Actively Recruiting

Phase Not Applicable
Age: 18Years - 80Years
All Genders
NCT06649955

Controlling Amyotrophic Lateral Sclerosis Motor Neuron Excitability Study

Led by PathMaker Neurosystems Inc. · Updated on 2026-01-20

15

Participants Needed

1

Research Sites

89 weeks

Total Duration

On this page

Sponsors

P

PathMaker Neurosystems Inc.

Lead Sponsor

B

Beth Israel Deaconess Medical Center

Collaborating Sponsor

AI-Summary

What this Trial Is About

Following completion of the ALS Early Feasibility Study of the MyoRegulator® device for treatment of ALS (NCT06165172), the CALM study will further assess the feasibility of the MyoRegulator® device to treat ALS in an expanded number of individuals with ALS. CALM will gather additional preliminary evidence of clinical safety and potential effectiveness in this patient population with a longer follow-up period and additional secondary endpoints in a single-arm study prior to commencing a larger sham-controlled pivotal trial.

CONDITIONS

Official Title

Controlling Amyotrophic Lateral Sclerosis Motor Neuron Excitability Study

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 80 years inclusive
  • Diagnosed with sporadic or familial ALS as possible, probable, lab-supported probable, or definite ALS by revised El Escorial criteria
  • ALS symptom onset within 3 years or less
  • Slow Vital Capacity at least 50% of predicted at screening
  • Median CMAP at least 1.5 mV for TTNCS
  • Willing to avoid botulinum toxin, phenol or alcohol injections, intrathecal baclofen, digitalis, and morphine during the study
  • Willing to not participate in other ALS therapeutic trials or investigational products during the study
  • Women must be unable to become pregnant or use effective birth control during the study and for 3 months after
  • Stable dose of rilutek, edaravone, tofersen, or muscle spasm medications for at least 30 days prior to participation
  • ALS Functional Rating Score (ALSFRS-R) of 35 or higher
  • Able and willing to give informed consent
Not Eligible

You will not qualify if you...

  • Use of permanent assisted ventilation more than 22 hours a day for over 7 consecutive days
  • Diagnosis of ALS with only clinical bulbar involvement
  • Presence of implanted intrathecal pump
  • Botulinum toxin injections within 12 weeks before enrollment
  • Phenol or alcohol injections for spasticity within 6 months before enrollment
  • Damaged skin at stimulation sites
  • Presence of electrically, magnetically, or mechanically activated implants except loop recorders
  • Ferromagnetic metal in head, neck, or stimulation sites (except dental fillings); jewelry must be removed during stimulation
  • Seizures or unexplained loss of consciousness in past 12 months
  • Cardiac abnormalities that could worsen with electrical stimulation
  • History of spinal cord lesions or surgery interfering with procedure
  • History of brain lesions, stroke, or neurosurgery interfering with TMS as approved by study doctor
  • Any medical condition preventing participation in clinical outcome measures
  • Pregnant females as confirmed by pregnancy test at initial visit

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

Actively Recruiting

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Research Team

S

Seward Rutkove (Clinical Site PI), M.D.

CONTACT

N

Nader Yaghoubi (Study PI), M.D., Ph.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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