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Amyotrophic Lateral SclerosisPhase 3ADORENCT05178810

Study to Investigate the Efficacy and Safety of FAB122 (Daily Oral Edaravone) in Patients With Amyotrophic Lateral Sclerosis

A Phase 3 study testing FAB122 in people with Amyotrophic Lateral Sclerosis, run by Ferrer Internacional S.A. at 38 sites in 11 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Multicenter, multinational, double-blind, randomized (2:1), placebo-controlled Phase III study to investigate the efficacy and safety of 100 mg FAB122 once daily as oral formulation in ALS patients. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Amyotrophic Lateral Sclerosis
What is being tested?
FAB122
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
313 participants
Where
38 sitesin 11 countries
Study dates
18 Oct 2021to 26 Oct 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Main Inclusion Criteria:

  • Age 18 - 80 years (both inclusive), male or female;
  • Diagnosis of definite, probable, probable laboratory supported or possible ALS as based on the El Escorial and the revised Airlie House diagnostic criteria for ALS;
  • Onset of first symptoms* no longer than 24 months prior to randomization; *Date of onset is the date the patient reported one or more of the following symptoms:
  • Muscle weakness in limbs
  • Speech/swallowing difficulties
  • Respiratory symptoms: dyspnea was noticed
  • SVC equal to or more than 70% of the predicted normal value for gender, height and age at screening visit;
  • Change in ALSFRS-R score between 0.35 points and 1.5 points per month (both inclusive) in the period from onset of first symptoms to the Screening visit;
  • Capable of providing informed consent and complying with trial procedures.

Main Exclusion Criteria:

  • Diagnosis of Primary Lateral Sclerosis;
  • Diagnosis of Frontotemporal Dementia;
  • Diagnosis of other neurodegenerative diseases (e.g. Parkinson disease, Alzheimer disease);
  • Diagnosis of polyneuropathy;
  • Other causes of neuromuscular weakness;
  • Have a significant pulmonary disorder not attributed to ALS and/or require treatment interfering with the evaluation of ALS on respiratory function;
  • Use of intravenous (IV) edaravone within 6 months of the screening visit;
  • Depend on mechanical ventilation (invasive or non-invasive) or require tracheostomy at Screening;
  • Renal impairment as indicated by a creatinine clearance of less than 50 mL/min as calculated by the Cockcroft Gault equation;
  • Subject has a history of clinically significant hepatic disease, hepatitis or biliary tract disease, or subject has a positive screening test for HIV, hepatitis B or C;

Trial locations and contacts

38 sites in 11 countries.

38 sites in 11 countries

Spain8 sites
  • Hospital Universitari de Bellvitge

    Barcelona

  • Hospital Universitario de Basurto

    Bilbao

  • Hospital San Rafael

    Madrid

  • Hospital Universitario La Paz-Carlos III

    Madrid

  • Hospital Regional Universitario Málaga

    Málaga

  • Hospital Clínico Universitario de Santiago de Compostela

    Santiago de Compostela

  • Hospital Virgen del Rocio

    Seville

  • Hospital Universitario y Politécnico La Fe

    Valencia

Other trials in Spain

France7 sites
  • CHRU de Lille - Hôpital Roger Salengro

    Lille

  • CHU de Limoges - Hôpital Dupuytren

    Limoges

  • Centre Hospitalo-Universitaire La Timone

    Marseille

  • CHU de Montpellier

    Montpellier

  • CHU Nice

    Nice

  • Hôpital de la Salpêtrière

    Paris

  • CHRU de Tours

    Tours

Other trials in France

Italy7 sites
  • Azienda Ospedaliera Universitaria Cagliari

    Cagliari

  • Centro Clinico NEMO

    Milan

  • University of Milan Medical School

    Milan

  • University of Torino - Rita Levi Montalcini Department of Neuroscience

    Milan

  • Azienda Ospedaliero Universitaria Di Modena

    Modena

  • Azienda Ospedaliera Universitaria ( A O U ) dell'Università degli studi della Campania "Luigi Vanvitelli"

    Naples

  • University of Padua - Azienda Ospedaliera di Padova

    Padua

Other trials in Italy

Germany4 sites
  • Universitätsmedizin Berlin

    Berlin

  • Universitätsklinikum Carl Gustav Carus

    Dresden

  • Hannover Medical School

    Hanover

  • Universitätsklinikum Ulm

    Ulm

Other trials in Germany

United Kingdom4 sites
  • King's College London

    London

  • Manchester MND care centre

    Manchester

  • John Radcliffe Hospital

    Oxford

  • Sheffield Teaching Hospitals NHS Foundation Trust

    Sheffield

Other trials in United Kingdom

Poland3 sites
  • Centrum Medyczne Neuromed

    Bydgoszcz

  • Linden Medical Centre

    Krakow

  • City Clinic SP. z o. o.

    Warsaw

Other trials in Poland

Belgium1 site
  • University Hospitals Leuven

    Leuven

Other trials in Belgium

Ireland1 site
  • Trinity College Dublin/Beaumont Hospital

    Dublin

Other trials in Ireland

Netherlands1 site
  • UMC Utrecht

    Utrecht

Other trials in Netherlands

Portugal1 site
  • Centro Hospitalar Universitário Lisboa-Norte

    Lisbon

Other trials in Portugal

Sweden1 site
  • Karolinska Institutet

    Stockholm

Other trials in Sweden

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of FAB122 in Patients With Amyotrophic Lateral Sclerosis

Multicenter, multinational, double-blind, randomized (2:1), placebo-controlled Phase III study to investigate the efficacy and safety of 100 mg FAB122 once daily as oral formulation in ALS patients.

Being tested
FAB122, Placebo
Medical subject headings
Amyotrophic Lateral Sclerosis

What participants receive

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

  • FAB122Drug

    Daily dose 100 mg

  • PlaceboDrug

    Daily dose

Study groups in NCT05178810
Study groupRoleWhat they receive
FAB122ExperimentalNot described
Receives: Drug: FAB122
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (ALSFRS-R) Score After 48 Weeks.

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    Measured: 48 weeks

Secondary outcomes (18)
  1. Combined Assessment of Function and Survival (CAFS) at 48 and 72 Weeks.

    The CAFS (Combined assessment of function and survival) combined information on survival time and ALSFRS-R (ALS Functional Rating Scale-Revised) scores. For this endpoint, each subject's outcome was ranked: the worst subject outcomes received the lowest rank numbers such that a higher CAFS score indicates a better outcome.

    CAFS rankings are computed using:

    Survival data: Patients who die earlier are ranked lower than those who survive longer.

    ALSFRS-R scores: For patients with the same survival duration, ranks are determined by their functional decline (change in ALSFRS-R from baseline).

    For this study the range could go from 1 to 302. Better Outcome: Higher CAFS rank, indicating prolonged survival and/or less functional decline.

    Worse Outcome: Lower CAFS rank, indicating shorter survival and/or greater functional decline.

    Measured: 48 weeks and 72 weeks

  2. Survival Probability

    Results are based on the overall survival over 72 weeks of treatment, the result is the survival probability estimated over 72 weeks.

    Survival probability is calculated considering time to death, tracheostomy or initiation of non-invasive ventilation for more than 20 hours a day for more than 10 consecutive days, over 72 weeks.

    Measured: 72 weeks

  3. Change From Baseline in ALSFRS-R Score After 24 and 72* Weeks

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    Measured: 24 weeks, 72 weeks

  4. The Slope of the Decrease in ALSFRS-R Score Over Time at 24, 48 and 72* Weeks;

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    For this outcome, measures on the ALSFRS-R were used to determine the slope of the decrease.

    Measured: 24, 48, 72 weeks

  5. Change From Baseline in ALSFRS-R Score on Bulbar Function (Question 1-3 of the ALSFRS-R) After 24, 48 and 72* Weeks;

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    In this outcome, the Bulbar function (as part of ALSFRS-R) is evaluated, it is related to Speech, Salivation and Swallowing. The maximum score on Bulbar function is 12, and the minimum is 0. Higher score better outcome.

    Measured: 24, 48 and 72 weeks

  6. Change From Baseline ALS Functional Rating Scale - Revised Score - Fine Motor Function

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    In this outcome, the fine motor function (as part of ALSFRS-R) is evaluated, it is related to Handwriting, Eating and Cutting food, Dressing and hygiene. The maximum score on fine motor function is 12, and the minimum is 0. Higher score better outcome.

    Measured: 24, 48 and 72 weeks

  7. Change From Baseline ALS Functional Rating Scale - Revised Score - Gross Motor Function

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    In this outcome, the gross motor function (as part of ALSFRS-R) is evaluated, it is related to Climbing stairs, Walking, Rising from a chair. The maximum score on gross motor function is 12, and the minimum is 0. Higher score better outcome.

    Measured: 24, 48, 72 weeks

  8. Change From Baseline ALS Functional Rating Scale - Revised Score - Respiratory Function

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    In this outcome, the respiratory function (as part of ALSFRS-R) is evaluated, it is related to Dyspnea, Orthopnea, Breathing insufficiency. The maximum score on respiratory function is 12, and the minimum is 0. Higher score better outcome.

    Measured: 24, 48, 72 weeks

  9. Time to a 3, 6, 9 and 12 Points Change or Death From Baseline in ALSFRS-R Score Over 72* Weeks;

    Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), Maximum value is 48 points and represents better outcome. Minimum value is 0 and represents worse outcome.

    For this outcome, the time a 3, 6, 9 and 12 points change or death from baseline in ALSFRS-R.

    Measured: 72 weeks (+/-1 week visit window)

  10. Change in Clinical Staging (King's Staging System and MiToS) Over 72 Weeks

    The King's staging system is a simple clinical staging system, which defines 4 stages of ALS. The 1st 3 stages are defined by functional involvement of a region: bulbar, upper limbs, and lower limbs. The number of regions involved gives the stage. Stage 4 is reached if swallowing (4A) or respiratory (4B) difficulty is severe enough to require intervention.

    The outcome of this measure shows the number of patients which staging decline of 1 point or more or No decline.

    Measured: 72 weeks

  11. Overall Survival: Proportion of Subjects Alive (Survival Rate) After 24, 48 and 72* Weeks;

    Measured: 24, 48 and 72* weeks;

  12. Proportion of Subjects Alive and no Tracheostomy, or no Initiation of Non-invasive Ventilation for More Than 20 Hours a Day for More Than 10 Consecutive Days After 24, 48 and 72* Weeks

    Measured: 24, 48 and 72* weeks

  13. Change From Baseline in Slow Vital Capacity (SVC, Liters) at 24, 48 and 72* Weeks;

    Measured: 24, 48 and 72* weeks

  14. Change From Baseline in the Overall Mega Score for the Hand-held Dynamometer (HHD) at 24, 48 and 72* Weeks.

    HHD is a procedure for quantitative strength testing performed in the upper and lower extremities bilaterally. The overall mega score are derived as z-scores of average muscle HHD assessments, percent changes from Baseline are used to derive individual muscle scores.

    Muscle strength is expressed as the percent change from baseline: (post-baselinevalue-baselinevalue)/baselinevalue×100(post-baseline value - baseline value) / baseline value \times 100(post-baselinevalue-baselinevalue)/baselinevalue×100. If the baseline value is zero, the data is considered missing.

    The HDD mega-score averages strength across four muscle locations. It is calculated by averaging the non-missing transformed values. Maximum muscle strength is then standardized using a z-score, based on data from a healthy population.

    Z-score of 0 represents the healthy population mean. Negative z-score value means worse outcome.

    Measured: 24, 48 and 72* weeks

  15. Change From Baseline in the Total Score on the ALS Assessment Questionnaire-40-Item (ALSAQ-40) Form at 24, 48 and 72* Weeks;

    ALS Assessment Questionnaire-40-Item. The ALSAQ-40 is specifically used to measure the subjective wellbeing of patients with ALS. There are 40 items/questions in the long form, the ALSAQ-40, with 5 discrete scales: physical mobility (10 items), activities of daily living and independence (10 items), eating and drinking (3 items), communication (7 items), and emotional reactions (10 items). Range is from 0 to 100 scale, where 0 indicates the best quality of life and 100 the worst.

    Measured: 24, 48 and 72* weeks

  16. Change From Baseline in EuroQoL - 5 Dimensions-5 Levels (EQ-5D-5L) Questionnaire Score 24, 48 and 72* Weeks.

    European Quality of Life 5 levels and 5 dimensions is a generic questionnaire of health-related quality of life.

    5 Domains: Mobility, Self-care, Usual activities, Pain/Discomfort and Anxiety/Depression.

    Scale range is from 0 to 100, being 0 the worst and 100 the best.

    Measured: 24, 48 and 72* weeks

  17. Change From Baseline in Visual Analogue Scale (VAS) Score at 24, 48 and 72* Weeks.

    The Health-Related Quality of Life (HR-QoL) is a questionnaire using a Visual Analog Scale (VAS) ranging from 0 (bad) to 100 (very good).

    Measured: 24, 48 and 72* weeks

  18. Proportion of Subjects With a Change of ≥8, ≥4, and ≥9 for ALS Specific, ALS Non-Specific, and ECAS (Edinburgh Cognitive and Behavioural ALS Screen) Total Score;

    The ECAS (Edinburgh Cognitive and behavioural ALS Screen) is a brief multidomain assessment originally designed for people with ALS.

    Total Score Range: 0 to 136 points. Higher scores indicate better cognitive function.

    For ALS-Specific (Assesses cognitive domains most often affected in ALS) Score Range: 0 to 100 points. Higher scores indicate better cognitive function.

    And ALS Non-Specific (Evaluates broader cognitive abilities unrelated to ALS pathology) Score Range: 0 to 36 points. Higher scores indicate better cognitive function.

    Measured: 72 weeks

Timeline

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

  1. First posted5 Jan 2022
  2. Study start18 Oct 2021
  3. Primary completion26 Oct 2023
  4. Study completion26 Oct 2023

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
313 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05178810
Sponsor's protocol ID
FAB122-CT-2001
Acronym
ADORE
Status last verified
Mar 2025
First submitted
16 Dec 2021
Last updated
18 Mar 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • van Wijk IF, Kraneburg L, van Eijk RPA, Veldink JH, van Es MA, Westeneng HJ, van den Berg LH. Prodromal symptoms in amyotrophic lateral sclerosis from the perspective of the patient and of the caregiver. Amyotroph Lateral Scler Frontotemporal Degener. 2026 May;27(3-4):263-273. doi: 10.1080/21678421.2025.2574687. Epub 2025 Oct 25.

    PubMed 41137739

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing FAB122 in people with Amyotrophic Lateral Sclerosis, run by Ferrer Internacional S.A. at 38 sites in 11 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: finished, as of the sponsor's last update on 18 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in Spain, France, Italy, Germany, United Kingdom and 6 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised (ALSFRS-R) Score After 48 Weeks. (time frame: 48 weeks). 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 NCT05178810, which also lists 1 linked publication.

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 18 Mar 2025; AzTrials last refreshed its copy on 8 Nov 2026.

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