio, 45219

  • The Ohio State University

    Columbus, Ohio, 43210

  • Duke University Health System

    Durham, North Carolina, 27710

  • Nerve and Muscle Center of Texas

    Houston, Texas, 77030

  • University Of Kansas Medical Center

    Kansas City, Kansas, 66160

  • AMR Knoxville

    Knoxville, Tennessee, 37920

  • University of California San Diego

    La Jolla, California, 92037

  • Loma Linda University Health

    Loma Linda, California, 92354

  • Keck Medical Center USC

    Los Angeles, California, 90033

  • University of Miami

    Miami, Florida, 33136

  • Lange Neurology PC

    New York, New York, 10065

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • Orlando Health Clinical Trials

    Orlando, Florida, 32806

  • Temple University

    Philadelphia, Pennsylvania, 19140

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • UC San Francisco Medical Center

    San Francisco, California, 94143-0348

  • University of Washington Medical Center

    Seattle, Washington, 98195

Other trials in United States

Germany9 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Hanover, 30559

  • Novartis Investigative Site

    Lübeck, 23538

  • Novartis Investigative Site

    Mannheim, Baden-Wurttemberg, 68167

  • Novartis Investigative Site

    Munich, Bavaria, 81675

  • Novartis Investigative Site

    Münster, 48149

  • Novartis Investigative Site

    Rostock, Mecklenburg-Vorpommern, 18057

  • Novartis Investigative Site

    Ulm, 89081

  • Novartis Investigative Site

    Würzburg, Bavaria, 97080

Other trials in Germany

France5 sites
  • Novartis Investigative Site

    Bron, 69677

  • Novartis Investigative Site

    Lille, 59037

  • Novartis Investigative Site

    Nice, 06001

  • Novartis Investigative Site

    Paris, 75013

  • Novartis Investigative Site

    Tours, 37044

Other trials in France

Poland5 sites
  • Novartis Investigative Site

    Bydgoszcz, 85-163

  • Novartis Investigative Site

    Krakow, Poland, 31 531

  • Novartis Investigative Site

    Krakow, 30-721

  • Novartis Investigative Site

    Warsaw, 01-684

  • Novartis Investigative Site

    Warsaw, 02-473

Other trials in Poland

United Kingdom5 sites
  • Novartis Investigative Site

    Farnborough, BR6 8ND

  • Novartis Investigative Site

    London, SW17 0QT

  • Novartis Investigative Site

    London, WC1N 3BG

  • Novartis Investigative Site

    Sheffield, South Yorkshire, S10 2JF

  • Novartis Investigative Site

    Stoke-on-Trent, ST4 6QG

Other trials in United Kingdom

Australia4 sites
  • Novartis Investigative Site

    Caulfield South, Victoria, 3162

  • Novartis Investigative Site

    Herston, Queensland, 4029

  • Novartis Investigative Site

    North Ryde, New South Wales, 2109

  • Novartis Investigative Site

    Southport, 4215

Other trials in Australia

Italy4 sites
  • Novartis Investigative Site

    Milan, MI, 20138

  • Novartis Investigative Site

    Modena, MO, 41126

  • Novartis Investigative Site

    Pisa, PI, 56126

  • Novartis Investigative Site

    Torino, TO, 10126

Other trials in Italy

Spain4 sites
  • Novartis Investigative Site

    Barcelona, 08035

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Novartis Investigative Site

    Santiago Compostela, A Coruna, 15706

  • Novartis Investigative Site

    Valencia, 46026

Other trials in Spain

South Korea3 sites
  • Novartis Investigative Site

    Seoul, 04763

  • Novartis Investigative Site

    Seoul, 05505

  • Novartis Investigative Site

    Yangsan, Gyeongsangnam-do, 50612

Other trials in South Korea

Sweden3 sites
  • Novartis Investigative Site

    Malmö, 214 28

  • Novartis Investigative Site

    Stockholm, 113 61

  • Novartis Investigative Site

    Umeå, SE-90185

Other trials in Sweden

Belgium2 sites
  • Novartis Investigative Site

    Leuven, Vlaams Brabant, 3000

  • Novartis Investigative Site

    Liège, 4000

Other trials in Belgium

Canada2 sites
  • Novartis Investigative Site

    Calgary, Alberta, T2N 4N1

  • Novartis Investigative Site

    Montreal, Quebec, H4A 3T2

Other trials in Canada

Denmark2 sites
  • Novartis Investigative Site

    Aalborg, 9000

  • Novartis Investigative Site

    Kobenhavn N V, 2400

Other trials in Denmark

Switzerland2 sites
  • Novartis Investigative Site

    Basel, 4031

  • Novartis Investigative Site

    Sankt Gallen, 9007

Other trials in Switzerland

China1 site
  • Novartis Investigative Site

    Beijing, 100191

Other trials in China

Ireland1 site
  • Novartis Investigative Site

    Dublin, DUBLIN 9

Other trials in Ireland

Netherlands1 site
  • Novartis Investigative Site

    Utrecht, 3584 CX

Other trials in Netherlands

About this study

Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled Parallel Group Study of VHB937 in Amyotrophic Lateral Sclerosis (ALS) Over 40 Weeks Followed by an Open Label Extension (ASTRALS)

This is a multicenter, randomized, double-blind, placebo-controlled, parallel group Phase II study to evaluate the efficacy and safety of VHB937 in participants with early-stage ALS (within 2 years of ALS symptoms onset). The study comprises a core double-blind (DB) 40-week treatment period followed by an open label extension (OLE).

Read the detailed description

The main questions this trial aims to answer in comparing VHB937 to placebo are:

  • How long will participants live without needing permanent help from a machine to breathe after starting the trial treatment?
  • What is the change in the participant's ability to perform daily activities? This will be measured using a questionnaire called the amyotrophic lateral sclerosis functional rating scale-revised (ALSFRS-R).
  • What adverse events are reported during this trial? An adverse event is any sign or symptom that participants have during a trial. Adverse events may or may not be caused by treatments in the trial. The trial doctors will check participants' ALS and general health throughout the trial.
Being tested
VHB937, Placebo
Keywords
Amyotrophic Lateral Sclerosis, ALS, monoclonal antibody, motor neuron disease, MND
Medical subject headings
Amyotrophic Lateral Sclerosis, Motor Neuron Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VHB937Biological

    VHB937 solution for infusion

  • PlaceboOther

    Solution for infusion

Study groups in NCT06643481
Study groupRoleWhat they receive
Arm 1ExperimentalI.V. infusions
Receives: Biological: VHB937
Arm 2Placebo comparatorI.V. infusions
Receives: Other: Placebo

What is being measured

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

  1. The composite of PAV-free survival and change in ALSFRS-R. Analysis method: Combined Assessment of Function and Survival (CAFS)

    To compare the efficacy of VHB937 vs. placebo on a composite of permanent assisted ventilation (PAV) free survival and function in DB epoch

    Measured: Baseline to DB Week 40

Secondary outcomes (18)
  1. ALS Functional Rating Scale Revised (ALSFRS-R) total score

    To assess the efficacy of VHB937 on functional decline in DB and OLE epochs.

    Measured: Baseline to DB Week 40 or until death or PAV (whichever occurs first) and Baseline to OLE Week 100 or until death or PAV (whichever occurs first

  2. Slow Vital Capacity (SVC) (% of predicted normal value)

    To assess the efficacy of VHB937 in delaying decline in respiratory function in DB and OLE epochs.

    Measured: Baseline to DB Week 40 or until death or PAV (whichever occurs first) and Baseline to OLE Week 100 or until death or PAV (whichever occurs first)

  3. Ratio to baseline in Neurofilament Light (NfL) concentration in serum

    To assess the effect of VHB937 on a biomarker of neurodegeneration in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100]

  4. Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    To assess the safety and tolerability of VHB937 in DB and OLE epochs.

    Measured: Baseline to end of study

  5. Time to death and Time to event (death or PAV, whichever comes first).

    To assess the efficacy of VHB937 vs. placebo on survival endpoints in DB epoch.

    Measured: Baseline to DB Week 40

  6. Time to death and Time to event (death or PAV, whichever comes first) - endpoints referring to treatment policy estimand

    To assess the efficacy of early vs. delayed VHB937 administration on survival endpoints (DB VHB937 followed by OLE VHB937 vs. DB placebo followed by OLE VHB937)

    Measured: Baseline to OLE Week 100, and Baseline to end of study

  7. Patient Global Impression of change in functional ability and ALS symptom severity (PGI-C)

    To assess change in ALS condition in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100

  8. Change in QoL from baseline as measured with Amyotrophic Lateral Sclerosis Assessment Questionnaire -5 (ALSAQ-5)

    To assess Quality of Life (QoL) with VHB937 in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100

  9. Change in Clinician Global Impression of change in functional ability and ALS symptom severity (CGI-C)

    To assess change in ALS condition in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100

  10. Change in QoL from baseline as measured with EuroQoL 5 Dimension 5 Level (EQ-5D-5L)

    To assess Quality of Life (QoL) with VHB937 in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100

  11. Change in QoL from baseline as measured with 12-item Short form health survey (SF-12)

    To assess Quality of Life (QoL) with VHB937 in DB and OLE epochs.

    Measured: DB up to Week 40; DB and OLE up to Week 100

  12. Pharmacokinetics (PK) of VHB937-CMAX

    CMAX - The maximum concentration of VHB937 in serum

    Measured: Day 1 to end of study

  13. Pharmacokinetics (PK) of VHB937-TMAX

    TMAX - The time to reach the maximum concentration of VHB937 in serum

    Measured: Day 1 to end of study

  14. Pharmacokinetics (PK) of VHB937-CTROUGH

    CTROUGH - Minimum observed concentration of VHB937 in serum

    Measured: Day 1 to end of study

  15. To assess immunogenicity (IG) of VHB937

    To assess immunogenicity of Anti-VHB937 antibodies in serum

    Measured: Day 1 up to end of study

  16. Cerebralspinal Spinal Fluid Pharmacokinetics (PK) of VHB937-CMAX

    CMAX - The maximum concentration of VHB937 in CSF

    Measured: Screening to Week 12

  17. Cerebralspinal Spinal Fluid Pharmacokinetics (PK) of VHB937-TMAX

    TMAX - The time to reach the maximum concentration of VHB937 in CSF

    Measured: Screening to Week 12

  18. Cerebralspinal Spinal Fluid Pharmacokinetics (PK) of VHB937-CTROUGH

    CTROUGH - Minimum observed concentration of VHB937 in CSF

    Measured: Screening to Week 12

Timeline

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

  1. First posted16 Oct 2024
  2. Study start17 Oct 2024
  3. Primary completion23 Jun 2026
  4. Study completion10 Jul 2028 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blind, Randomized 2:1 ratio
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
251 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06643481
Sponsor's protocol ID
CVHB937B12201
Other IDs
2024-512536-29-00
Acronym
ASTRALS
Status last verified
Jul 2026
First submitted
30 Sep 2024
Last updated
7 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VHB937 in people with Amyotrophic Lateral Sclerosis (ALS), run by Novartis Pharmaceuticals at 74 sites in 17 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 7 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 7 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Germany, France, Poland, United Kingdom and 12 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

The composite of PAV-free survival and change in ALSFRS-R. Analysis method: Combined Assessment of Function and Survival (CAFS) (time frame: Baseline to DB Week 40). 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 7 Jul 2026.

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