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Trial · NCT01709149

Study of Safety, Tolerability & Efficacy of CK-2017357 in Amyotrophic Lateral Sclerosis (ALS)

NCT01709149, Phase 2, Completed, Cytokinetics; results first posted 2020-03-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Safety, Tolerability & Efficacy of CK-2017357 in Amyotrophic Lateral Sclerosis (ALS). Trials, record NCT01709149. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01709149

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Safety, Tolerability & Efficacy of CK-2017357 in Amyotrophic Lateral Sclerosis (ALS)
NCT number
NCT01709149
Status
Completed
Phases
Phase 2
Enrollment
711 participants, actual
Lead sponsor
Cytokinetics
Conditions
Amyotrophic Lateral Sclerosis
Interventions
CK-2017357, Placebo tablets, Riluzole
First posted
2012-10-18
Last updated
2020-03-31
Results first posted
2020-03-31

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThe Change From Baseline in ALS Functional Rating Scale-Revised (ALSFRS-R) Total Score to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
The ALSFRS-R is used to measure the progression and severity of disease; it consists of 12 questions, assessing a patient's capability and independence in functional activities relevant to ALS, categorized in 4 domains: gross motor tasks, fine motor tasks, bulbar functions, and respiratory function. Each question is scored from 0 (indicating incapable or dependent) to 4 (normal). The total score ranges from 0 to 48, with higher scores reflecting more normal function and lower scores reflecting more impaired function.
SecondaryChange From Baseline in Maximum Voluntary Ventilation (MVV) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
MVV was measured as the volume (in liters) of air that could be exhaled during 12 seconds of rapid deep breathing; for analysis purposes, the measured volume was extrapolated to 1 minute (to give units of L/min).
SecondaryChange From Baseline in Sniff Nasal Inspiratory Pressure (SNIP) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
SNIP was measured at functional residual capacity, the bottom of the tidal breathing cycle, through 1 plugged nostril while the other remained open. Inspiratory pressure is a negative number where a larger negative number represents . . . A forceful, maximal inspiratory sniff was performed and a peak pressure value reported. The best result (ie, the highest number) from 5 tests was recorded as the SNIP.
SecondaryChange From Baseline in Slow Vital Capacity (SVC) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
SVC was measured using a spirometer (in units of liters). Following 3 to 5 breaths at rest, the patients were instructed to take as deep an inspiration as possible followed by a maximum exhalation (blowing out all the air in their lungs). Values obtained were converted to % predicted values (ie, the test result as a percent of predicted values for the patients of similar demographic and baseline characteristics \[eg, height, age, sex\]).
SecondaryChange From Baseline in Maximum Handgrip Strength in the Weaker Hand to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksMaximum handgrip strength was measured using an electronic hand dynamometer; patients were asked to squeeze the device with the maximum possible force.
SecondaryChange From Baseline in Handgrip Fatigability (at 60% of Target in the Weaker Hand) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
Handgrip fatigability was measured immediately following determination of maximum handgrip strength (via an electronic hand dynamometer). Once maximum handgrip strength was achieved, the force of the grip was timed for 2 minutes or until the grip strength had dropped to 60% of the maximum, whichever came first.
SecondaryChange From Baseline in Muscle Strength Mega-Score Based on Percent Change in Muscle Strength Measurements to the Average at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeks
A hand-held dynamometer (HHD), with a scale of 0 to 300 pounds, was used to measure muscle strength and handgrip strength (bilateral); the muscle groups tested were: elbow flexion (bilateral), wrist extension (bilateral), knee extension (bilateral), and ankle dorsiflexion (bilateral). For each assessment time point, the percent change from baseline was calculated for each muscle group and handgrip strength. The muscle strength mega-score was calculated as the average of the changes (ie, percent change from baseline) observed for each muscle groups as well as handgrip strength. For this endpoint, negative values indicate a decline in muscle strength.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYThe Change From Baseline in ALS Functional Rating Scale-Revised (ALSFRS-R) Total Score to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksModified Full Analysis Setunits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Maximum Voluntary Ventilation (MVV) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksModified Full Analysis SetL/minLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Sniff Nasal Inspiratory Pressure (SNIP) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksModified Full Analysis Setcm H2OLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Slow Vital Capacity (SVC) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksModified Full Analysis Set% predictedLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Maximum Handgrip Strength in the Weaker Hand to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weekspoundsLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Handgrip Fatigability (at 60% of Target in the Weaker Hand) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weeksModified Full Analysis SetsecondsLEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Muscle Strength Mega-Score Based on Percent Change in Muscle Strength Measurements to the Average at the End of Weeks 8 and 12 of Double-blind TreatmentBaseline, 8 weeks, 12 weekspercent changeLEAST_SQUARES_MEAN

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
The Change From Baseline in ALS Functional Rating Scale-Revised (ALSFRS-R) Total Score to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentPlacebo-2.40Standard Error 0.246units on a scale
The Change From Baseline in ALS Functional Rating Scale-Revised (ALSFRS-R) Total Score to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentTirasemtiv-2.98Standard Error 0.277units on a scale
Change From Baseline in Maximum Voluntary Ventilation (MVV) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentPlacebo-4.27Standard Error 1.332L/min
Change From Baseline in Maximum Voluntary Ventilation (MVV) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentTirasemtiv-3.79Standard Error 1.497L/min
Change From Baseline in Sniff Nasal Inspiratory Pressure (SNIP) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentPlacebo-0.89Standard Error 1.103cm H2O
Change From Baseline in Sniff Nasal Inspiratory Pressure (SNIP) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentTirasemtiv-4.29Standard Error 1.243cm H2O
Change From Baseline in Slow Vital Capacity (SVC) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentPlacebo-7.24Standard Error 0.691% predicted
Change From Baseline in Slow Vital Capacity (SVC) to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentTirasemtiv-2.98Standard Error 0.780% predicted
Change From Baseline in Maximum Handgrip Strength in the Weaker Hand to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentPlacebo-3.54Standard Error 0.640pounds
Change From Baseline in Maximum Handgrip Strength in the Weaker Hand to the Average of Values Obtained at the End of Weeks 8 and 12 of Double-blind TreatmentTirasemtiv-2.78Standard Error 0.714pounds

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Open-label Lead-in PhaseSTARTEDOpen-label lead-in Treatment: Tirasemtiv711
Open-label Lead-in PhaseSTARTEDDouble-blind Treatment: Placebo0
Open-label Lead-in PhaseSTARTEDDouble-blind Treatment: Tirasemtiv0
Open-label Lead-in PhaseCOMPLETEDOpen-label lead-in Treatment: Tirasemtiv596
Open-label Lead-in PhaseCOMPLETEDDouble-blind Treatment: Placebo0
Open-label Lead-in PhaseCOMPLETEDDouble-blind Treatment: Tirasemtiv0
Open-label Lead-in PhaseNOT COMPLETEDOpen-label lead-in Treatment: Tirasemtiv115
Open-label Lead-in PhaseNOT COMPLETEDDouble-blind Treatment: Placebo0
Open-label Lead-in PhaseNOT COMPLETEDDouble-blind Treatment: Tirasemtiv0
Double-blind, Placebo-controlled PhaseSTARTEDOpen-label lead-in Treatment: Tirasemtiv0

Adverse events219

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDizzinessNervous system disordersOpen-label lead-in Treatment: Tirasemtiv291711
otherDizzinessNervous system disordersDouble-blind Treatment: Placebo58295
otherDizzinessNervous system disordersDouble-blind Treatment: Tirasemtiv153301
otherFatigueGeneral disordersOpen-label lead-in Treatment: Tirasemtiv111711
otherFatigueGeneral disordersDouble-blind Treatment: Placebo42295
otherFatigueGeneral disordersDouble-blind Treatment: Tirasemtiv100301
otherNauseaGastrointestinal disordersOpen-label lead-in Treatment: Tirasemtiv77711
otherNauseaGastrointestinal disordersDouble-blind Treatment: Placebo23295
otherNauseaGastrointestinal disordersDouble-blind Treatment: Tirasemtiv66301
otherHeadacheNervous system disordersOpen-label lead-in Treatment: Tirasemtiv30711

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOpen-label lead-in Treatment: Tirasemtiv2711
Total, all-cause mortalityDouble-blind Treatment: Placebo3295
Total, all-cause mortalityDouble-blind Treatment: Tirasemtiv2301
Total, other adverse eventsOpen-label lead-in Treatment: Tirasemtiv525711
Total, other adverse eventsDouble-blind Treatment: Placebo258295
Total, other adverse eventsDouble-blind Treatment: Tirasemtiv291301
Total, serious adverse eventsOpen-label lead-in Treatment: Tirasemtiv13711
Total, serious adverse eventsDouble-blind Treatment: Placebo16295
Total, serious adverse eventsDouble-blind Treatment: Tirasemtiv27301

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01709149

GET https://conductscience.org/api/trials/v1/NCT01709149/events?page=2