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A Phase 1 Study to Investigate the Safety and Pharmacokinetics of Fosigotifator in Patients With Amyotrophic Lateral Sclerosis

A Randomized, Double-Blind, Placebo-Controlled Study to Assess Safety, Tolerability, and Pharmacokinetics Following Multiple Doses of Fosigotifator in Subjects With Amyotrophic Lateral Sclerosis Followed by an Active Treatment Extension

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04948645
Enrollment
31
Registered
2021-07-02
Start date
2021-09-22
Completion date
2025-07-15
Last updated
2025-08-01

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

Conditions

ALS, Amyotrophic Lateral Sclerosis

Keywords

Fosigotifator, ABBV-CLS-7262

Brief summary

Fosigotifator is an investigational drug being researched for the treatment of Amyotrophic Lateral Sclerosis. This is an up to 156-week, 2-part study. Part 1 will be a 4-week, randomized, double-blind, placebo-controlled study; Part 2 will be up to a 152-week active treatment extension (ATE) during which all subjects will receive Fosigotifator.

Interventions

DRUGPlacebo

Oral

Sponsors

Calico Life Sciences LLC
CollaboratorINDUSTRY
AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

Inclusion criteria

* Must have an identified, reliable caregiver. * Confirmed diagnosis of Familial Amyotrophic Lateral Sclerosis (ALS) or Sporadic ALS. * First ALS symptoms occurred \<= 36 months before screening. * Able to swallow solids. * No known active COVID-19 infection at screening. * Slow vital capacity (SVC) \>= 50% predicted value (for sex, age, ethnic origin, and height) at screening. * If taking concomitant standard-of-care medications approved for the treatment of ALS (or their components), subjects must be on a stable dose of the medication(s) for \>30 days prior to Baseline in order to enter the study. For edaravone, a stable dose is defined by having completed 2 treatment cycles prior to Baseline.

Exclusion criteria

* History of dementia/severe cognitive problems at screening. * History of clinically significant medical conditions (other than ALS) or any other reason, including any physical, psychological, or psychiatric condition that, in the opinion of the Investigator, would compromise the safety or interfere with the subject's participation in the study, or would make the subject an unsuitable candidate to receive study drug, or would put the subject at risk by participating in the study. * History of abnormal screening laboratory or imaging results that, in the opinion of the Investigator, are indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, infectious, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal, neurologic, and/or other major disease that would preclude administration of Fosigotifator. * Documented active or suspected malignancy or history of any malignancy within the last 5 years except for successfully treated non-melanoma skin cancer or localized carcinoma in situ of the cervix. * If female, is known to be pregnant, breastfeeding, considering becoming pregnant, or donating/banking eggs during the study or within 30 days or \>5 half-lives (whichever is longer) after the last dose of study drug. * If male, plans to donate sperm or father a child during the study or within 30 days after the last dose of study drug. * Known to have received any investigational product within 30 days or 5 half-lives of the drug (whichever is longer) prior to the first dose of study drug or is currently enrolled in another clinical study. * History of Fosigotifator use prior to participation in this study. * Recent (within 6 months prior to Screening) history of drug or alcohol abuse. * Previous participation in a stem cell clinical study for treatment of ALS. * Current or anticipated use of diaphragmatic pacing during the study period. * Tracheostomy or use of non-invasive ventilatory support \>= 22 hours a day.

Design outcomes

Primary

MeasureTime frameDescription
Safety and TolerabilityBaseline Up to Approximately Day 28Number of patients with treatment-related adverse events as assessed by CTCAE v4.03
PharmacokineticsBaseline Up to Approximately Day 28Maximum Plasma Concentration \[Cmax\]

Secondary

MeasureTime frameDescription
CSF PharmacokineticsBaseline Up to Approximately Day 28Concentration at steady state in CSF
Safety and TolerabilityBaseline Up to Approximately Week 156Number of patients with treatment-related adverse events as assessed by CTCAE v4.03

Countries

Canada, United States

Outcome results

None listed

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