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HEALEY ALS Platform Trial - Regimen F ABBV-CLS-7262

HEALEY ALS Platform Trial - Regimen F ABBV-CLS-7262

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05740813
Enrollment
310
Registered
2023-02-23
Start date
2023-03-23
Completion date
2024-10-03
Last updated
2025-11-14

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, Placebo-Controlled, Double-Blind, Regimen Specific Appendix, Lou Gehrig's Disease, ABBV-CLS-7262, Calico Life Sciences

Brief summary

The HEALEY ALS Platform Trial is a perpetual multi-center, multi-regimen clinical trial evaluating the safety and efficacy of investigational products for the treatment of ALS. Regimen F will evaluate the safety and efficacy of a single study drug, ABBV-CLS-7262, in participants with ALS.

Detailed description

The HEALEY ALS Platform Trial is a perpetual multi-center, multi-regimen clinical trial evaluating the safety and efficacy of investigational products for the treatment of ALS. This trial is designed as a perpetual platform trial. This means that there is a single Master Protocol dictating the conduct of the trial. The HEALEY ALS Platform Trial Master Protocol is registered as NCT04297683. Once a participant enrolls into the Master Protocol and meets all eligibility criteria, the participant will be eligible to be randomized into any currently enrolling regimen. All participants will have an equal chance of being randomized to any currently enrolling regimen. If a participant is randomized to Regimen F ABBV-CLS-7262, the participant will complete a screening visit to assess additional Regimen F eligibility criteria. Once Regimen F eligibility criteria are confirmed, participants will complete a baseline assessment and be randomized in an overall 3:1 ratio to either active ABBV-CLS-7262 or matching placebo. The first 240 participants will be assigned in a 2:1:1 allocation ratio to Dose 1 ABBV-CLS-7262, Dose 2 ABBV-CLS-7262, or placebo. The final approximately 60 participants will be assigned in a 3:1 allocation ratio to Dose 1 ABBV-CLS-7262 or placebo. Regimen F will enroll by invitation, as participants may not choose to enroll in Regimen F. Participants must first enroll into the Master Protocol and be eligible to participate in the Master Protocol before being able to be randomly assigned to Regimen F. For a list of enrolling sites, please see the HEALEY ALS Platform Trial Master Protocol under NCT04297683.

Interventions

DRUGABBV-CLS-7262 Dose 1

ABBV-CLS-7262 is administered orally once per day for 24 weeks.

DRUGABBV-CLS-7262 Dose 2

ABBV-CLS-7262 is administered orally once per day for 24 weeks.

DRUGMatching Placebo

Matching placebo is administered orally once per day for 24 weeks.

Sponsors

Calico Life Sciences LLC
CollaboratorINDUSTRY
Merit E. Cudkowicz, MD
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No

Inclusion criteria

* No additional inclusion criteria beyond the inclusion criteria specified in the Master Protocol (NCT NCT04297683).

Exclusion criteria

* The following

Design outcomes

Primary

MeasureTime frameDescription
Disease Progression as Assessed by the ALSFRS-R-SlopeBaseline to 24 WeeksChange in disease severity as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) total score using a Bayesian repeated measures model that accounts for loss to follow-up due to mortality. Each of 12 questions assessing distinct functional ability is scored from 4(normal) to 0 (no ability), with a maximum total score of 48 and a minimum total score of 0. Participants with higher scores have more physical function. Note that only participants who survived to their Week 24 visit contribute to the estimate.
Mortality Event RateBaseline to 24 weeksMortality is defined as death or death equivalent. A participant is determined to meet the criteria of death equivalent if permanent assisted ventilation (PAV) is used for more than 22 hours per day for more than seven days in a row. The rate of mortality was estimated from a Bayesian shared-parametric model that assumed exponentially distributed survival times.

Secondary

MeasureTime frameDescription
Upper Limb Muscle StrengthBaseline to 24 weeksChange in upper limb muscle strength over time as measured isometrically using hand-held dynamometry and grip strength, calculated as the average percent change from baseline of the following muscles/maneuvers: shoulder flexion, elbow flexion, elbow extension, wrist extension, abductor pollicis brevis contraction, abductor digiti minimi contraction, first dorsal interosseous contraction, and grip strength. Note that only those with measurable strength at baseline were included.
Disease Progression BiomarkerBaseline to 24 WeeksChange in log-transformed serum neurofilament light protein (NfL) concentration from baseline to Week 24.
Function by ALSFRS-R Total ScoreBaseline to 24 weeksChange from baseline to Week 24 in function as assessed by ALSFRS-R total score.
Number of Participants That Experienced Death or Death EquivalentBaseline to 24 weeksThe number of participants who died or met the criterion for a death equivalent from the date of their baseline visit to the end of the Week 24visit window (generally 175 days after baseline). The death equivalent criterion is use of permanent assisted ventilation (PAV) for more than 22 hours per day for more than 7 days in a row.
Activities of Daily LivingBaseline to 24 weeksChange from baseline to Week 24 in the activities of daily living (ADL)/independence domain score as assessed by the Amyotrophic Lateral Sclerosis Assessment Questionnaire-40 (ALSAQ-40). The ALSAQ-40, a patient-self reported outcome, consists of 40 questions that are used to measure the subjective well-being of participants, and each question is scored from 0 (never) to 5 (always or cannot do at all). The ADL/independence domain score is based on 10 out of the 40 questions, with a maximum ADL/independence domain score of 50 and minimum score of 0. Higher domain scores indicate a worse subjective well-being or less independence completing ADLs.
Respiratory FunctionBaseline to 24 WeeksChange in respiratory function over time as measured by Slow Vital Capacity (SVC).

Countries

United States

Participant flow

Participants by arm

ArmCount
ABBV-CLS-7262 Dose 1
ABBV-CLS-7262 is administered orally once per day for 24 weeks.
155
ABBV-CLS-7262 Dose 2
ABBV-CLS-7262 is administered orally once per day for 24 weeks.
79
Matching Placebo
Matching placebo is administered orally once per day for 24 weeks.
76
Total310

Baseline characteristics

CharacteristicTotalMatching PlaceboABBV-CLS-7262 Dose 2ABBV-CLS-7262 Dose 1
Age, Continuous57.7 Years
STANDARD_DEVIATION 11.11
58.0 Years
STANDARD_DEVIATION 11.13
58.2 Years
STANDARD_DEVIATION 11.02
57.3 Years
STANDARD_DEVIATION 11.2
ALS Diagnosis from R El Escorial Criteria
Clinically Definite ALS
102 Participants22 Participants34 Participants46 Participants
ALS Diagnosis from R El Escorial Criteria
Clinically Possible ALS
31 Participants7 Participants7 Participants17 Participants
ALS Diagnosis from R El Escorial Criteria
Clinically Probable ALS
119 Participants33 Participants28 Participants58 Participants
ALS Diagnosis from R El Escorial Criteria
Clinically Probable ALS - Laboratory Supported
58 Participants14 Participants10 Participants34 Participants
ALSFRS-R Total Score35.90 Points
STANDARD_DEVIATION 6.89
36.8 Points
STANDARD_DEVIATION 6.68
35 Points
STANDARD_DEVIATION 7.67
36 Points
STANDARD_DEVIATION 6.54
ALS Onset Location
Axial
2 Participants0 Participants2 Participants0 Participants
ALS Onset Location
Bulbar
46 Participants11 Participants8 Participants27 Participants
ALS Onset Location
Generalized
1 Participants0 Participants1 Participants0 Participants
ALS Onset Location
Limb
257 Participants65 Participants67 Participants125 Participants
ALS Onset Location
Multiple
2 Participants0 Participants1 Participants1 Participants
ALS Onset Location
Respiratory
2 Participants0 Participants0 Participants2 Participants
Baseline Edaravone Use
No
119 Participants30 Participants30 Participants59 Participants
Baseline Edaravone Use
Yes
191 Participants46 Participants49 Participants96 Participants
Baseline Relyvrio Use
No
127 Participants30 Participants32 Participants65 Participants
Baseline Relyvrio Use
Yes
183 Participants46 Participants47 Participants90 Participants
Baseline Riluzole Use
No
44 Participants11 Participants11 Participants22 Participants
Baseline Riluzole Use
Yes
266 Participants65 Participants68 Participants133 Participants
Body Mass Index27.12 kg/m^2
STANDARD_DEVIATION 5.83
27.3 kg/m^2
STANDARD_DEVIATION 5.33
26.4 kg/m^2
STANDARD_DEVIATION 4.77
27.4 kg/m^2
STANDARD_DEVIATION 6.53
Delay in ALS Symptom Onset and Diagnosis9.71 Months
STANDARD_DEVIATION 5.36
8.9 Months
STANDARD_DEVIATION 4.74
9.3 Months
STANDARD_DEVIATION 5.44
10.4 Months
STANDARD_DEVIATION 5.56
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants6 Participants8 Participants12 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
284 Participants70 Participants71 Participants143 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
King Stage
1 Region with Neuromuscular Dysfunction
71 Participants20 Participants18 Participants33 Participants
King Stage
2 Region with Neuromuscular Dysfunction
74 Participants20 Participants17 Participants37 Participants
King Stage
3 Region with Neuromuscular Dysfunction;
81 Participants22 Participants19 Participants40 Participants
King Stage
4a/b Nutritional/Respiratory Failure
84 Participants14 Participants25 Participants45 Participants
Pre-Baseline Decline in ALSFRS-R0.65 Points per Month
STANDARD_DEVIATION 0.51
0.6 Points per Month
STANDARD_DEVIATION 0.41
0.8 Points per Month
STANDARD_DEVIATION 0.66
0.6 Points per Month
STANDARD_DEVIATION 0.44
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Asian
10 Participants5 Participants1 Participants4 Participants
Race (NIH/OMB)
Black or African American
6 Participants3 Participants0 Participants3 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
8 Participants3 Participants2 Participants3 Participants
Race (NIH/OMB)
White
285 Participants65 Participants75 Participants145 Participants
Serum Creatinine Concentration0.7 mg/dL
STANDARD_DEVIATION 0.19
0.7 mg/dL
STANDARD_DEVIATION 0.2
0.7 mg/dL
STANDARD_DEVIATION 0.18
0.7 mg/dL
STANDARD_DEVIATION 0.18
Serum NfL Concentration54.8 ng/L64.4 ng/L55.2 ng/L52.9 ng/L
Sex: Female, Male
Female
124 Participants34 Participants30 Participants60 Participants
Sex: Female, Male
Male
186 Participants42 Participants49 Participants95 Participants
SVC82.51 Percent predicted
STANDARD_DEVIATION 17.72
85.0 Percent predicted
STANDARD_DEVIATION 16.98
82.0 Percent predicted
STANDARD_DEVIATION 17.2
81.5 Percent predicted
STANDARD_DEVIATION 18.31
Time Since Symptom Onset at Baseline20.93 Months
STANDARD_DEVIATION 7.95
19.7 Months
STANDARD_DEVIATION 7.38
19.6 Months
STANDARD_DEVIATION 7.94
22.2 Months
STANDARD_DEVIATION 8.07
Weight81.19 Kg
STANDARD_DEVIATION 20.39
81.1 Kg
STANDARD_DEVIATION 19.74
78.8 Kg
STANDARD_DEVIATION 16.68
82.4 Kg
STANDARD_DEVIATION 22.34

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
6 / 1553 / 791 / 76
other
Total, other adverse events
125 / 15559 / 7962 / 76
serious
Total, serious adverse events
21 / 1557 / 796 / 76

Outcome results

Primary

Disease Progression as Assessed by the ALSFRS-R-Slope

Change in disease severity as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) total score using a Bayesian repeated measures model that accounts for loss to follow-up due to mortality. Each of 12 questions assessing distinct functional ability is scored from 4(normal) to 0 (no ability), with a maximum total score of 48 and a minimum total score of 0. Participants with higher scores have more physical function. Note that only participants who survived to their Week 24 visit contribute to the estimate.

Time frame: Baseline to 24 Weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (MEAN)Dispersion
ABBV-CLS-7262 Dose 1Disease Progression as Assessed by the ALSFRS-R-Slope-1.00 Points per monthStandard Deviation 0.068
ABBV-CLS-7262 Dose 2Disease Progression as Assessed by the ALSFRS-R-Slope-0.91 Points per monthStandard Deviation 0.078
Matching PlaceboDisease Progression as Assessed by the ALSFRS-R-Slope-0.95 Points per monthStandard Deviation 0.085
95% CI: [0.85, 1.324]Bayesian shared-parameter mode
95% CI: [0.753, 1.22]Bayesian shared-parameter model
Primary

Mortality Event Rate

Mortality is defined as death or death equivalent. A participant is determined to meet the criteria of death equivalent if permanent assisted ventilation (PAV) is used for more than 22 hours per day for more than seven days in a row. The rate of mortality was estimated from a Bayesian shared-parametric model that assumed exponentially distributed survival times.

Time frame: Baseline to 24 weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (MEAN)Dispersion
ABBV-CLS-7262 Dose 1Mortality Event Rate0.009 Events per monthStandard Deviation 0.0022
ABBV-CLS-7262 Dose 2Mortality Event Rate0.008 Events per monthStandard Deviation 0.0021
Matching PlaceboMortality Event Rate0.009 Events per monthStandard Deviation 0.0022
Secondary

Activities of Daily Living

Change from baseline to Week 24 in the activities of daily living (ADL)/independence domain score as assessed by the Amyotrophic Lateral Sclerosis Assessment Questionnaire-40 (ALSAQ-40). The ALSAQ-40, a patient-self reported outcome, consists of 40 questions that are used to measure the subjective well-being of participants, and each question is scored from 0 (never) to 5 (always or cannot do at all). The ADL/independence domain score is based on 10 out of the 40 questions, with a maximum ADL/independence domain score of 50 and minimum score of 0. Higher domain scores indicate a worse subjective well-being or less independence completing ADLs.

Time frame: Baseline to 24 weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ABBV-CLS-7262 Dose 1Activities of Daily Living13.643 PointsStandard Error 1.2961
ABBV-CLS-7262 Dose 2Activities of Daily Living12.049 PointsStandard Error 1.8617
Matching PlaceboActivities of Daily Living13.701 PointsStandard Error 1.5115
p-value: 0.978295% CI: [-4.254, 4.137]Mixed Models Analysis
p-value: 0.510895% CI: [-6.59, 3.286]Mixed Models Analysis
Secondary

Disease Progression Biomarker

Change in log-transformed serum neurofilament light protein (NfL) concentration from baseline to Week 24.

Time frame: Baseline to 24 Weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ABBV-CLS-7262 Dose 1Disease Progression Biomarker0.086 ln(ng/L)Standard Error 0.0247
ABBV-CLS-7262 Dose 2Disease Progression Biomarker0.067 ln(ng/L)Standard Error 0.0355
Matching PlaceboDisease Progression Biomarker-0.002 ln(ng/L)Standard Error 0.0282
p-value: 0.025395% CI: [1.011, 1.179]Mixed Models Analysis
p-value: 0.136495% CI: [0.978, 1.175]Mixed Models Analysis
Secondary

Function by ALSFRS-R Total Score

Change from baseline to Week 24 in function as assessed by ALSFRS-R total score.

Time frame: Baseline to 24 weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ABBV-CLS-7262 Dose 1Function by ALSFRS-R Total Score-6.110 PointsStandard Error 0.371
ABBV-CLS-7262 Dose 2Function by ALSFRS-R Total Score-5.468 PointsStandard Error 0.5252
Matching PlaceboFunction by ALSFRS-R Total Score-5.563 PointsStandard Error 0.4106
p-value: 0.332595% CI: [-1.657, 0.562]Mixed Models Analysis
p-value: 0.887895% CI: [-1.23, 1.42]Mixed Models Analysis
Secondary

Number of Participants That Experienced Death or Death Equivalent

The number of participants who died or met the criterion for a death equivalent from the date of their baseline visit to the end of the Week 24visit window (generally 175 days after baseline). The death equivalent criterion is use of permanent assisted ventilation (PAV) for more than 22 hours per day for more than 7 days in a row.

Time frame: Baseline to 24 weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
ABBV-CLS-7262 Dose 1Number of Participants That Experienced Death or Death Equivalent8 Participants
ABBV-CLS-7262 Dose 2Number of Participants That Experienced Death or Death Equivalent4 Participants
Matching PlaceboNumber of Participants That Experienced Death or Death Equivalent5 Participants
p-value: 0.6481Log Rank
p-value: 0.6344Log Rank
Secondary

Respiratory Function

Change in respiratory function over time as measured by Slow Vital Capacity (SVC).

Time frame: Baseline to 24 Weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ABBV-CLS-7262 Dose 1Respiratory Function-10.882 24-week diff. of percents of normal VCStandard Error 1.3311
ABBV-CLS-7262 Dose 2Respiratory Function-7.202 24-week diff. of percents of normal VCStandard Error 1.9469
Matching PlaceboRespiratory Function-9.462 24-week diff. of percents of normal VCStandard Error 1.5259
p-value: 0.500895% CI: [-5.563, 2.723]Mixed Models Analysis
p-value: 0.372195% CI: [-2.714, 7.236]Mixed Models Analysis
Secondary

Upper Limb Muscle Strength

Change in upper limb muscle strength over time as measured isometrically using hand-held dynamometry and grip strength, calculated as the average percent change from baseline of the following muscles/maneuvers: shoulder flexion, elbow flexion, elbow extension, wrist extension, abductor pollicis brevis contraction, abductor digiti minimi contraction, first dorsal interosseous contraction, and grip strength. Note that only those with measurable strength at baseline were included.

Time frame: Baseline to 24 weeks

Population: Outcome measure data was analyzed using the Efficacy Concurrent-controls Set (ECC), which included concurrent shared placebos from other regimens if randomized within 180 days of the first and last randomization for the applicable regimen, excluding any shared placebos also include in the focal regimen, as pre-specified in the Regimen Statistical Analysis Plan. Regimen F (NCT#05740813) and Regimen G (NCT#05842941) contributed placebo participants into the shared placebo cohort used for analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
ABBV-CLS-7262 Dose 1Upper Limb Muscle Strength-36.281 Percent changeStandard Error 2.6896
ABBV-CLS-7262 Dose 2Upper Limb Muscle Strength-25.760 Percent changeStandard Error 3.8365
Matching PlaceboUpper Limb Muscle Strength-38.078 Percent changeStandard Error 3.05
p-value: 0.670795% CI: [-6.506, 10.099]Mixed Models Analysis
p-value: 0.014495% CI: [2.463, 22.172]Mixed Models Analysis

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