A Phase 2b/3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 12 Month Clinical Trial to Evaluate the Efficacy and Safety of MN-166 (Ibudilast) Followed by Open-Label Extension Phase in Subjects With Amyotrophic Lateral Sclerosis

Study Purpose:

A Phase 2b/3 multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the efficacy, safety and tolerability of MN-166 given to ALS participants for 12 months followed by a 6-month open-label extension phase.

Study Status:

Recruiting

Disease:

Amyotrophic Lateral Sclerosis

Study Type:

Interventional

Type of Intervention:

Drug

Intervention Name:

MN-166, placebo

Placebo:

Yes

Phase:

Phase 2/Phase 3

Study Chair(s)/Principal Investigator(s):

Kazuko Matsuda, MD PhD MPH, Medicinova Inc

Clinicaltrials.gov ID:

NCT04057898

Neals Affiliated?

No

Coordinating Center Contact Information

Project Management Team / email hidden; JavaScript is required / 858-373-1500

United States

Full Study Summary:

This is a Phase 2b/3 multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the efficacy, safety and tolerability of MN-166 followed by an open-label extension phase compared to matching placebo in subjects diagnosed with ALS.

The study will consist of a screening phase (up to 30 days) followed by a double-blind phase (12 months). Following the screening phase, subjects who continue to meet entry criteria will be randomly assigned to one of two treatment groups: MN-166 or matching placebo in a 1:1 ratio. Upon completion of the double-blind phase, subjects will be given the option to continue to the Open-label Extension Phase for a period of six months.

Study Sponsor:

MediciNova

Estimated Enrollment:

230

Estimated Study Start Date:

05 / 28 / 2020

Estimated Study Completion Date:

12 / 01 / 2024

Posting Last Modified Date:

03 / 21 / 2023

Date Study Added to neals.org:

08 / 15 / 2019

Minimum Age:

18 Years

Maximum Age:

80 Years

Can participants use Riluzole?

Yes

Major Inclusion Criteria:

- Male or female subjects age 18 - 80 years, inclusive;

- Diagnosis of familial or sporadic ALS as defined by the El Escorial-Revised (2000) research diagnostic criteria for ALS [clinically definite, clinically probable, probable-laboratory-supported];

- ALS onset of ≤18 months from first clinical signs of weakness prior to screening;

- If currently using riluzole, subject must be on a stable dose for at least 30 days prior to initiation of study drug;

- If currently using edaravone, subject should have completed at least 14 days of their initial treatment cycle prior to initiation of study drug;

- Last documented pulmonary function test result (i.e., slow vital capacity or forced vital capacity) must be greater than or equal to 70% predicted;

- Able to swallow study medication capsules;

- No known allergies to the study drug or its excipients;

- Received pneumococcal vaccine within 6 years prior to starting clinical trial.

Major Exclusion Criteria:

- Confirmed hepatic insufficiency or abnormal liver function (AST and/or ALT >3 times upper limit of normal);

- Currently diagnosed with a clinically significant psychiatric disorder or dementia that would preclude evaluation of symptoms;

- Currently use or treated with parenteral (intramuscular or intravenous) high dose (>25 mg/week) Vitamin B12 within 30 days prior to study drug administration;

- Poor peripheral venous access that will limit the ability to draw blood as judged by the Investigator;

- Currently participating, or has participated in a study with an investigational or marketed compound or device within 30 days or 5 half-lives, whichever is shorter, prior to signing the informed consent;

- Use of tracheostomy or >22/24-hour ventilatory support.

University of California | Recruiting

Pola Gaid / 714-456-6191 / email hidden; JavaScript is required

Principal Investigator : Namita Goyal, MD

Orange, California 92868
United States

Mayo Clinic | Recruiting

Collette McHugh-Strong / 904-953-4965 / email hidden; JavaScript is required

Jany Paulett / 904-953-3730 / email hidden; JavaScript is required

Principal Investigator : Bjorn Oskarsson, M.D.

Jacksonville, Florida 32224
United States

Augusta University | Recruiting

Brandy Quarles, MPH CCRC / 706-721-0390 / email hidden; JavaScript is required

Kristy Bouchard, BS CCRC / 706-721-0390 / email hidden; JavaScript is required

Principal Investigator : Michael Rivner, MD

Augusta, Georgia 30912
United States

Indiana University IU Health Neuroscience Center | Recruiting

Sandra Guingrich, LPN / 317-963-7382 / email hidden; JavaScript is required

Angela Micheels, PT / 317-963-7382 / email hidden; JavaScript is required

Principal Investigator : Cynthia Bodkin, MD

Indianapolis, Indiana 46202
United States

University of Kansas Medical Center | Recruiting

Collin Gerringer / 913-574-0008 / email hidden; JavaScript is required

Katheryn Jennens / 913-945-9932 / email hidden; JavaScript is required

Principal Investigator : Omar Jawdat, MD

Kansas City, Kansas 66160
United States

Johns Hopkins University | Recruiting

Kristen Riley, Ph.D. / 410-955-8511 / email hidden; JavaScript is required

Alpa Uchil, CRNP / 410-955-8511 / email hidden; JavaScript is required

Principal Investigator : Nicholas Maragakis, M.D.

Baltimore, Maryland 21287
United States

Hennepin Healthcare Research Institute | Recruiting

Daphne Fruchtman / 612-873-2607 / email hidden; JavaScript is required

Sandra Swanson / 612-518-5351 / email hidden; JavaScript is required

Principal Investigator : Samuel Maiser, MD

Minneapolis, Minnesota 55415
United States

Mayo Clinic / Rochester | Withdrawn

Rochester, Minnesota 55905
United States

Hospital for Special Surgery | Withdrawn

New York, New York 10021
United States

SUNY Upstate Medical University | Recruiting

Sigiriya Smolen / 315-464-1670 / email hidden; JavaScript is required

Lena Deb / 315-464-9756 / email hidden; JavaScript is required

Principal Investigator : Jenny Meyer, MD

Syracuse, New York 13210
United States

Atrium Health Neurosciences Institute | Recruiting

Candace Roberson / 704-446-1900 / email hidden; JavaScript is required

Principal Investigator : Leo McCluskey, MD

Charlotte, North Carolina 28207
United States

Duke University | Recruiting

Rachel M Ward, RN / 919-613-2681 / email hidden; JavaScript is required

Principal Investigator : Richard Bedlack, MD

Durham, North Carolina 27705
United States

Providence Brain and Spine Institute | Withdrawn

Portland, Oregon 97213
United States

Lehigh Valley Health Network | Recruiting

Andrew Orzel, RN / 610-402-8447 / email hidden; JavaScript is required

Terry Kloiber, RN / 610-402-9543 / email hidden; JavaScript is required

Principal Investigator : Alison Walsh, MD

Allentown, Pennsylvania 18103
United States

Allegheny Health Network, Allegheny Neurological Associates | Recruiting

Miranda Nadeo / email hidden; JavaScript is required

Mary Fetter / email hidden; JavaScript is required

Principal Investigator : Sandeep Rana, MD

Pittsburgh, Pennsylvania 15212
United States

University of Virginia Health System | Recruiting

Sejal Smajic / 434-243-0355 / email hidden; JavaScript is required

Mary Wagoner / 434-924-5541 / email hidden; JavaScript is required

Principal Investigator : Matthew Elliott, MD

Charlottesville, Virginia 22908
United States

Swedish Neuroscience Institute | Withdrawn

Seattle, Washington 98122
United States

University of Alberta Hospital | Recruiting

Wei Chen / email hidden; JavaScript is required

Kelsey Tymkow / email hidden; JavaScript is required

Principal Investigator : Wendy Johnston, MD

Edmonton, Alberta T6G 2G3
Canada

McMaster University Medical Center | Recruiting

Daniela Trapsa / 905 521 2100 Ext. 76368 / email hidden; JavaScript is required

Jane Allan / 905 521 2100 Ext. 76368 / email hidden; JavaScript is required

Principal Investigator : John Turnbull, MD

Hamilton, Ontario L8N 3Z5
Canada

Sunnybrook Research Institute | Recruiting

Nishat Rashid / 416-480-6100 Ext. 87561 / email hidden; JavaScript is required

Jahan Mookshah / (416) 480-6100 Ext. 87561 / email hidden; JavaScript is required

Principal Investigator : Lorne Zinman, MD MSc

Toronto, Ontario M4N 3M5
Canada

Montreal Neurological Institute and Hospital | Recruiting

Achraf Boutayeb / 514-398-6083 / email hidden; JavaScript is required

Vanessa Bertone / 514-398-6183 / email hidden; JavaScript is required

Principal Investigator : Angela Genge, MD

Montreal, Quebec H3A 2B4
Canada

Clinique Maladies Neuromusculaire | Recruiting

Caroline Cayer / 819-346-1110 Ext. 13920 / email hidden; JavaScript is required

Caitlyn Bockus / email hidden; JavaScript is required

Principal Investigator : Sylvie Gosselin, MD

Sherbrooke, Quebec J1H 5N4
Canada

University of Saskatchewan - Sastakoon Hospital | Recruiting

Twyla Bode / 306-655-7742 / email hidden; JavaScript is required

Joanne Boyer / email hidden; JavaScript is required

Principal Investigator : Kerri Schellenberg, MD

Saskatoon, Saskatchwean S7K 0M7
Canada

Hopital de L'Enfant-Jesus, CHU de Quebec-Universite Laval | Recruiting

Alexandra Simard / 418-649-0252 Ext. 63559 / email hidden; JavaScript is required

Manon Blanchel / email hidden; JavaScript is required

Principal Investigator : Annie Dionne, MD

Quebec G1J 1Z4
Canada