Efficacy and Safety of MSC-NTF (NurOwn) in Participants With Early Symptomatic ALS and Moderate Disease Presentation in ALS (ENDURANCE STUDY)

NCT ID: NCT06973629

Last Updated: 2025-05-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-30

Study Completion Date

2029-05-01

Brief Summary

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The goal of this two-part clinical trial is:

1\) to evaluate the safety and efficacy of Debamestrocel - MSC-NTF (NurOwn) compared to placebo in participants with early symptomatic ALS and moderate disease presentation in ALS; followed by 2) further evaluation by providing NurOwn to all participants in an open label extension period.

Researchers will compare NurOwn to a placebo (a look-alike substance that contains no drug) to evaluate the efficacy of NurOwn compared to placebo in the treatment of participants with ALS.

Participants will:

Receive NurOwn or a placebo every 8 weeks for 24 weeks. After that, every participant will receive NurOwn every 8 weeks for an additional 24 weeks.

They will visit the clinic approximately every 8 weeks for checkups and tests.

Detailed Description

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This is a multicenter, Phase 3b study to assess the efficacy and safety of NurOwn in participants with early symptomatic ALS and moderate disease presentation in ALS. The study comprises two parts: a 24-week randomized, double blind placebo controlled period (Part A) followed by a 24-week open label expansion period (Part B).

Up to approximately 200 participants are planned to be enrolled and randomized 1:1 to the NurOwn and placebo groups in Part A. All eligible participants who complete Part A will have the option of entering Part B.

The trial includes a 9-week screening period. After the first screening visit (Screening Visit 1), there will be a Screening Visit 2, during which randomization 1:1 to the NurOwn and placebo groups will occur after confirming that all entry criteria are met. Following randomization, bone marrow aspiration will be scheduled. Stem cells from the bone marrow of all participants will be isolated, and then cryopreserved. Prior to each intrathecal (IT) dose administration, cells will be thawed, propagated, and induced into MSC-NTF cells (NurOwn).

In Part A, participants will receive NurOwn or placebo via IT injection every eight weeks at Weeks 0, 8, and 16.

In Part B, participants will receive NurOwn via IT injection every eight weeks at Weeks 24, 32, and 40.

All participants will be offered the option to participate in the collection and storage of blood/serum, CSF, and buccal samples for future analysis of biomarkers and genetic testing.

Conditions

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Amyotrophic Lateral Sclerosis (ALS) 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
Sponsor, CRO, vendors

Study Groups

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Debamestrocel - MSC-NTF (NurOwn)

NTF-secreting mesenchymal stem cells (MSC-NTF cells) are a novel cell-therapeutic approach aimed at effectively delivering NTFs directly to the site of damage in ALS patients

Group Type EXPERIMENTAL

Debamestrocel - MSC-NTF (NurOwn)

Intervention Type BIOLOGICAL

MSC-NTF cells suspended in excipient Dulbecco Modified Eagle Medium (DMEM).

Placebo

Placebo is comprised of Dulbecco Modified Eagle Medium (DMEM)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Dulbecco Modified Eagle Medium (DMEM).

Interventions

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Debamestrocel - MSC-NTF (NurOwn)

MSC-NTF cells suspended in excipient Dulbecco Modified Eagle Medium (DMEM).

Intervention Type BIOLOGICAL

Placebo

Dulbecco Modified Eagle Medium (DMEM).

Intervention Type BIOLOGICAL

Other Intervention Names

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NurOwn

Eligibility Criteria

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Inclusion Criteria

1. Male and female participants 18 to 75 years old (inclusive) at Screening Visit 1.
2. ALS diagnosed as laboratory-supported probable, clinically probable, or definite as defined by the revised El Escorial criteria.
3. Having onset of ALS symptoms, including muscle weakness, within 24 months from Screening Visit 1.
4. ≥2 points on each item of the ALSFRS-R at the Screening Visit 1.
5. ≤45 points on ALSFRS-R total score at Screening Visit 1.
6. Upright slow vital capacity (SVC) measure ≥65% of predicted for gender, height, and age at Screening Visit 1.
7. Participants must adhere to highly effective methods of contraception as specified in the study protocol.

Exclusion Criteria

1. Prior stem cell therapy of any kind.
2. Active participation in any other ALS interventional study.
3. Inability to lie flat for the duration of IT cell treatment and/or bone marrow biopsy, or inability to tolerate study procedures for any other reason.
4. Any unstable clinically significant medical condition other than ALS
5. Any history of malignancy, within the previous 5 years, with the exception of localized skin cancers, cervical cancer in-situ or prostate cancer in-situ (with no evidence of metastasis, significant invasion, or reoccurrence within 3 years of baseline).
6. Primary brain cancer or cancer with CNS involvement is exclusionary.
7. Other types of motor neuron disease such as primary lateral sclerosis, progressive muscular atrophy, and progressive bulbar palsy.
8. Usage of a feeding tube at Screening Visit 1 or Screening Visit 2.
9. Pregnant women or women currently breastfeeding.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brainstorm-Cell Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Barrow Neurological Institute

Phoenix, Arizona, United States

Site Status

University of California San Diego Medical Center

La Jolla, California, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

California Pacific Medical Center

San Francisco, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

University of Colorado Anschutz Medical Campus School of Medicine

Aurora, Colorado, United States

Site Status

Nova Southeastern University

Davie, Florida, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Northwestern Medicine

Chicago, Illinois, United States

Site Status

Sean M. Healey & AMG Center For ALS At Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

University of Massachusetts Medical School

Worcester, Massachusetts, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Providence ALS Center

Portland, Oregon, United States

Site Status

Temple University Of The Commonwealth System of Higher Education

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Central Contacts

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Chief Medical Officer, Brainstorm Cell Therapeutics, MD

Role: CONTACT

201-488-0460

Facility Contacts

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Principal Investigator

Role: primary

844-324-6684

Principal Investigator

Role: primary

858-657-7000

Principal Investigator

Role: primary

213-740-2311

Principal Investigator

Role: primary

415-600-3604

Principal Investigator

Role: primary

415-476-1000

Principal Investigator

Role: primary

720-848-0000

Principal Investigator

Role: primary

800-541-6682

Principal Investigator

Role: primary

904-953-0853

Principal Investigator

Role: primary

813-974-2011

Principal Investigator

Role: primary

312-926-2000

Principal Investigator

Role: primary

617-410-4534

Principal Investigator

Role: primary

Principal Investigator

Role: primary

Principal Investigator

Role: primary

503-215-8580

Principal Investigator

Role: primary

215-204-7000

Other Identifiers

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BCT-006

Identifier Type: -

Identifier Source: org_study_id

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