Safety and Tolerability Study of CTx1000 In Participants With Amyotrophic Lateral Sclerosis
KOANEWA
Koanewa: A First in Human, Phase 1b, Open-label, Non-randomised, Single Dose Study to Assess the Safety and Tolerability of CTx1000 in Participants Diagnosed With Amyotrophic Lateral Sclerosis
1 other identifier
interventional
15
1 country
1
Brief Summary
This clinical study is in participants with Amyotrophic Lateral Sclerosis and is designed to evaluate the safety and tolerability of the gene therapy CTx1000.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jan 2026
Longer than P75 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 10, 2025
CompletedStudy Start
First participant enrolled
January 12, 2026
CompletedFirst Posted
Study publicly available on registry
February 10, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2030
February 10, 2026
February 1, 2026
1.9 years
December 10, 2025
February 6, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the safety and tolerability of CTx1000 in ALS diagnosed participants
Incidence of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interests (AESIs)
52 weeks
Secondary Outcomes (3)
To evaluate the long-term safety and tolerability of CTx1000 in ALS diagnosed participants
3 years
To evaluate the long-term pharmacodynamics and immunogenicity of CTx1000 in ALS diagnosed participants
3 years
To evaluate the long-term efficacy of CTx1000 in ALS diagnosed participants
3 years
Study Arms (1)
Active drug-CTx1000
EXPERIMENTALAll participants will receive only one dose of the study drug
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of ALS in accordance with the revised El Escorial criteria and TRICALS risk score
- An overall disease duration of ≤ 2 years after the participant's first symptoms
- No or low circulating anti-AAV9 antibodies (titre ≤ 1:50
- Stable dosing with a standard of care ALS medication (eg, riluzole and edaravone) and other prescription medications for 30 days prior to Screening
- Not pregnant or breastfeeding, or willing to cease breastfeeding
- All participants must use a barrier method of contraception
You may not qualify if:
- Any participants with genetic forms of ALS, including C9ORF72 repeat carriers, except for TARDBP gene variants, as confirmed by previous clinical history genetic testing
- Any history of myocardial infarction or stroke within 6 months prior to Screening, or uncontrolled diabetes (HbA1C \> 9%)
- Positive test for cytomegalovirus, hepatitis C antibody (HCV), hepatitis B surface antigen (HBsAg), human immunodeficiency virus (HIV) antibody.
- Inadequate organ function
- Any participant with a current open tracheostomy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Celosia Therapeutics Pty Ltdlead
- Novotech (Australia) Pty Limitedcollaborator
Study Sites (1)
Macquarie University Hospital
Sydney, New South Wales, 2109, Australia
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 10, 2025
First Posted
February 10, 2026
Study Start
January 12, 2026
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2030
Last Updated
February 10, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share