About this trial
The proposed study is an Open-Label, Single-Dose Study to Assess the Safety, and Pharmacodynamics (PD) signals of MRG-001 in Patients with Amyotrophic Lateral Sclerosis (ALS). MRG-001 will be administered subcutaneously 3 times per week for 2 weeks. This cycle will be repeated for 3 months. In total, patients are expected to receive 18 injections over the span of 3 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Able to provide written informed consent (either from patient or patient's legally acceptable representative and complying with study procedures, in the PI's opinion.
Male or female patients between 18-75 years.
Sporadic or familial ALS diagnosed as clinically possible, probable, lab-supported probable, or definite ALS defined by revised El Escorial criteria.
Time since onset of weakness due to ALS ≤ 48 months at the time of the Screening Visit
Disqualifiers
Participation in another interventional clinical trial (drug or device) within 30 days of Screening and at any time during the study.
Lung: Receiving supplemental home oxygen therapy at baseline for pre-existing medical condition (other than COVID-19), as documented in medical record.
Heart: Pre-existing congestive heart failure defined as an ejection fraction <20% as documented in the medical record. Clinically significant ventricular arrhythmias (ventricular tachycardia, ventricular fibrillation), unstable angina, myocardial infarction (past 3 months), heart and coronary vessel surgery (past 3 months), significant valvular heart disease, uncontrolled arterial hypertension with systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg.
Renal: End-stage renal disease requiring renal replacement therapy or creatinine clearance <50 mL/min.
Trial design
Single group
Treatments tested in this trial
MRG-001
DrugMRG-001 is a clear liquid solution for subcutaneous injection
Treatment groups
Trial outcomes
Primary outcomes
Assessment of Treatment-Emergent Adverse Events
Assess the safety and tolerability of MRG-001 in patients with Amyotrophic Lateral Sclerosis (ALS) as determined by the absence of serious adverse events (SAE)
Secondary outcomes
Stem Cell Mobilization
The absolute change in numbers of CD34+ hematopoetic stem cells as measured by flow cytometry
Regulatory T-cell Mobilization
The absolute change in numbers of FOXP3+ regulatory T-cells as measured by flow cytometry
Change in Disease Progression
Change in disease severity over time as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) at Baseline, 1, 2 and 3 months. Each type of function is scored from 4 (normal) to 0 (no ability), with a maximum total score of 48 and a minimum total score of 0. Patients with higher scores have more physical function. Positive data means the reversal of ALS disease, negative data means disease progression, zero means stabilization of disease.
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: