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Trial · NCT02238626

Ibudilast (MN-166) in Subjects With Amyotrophic Lateral Sclerosis (ALS)

NCT02238626, Phase 2, Completed, MediciNova; results first posted 2021-11-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Ibudilast (MN-166) in Subjects With Amyotrophic Lateral Sclerosis (ALS). Trials, record NCT02238626. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02238626

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Trial

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

Title
Ibudilast (MN-166) in Subjects With Amyotrophic Lateral Sclerosis (ALS)
NCT number
NCT02238626
Status
Completed
Phases
Phase 2
Enrollment
70 participants, actual
Lead sponsor
MediciNova
Conditions
Amyotrophic Lateral Sclerosis
Interventions
Placebo (for MN-166), MN-166, riluzole
First posted
2014-09-12
Last updated
2021-11-05
Results first posted
2021-11-05

Source ClinicalTrials.gov

Registered outcomes7

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

ListOutcomeTime frameDescription
PrimarySafety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALS6 months
Safety will be assessed by monitoring and recording all treatment-emergent adverse events (TEAEs) including serious adverse events (SAEs) and discontinuations due to TEAEs and Additional assessments will include regular monitoring of hematology, blood chemistry, and urine values, regular measurement of vital signs, ECGs, medical history, physical and neurological examinations.
SecondaryMean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 66 months
Functional activity as assessed by the Amyotrophic Lateral Sclerosis Functional Rating Scale-revised from baseline visit to Month 6. The best possible score is 48; the worst possible score is 0. Typically, ALS scores decline. In this outcome, the change in score will be a negative value, e.g., -4, -8, etc. The higher negative value indicates greater decline in functional activity (change in score -8 is worse than change in score -4).
SecondaryRespiratory Function6 months
Change in respiratory function (breathing capacity) from baseline to Month 6, as measured by slow vital capacity, in which the patient breathes into a spirometer slowly until the lungs are cleared of air. SVC is measured in liters (L). The greater the mean change from baseline to 6 months, the worse the outcome. For example, -10 is worse than -6.
SecondaryMuscle Strength6 months
Muscle strength measured by manual muscle testing (MMT) and instrumented hand-held dynamometry. Maximum muscle strength is assessed by measuring the best of 2 handgrips represented as kilograms (kg). The greater the change from baseline to month 6, the worse off the subject is. For example, a change of -0.50 is worse than -0.40.
SecondaryUse of Non-invasive Ventilation6 months
Non-invasive ventilation (NIV) utilization measured by clinically indicated prescription for NIV intervention and time to clinically indicated prescription for NIV intervention in each group (for early ALS subjects only). This is intended to count the number of subjects who had to go on non-invasive ventilation, as prescribed by the Principal Investigator, during study participation.
SecondaryThe Mean Change in Baseline to Month 6 in Quality of Life as Measured by the Amyotrophic Lateral Sclerosis Assessment Questionnaire - 56 months
A patient self-reported questionnaire specifically designed to measure 5 areas of health: physical mobility, activities of daily living and independence, eating and drinking, communication, and emotional functioning. The ALSAQ-5 is brief and easy to complete questionnaire and has undergone rigorous testing for validity, reliability, and sensitivity to change and has been shown to be a robust tool for assessing ALS. The lowest possible score is 0 and the highest possible score is 20. The greater the mean decrease from baseline to Month 6, the group was considered worse off. For example, -2 is worse than -1. The greater the mean increase from baseline to Month 6, the group was considered improved. For example, 2 is better than 1.
SecondaryClinical Global Impression of Change (CGIC)6 months
A scale used to provide a global rating of illness severity, improvement, and response to treatment. It is a 3-item observer rating scale and uses a 7-point rating scale. The scale was rated relative to the previous standard of care visit prior to randomization for entry, i.e., -3 much much much worse, -2 much much worse, - 1 much worse, 0 no change, +1 much better, +2 much much better, +3 much, much, much better. Ratings were provided by the Investigator. The greater the mean decrease from baseline to Month 6, the group was considered worse off. For example, -2 is worse than -1. The greater the mean increase from baseline to Month 6, the group was considered improved. For example, 2 is better than 1.

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSafety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALS6 monthsSafety analysis population included all randomized subjects who received at least one dose of study drug and had at least one post-dose safety assessment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 66 monthsSafety Populationscore on a scaleMEAN
SECONDARYRespiratory Function6 monthsSubjects who completed Month 6 (double-blind treatment phase)LitersMEAN
SECONDARYMuscle Strength6 monthsSubjects who completed Month 6 (double-blind treatment phase)weight (kg)MEAN
SECONDARYUse of Non-invasive Ventilation6 monthsFull Analysis SetParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYThe Mean Change in Baseline to Month 6 in Quality of Life as Measured by the Amyotrophic Lateral Sclerosis Assessment Questionnaire - 56 monthsFull analysis setscore on a scaleMEAN
SECONDARYClinical Global Impression of Change (CGIC)6 monthsFull analysis setscore on a scaleMEAN

Results by group26

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

OutcomeGroupCategoryValueSpreadUnits
Safety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALSPlacebo (for MN-166) (Early ALS Cohort)17Participants
Safety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALSMN-16634Participants
Safety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALSPlacebo (for MN-166) (Advanced ALS Cohort)8Participants
Safety and Tolerability of MN-166 60 mg/d Versus Placebo When Administered With Riluzole in Subjects With ALSMN-166 (Advanced ALS Cohort)11Participants
Mean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 6Placebo (for MN-166) (Early ALS Cohort)-3.8Standard Deviation 3.91score on a scale
Mean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 6MN-166 (Early ALS Cohort)-4.5Standard Deviation 5.1score on a scale
Mean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 6Placebo (for MN-166) (Advanced ALS Cohort)-2.2Standard Deviation 2.56score on a scale
Mean Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised Total Score From Baseline to Month 6MN-166 (Advanced ALS Cohort)-4.8Standard Deviation 4.92score on a scale
Respiratory FunctionPlacebo (for MN-166) Early ALS Cohort-6.1Standard Deviation 9.33Liters
Respiratory FunctionMN-166 (Early ALS Cohort)-10.1Standard Deviation 9.89Liters

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo (for MN-166) (Early ALS Cohort)17
Overall StudySTARTEDMN-166 (Early ALS Cohort)34
Overall StudySTARTEDPlacebo (Advanced ALS Cohort)8
Overall StudySTARTEDMN-166 (Advanced ALS Cohort)11
Overall StudyCOMPLETEDPlacebo (for MN-166) (Early ALS Cohort)12
Overall StudyCOMPLETEDMN-166 (Early ALS Cohort)20
Overall StudyCOMPLETEDPlacebo (Advanced ALS Cohort)5
Overall StudyCOMPLETEDMN-166 (Advanced ALS Cohort)4
Overall StudyNOT COMPLETEDPlacebo (for MN-166) (Early ALS Cohort)5
Overall StudyNOT COMPLETEDMN-166 (Early ALS Cohort)14

Adverse events124

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

TypeEventOrgan systemGroupAffectedAt riskEvents
othermuscle weaknessMusculoskeletal and connective tissue disordersPlacebo (for MN-166) (Early ALS Cohort)9179
othermuscle weaknessMusculoskeletal and connective tissue disordersMN-166 (Early ALS Cohort)183418
othermuscle weaknessMusculoskeletal and connective tissue disordersPlacebo (for MN-166) (Advanced ALS Cohort)181
othermuscle weaknessMusculoskeletal and connective tissue disordersMN-166 (Advanced ALS Cohort)4114
otherFallInjury, poisoning and procedural complicationsPlacebo (for MN-166) (Early ALS Cohort)8178
otherFallInjury, poisoning and procedural complicationsMN-166 (Early ALS Cohort)143414
otherFallInjury, poisoning and procedural complicationsPlacebo (for MN-166) (Advanced ALS Cohort)181
otherFallInjury, poisoning and procedural complicationsMN-166 (Advanced ALS Cohort)5115
otherFatigueGeneral disordersPlacebo (for MN-166) (Early ALS Cohort)4174
otherFatigueGeneral disordersMN-166 (Early ALS Cohort)123412

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo (for MN-166) (Early ALS Cohort)017
Total, all-cause mortalityMN-166 (Early ALS Cohort)134
Total, all-cause mortalityPlacebo (for MN-166) (Advanced ALS Cohort)18
Total, all-cause mortalityMN-166 (Advanced ALS Cohort)111
Total, other adverse eventsPlacebo (for MN-166) (Early ALS Cohort)1717
Total, other adverse eventsMN-166 (Early ALS Cohort)3434
Total, other adverse eventsPlacebo (for MN-166) (Advanced ALS Cohort)88
Total, other adverse eventsMN-166 (Advanced ALS Cohort)1111
Total, serious adverse eventsPlacebo (for MN-166) (Early ALS Cohort)117
Total, serious adverse eventsMN-166 (Early ALS Cohort)534

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 comparisons1

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

Comparison
MN-166 (Early ALS Cohort) vs Placebo (for MN-166) (Early ALS Cohort): Use of Non-invasive Ventilation

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/NCT02238626

GET https://conductscience.org/api/trials/v1/NCT02238626/results?page=2