Study of AROSOD-1 in Adult Participants With Amyotrophic Lateral Sclerosis (ALS)

Arrowhead Pharmaceuticals

Status and phase

Withdrawn

Phase 1

Conditions

Amyotrophic Lateral Sclerosis

Treatments

Drug: ARO-SOD1 Injection

Study type

Interventional

Funder types

Industry

Identifiers

NCT05949294

2023-509032-26 (EudraCT Number)

AROSOD1-1001

Details and patient eligibility

About

In this Phase 1 adult symptomatic patients with amyotrophic lateral sclerosis (ALS) carrying a superoxide dismutase 1 (SOD1) gene mutation thought to be causative of ALS, will receive single ascending doses of ARO-SOD1 administered by intrathecal (IT) infusion. The study is primarily intended to evaluate safety, but will also evaluate the effect of ARO-SOD1 on SOD1 cerebrospinal fluid (CSF) levels as a biomarker of pharmacodynamic (PD) effect, therefore lumbar punctures will be required at timepoints throughout the study. After each participant has completed their individual final visit, participants whose SOD1 CSF levels have recovered to a satisfactory level may rescreen and enroll into higher dose cohorts; or if unable or unwilling to rescreen may enroll into an open-label study to be added by amendment when supported by nonclinical data for multidose administration.

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosis of ALS based on source-verifiable medical record and meets the Gold Coast Criteria
Pathogenic or likely pathogenic SOD1 mutation based on source-verifiable medical records or genetic testing during Screening
Slow Vital Capacity (SVC) ≥ 50% of predicted value adjusted for sex, age, and height (from a sitting position) at Screening
Body Mass Index (BMI) ≥ 18.0 kg/m2 at Screening
Able to complete at least 6 months of follow-up
If taking any medication or supplement to treat ALS or ALS symptoms, must be on stable dose for ≥ 4 weeks prior to Day 1 and expected to remain at that dose until final study visit and not expected to start these medications after the first dose of ARO-SOD1
Able and willing to provide written informed consent and to comply with all study assessments
Participants of childbearing potential must agree to use highly effective contraception in addition to a condom during the study and for at least 90 days following the end of study or last dose of study drug, whichever is later. Males must not donate sperm and females must not donate eggs during the study and for at least 90 days following the end of the study or last dose of study drug, whichever is later.

Exclusion criteria

Current or anticipated need of a diaphragm pacing system (DPS) during the study
Participants using tofersen can be enrolled only after a washout period of approximately 20 weeks from the last tofersen dose to the first planned dose of ARO-SOD1
History of having received stem cell therapy for ALS treatment
Any current or anticipated contraindications to lumbar puncture (LP)
The presence of an implanted shunt for drainage of CSF or an implanted central nervous system (CNS) catheter
Human immunodeficiency virus (HIV), seropositive for hepatitis B virus (HBV), seropositive for hepatitis C virus (HCV)
Uncontrolled hypertension
Severe cardiovascular disease
History of drug abuse or alcoholism within 6 months of study enrollment
Inability to comply with study requirements

Note: additional inclusion/exclusion criteria may apply per protocol