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Amyotrophic Lateral SclerosisTALSLBNCT05137665

Target ALS Biomarker Study; Longitudinal Biofluids, Clinical Measures, and At Home Measures

An observational study of Amyotrophic Lateral Sclerosis and Movement Disorders, run by Target ALS Foundation, Inc. at 12 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of the study is to generate a biorepository of longitudinal biofluids-blood (plasma and serum), cerebral spinal fluid (CSF) and urine linked to genetics and longitudinal clinical information that are made available to the research community. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
How many people
1,000 participants
Where
12 sitesin 3 countries
Study dates
1 Jun 2021to 31 Dec 2031
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: A biorepository of longitudinal blood (plasma and serum), cerebral spinal fluid (CSF) and urine linked to genetics and longitudinal clinical information that are made available to the research community will be made from ALS and healthy control participants. This is a large multi-center study, including several international sites with the goal of developing a robust sample set from genetic and racially diverse populations. To enable well-powered biomarker research, the enrollment goal is at least 800 ALS patients and 200 healthy participants in five years.

ALS Participants:

  1. Age 18 or older.
  2. A diagnosis of ALS in accordance with Gold Coast criteria.
  3. Full Vital Capacity (FVC) of ≥30% or at the discretion of the Principal Investigator for the participant's predicted value for gender, height, and age at the time of screening.
  4. Ability to provide informed consent and understand the purpose and risks of the study.
  5. Ability to comply with study procedures and assessments, in the opinion of the Principal Investigator.

Healthy Control Participants:

  1. Age 18 or older.
  2. No history of neurological disease, in the opinion of the Principal Investigator.
  3. No known ALS- associated genetic mutations at the time of consent.
  4. Ability to provide informed consent and understand the purpose and risks of the study.
  5. Ability to comply with study procedures and assessments, in the opinion of the Principal Investigator.

Trial locations and contacts

12 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

12 sites in 3 countries

United States10 sites, 10 recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Lada Filippov, 617-724-7048, lfilippov@mgh.harvard.edu

    Carolyn Dwyer, 617-724-7928, targetals@mgb.org

    Recruiting
  • Northwestern University

    Chicago, Illinois, 60611

    Arleen Matos, (312) 503-0748, arleen.matos@northwestern.edu

    Emma Schmidt, emma.schmidt@northwestern.edu

    Recruiting
  • Georgetown University

    Georgetown, District of Columbia, 20007

    Cassie Holmes, NP, cjh278@georgetown.edu

    Brent Harris, MD

    Recruiting
  • Baylor College of Medicine

    Houston, Texas, 77030

    Hala Khan, MPH, Hala.Khan@bcm.edu

    Jorge Zapiain, Jorge.ZaragozaZapiain@bcm.edu

    Recruiting
  • Mayo Clinic

    Jacksonville, Florida, 32224

    Huy Tran, tran.huy1@mayo.edu

    Bjorn Oskarsson, MD

    Recruiting
  • Columbia University

    New York, New York, 10032

    Ben Hoover, bnh2119@cumc.columbia.edu

    Sarah Griffen, sjg2220@cumc.columbia.edu

    Recruiting
  • Barrow Neurological Institute

    Phoenix, Arizona, 85013

    Whitney Dailey, MS, 602-406-7804 ext. 67804, whitney.dailey@dignityhealth.org

    Shafeeq Ladha, MD

    Recruiting
  • University of California San Diego

    San Diego, California, 92121

    Gil Gutierrez, grg005@health.ucsd.edu

    John Ravits, MD

    Recruiting
  • University of Washington

    Seattle, Washington, 98195

    Kaycie Opiyo, tkaycie@uw.edu

    Michael Weiss, MD

    Recruiting
  • Washington University

    St Louis, Missouri, 63110

    Nathan Budden, budden@wustl.edu

    Tim Miller, MD

    Recruiting

Other trials in United States

Colombia1 site, 1 recruiting
  • Instituto Roosevelt

    Bogotá

    Manuela Quiroga Carrillo, mquiroga@ioir.org.co

    Luisa Fernanda Acevedo Moreno, l.acevedo@ioir.org.co

    Recruiting

Other trials in Colombia

Puerto Rico1 site, 1 recruiting
  • CHALS-CCT UPR MScience

    San Juan, 00935

    Frances Aponte, frances.aponte2@upr.edu

    Valerie Wojna, MD

    Recruiting

Other trials in Puerto Rico

About this study

Official title: Target ALS Biomarker Study; Longitudinal Biofluids, Clinical Measures, and At - Home Measures

The goal of the study is to generate a biorepository of longitudinal biofluids-blood (plasma and serum), cerebral spinal fluid (CSF) and urine linked to genetics and longitudinal clinical information that are made available to the research community. To accomplish these goals, we will enroll 800 Amyotrophic Lateral Sclerosis (ALS) patients and 200 healthy controls from sites globally, over a 5 year time frame. Additionally, speech and motor function and spirometry measures will be collected bi-weekly in a subset of participants. ALS participants will be asked to come to the clinic for 5 study visits approximately every 4 months. Healthy participants will be coming for 2 study visits with a 12-month interval between visits. These samples and clinical information will be stored in a de-identified manner and made available for investigators to use in future research studies.

Read the detailed description

An industry wide survey performed by Dr. Lyle Ostrow at Johns Hopkins University indicated that longitudinal biofluids linked to detailed clinical information are critical to continued drug development for amyotrophic lateral sclerosis (ALS), with CSF being the top biofluid often lacking in longitudinal sample biorepositories. There have been prior efforts for longitudinal collection of biofluids matched to clinical information, but those sample sets are limited in size and quickly utilized by the research community. Based upon input from industry leaders, we propose the creation of a Target ALS longitudinal biofluids biorepository linked to patient genetic and clinical information.

Given the heterogeneous clinical and biologic nature of ALS, a repository of longitudinal samples linked to clinical and genetic information is essential to help identify and verify ALS biomarkers (1,2). Recent studies to identify ALS biomarkers have used longitudinal samples from either the sporadic patient population or from those that harbor genetic mutations known to cause ALS but are not yet symptomatic (3,4). Beyond exploring the relationship between known causative genes and candidate biomarkers, the Target ALS Postmortem Core has collected postmortem ALS tissue samples that have been used to generate large transcriptomic databases that are linked to whole genome sequencing information. These data have been valuable at finding new subtypes of ALS linked to transcriptomic profiles from the tissue samples (5). The current study utilizes some of the medical centers participating in the Target ALS Postmortem Core to create a longitudinal biofluids repository form living ALS patients and health controls. A select number of participating sites will have a portion of ALS participants (approx. 150) have the option to take part in at home speech measures. Additionally, a select number of participating sites will also take part in at- home spirometry measures for approximately 100 ALS participants and approximately 50 healthy case control participants, for a total of 150 participants. The added feature of these at- home measures are to further evaluate the potential for at home measures in future clinical trials and ability to obtain enriched speech and vital capacity measures to correlate to downstream biomarker studies using biofluid or genetic data. There is a growing interest in the use of at home speech analytics to classify and monitor ALS patients, with recent studies indicating the value for these at home measures in both clinical research and clinical trial settings (6-8). Our study will not only expand upon these early findings but also include at home spirometry measures of vital capacity to evaluate the ability to obtain reliable vital capacity measures at home.

Our proposed study will provide valuable longitudinal biofluids linked to clinical information, genetic data, at-home speech measures, and vital capacity measures for use in future research studies. Target ALS has planned to generate proteomic, lipidomic and metabolomic datasets using the longitudinal biofluids collected in this study. Inclusion of samples with racial and ethnic diversity will further strengthen study outcomes to be applied to ALS communities more broadly. These de-identified samples and clinical information will be available to investigators throughout the world to enhance ALS research and ultimately improved treatments for ALS. There is a long history of benefit for biorepositories with linked clinical data to be instrumental in research progress. Most studies that identify biomarkers or validate biomarkers for human diseases typically require banked samples that are linked to clinical information to determine sensitivity and specificity of the biomarker for that disease or to demonstrate change over the course of the disease.

Keywords
Amyotrophic Lateral Sclerosis, ALS Amyotrophic Lateral Sclerosis, Target ALS, Longitudinal Biofluids, Barrow Neurological Institute, New York Genome Center, Biofluids Biorepository, Genomic-wide association studies, observational study, Biofluid Samples
Medical subject headings
Amyotrophic Lateral Sclerosis, Movement Disorders, Motor Neuron Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05137665
Study groupRoleWhat they receive
Amyotrophic Lateral Sclerosis ALSThis is a global, multi-center study of ALS participants and healthy controls that will have up to 20 sites globally. Target enrollment will be approximately 1000 participants with 800 ALS participants and 200 healthy control cases. Research participants with suspected, possible, probable, probable- laboratory supported, and definite Amyotrophic Lateral Sclerosis (ALS), according to the revised El Escorial Criteria (EEC) or with a diagnosis based on the Gold Coast Criteria will be seen at the Screening/Baseline Visit(s) (Visit 1) and follow-up will occur at approximate 4-month internals for up to 5 visits per participant.
HealthyHealthy control participants will have a neurological exam to confirm non-neurologic disease status and participants will have one follow up visit approximately 12 months after their baseline visit. Upon consenting for participation, all study participants will undergo the activities and biofluid collections at each visit.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Biofluid Biorepository

    This project will create a biorepository of longitudinal biofluid samples, linked to clinical measures, and at home measures

    Measured: + 3.5 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Nov 2021
  2. Study start1 Jun 2021
  3. Primary completion31 Dec 2031 (estimated)
  4. Study completion31 Dec 2031 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Other
Enrolment
1,000 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT05137665
Sponsor's protocol ID
21-500-101-70-09
Acronym
TALSLB
Status last verified
Nov 2025
First submitted
16 Nov 2021
Last updated
21 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: These samples and clinical information will be stored in a de-identified manner and made available for investigators to use in future research studies. It is expected to take approximately 5 years to complete all sample and data collection for the study. The first phase of the study will involve activating all sites participating in the study, and will take about 4 months to complete. The enrollment period is expected to be about 5 years. Active assessment for each subject will be for 16-18 months from the time of enrollment. After the end of active assessment period (5 years), the bio-samples and clinical information from the study will be made available for future research.

Publications

  • Chipika RH, Finegan E, Li Hi Shing S, Hardiman O, Bede P. Tracking a Fast-Moving Disease: Longitudinal Markers, Monitoring, and Clinical Trial Endpoints in ALS. Front Neurol. 2019 Mar 19;10:229. doi: 10.3389/fneur.2019.00229. eCollection 2019.

    PubMed 30941088
  • Benatar M, Wuu J, Lombardi V, Jeromin A, Bowser R, Andersen PM, Malaspina A. Neurofilaments in pre-symptomatic ALS and the impact of genotype. Amyotroph Lateral Scler Frontotemporal Degener. 2019 Nov;20(7-8):538-548. doi: 10.1080/21678421.2019.1646769. Epub 2019 Aug 21.

    PubMed 31432691
  • Huang F, Zhu Y, Hsiao-Nakamoto J, Tang X, Dugas JC, Moscovitch-Lopatin M, Glass JD, Brown RH Jr, Ladha SS, Lacomis D, Harris JM, Scearce-Levie K, Ho C, Bowser R, Berry JD. Longitudinal biomarkers in amyotrophic lateral sclerosis. Ann Clin Transl Neurol. 2020 Jul;7(7):1103-1116. doi: 10.1002/acn3.51078. Epub 2020 Jun 9.

    PubMed 32515902
  • Tam OH, Rozhkov NV, Shaw R, Kim D, Hubbard I, Fennessey S, Propp N; NYGC ALS Consortium; Fagegaltier D, Harris BT, Ostrow LW, Phatnani H, Ravits J, Dubnau J, Gale Hammell M. Postmortem Cortex Samples Identify Distinct Molecular Subtypes of ALS: Retrotransposon Activation, Oxidative Stress, and Activated Glia. Cell Rep. 2019 Oct 29;29(5):1164-1177.e5. doi: 10.1016/j.celrep.2019.09.066.

    PubMed 31665631
  • Vieira H, Costa N, Sousa T, Reis S, Coelho L. Voice-Based Classification of Amyotrophic Lateral Sclerosis: Where Are We and Where Are We Going? A Systematic Review. Neurodegener Dis. 2019;19(5-6):163-170. doi: 10.1159/000506259. Epub 2020 Mar 3.

    PubMed 32126556
  • Barnett C, Green JR, Marzouqah R, Stipancic KL, Berry JD, Korngut L, Genge A, Shoesmith C, Briemberg H, Abrahao A, Kalra S, Zinman L, Yunusova Y. Reliability and validity of speech & pause measures during passage reading in ALS. Amyotroph Lateral Scler Frontotemporal Degener. 2020 Feb;21(1-2):42-50. doi: 10.1080/21678421.2019.1697888. Epub 2019 Dec 6.

    PubMed 32138555
  • Rutkove SB, Narayanaswami P, Berisha V, Liss J, Hahn S, Shelton K, Qi K, Pandeya S, Shefner JM. Improved ALS clinical trials through frequent at-home self-assessment: a proof of concept study. Ann Clin Transl Neurol. 2020 Jul;7(7):1148-1157. doi: 10.1002/acn3.51096. Epub 2020 Jun 9.

    PubMed 32515889
  • Quinn C, Macklin EA, Atassi N, Bowser R, Boylan K, Cudkowicz M, Fournier C, Ladha SS, Lacomis D, Berry J. Post-lumbar puncture headache is reduced with use of atraumatic needles in ALS. Amyotroph Lateral Scler Frontotemporal Degener. 2013 Dec;14(7-8):632-4. doi: 10.3109/21678421.2013.808227. Epub 2013 Jul 8. No abstract available.

    PubMed 23834161
  • Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA. 2006 May 17;295(19):2286-96. doi: 10.1001/jama.295.19.2286.

    PubMed 16705110

Questions about this trial

What is this clinical trial studying?

An observational study of Amyotrophic Lateral Sclerosis and Movement Disorders, run by Target ALS Foundation, Inc. at 12 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, Colombia, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Laura Dugom, MPH (919-440-2073, laura.dugom@targetals.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Biofluid Biorepository (time frame: + 3.5 Years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05137665, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2025.

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