Amylyx Clinical Hold Lifted on ALS Drug

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FDA has lifted a clinical hold on an Amylyx Pharmaceuticals Phase 1 clinical trial of AMX0114, an investigational antisense oligonucleotide targeting calpain-2 for treating amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease). The company plans to initiate the Phase 1 LUMINA clinical trial in Canada early this year. LUMINA is described as a multicenter, randomized, placebo-controlled, multiple ascending dose trial evaluating the safety and biological activity of AMX0114 in 48 patients.

Last year, FDA issued the hold after the company submitted an IND and the agency requested additional information and restricted dosing to an amount that is lower than the company’s proposed starting dose of 12.5 mg. “Toxicology data from studies showed a greater than 10X safety margin at the starting dose of 12.5 mg based on the no observed adverse effect level (NOAEL) determined by independent toxicology firms,” Amylyx says.

LUMINA will also assess ALS biomarkers, the company says, including change from baseline in neurofilament light (NfL) levels. “Based on several preclinical efficacy studies and what is known about the central role of calpain-2 in the process of axonal degeneration, we believe AMX0114 has the potential to be a treatment for ALS and other diseases,” it says.

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