Trial Outcomes & Findings for A Phase 2 Study to Evaluate AL001 in C9orf72-Associated ALS (NCT NCT05053035)

NCT ID: NCT05053035

Last Updated: 2025-06-18

Results Overview

Count of participants with adverse events during the study treatment period

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

24 weeks

Results posted on

2025-06-18

Participant Flow

Participant milestones

Participant milestones
Measure
AL001
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Overall Study
STARTED
3
2
Overall Study
COMPLETED
2
2
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
AL001
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

A Phase 2 Study to Evaluate AL001 in C9orf72-Associated ALS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AL001
n=3 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Total
n=5 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: Safety population

Count of participants with adverse events during the study treatment period

Outcome measures

Outcome measures
Measure
AL001
n=3 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Evaluation of Safety and Tolerability of AL001 Measured by Number of Subjects With Adverse Events
2 Participants
2 Participants

PRIMARY outcome

Timeframe: Week 24

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Count of participants positive for Anti-drug Antibodies (ADAs) to AL001 at week 24

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Immunogenicity of AL001
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Week 24

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Concentration of AL001 in Serum at week 24

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Pharmacokinetics (PK) of AL001 in Serum
705792.5 ng/mL
Standard Deviation 87387.7916

PRIMARY outcome

Timeframe: Week 24

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Concentration of AL001 in Cerebrospinal fluid (CSF) at week 24

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Pharmacokinetics (PK) of AL001 in CSF
547.5 ng/mL
Standard Deviation 395.2727

PRIMARY outcome

Timeframe: 24 weeks

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Evaluate the change from baseline to week 24 in plasma progranulin levels

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Change From Baseline in Plasma Progranulin
175 ng/mL
Standard Deviation 2.8284
-24.4 ng/mL
Standard Deviation 9.3338

PRIMARY outcome

Timeframe: 24 weeks

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Evaluate the change from baseline to week 24 in Cerebrospinal fluid (CSF) progranulin levels

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Change From Baseline in CSF Progranulin
2.865 ng/mL
Standard Deviation 1.0677
-0.385 ng/mL
Standard Deviation 0.3323

SECONDARY outcome

Timeframe: 24 weeks

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Evaluate the change from baseline to week 24 in plasma neurofilament light chain levels

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Change From Baseline in Plasma Neurofilament Light Chain
-0.35 pg/mL
Standard Deviation 3.3234
1.9 pg/mL
Standard Deviation 2.8284

SECONDARY outcome

Timeframe: 24 weeks

Population: Due to early termination of the study and insufficient sample size, no population-level analysis (within-group and between-group) was performed.

Evaluate change from baseline to week 24 in Cerebrospinal fluid (CSF) neurofilament light chain levels

Outcome measures

Outcome measures
Measure
AL001
n=2 Participants
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 Participants
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Change From Baseline in CSF Neurofilament Light Chain
995.5 pg/mL
Standard Deviation 95.4594
-1250.5 pg/mL
Standard Deviation 825.1936

Adverse Events

AL001

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
AL001
n=3 participants at risk
AL001 every 4 weeks AL001: Administered via intravenous (IV) infusion
Placebo
n=2 participants at risk
Placebo every 4 weeks Placebo: Administered via intravenous (IV) infusion
Gastrointestinal disorders
Constipation
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Gastrointestinal disorders
Diarrhea
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Gastrointestinal disorders
Dyspepsia
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks
Gastrointestinal disorders
Nausea
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
General disorders
Catheter site irritation
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
General disorders
Fatigue
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
General disorders
Medical device site hemorrhage
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
General disorders
Pain
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
General disorders
Pyrexia
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Infections and infestations
Upper respiratory tract infection
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks
Infections and infestations
Urinary tract infection
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Injury, poisoning and procedural complications
Post lumbar puncture syndrome
66.7%
2/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Injury, poisoning and procedural complications
Procedural pain
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks
Injury, poisoning and procedural complications
Stoma site erythema
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks
Injury, poisoning and procedural complications
Stoma site hypergranulation
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Investigations
Hepatic enzyme increased
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks
Nervous system disorders
Headache
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Nervous system disorders
Paraesthesia
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Renal and urinary disorders
Urinary incontinence
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Respiratory, thoracic and mediastinal disorders
Pneumonitis aspiration
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Respiratory, thoracic and mediastinal disorders
Throat irritation
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Skin and subcutaneous tissue disorders
Drug eruption
0.00%
0/3 • 32 Weeks
50.0%
1/2 • 32 Weeks
Skin and subcutaneous tissue disorders
Rash
33.3%
1/3 • 32 Weeks
0.00%
0/2 • 32 Weeks

Additional Information

Alector Medical Information

Alector

Phone: 650-826-2454

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place