Amyotrophic lateral sclerosis (ALS)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >20 years at the time of consent Diagnosed with amyotrophic lateral sclerosis (ALS) according to the El Escorial or Awaji criteria, and under treatment at the National Center of Neurology and Psychiatry Not using non-invasive ventilation (NIV) or tracheostomy at the time of LVRT initiation
Exclusion criteria
Exclusion criteria: Presence of chronic respiratory diseases other than ALS (e.g., COPD or interstitial pneumonia) Severe cognitive impairment or communication difficulty making intervention infeasible Inability to obtain written informed consent from the participant or their proxy Severe cardiac disease (e.g., unstable angina, recent myocardial infarction, decompensated heart failure, uncontrolled arrhythmia) Uncontrolled hypertension or acute systemic illness Recent pulmonary embolism, acute cor pulmonale, or severe pulmonary hypertension Severe hepatic or renal dysfunction Other conditions deemed inappropriate by the principal investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival: The time from initiation of lung volume recruitment therapy to either tracheostomy or death, whichever occurs first, followed up until the end of the study or censoring date. | — |
Secondary
| Measure | Time frame |
|---|---|
| Longitudinal changes in respiratory function (%FVC, LIC, MIC, CPF, and assisted CPF) measured every 3 months Changes in the ALS Functional Rating Scale-Revised (ALSFRS-R) scores over time Incidence and time to onset of respiratory infections or pneumonia | — |
Countries
Japan
Contacts
National Center of Neurology and Psychiatry Department of Physical Rehabilitation, Hospital