Clinical trial • Phase IV • Neurology|Rare Disease

Pyruvic acid for Amyotrophic lateral sclerosis (ALS) | Transient ischemic attack (TIA)

Phase IV trial of Pyruvic acid for Amyotrophic lateral sclerosis (ALS) | Transient ischemic attack (TIA). 46 participants.

Overview

Trial Therapeutic Area
Neurology|Rare Disease
Trial Disease
Amyotrophic lateral sclerosis (ALS) | Transient ischemic attack (TIA)
Trial Stage
Phase IV
Drug Modality
Radiopharmaceutical|Diagnostic agent

Key dates

Initial CTIS Submission Date
15-08-2024
First CTIS Authorization Date
12-09-2024

Trial design

Phase IV trial across 1 site in Denmark.

Target Sample Size
46

Eligibility

Recruits 46 No vulnerable population selected (isVulnerablePopulationSelected: false). Consent/assent handling not specified in the provided data..

Pregnancy Exclusion
Pre-menopausal women must be confirmed non-pregnant by an onsite test.
Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected: false). Consent/assent handling not specified in the provided data.

Inclusion criteria

  • {"criterion_text":"- All participants: 1) Age 18-85 years.\n- All participants: 2) Pre-menopausal women must be confirmed non-pregnant by an onsite test.\n- ALS group: 1) Fulfilling the 2021 Gold Coast criteria.\n- ALS group: 2) Upper motor neuron symptoms.\n- TIA-group: 1) TIA within the last 10 days.\n- TIA-group: 2) Symptoms must include unilateral weakness of limb or face.\n- TIA-group: 3) Duration af symptoms minimum 10 minutes"}

Exclusion criteria

  • {"criterion_text":"- Contraindications for MRI with contrast: Chronic kidney disease\n- Significant cardiac disease such as severe left ventricular outflow obstruction\n- Significant obstructive lung disease or severe asthma\n- Pacemaker, neurostimulator or cholera implant\n- Metal foreign bodies such as fragments and irremovable piercings\n- Unsafe medical implants (safety of heart valves, hips and the like must be confirmed)\n- Intracranial clips or coils\n- Claustrophobia\n- Largest circumference including arms > 160 cm.\n- Competing neurological, psychiatric, liver or systemic disease including diabetes (except prior TIA, unspecific brain MRI findings, hypertension, atherosclerosis and hyperlipidemia/cholesterolemia which are allowed).\n- Allergy to pyruvate."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Cerebral metabolism as assesed with 13C label exchange from hyperpolarized pyruvate to bicarbonate, lactate and alanine","definition_or_measurement_approach":"Assessed with 13C label exchange from hyperpolarized pyruvate to bicarbonate, lactate and alanine (hyperpolarized 13C MRI metabolic measurement)."}

Secondary endpoints

  • {"endpoint_text":"- Disease characterization from clinical exsamination, interviews and patient records.","definition_or_measurement_approach":"Disease characterization performed using clinical examination, interviews and review of patient records."}

Recruitment

Planned Sample Size
46
Recruitment Window Months
52
Consent Approach
Informed consent obtained from participants; subject information and informed consent form documents are listed (L1_ICF, L1_SIS_TIA, L1_SIS_ALS). Participants are adults (age 18-85); no assent/minor consent procedures specified. Languages of consent forms not specified in the provided data.

Geography

Total Number Of Sites
1
Total Number Of Participants
46

Denmark

Earliest CTIS Part Ii Submission Date
03-09-2024
Latest Decision Or Authorization Date
12-09-2024
Processing Time Days
9
Number Of Sites
1
Number Of Participants
46

Sites

Site Name
Aarhus Universitet
Department Name
Dept.of Neurology
Contact Person Name
Mia Heintzelmann
Contact Person Email
minielse@rm.dk
Number Of Participants
46

Sponsor

Primary sponsor

Full Name
Aarhus Universitet
Organisation Type
Educational Institution
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Aarhus Universitet","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Educational Institution"}

Investigational products

Investigational Product Name
Hyperpolarized [1-13C]pyruvate
Active Substance
Pyruvic acid
Modality
Radiopharmaceutical|Diagnostic agent
Routes Of Administration
Intravenous bolus injection / IV infusion
Route
Intravenous bolus injection / IV infusion
Authorisation Status
Authorised
Dose Levels
Max daily dose 18.92 mg/kg
Maximum Dose
18.92 mg/kg

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