Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT07017946

Intestinal Microbiome Transplant in ALS

Led by Duke University · Updated on 2026-04-13

20

Participants Needed

1

Research Sites

39 weeks

Total Duration

On this page

Sponsors

D

Duke University

Lead Sponsor

U

University of Minnesota

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a 24-week study of intestinal microbiome transplant in people with ALS. All participants will be evaluated clinically in person for 4 visits. Blood and mailed/ fresh stool samples will also be collected. Blood samples will be used to determine changes in neurofilament light chain over time. Stool samples will be processed for microbiome analysis. Participants will have phone visits to further evaluate safety and tolerability. They will then undergo antibiotic conditioning and a standard bowel preparation before being assigned to the investigational product, MTP-101C .

CONDITIONS

Official Title

Intestinal Microbiome Transplant in ALS

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of ALS according to Gold Coast Criteria
  • Age 18 years or older at enrollment
  • Fast-progressing ALS (ALSFRS-R decline of at least 1.5 points per month at screening)
  • ALSFRS-R score of 24 or higher at screening
  • Able to swallow capsules (ALSFRS-R swallowing score of 3 or 4)
  • Expected to survive for the duration of the trial
  • Stable use of riluzole, edaravone, and/or tofersen for 30 days prior or not using any during study
  • Capable of giving written consent
  • If sexually active, agree to use contraception or abstinence during treatment
  • Females of child-bearing age must have a negative pregnancy test at screening
Not Eligible

You will not qualify if you...

  • Illness or lab abnormalities that could affect ALS progression measurement or study participation
  • Use of probiotics, nutraceuticals, or herbal remedies within 2 weeks prior to screening
  • Antibiotic use within 3 months prior to screening
  • Use of investigational drugs within 30 days or five half-lives prior to screening
  • Previous exposure to microbiome transplant therapy
  • Pregnancy
  • Known food allergy causing anaphylaxis
  • Other co-morbid conditions increasing risk or interfering with study participation or objectives

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

Duke University Medical Center

Durham, North Carolina, United States, 27705

Actively Recruiting

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Research Team

R

Richard Bedlack, MD, PhD

CONTACT

M

Michelle Ward, RN

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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