NeuroSense Gets FDA Agreement for ALS Study
NeuroSense Therapeutics says it will begin a Phase 3 study by mid-2025 of PrimeC (ciprofloxacin and celecoxib) for treating amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig’s disease). The decision to proceed to a Phase 3 study is based on positive data from a Phase 2b study and feedback from FDA on the study’s design, including efficacy and safety measurements, according to the company.
Because PrimeC is an extended-release oral formulation of a unique fixed-dose combination of two FDA-approved drugs, the company says it will eventually seek approval under the 505(b)(2) NDA pathway. “PrimeC is designed to synergistically target several key mechanisms of ALS that contribute to motor neuron degeneration, inflammation, iron accumulation and impaired ribonucleic acid (RNA) regulation to potentially inhibit the progression of ALS,” it says.
The company notes that its recently completed Phase 2a clinical trial met its safety and efficacy endpoints, including reducing functional and respiratory deterioration and statistically significant changes in ALS-related biological markers indicating PrimeC's biological activity.
NeuroSense plans to submit a final protocol to FDA early next year. It will enroll about 300 patients that will be divided by a 2:1 PrimeC to placebo ratio, the company says. Following 12 months of treatment, it is expected that all participants will transition to PrimeC for a 12-month open label extension.