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Trial · NCT06429059

ROAR-DIGAP: A Widely Inclusive, Largely Virtual Pilot Trial Utilizing DIGAP (Deep Integrated Genomics Analysis Platform) To Personalize Treatments

NCT06429059, Phase 2, Completed, Duke University

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. ROAR-DIGAP: A Widely Inclusive, Largely Virtual Pilot Trial Utilizing DIGAP (Deep Integrated Genomics Analysis Platform) To Personalize Treatments. Trials, record NCT06429059. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT06429059

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Trial

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

Title
ROAR-DIGAP: A Widely Inclusive, Largely Virtual Pilot Trial Utilizing DIGAP (Deep Integrated Genomics Analysis Platform) To Personalize Treatments
NCT number
NCT06429059
Status
Completed
Phases
Phase 2
Enrollment
50 participants, actual
Lead sponsor
Duke University
Conditions
Amyotrophic Lateral Sclerosis ALS
Interventions
Astaxanthin, Protandim, Melatonin, MitoQ
First posted
2024-05-24
Last updated
2026-10-27

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryALS Functional Rating Scale, Revised (ALSFRS-R)Baseline, month 3, month 5, and month 9
A quickly administered (five minute) ordinal rating scale (ratings 0-4) used to determine patients' assessments of their capability and independence in 12 functional activities. The total score ranges from 0 (maximum disability) to 48 (normal function). A higher score indicates greater function.
SecondaryNeurofilament Light Chain LevelsBaseline, month 3, month 5 (2 months into treatment) and month 9 (6 months into treatment)
Neurofilament light chain levels are elevated in the spinal fluid and the blood of patients with ALS and other neurodegenerative diseases, and higher levels predict more severe disease progression. These levels rise dramatically when asymptomatic carriers of ALS-causing genetic mutations begin to convert to an ALS phenotype.
SecondaryNeuroinflammation Measured by C-reactive Protein (CRP)Baseline, 3 months, 5 months and 9 monthsUsed to measure neuroinflammation. CRPs are known to be abnormal in patients with ALS, their levels correlate with disease progression and they can be altered by drugs in trials.
SecondaryNeuroinflammation Measured by Monocyte Chemoattractant Protein-1 (MCP-1), Also Known as CCL2Baseline, 3 months, 5 months and 9 monthsUsed to measure neuroinflammation. CCL2s are known to be abnormal in patients with ALS, their levels correlate with disease progression and they can be altered by drugs in trials.
SecondaryOxidative Stress Measured by Total Antioxidant Capacity (TAC)Baseline, 3 months, 5 months, and 9 monthsUsed to measure oxidative stress.
SecondaryOxidative Stress Measured by Uric Acid Levels.Baseline, 3 months, 5 months, and 9 monthsUric acid is an antioxidant and levels of uric acid have been reported to be lower in ALS subjects and correlated with progression. It has also been shown to be responsive to treatments in trials
SecondaryMitochondrial Dysfunction Measured by LactateBaseline, 3 months, 5 months, and 9 months
Compromised mitochondrial oxidative phosphorylation shifts the cellular bioenergetic system to anaerobic respiration and increases the level of lactate. Lactate has been used as a biomarker for mitochondrial disease in many previous studies.
OtherImpaired Autophagy Measured by Beclin-1Baseline, 3 months, 5 months, and 9 months
To measure impaired autophagy, we will use Beclin-1. This highly conserved eukaryotic protein has a major regulatory role in autophagy. It is a component of the phosphatidylinositol-3-kinase (PI3K) complex which mediates vesicle-trafficking thereby inducing autophagy. Beclin-1 dysfunction has been implicated in many disorders, including cancer and neurodegenerative diseases.
OtherNeuroinflammation Measured by Chitotriosidase (CHIT1)Baseline, 3 months, 5 months and 9 monthsUsed to measure neuroinflammation. CHIT1 is known to be abnormal in patients with ALS, its levels correlate with disease progression and they can be altered by drugs in trials.

Outcomes0

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

None in this release.

Results by group0

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

None in this release.

Participant flow0

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

None in this release.

Adverse events0

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

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

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/NCT06429059

GET https://conductscience.org/api/trials/v1/NCT06429059/registered