Intermediate Expanded Access Protocol CNMAu8.EAP04

NCT06408727 | Unknown

• 2 other identifiers: CNMAu8.EAP041U01NS136023-01
• Study Type: expanded_access
• Target: N/A
• Locations: 1 country
• Sites: 8

Brief Summary

An Intermediate Expanded Access Protocol (EAP) with CNM-Au8 for Amyotrophic Lateral Sclerosis for NIH Grant RFA-NS-23-012

Conditions

ALS; Amyotrophic Lateral Sclerosis; PALS

Interventions

CNM-Au8 DRUG

CNM-Au8 (cellular energetic nanocatalyst). Faceted clean-surfaced catalytically-active Au nanocrystals.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Able to understand and give written informed consent.
• Male or female participants aged 18 years or greater (inclusive) at the time of informed consent completion.
• Participants with a confirmed diagnosis of ALS per Gold Coast criteria as determined by a neurologist specializing in ALS (e.g., the site principal investigator or sub-investigator for this study).
• Participant is able to daily consume up to 60 mL of the investigational drug suspension without substantial dysphagia, OR can intake the investigational product through a feeding tube.
• Participant must have completed standard clinical safety labs within the prior 90 days from the Baseline visit, including a chemistry panel (e.g., CMP) and a hematology panel (e.g., CBC).
• Participant has a baseline score by the TRICALS risk calculator that is less than -2 (i.e., participant is not at increased risk of early death; https://tricals.shinyapps.io/risk-profile/).
• Participant meets the following criteria:
• Baseline Vital Capacity \>15% predicted,
• Baseline ALSFRS-R Score \>8, and,
• Baseline BMI \>17.5 kg/m2
• Participants have established care with a neurologist at the specialized ALS center or remotely enrolling site involved in the study and will maintain this clinical care throughout the duration of the EAP within the United States.

You may not qualify if:

• Participant is eligible for participation in any double-blind placebo-controlled study the treatment of ALS at the same research site.
• Participant has a history of any clinically significant or unstable medical condition (other than ALS) that may interfere with assessment of safety or compromise the study objectives.
• Based on the investigator's judgment, participants who may have difficulty complying with the protocol and/or any study procedures.
• Within the prior 90-days the participant has had clinically significant findings on standard hepatic, hematologic, or renal safety assays, including but not limited to: (i) ALT or AST ≥ 3 times upper limits of normal, (ii) direct (conjugated) with bilirubin ≥2 times upper limits of normal, (iii) low platelet counts (\< 150 x 109 per liter) or eosinophilia (absolute eosinophil count of ≥ 500 eosinophils per microliter), (iv) serum creatinine \>1.2 mg/dL, or (v) eGFR \< 45 ml/min per 1.73 m2.
• Participant is currently involved in another placebo-controlled clinical trial (note: concomitant therapy with other investigational products is permitted with certain restrictions-see concomitant medications below).
• Females who are pregnant or nursing or who plan to get pregnant during the EAP, or within 6 months of the end of this trial.
• Females of child-bearing potential, or men, who are unwilling or unable to use accepted methods of birth control.
• History of gold allergy.

Sponsors & Collaborators

• Clene Nanomedicine: lead
• National Institute of Neurological Disorders and Stroke (NINDS): collaborator

Study Sites (8)

Nova Southeastern University

Fort Lauderdale, Florida, 33328, United States

AVAILABLE

Northwestern University

Chicago, Illinois, 60611, United States

AVAILABLE

Synapticure

Chicago, Illinois, 60613, United States

AVAILABLE

University of Iowa

Iowa City, Iowa, 52242, United States

AVAILABLE

Columbia Unniversity

New York, New York, 10032, United States

AVAILABLE

Duke University

Durham, North Carolina, 27704, United States

AVAILABLE

Pennsylvania State University

Hershey, Pennsylvania, 17033, United States

AVAILABLE

Texas Neurology

Dallas, Texas, 75206, United States

AVAILABLE

MeSH Terms

Conditions

Amyotrophic Lateral Sclerosis

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Motor Neuron Disease; Neurodegenerative Diseases; TDP-43 Proteinopathies; Neuromuscular Diseases; Proteostasis Deficiencies; Metabolic Diseases; Nutritional and Metabolic Diseases

Central Study Contacts

Austin Rynders, BS

CONTACT

(801)676-9695; eap@clene.com

Jeremy Evan, PA-C

CONTACT

(801)676-9695; eap@clene.com

Study Design

• Study Type: expanded access
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 24, 2024
• First Posted: May 10, 2024
• Last Updated: January 28, 2025

Record last verified: 2025-01

Locations

US (8)