About this trial
The purpose of this study is to evaluate how well LY4256984 is tolerated and what side effects may occur in participants with sporadic amyotrophic lateral sclerosis (ALS). The study drug will be administered intrathecally (IT) into the spine. Blood tests will be performed to check how much LY4256984 gets into the bloodstream and how long it takes the body to eliminate it.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have a definite, possible, or probable diagnosis of sporadic amyotrophic lateral sclerosis (ALS) made by a physician experienced with the management of ALS
ALS symptom onset as determined by the Investigator within 24 months of Screening
Have a body mass index (BMI) within the range of greater than or equal to 18.0 and less than or equal to 35.0 kilogram per square meter (kg/m²) (inclusive)
Disqualifiers
Have a history or presence of medical illness including, but not limited to, any cardiovascular, renal, hepatic, gastrointestinal, respiratory, hematological, endocrine, psychiatric, or neurological disease, convulsions, or any clinically significant laboratory abnormality
Have a history of another neurodegenerative disease or significant dementia/severe cognitive problems
Have serum alanine aminotransferase (ALT), aspartate transferase (AST), or total bilirubin levels greater than 2 x upper limit of normal.
Have a significant renal impairment (estimated glomerular filtration rate <60 milliliters per minute [mL/min]/1.73 m²).
Trial design
Parallel
Treatments tested in this trial
LY4256984
DrugAdministered IT
Placebo
DrugAdministered IT
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants with One or More Treatment Emergent Adverse Events (TEAEs), Serious Adverse Event(s) (SAEs), and Adverse Event(s) (AEs) Considered by the Investigator to be Related to Study Drug Administration
A summary of TEAEs, SAEs, and AEs regardless of causality, will be reported in the Reported Adverse Events module
Secondary outcomes
Pharmacokinetics (PK): Plasma Area Under the Concentration Versus Time Curve (AUC) of LY4256984
PK: Plasma AUC of LY4256984
PK: Plasma Maximum Concentration (Cmax) of LY4256984
PK: Plasma Cmax of LY4256984
PK: Cerebrospinal Fluid Concentrations (CSF) of LY4256984
PK: CSF Concentrations of LY4256984
Sponsors and contacts
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