Trial Outcomes & Findings for Study to Investigate the Long-term Safety of FAB122 in Patients With Amyotrophic Lateral Sclerosis (NCT NCT05866926)

NCT ID: NCT05866926

Last Updated: 2025-03-04

Results Overview

To evaluate the long-term safety of FAB122 in patients with ALS by assessing Number of Participants experiencing Treatment Emergent Adverse Events, evaluating nature and severity. The study duration for these subjects, and therefore the duration of FAB122 treatment, was variable depending on the subject's start date, ranging from 3 to approximately 44 weeks.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

201 participants

Primary outcome timeframe

approximately 44 weeks

Results posted on

2025-03-04

Participant Flow

Participant milestones

Participant milestones
Measure
FAB122
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122: FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as the ADOREXT study (FAB122-FAB122).
Placebo
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122: FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Overall Study
STARTED
135
66
Overall Study
COMPLETED
110
54
Overall Study
NOT COMPLETED
25
12

Reasons for withdrawal

Reasons for withdrawal
Measure
FAB122
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122: FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as the ADOREXT study (FAB122-FAB122).
Placebo
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122: FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Overall Study
Death
16
9
Overall Study
Lost to Follow-up
0
1
Overall Study
Adverse Event
1
0
Overall Study
Withdrawal by Subject
5
1
Overall Study
Disease progression
1
0
Overall Study
other causes
2
1

Baseline Characteristics

Study to Investigate the Long-term Safety of FAB122 in Patients With Amyotrophic Lateral Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FAB122
n=135 Participants
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122: FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as the ADOREXT study (FAB122-FAB122).
Placebo
n=66 Participants
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Total
n=201 Participants
Total of all reporting groups
Age, Customized
Mean (SD)
58.4 years
STANDARD_DEVIATION 10.6 • n=5 Participants
58.5 years
STANDARD_DEVIATION 10.5 • n=7 Participants
58.5 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Sex: Female, Male
Female
57 Participants
n=5 Participants
30 Participants
n=7 Participants
87 Participants
n=5 Participants
Sex: Female, Male
Male
78 Participants
n=5 Participants
36 Participants
n=7 Participants
114 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
28 Participants
n=5 Participants
16 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
94 Participants
n=5 Participants
48 Participants
n=7 Participants
142 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
13 Participants
n=5 Participants
2 Participants
n=7 Participants
15 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 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
119 Participants
n=5 Participants
63 Participants
n=7 Participants
182 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
15 Participants
n=5 Participants
3 Participants
n=7 Participants
18 Participants
n=5 Participants
Region of Enrollment
Europe
135 participants
n=5 Participants
66 participants
n=7 Participants
201 participants
n=5 Participants
BMI
25.64 kg/m^2
STANDARD_DEVIATION 4.03 • n=5 Participants
24.76 kg/m^2
STANDARD_DEVIATION 3.23 • n=7 Participants
25.35 kg/m^2
STANDARD_DEVIATION 3.8 • n=5 Participants
Weight
74.87 KG
STANDARD_DEVIATION 14.83 • n=5 Participants
71.07 KG
STANDARD_DEVIATION 13.32 • n=7 Participants
73.62 KG
STANDARD_DEVIATION 14.43 • n=5 Participants
Height
170.5 CM
STANDARD_DEVIATION 9.5 • n=5 Participants
169 CM
STANDARD_DEVIATION 9.8 • n=7 Participants
170 CM
STANDARD_DEVIATION 9.6 • n=5 Participants

PRIMARY outcome

Timeframe: approximately 44 weeks

Population: Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as in the ADOREXT study (FAB122-FAB122). Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).

To evaluate the long-term safety of FAB122 in patients with ALS by assessing Number of Participants experiencing Treatment Emergent Adverse Events, evaluating nature and severity. The study duration for these subjects, and therefore the duration of FAB122 treatment, was variable depending on the subject's start date, ranging from 3 to approximately 44 weeks.

Outcome measures

Outcome measures
Measure
FAB122
n=135 Participants
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as in the ADOREXT study (FAB122-FAB122).
Placebo
n=66 Participants
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Number of Participants Experiencing Treatment Emergent Adverse Events
Any TEAE
77 Participants
41 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
Any Serious AE
29 Participants
15 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
Any Serious TEAE
29 Participants
15 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
TEAE by relationship - Related
6 Participants
3 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
TEAE by Severity - Severe
24 Participants
10 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
Any TEAE leading to treatment discontinuation
7 Participants
5 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
Any AE leading to death
16 Participants
9 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
TEAE by relationship - Unrelated
75 Participants
40 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
TEAE by Severity - Mild
52 Participants
31 Participants
Number of Participants Experiencing Treatment Emergent Adverse Events
TEAE by Severity - Moderate
32 Participants
17 Participants

SECONDARY outcome

Timeframe: 45 weeks

Change from baseline in ALSFRS-R total score until the end of the study. Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

Outcome measures

Outcome measures
Measure
FAB122
n=135 Participants
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as in the ADOREXT study (FAB122-FAB122).
Placebo
n=66 Participants
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
The Secondary Efficacy Objective to Evaluate the Effect of Treatment With FAB122 Based on Change From Baseline in ALSFRS-R Until End of Study
-4.4 units on a scale
Standard Deviation 4.8
-3.8 units on a scale
Standard Deviation 5

Adverse Events

FAB122

Serious events: 29 serious events
Other events: 77 other events
Deaths: 16 deaths

Placebo

Serious events: 15 serious events
Other events: 41 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
FAB122
n=135 participants at risk
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as in the ADOREXT study (FAB122-FAB122).
Placebo
n=66 participants at risk
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
7.4%
10/135 • Number of events 10 • 45 weeks
6.1%
4/66 • Number of events 4 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Dysponea
1.5%
2/135 • Number of events 2 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Chronic respiratory failure
1.5%
2/135 • Number of events 2 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
Pneumonia
3.0%
4/135 • Number of events 4 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
Pneumonia aspiration
1.5%
2/135 • Number of events 2 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
COVID-19
0.74%
1/135 • Number of events 1 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
Lower respiratory track infection
0.00%
0/135 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Cardiac disorders
Cardiac arrest
1.5%
2/135 • Number of events 2 • 45 weeks
0.00%
0/66 • 45 weeks
Injury, poisoning and procedural complications
Craniocerebral injury
0.00%
0/135 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
General disorders
Death
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Nervous system disorders
Amyotrophic Lateral Sclerosis
0.00%
0/135 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Surgical and medical procedures
Hospitalization
0.00%
0/135 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Vascular disorders
Hypertensive crisis
0.00%
0/135 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Accute respiratory failure
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Infections and infestations
Tooth infection
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Cardiac disorders
Cardiac failure
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Cardiac disorders
Myocardial infarction
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Injury, poisoning and procedural complications
Fall
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Injury, poisoning and procedural complications
Subdural haematoma
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Investigations
Lypoprotein increased
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Investigations
Weight decreased
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Nervous system disorders
Cognitive disorder
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks
Psychiatric disorders
Apathy
0.74%
1/135 • Number of events 1 • 45 weeks
0.00%
0/66 • 45 weeks

Other adverse events

Other adverse events
Measure
FAB122
n=135 participants at risk
Drug: FAB122(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the FAB122 study group correspond to subjects receiving FAB122 in the ADORE study as well as in the ADOREXT study (FAB122-FAB122).
Placebo
n=66 participants at risk
Drug: Placebo(ADORE)-FAB122(ADOREXT) FAB122 Daily dose 100 mg Data presented for the Placebo study group correspond to subjects receiving Placebo in the ADORE study and FAB122 in the ADOREXT study (Placebo-FAB122).
Infections and infestations
Urinary track infectious
8.1%
11/135 • Number of events 14 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
Pneumonia
4.4%
6/135 • Number of events 7 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
COVID-19
3.0%
4/135 • Number of events 4 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Infections and infestations
Upper respiratory tract infection
2.2%
3/135 • Number of events 3 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Infections and infestations
Influenza
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Infections and infestations
Lower respiratory track infection
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Infections and infestations
Nasopharyngitis
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Gastrointestinal disorders
Dysphagia
5.2%
7/135 • Number of events 7 • 45 weeks
4.5%
3/66 • Number of events 3 • 45 weeks
Gastrointestinal disorders
Constipation
3.0%
4/135 • Number of events 4 • 45 weeks
0.00%
0/66 • 45 weeks
Gastrointestinal disorders
Nausea
2.2%
3/135 • Number of events 3 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Gastrointestinal disorders
Diarrhoea
0.74%
1/135 • Number of events 1 • 45 weeks
4.5%
3/66 • Number of events 3 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory failure
8.1%
11/135 • Number of events 11 • 45 weeks
6.1%
4/66 • Number of events 4 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Cough
2.2%
3/135 • Number of events 3 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.5%
2/135 • Number of events 2 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Injury, poisoning and procedural complications
Fall
3.7%
5/135 • Number of events 6 • 45 weeks
9.1%
6/66 • Number of events 14 • 45 weeks
Injury, poisoning and procedural complications
Contusion
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Injury, poisoning and procedural complications
Skin laceration
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Nervous system disorders
Syncope
0.74%
1/135 • Number of events 1 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
General disorders
Fatigue
3.0%
4/135 • Number of events 4 • 45 weeks
0.00%
0/66 • 45 weeks
General disorders
Death
0.00%
0/135 • 45 weeks
3.0%
2/66 • Number of events 2 • 45 weeks
Investigations
Gamma-glutamyltransferase increased
2.2%
3/135 • Number of events 3 • 45 weeks
0.00%
0/66 • 45 weeks
Psychiatric disorders
Insomnia
2.2%
3/135 • Number of events 3 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks
Renal and urinary disorders
Renal Colic
0.74%
1/135 • Number of events 1 • 45 weeks
4.5%
3/66 • Number of events 3 • 45 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
2.2%
3/135 • Number of events 3 • 45 weeks
0.00%
0/66 • 45 weeks
Vascular disorders
Hypertension
2.2%
3/135 • Number of events 3 • 45 weeks
1.5%
1/66 • Number of events 1 • 45 weeks

Additional Information

Clinical Operations Head

Ferrer

Phone: 649442389

Results disclosure agreements

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

Restriction type: LTE60