Study to Assess the Effects of PTC857 Treatment in Participants With Amyotrophic Lateral Sclerosis ALS

NCT ID: NCT05349721

Last Updated: 2025-08-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

336 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-15

Study Completion Date

2025-01-30

Brief Summary

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This study will assess the efficacy and safety of PTC857 treatment in participants diagnosed with ALS.

Detailed Description

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Participants will be randomized to 1 of the 2 treatment groups: PTC857 or matching placebo. Following successful completion of the Treatment Period, participants who enter the LTE Period, will receive open-label PTC857 for 28 weeks. Following completion of the LTE period, participants who enter the Continued LTE Period will receive open-label PTC857 for an additional 108 weeks.

Conditions

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Amyotrophic Lateral Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PTC857

Participants will receive PTC857 during the 24-Week Treatment Period.

Following successful completion of the Treatment Period, participants who enter the Long-term Extension (LTE) Period, will receive open-label PTC857 for 28 weeks. Following completion of the LTE period, participants who enter the Continued LTE Period will receive open-label PTC857 for an additional 108 weeks.

Group Type EXPERIMENTAL

PTC857

Intervention Type DRUG

PTC8657 will be administered as an oral solution twice a day.

Placebo

Participants will receive matching placebo during the 24-Week Treatment Period.

Following successful completion of the Treatment Period, participants who enter the LTE Period, will receive open-label PTC857 for 28 weeks. Following completion of the LTE period, participants who enter the Continued LTE Period will receive open-label PTC857 for an additional 108 weeks.

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo will be administered as an oral solution twice a day.

Interventions

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PTC857

PTC8657 will be administered as an oral solution twice a day.

Intervention Type DRUG

Placebo

Matching placebo will be administered as an oral solution twice a day.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ALS with preserved function, defined as:

1. Onset of the first symptom leading to the diagnosis of ALS ≤24 months at the time of the initial Screening Visit
2. Revised EL Escorial criteria of either:

(i) Clinically definite ALS (ii) Clinically probable ALS
* A total ALSFRS-R score of at least 34 at the start of the Screening Period
* No significant respiratory compromise as evidenced by slow vital capacity ≥60% at the start of the Screening Period
* All chronic concomitant medications (both prescription and over the counter), and non-pharmacologic therapy regimens, excluding standard-of-care therapy riluzole, edaravone, or sodium phenylbutyrate/taurursodiol, should be stable and unchanged from 14 days prior to the start of the Screening Period and intend to remain stable and unchanged throughout the course of the study
* Female participants must have a negative breast cancer imaging screening status (not considered clinically abnormal and/or requiring further evaluation/treatment) within 6 months prior to the Screening Visit, or during the Screening Period.
* Standard-of-care therapy for the treatment of ALS (riluzole, edaravone, or sodium phenylbutyrate/taurursodiol) should be stable and unchanged from 30 (-3) days prior to the start of the Screening Period and intend to remain stable and unchanged throughout the course of the study.

Exclusion Criteria

* Females who are pregnant or nursing or plan to become pregnant during the study
* Participants with clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular/ischemic disease or any other condition that, in the opinion of the investigator would jeopardize the safety of the participant or impact the validity of the study results
* Any clinically significant medical or psychiatric condition or medical history that, in the opinion of the investigator or the medical monitor, would interfere with the participant's ability to participate in the study or increase the risk of participation for that participant
* Current participation in any other investigational study with an investigational product or participation within 30 days prior to the start of the Screening Period or 5 half-lives of the previously taken investigational drug, whichever is longer
* Participant has previously received PTC857
* Participant is receiving a combination of edaravone and sodium phenylbutyrate/taurursodiol treatment, where applicable, within 30 days prior to the start of the Screening Period
* For female participants, any past medical history of breast cancer, regardless of remission status, or any first degree relative with history of breast cancer
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PTC Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UC Irvine Health ALS and Neuromuscular Center

Orange, California, United States

Site Status

Forbes Norris MDA/ALS Research Center at California Pacific Medical Center

San Francisco, California, United States

Site Status

Holy Cross Hospital, Phil Smith Neuroscience Institute

Fort Lauderdale, Florida, United States

Site Status

University of South Florida - Carol and Frank Morsani Center for Advanced Healthcare

Tampa, Florida, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

University of Kansas Medical Center (KUMC) - Landon Center on Aging

Kansas City, Kansas, United States

Site Status

Henry Ford Health System Department of Neurology

Detroit, Michigan, United States

Site Status

Neurology Associates, P.C. / Somnos Clinical Research

Lincoln, Nebraska, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Providence Brain and Spine Institute

Portland, Oregon, United States

Site Status

Lewis Katz School of Medicine at Temple Universtiy

Philadelphia, Pennsylvania, United States

Site Status

National Neuromuscular Research Institute

Austin, Texas, United States

Site Status

Nerve and Muscle Center of Texas

Houston, Texas, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

STAT Research S.A.

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Iadin Srl.

Buenos Aires, , Argentina

Site Status

Hospital Ramos Mejía

Buenos Aires, , Argentina

Site Status

Royal Brisbane and Women's Hospital

Brisbane, Queensland, Australia

Site Status

Gold Coast Hospital

Southport, Queensland, Australia

Site Status

Calvary Health Care Bethlehem

Caulfield South, Victoria, Australia

Site Status

Austin Health

Heidelberg, Victoria, Australia

Site Status

AZ Sint-Lucas Gent

Ghent, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

University hospital Brno, Department of Neurology

Brno, , Czechia

Site Status

FORBELI s.r.o.

Prague, , Czechia

Site Status

CHU de Bordeaux

Bordeaux, , France

Site Status

Hôpital Neurologique Pierre Wertheimer

Bron, , France

Site Status

CHU Gabriel Montpied

Clermont-Ferrand, , France

Site Status

CHRU Lille - Hôpital Roger Salengro

Lille, , France

Site Status

CHU Dupuytren 1 Limoges

Limoges, , France

Site Status

CHU Gui de Chauliac (Pharmacie Saint-Eloi & Gui de Chauliac, Hopital Saint-Eloi)

Montpellier, , France

Site Status

CRMR SLA - MNM du CHU de Nice

Nice, , France

Site Status

Charite - Universitatsmedizin - Berlin

Berlin, , Germany

Site Status

Hannover Medical School

Hanover, , Germany

Site Status

University Hospital Jena

Jena, , Germany

Site Status

Universitaetsklinikum Schleswig-Holstein (UKSH) Campus Luebeck, Klinik fuer Neurologie, Praezisionsneurologie

Lübeck, , Germany

Site Status

University of Ulm, Dept. of Neurology

Ulm, , Germany

Site Status

Centro Clinico Nemo Brescia

Brescia, , Italy

Site Status

Istituti Clinici Scientifici Maugeri IRCCS

Milan, , Italy

Site Status

Istituto Auxolgoico Italiano

Milan, , Italy

Site Status

Azienda Ospedaliero Universitaria di Modena

Modena, , Italy

Site Status

Maggiore della Carita University Hospital, Neurology department, ALS center

Novara, , Italy

Site Status

ALS Clinical Research Center, University Hospital Policlinico "P Giaccone"

Palermo, , Italy

Site Status

IRCCS Fondazione Mondino - Reparto Neuroncologia/Neuroinfiammazione

Pavia, , Italy

Site Status

Policlinico Umberto I

Roma, , Italy

Site Status

AOU Citta Della Salute e Scienza

Torino, , Italy

Site Status

PTC Clinical Site

Japanese City, , Japan

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

Centrum Medyczne Neuro Protect

Warsaw, , Poland

Site Status

City Clinic Research Sp. Z o.o

Warsaw, , Poland

Site Status

Unidad Neuromuscular. Servicio de Neurologia Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

H. St Pau

Barcelona, , Spain

Site Status

Hospital Universitario y Politecnico La Fe

Valencia, , Spain

Site Status

Skanes universitetssjukhus, VE Neurologi

Malmo, , Sweden

Site Status

Norrlands universitetssjukhus Neurologens Forskningsavdelning

Umeå, , Sweden

Site Status

Countries

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United States Argentina Australia Belgium Czechia France Germany Italy Japan Netherlands Poland Spain Sweden

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2021-006511-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-510317-26-00

Identifier Type: OTHER

Identifier Source: secondary_id

PTC857-CNS-001-ALS

Identifier Type: -

Identifier Source: org_study_id

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