Recruiting
Phase 1
Phase 2

ALN-SOD

Sponsor:

Regeneron Pharmaceuticals

Code:

NCT06351592

Conditions

Amyotrophic Lateral Sclerosis (ALS)

Mutation in the Superoxide Dismutase-1 (SOD1) Gene

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

ALN-SOD

Diluent

Placebo (PB)

Study Details

Brief summary:

This study is researching an experimental drug called ALN-SOD (called "study drug"). This study is focused on people with Amyotrophic Lateral Sclerosis (ALS) caused by a change in a gene called the Superoxide Dismutase-1 (SOD1) gene. This type of ALS is known as "SOD1-ALS". This is the first time that ALN-SOD will be given to people.

The aim of the study is to see how safe and tolerable the study drug is.

The study is looking at several other research questions, including:

  • The effect the study drug has on specific biomarkers, which are substances in the blood or in the fluid that surrounds the brain and spinal cord, known as Cerebrospinal Fluid (CSF)
  • How much study drug is in the blood and in the CSF, at different times
  • Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)
  • What effects the study drug has on ALS symptoms

Conditions

Amyotrophic Lateral Sclerosis (ALS)

Mutation in the Superoxide Dismutase-1 (SOD1) Gene

Study ID

NCT06351592

Start date

Aug 28, 2024

Status verified date

Jul, 2026

Completion date

Mar 21, 2032

Anticipated

Primary completion date

Mar 21, 2032

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Weakness attributable to ALS and a SOD1 variant that has been previously described as associated with ALS or is considered likely to cause ALS, as defined in the protocol
2. Slow Vital Capacity (SVC) ≥50% predicted value based on age, gender and height, measured in upright position
3. Body Mass Index (BMI) ≤35 kg/m2 at time of screening
4. If participants are taking riluzole or edaravone, they must be on a stable dose for at least 4 weeks prior to initial dosing visit and are expected to remain at that dose until the end of the study
5. Platelet count >50,000/microliter
6. Has normal blood pressure readings, as defined in the protocol

Key Exclusion Criteria:

1. Concurrent participation in another interventional clinical trial
2. Has had a tracheostomy
3. Has dementia, as assessed by the investigator
4. Has uncontrolled psychiatric disease, including psychosis, active or recent suicidal ideation, untreated major depression, in the past 30 days
5. Has a medical history of brain or spinal disease/injury that would interfere with the Lumbar Puncture (LP) process, CSF circulation or safety assessment, as defined in the protocol
6. Presence of an implanted shunt for the drainage of CSF or an implanted Central Nervous System (CNS) catheter
7. Presents any concern to the study investigator that might confound the results of the study or poses an additional risk to the participant by their participation in the study
8. Was hospitalized (ie, >24 hours) for any reason other than ALS within 30 days of screening
9. Has received treatment with tofersen within 6 months prior to screening

NOTE: Other protocol defined inclusion / exclusion criteria apply

Study Design

Enrollment

54 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohort 1 - Dose Level 1

Placebo during 4-Week double-blind treatment period

experimental: Cohort 2 - Dose Level 2

Placebo during 4-Week double-blind treatment period

experimental: Cohort 3 - Dose Level 3

Placebo during 4-Week double-blind treatment period

experimental: Cohort 4 - Dose Level 4

Placebo during 4-Week double-blind treatment period

experimental: Cohort 5 (Optional) - ≤ Dose Level 5

Placebo during 4-Week double-blind treatment period

experimental: Selected Dose Expansion Cohort(s)

Open Label Treatment (OLT) at selected dose levels. EU Participants can only be included in the Dose Expansion portion of study (Phase 2), not in Dose Escalation (Phase 1)

Interventions

ALN-SOD

Administered per the protocol

Diluent

Administered per the protocol

Placebo (PB)

Administered per the protocol

Primary outcome measure

  • Incidence of Treatment-Emergent Adverse Event (TEAEs) in participants treated with ALN-SOD [ Time Frame: At week 4 and through week 228 ]
  • Severity of TEAEs in participants treated with ALN-SOD [ Time Frame: At week 4 and through week 228 ]

Central Contacts and Locations

Central contacts

Clinical Trials Administrator

844-734-6643clinicaltrials@regeneron.com

Locations

University of Alberta Hospital, Edmonton, Division of Neurology

Recruiting

Edmonton, Alberta, Canada, T6G 2G3

University Hospital - London Health Sciences Centre

Recruiting

London, Ontario, Canada, N6A 5A5

Sunnybrook Research Institute

Recruiting

Toronto, Ontario, Canada, M4N 3M5

Montreal Neurological Institute and Hospital

Recruiting

Montreal, Quebec, Canada, H3A 2B4

More Information

Sponsor

Regeneron Pharmaceuticals

Last update posted

Jul 22, 2026

Last verified

Jul, 2026

Keywords

  • Symptomatic
  • Known pathogenic mutation
  • Predicted pathogenic mutation

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Regeneron Pharmaceuticals on 2026-07-22.