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Open-Label, Safety and Tolerability Extension Study of KNS-760704 in Amyotrophic Lateral Sclerosis (ALS) (CL211)

An Open-Label, Safety and Tolerability, Study Evaluating KNS-760704 in Patients With Amyotrophic Lateral Sclerosis (ALS)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00931944
Acronym
CL211
Enrollment
74
Registered
2009-07-02
Start date
2009-07-31
Completion date
2013-07-31
Last updated
2021-08-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Amyotrophic Lateral Sclerosis

Keywords

ALS, Amyotrophic Lateral Sclerosis, Lou Gehrig, Lou Gehrig's, Lou Gehrig's disease, Motor Neuron Disease, Nervous System Diseases, KNS-760704, RTPB

Brief summary

This is an open-label, multi-center study designed to extend the evaluation of the safety, tolerability, and clinical effects of oral administration of KNS-760704 in patients with ALS.

Detailed description

Patients who complete the Part 2 Week 28 visit in study KNS-760704-CL201 and patients with ALS who were actively receiving RTPB \[(6R)-4,5,6,7-tetrahydro-N6-propyl-2,6-benzothiazolediamine dihydro-chloride monohydrate\] under Research IND #60,948 were eligible to participate in this study. Eligible patients received 1 tablet of KNS-760704 (150 mg) every 12 hours (Q12H) (300 mg total daily dose) for up to 180 weeks.

Interventions

DRUGKNS-760704

150 mg Q12H KNS-760704 given orally (300 mg total daily dose)

Sponsors

Knopp Biosciences
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
21 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. Patient has provided signed informed consent for this trial before the commencement of any study-related procedure 2. Patient is actively participating in Knopp Protocol KNS-760704-CL201 and has completed the Part 2 Week 28 visit in that study or patient is actively receiving RTPB under Research IND #60,948

Exclusion criteria

1. Patient did not participate in Knopp Protocol KNS-760704-CL201 or patient did not receive RTPB under Research IND #60,948. 2. Patient discontinued from KNS-760704-CL201 for any reason other than enrollment into this study (applies to patients enrolled in KNS-760704-CL201 only) 3. Patient was not taking RTPB under Research IND #60,948 prior to April 30, 2009 (applies to patients enrolled under Research IND #60,948 only)

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Potentially Clinically Significant Hematology Results180 weeksNumber of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.
Number of Participants With Potentially Clinically Significant Liver Enzyme Abnormalities180 weeksNumber of participants with potentially clinically significant liver enzyme abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.
Number of Participants With Potentially Clinically ECG Abnormalities180 weeksNumber of participants with potentially clinically significant ECG abnormalities for the safety population are presented. Percentages are based on the number of patients in the safety population who had at least one non-missing, post-baseline value.
Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities180 weeksNumber of participants with potentially clinically significant vital sign abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.

Secondary

MeasureTime frameDescription
Change in Upright Vital Capacity From Baseline to Week 2424 weeksChange in Percent Predicted Upright Vital Capacity from Baseline to Week 24. A negative change indicates clinical worsening.
Change in Upright Vital Capacity From Baseline to Week 4848 weeksChange in Percent Predicted Upright Vital Capacity from Baseline to Week 48. A negative change indicates clinical worsening.
Change in McGill Single-Item Scale (SIS) From Baseline to Week 1212 weeksThe McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.
Change in Upright Vital Capacity From Baseline to Week 1212 weeksChange in Percent Predicted Upright Vital Capacity from Baseline to Week 12. A negative change indicates clinical worsening.
Change in McGill Single-Item Scale (SIS) From Baseline to Week 4848 weeksThe McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.
Number of Subjects With Feeding Tube Placed During the Study.144 weeksNumber of participants who had a feeding tube placed during the study.
Change in McGill Single-Item Scale (SIS) From Baseline to Week 2424 weeksThe McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.
Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 1212 weeksThe ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.
Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 2424 weeksThe ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.
Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 4848 weeksThe ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Countries

United States

Participant flow

Participants by arm

ArmCount
300 mg Per Day
KNS-760704 (dexpramipexole) - 150 mg BID
74
Total74

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event4
Overall StudyDeath28
Overall StudyOther2
Overall StudyW/D Consent (due to ALS progression))19
Overall StudyWithdrawal Consent (due to other)2

Baseline characteristics

Characteristic300 mg Per Day
Age, Continuous57.4 years
STANDARD_DEVIATION 11.14
Age, Customized
<=50
24 Participants
Age, Customized
51-65
30 Participants
Age, Customized
>65
20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
72 Participants
Region of Enrollment
United States
74 participants
Sex: Female, Male
Female
22 Participants
Sex: Female, Male
Male
52 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
38 / 74
other
Total, other adverse events
74 / 74
serious
Total, serious adverse events
48 / 74

Outcome results

Primary

Number of Participants With Potentially Clinically ECG Abnormalities

Number of participants with potentially clinically significant ECG abnormalities for the safety population are presented. Percentages are based on the number of patients in the safety population who had at least one non-missing, post-baseline value.

Time frame: 180 weeks

Population: Number of subjects evaluated is the number of subjects who had a baseline assessment and at least one post-baseline assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesAxis - LEFT AXIS DEVIATION5 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesAxis - RIGHT AXIS DEVIATION1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesConduction - LEFT ANTERIOR HEMIBLOCK2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesConduction - RSR' SUGGESTS RIGHT VENTRICULAR CONDUCTION DELAY3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMyocardial Ischemia/Infarction - CANNOT RULE OUT POSSIBLE MYOCARDIAL INFARCTION (INFERIOR)1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesConduction - SHORT P-R INTERVAL3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMorphology - LEFT ATRIAL ENLARGEMENT2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMorphology - LEFT VENTRICULAR HYPERTROPHY BY VOLTAGE CRITERIA ONLY2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMorphology - LEFT VENTRICULAR HYPERTROPHY WITH REPOLARIZATION ABNORMALITIES1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMorphology - POSSIBLE RIGHT VENTRICULAR HYPERTROPHY1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMorphology - RIGHT VENTRICULAR HYPERTROPHY1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMyocardial Ischemia/Infarction - ANTEROSEPTAL MYOCARDIAL INFARCTION - AGE UNDETERMINED1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - VENTRICULAR PREMATURE BEATS1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesST-T Wave - COUNTERCLOCKWISE ROTATION1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesST-T Wave - EARLY REPOLARIZATION1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesST-T Wave - NON-SPECIFIC ST ABNORMALITY2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesST-T Wave - NON-SPECIFIC ST AND T WAVE ABNORMALITY1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesST-T Wave - NON-SPECIFIC T WAVE ABNORMALITY14 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMyocardial Isch/Infar. CANNOT RULE OUT POSSIBLE MYOCARDIAL INFARCTION MAY BE IMPROPER LEAD POSITIONS1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMyocardial Ischemia/Infarction - INFERIOR MYOCARDIAL INFARCTION - AGE UNDETERMINED1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesMyocardial Ischemia/Infarction - OLD INFERIOR MYOCARDIAL INFARCTION1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesOther - POOR PRECORDIAL R WAVE PROGRESSION. POSSIBLE IMPROPER PLACEMENT OF V LEADS.1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesOther - POOR R WAVE PROGRESSION, PRECORDIAL LEADS3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesQT Interval - QTCB BORDERLINE PROLONGED9 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - ATRIAL FLUTTER WITH 3:1 VENTRICULAR RESPONSE1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - FREQUENT VENTRICULAR PREMATURE BEATS1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - RARE VENTRICULAR PREMATURE BEATS1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - SINUS BRADYCARDIA2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - SINUS TACHYCARDIA25 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically ECG AbnormalitiesRhythm - UNUSUAL P AXIS, POSSIBLE ECTOPIC ATRIAL RHYTHM1 Participants
Primary

Number of Participants With Potentially Clinically Significant Hematology Results

Number of Participants with Potentially Clinically Significant Hematology Results by Treatment Group. Percentages based on number of patients with at least one non-missing post-baseline value in each treatment group. Patients are only counted once per criterion per laboratory test.

Time frame: 180 weeks

Population: Number of subjects evaluated is the number of subjects who had a baseline assessment and at least one post-baseline assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Hematology ResultsWBC (<3.0 x 10^9/L)5 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Hematology ResultsWBC (>=16.0 x 10^9/L)2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Hematology ResultsNeutrophils (<1.5 x 10^9/L)3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Hematology ResultsNeutrophils (>13.5 x 10^9/L)4 Participants
Primary

Number of Participants With Potentially Clinically Significant Liver Enzyme Abnormalities

Number of participants with potentially clinically significant liver enzyme abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.

Time frame: 180 weeks

Population: Number of subjects evaluated is the number of subjects who had a baseline assessment and at least one post-baseline assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesALT >3 times ULN5 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesAST >3 times ULN2 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesTotal Bilirubin >1.5 times ULN3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesCreatinine >1.5 times ULN0 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesALT or AST >3 times ULN and total bilirubin >2 times ULN (Hy's Law)0 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Liver Enzyme AbnormalitiesAlkaline phosphatase >2.5 times ULN (upper limit of the 'normal' reference range)1 Participants
Primary

Number of Participants With Potentially Clinically Significant Vital Sign Abnormalities

Number of participants with potentially clinically significant vital sign abnormalities for the safety population are presented. Percentages are based on the number of patients with at least one non-missing, post-baseline value for each parameter.

Time frame: 180 weeks

Population: Number of subjects evaluated is the number of subjects in the Safety Population who had a baseline assessment and at least one post-baseline assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesPulse Rate - >120 bpm post-baseline or an increase from baseline of >20 bpm26 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesPulse Rate - >120 bpm post-baseline and an increase from baseline of >20 bpm1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesPulse Rate - <50 bpm post-baseline or a decrease from baseline of >20 bpm9 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesSystolic Blood Pressure - >180 mmHg post-baseline and an increase from baseline of >40 mmHg1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesSystolic Blood Pressure - <90 mmHg post-baseline or a decrease from baseline of >30 mmHg11 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesSystolic Blood Pressure - <90 mmHg post-baseline and a decrease from baseline of >30 mmHg1 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesDiastolic Blood Pressure - >105 mmHg post-baseline or an increase from baseline of >30 mmHg4 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesDiastolic Blood Pressure - >105 mmHg post-baseline and an increase from baseline of >30 mmHg0 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesDiastolic Blood Pressure - <50 mmHg post-baseline or a decrease from baseline of >20 mmHg13 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesWeight - Decrease from baseline of >7%32 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesPulse Rate - <50 bpm post-baseline and a decrease from baseline of >20 bpm0 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesSystolic Blood Pressure - >180 mmHg post-baseline or an increase from baseline of >40 mmHg3 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesDiastolic Blood Pressure - <50 mmHg post-baseline and a decrease from baseline of >20 mmHg0 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesWeight - Increase from baseline of >7%4 Participants
KNS-760704 300 mg/DayNumber of Participants With Potentially Clinically Significant Vital Sign AbnormalitiesTemperature - >38 degree C. post-baseline and an increase from baseline of at least 1 degree Celsius4 Participants
Secondary

Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 12

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Time frame: 12 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 12-2.48 units on a scaleStandard Deviation 3.424
Secondary

Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 24

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Time frame: 24 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 24-4.29 units on a scaleStandard Deviation 4.589
Secondary

Change in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 48

The ALSFRS-R (ALS functional rating scale with respiratory component) is a validated scale which measures 4 functional domains, comprising respiratory function, bulbar function, gross motor skills, and fine motor skills. There are a total of 12 questions, each scored from 0 to 4 for a total possible score of 48. Therefore, the score ranges from 0 to 48 with higher scores representing better function.

Time frame: 48 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in ALSFRS-R (ALS Functional Rating Scale With Respiratory Component) Total Score From Baseline to Week 48-7.49 units on a scaleStandard Deviation 8.476
Secondary

Change in McGill Single-Item Scale (SIS) From Baseline to Week 12

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Time frame: 12 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in McGill Single-Item Scale (SIS) From Baseline to Week 12-0.1 units on a scaleStandard Deviation 1.48
Secondary

Change in McGill Single-Item Scale (SIS) From Baseline to Week 24

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Time frame: 24 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in McGill Single-Item Scale (SIS) From Baseline to Week 24-0.5 units on a scaleStandard Deviation 2.05
Secondary

Change in McGill Single-Item Scale (SIS) From Baseline to Week 48

The McGill SIS consists of a single question designed to assess the improvement of or the rate of deterioration of the subject's quality-of-life. Subjects rated their quality of life over the prior 2 days on a scale of 0 (very bad) to 10 (excellent). Decreases from Baseline indicate deterioration of a subject's quality of life.

Time frame: 48 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in McGill Single-Item Scale (SIS) From Baseline to Week 48-0.8 units on a scaleStandard Deviation 1.76
Secondary

Change in Upright Vital Capacity From Baseline to Week 12

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 12. A negative change indicates clinical worsening.

Time frame: 12 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in Upright Vital Capacity From Baseline to Week 12-7.7 percentage of predicted vital capacityStandard Deviation 14.03
Secondary

Change in Upright Vital Capacity From Baseline to Week 24

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 24. A negative change indicates clinical worsening.

Time frame: 24 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in Upright Vital Capacity From Baseline to Week 24-12.5 percentage of predicted vital capacityStandard Deviation 18.9
Secondary

Change in Upright Vital Capacity From Baseline to Week 48

Change in Percent Predicted Upright Vital Capacity from Baseline to Week 48. A negative change indicates clinical worsening.

Time frame: 48 weeks

Population: All subjects who received at least 1 dose of study treatment during the study and who at least one valid post-baseline measurement and a measurement at the timepoint being analyzed.

ArmMeasureValue (MEAN)Dispersion
KNS-760704 300 mg/DayChange in Upright Vital Capacity From Baseline to Week 48-15.8 percentage of predicted vital capacityStandard Deviation 17.59
Secondary

Number of Subjects With Feeding Tube Placed During the Study.

Number of participants who had a feeding tube placed during the study.

Time frame: 144 weeks

Population: Randomized subjects who had at least 1 post-baseline clinical status evaluation. Subjects who had a feeding tube in place at the beginning of the study were not included in this analysis.

ArmMeasureValue (NUMBER)
KNS-760704 300 mg/DayNumber of Subjects With Feeding Tube Placed During the Study.24 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026