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Trial · NCT04615923

HEALEY ALS Platform Trial - Regimen D Pridopidine

NCT04615923, Phase 2, Phase 3, Completed, Merit E. Cudkowicz, MD; results first posted 2023-08-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. HEALEY ALS Platform Trial - Regimen D Pridopidine. Trials, record NCT04615923. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04615923

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Trial

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

Title
HEALEY ALS Platform Trial - Regimen D Pridopidine
NCT number
NCT04615923
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
163 participants, actual
Lead sponsor
Merit E. Cudkowicz, MD
Conditions
Amyotrophic Lateral Sclerosis
Interventions
Pridopidine, Matching Placebo
First posted
2020-11-04
Last updated
2023-08-23
Results first posted
2023-08-23

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryDisease Progression as Assessed by the ALSFRS-R Total ScoreBaseline to 24 Weeks
Change in disease severity over time as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R). Each type of function is scored from 4 (normal) to 0 (no ability), with a maximum total score of 48 and a minimum total score of 0. Patients with higher scores have more physical function.
PrimaryMortality Event RateBaseline to 24 Weeks
Mortality is defined as death or death equivalent. A participant is determined to meet the criteria of death equivalent if permanent assisted ventilation (PAV) is used for more than 22 hours per day for more than seven days in a row. The rate of mortality was estimated from a Bayesian shared-parametric model that assumed exponentially distributed survival times.
SecondaryChange in Bulbar Function in Participants With Bulbar Dysfunction at BaselineBaseline to 24 Weeks
Change in bulbar function over time in participants with bulbar dysfunction at baseline as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) bulbar subdomain. Each question is scored from 4 (normal) to 0 (no ability), with a maximum total score of 12 and a minimum total score of 0 for the bulbar subdomain. Patients with higher scores have more bulbar function. Participants were classified as having bulbar dysfunction at baseline if their score on the ALSFRS-R bulbar domain (Q1-Q3) score was less than 12.
SecondaryBulbar Function in All Randomized ParticipantsBaseline to 24 Weeks
Change in bulbar function over time in all randomized participants as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) bulbar subdomain. Each question is scored from 4 (normal) to 0 (no ability), with a maximum total score of 12 and a minimum total score of 0 for the bulbar subdomain. Patients with higher scores have more bulbar function.
SecondaryRespiratory FunctionBaseline to 24 WeeksChange in respiratory function over time as measured by Slow Vital Capacity (SVC).
SecondaryBulbar Function in Participants With Rapid Pre-baseline ProgressionBaseline to 24 Weeks
Change in bulbar function over time in participants with rapid pre-baseline progression as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) bulbar subdomain. Each question is scored from 4 (normal) to 0 (no ability), with a maximum total score of 12 and a minimum total score of 0 for the bulbar subdomain. Patients with higher scores have more bulbar function. Participants were classified with rapid pre-baseline progression if their change in ALSFRS-R total score between Master Protocol Screening and Regimen Baseline was greater than or equal or 0.75 points per month.
SecondaryTime to Bulbar DeclineBaseline to 24 Weeks
Time to first decline of 1-point or greater post baseline in the ALSFRS-R bulbar domain score among all participants. Analysis performed using interval-censored survival analysis. Results presented as median interval (upper \& lower bounded) time to event.
SecondaryMuscle StrengthBaseline to 24 WeeksChange in muscle strength over time as measured isometrically using hand-held dynamometry (HHD).
SecondaryNumber of Participants That Experienced Death or Death EquivalentBaseline to 24 Weeks
The number of participants who died or met the criterion for a death equivalent from the date of their baseline visit to the end of the Week 24visit window (generally 175 days after baseline). The death equivalent criterion is use of permanent assisted ventilation (PAV) for more than 22 hours per day for more than 7 days in a row.

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDisease Progression as Assessed by the ALSFRS-R Total ScoreBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
points per monthMEAN
PRIMARYMortality Event RateBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
events per monthMEAN
SECONDARYChange in Bulbar Function in Participants With Bulbar Dysfunction at BaselineBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
point change from baselineLEAST_SQUARES_MEAN
SECONDARYBulbar Function in All Randomized ParticipantsBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
point change from baselineLEAST_SQUARES_MEAN
SECONDARYRespiratory FunctionBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
percent changeLEAST_SQUARES_MEAN
SECONDARYBulbar Function in Participants With Rapid Pre-baseline ProgressionBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
points change from baselineLEAST_SQUARES_MEAN
SECONDARYTime to Bulbar DeclineBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
daysMEDIAN
SECONDARYMuscle StrengthBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
percent changeLEAST_SQUARES_MEAN
SECONDARYNumber of Participants That Experienced Death or Death EquivalentBaseline to 24 Weeks
Outcome measure data was analyzed using the Full Analysis Set, which included shared placebo from other regimens, as pre-specified in the Regimen Statistical Analysis Plan. Regimen A (NCT04436497), Regimen B (NCT04436510) and Regimen C (NCT04414345) contributed placebo participants into the shared placebo cohort used for analysis.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

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

OutcomeGroupCategoryValueSpreadUnits
Disease Progression as Assessed by the ALSFRS-R Total ScorePridopidine-0.99Standard Deviation 0.077points per month
Disease Progression as Assessed by the ALSFRS-R Total ScoreMatching Placebo-1.00Standard Deviation 0.070points per month
Mortality Event RatePridopidine0.012Standard Deviation 0.0029events per month
Mortality Event RateMatching Placebo0.012Standard Deviation 0.0029events per month
Change in Bulbar Function in Participants With Bulbar Dysfunction at BaselinePridopidine-1.78Standard Error 0.261point change from baseline
Change in Bulbar Function in Participants With Bulbar Dysfunction at BaselineMatching Placebo-1.69Standard Error 0.210point change from baseline
Bulbar Function in All Randomized ParticipantsPridopidine-1.16Standard Error 0.169point change from baseline
Bulbar Function in All Randomized ParticipantsMatching Placebo-1.25Standard Error 0.141point change from baseline
Respiratory FunctionPridopidine-8.81Standard Error 1.351percent change
Respiratory FunctionMatching Placebo-8.35Standard Error 1.132percent change

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPridopidine120
Overall StudySTARTEDMatching Placebo42
Overall StudyCOMPLETEDPridopidine96
Overall StudyCOMPLETEDMatching Placebo38
Overall StudyNOT COMPLETEDPridopidine24
Overall StudyNOT COMPLETEDMatching Placebo4

Adverse events90

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherMuscular weaknessNervous system disordersPridopidine2912133
otherMuscular weaknessNervous system disordersMatching Placebo134121
otherNeuromyopathyNervous system disordersPridopidine2412137
otherNeuromyopathyNervous system disordersMatching Placebo3413
otherDysarthriaNervous system disordersPridopidine1012110
otherDysarthriaNervous system disordersMatching Placebo4415
otherDizzinessNervous system disordersPridopidine912110
otherDizzinessNervous system disordersMatching Placebo4415
otherHeadacheNervous system disordersPridopidine61217
otherHeadacheNervous system disordersMatching Placebo1411

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPridopidine2120
Total, all-cause mortalityMatching Placebo042
Total, other adverse eventsPridopidine106121
Total, other adverse eventsMatching Placebo3741
Total, serious adverse eventsPridopidine16121
Total, serious adverse eventsMatching Placebo341

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
40067755DERIVEDPubMed
41406304DERIVEDPubMed

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 comparisons3

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

ComparisonSource
Pridopidine vs Matching Placebo: deaths from any causeTrial comparisons
Pridopidine vs Matching Placebo: Number of Participants That Experienced Death or Death EquivalentTrial comparisons
Pridopidine vs Matching Placebo: serious adverse eventsTrial comparisons

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/NCT04615923

GET https://conductscience.org/api/trials/v1/NCT04615923/events?page=2