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OpenTrials
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NCT Number: NCT06493279

Evaluate the Safety and Efficacy of Intrathecal Injection of RJK002 in Patients With Amyotrophic Lateral Sclerosis

The goal of the study aims to evaluate the safety and tolerability of a single intrathecal injection of RJK002 in subjects with amyotrophic lateral sclerosis (ALS), and to determine the recommended Phase II dose (RP2D).

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This study is active but is not currently recruiting participants.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Main Inclusion Criteria:

  • Female or male subjects who are ≥ 18 years of age at screening;
  • Patients with a diagnosis consistent with clinically or laboratory-supported possible, probable, or definite sporadic or familial ALSALS in accordance with Revised EI Escorial diagnostic criteria published by the World Federation of Neurology (WFN);
  • The duration of the disease from the first symptom (any ALS symptom) prior to the screening visit must be less than 2 years (inclusive);
  • The Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) score ≥30 during the screening period, and the three respiratory scores (dyspnea, upright respiration, and respiratory insufficiency) must be ≥3;
  • The forced vital capacity (FVC) of predicted during the screening period is ≥70% at screening;
  • Body mass index (BMI) greater than 18 kg/m2 at screening;

Main Exclusion Criteria:

  • Subjects with other neurological diseases similar to ALS that affect the evaluation of drug efficacy, such as cervical spondylotic myelopathy, syringomyelia, spinal cord and brain stem tumors, hirayama disease, multifocal motor neuropathy, multiple sclerosis, Guillain-Barre syndrome, Parkinson's disease and dementia;
  • Patients with a diagnosis consistent with clinically or laboratory-supported possible, probable, or definite sporadic or familial ALSALS in accordance with Revised EI Escorial diagnostic criteria published by the World Federation of Neurology (WFN);
  • Subjects who refuse to take food and medication by nasal feeding tube during the study period due to swallowing dysfunction;

Treatment and study plan

RJK002 Intrathecal injection

Drug

Eligible subjects will receive a single intrathecal administration of investigational product with dose 3E13vg (3ml), 6E13vg(6ml), and 1.2E14 vg(12ml) per person sequentially.

Primary outcomes

  1. incidence of adverse events (AEs)/serious adverse events (SAEs)

    Time frame: Each visit within 5 years after administration

  2. Dose limiting toxicities (DLT)

    Time frame: 28 days after administration

    Measured as any drug-related serious adverse event that meet DLT standard. If a dose has less than 33% DLTs it will be considered tolerable.

Secondary outcomes

  1. Change in the ALS Functional Rating Scale-revised (ALSFRSr) Score

    Time frame: 28 days, 56 days, 84 days, 6 months, 12months, 18 months after administration

    The ALSFRSr, a questionnaire-based scale assessing daily living function ranging from 48 (best score) to 0 (worst), was administered to the patient, or to a proxy if the patient could not communicate effectively. Decline was defined as ALSFRSr at baseline minus ALSFRSr at month 9. A positive value indicates worsening.

Other outcomes

  1. change of concentration of neurofilament light chain (NFL) in blood and CSF

    Time frame: 84 days, 6 months, 12months, 18 months after administration

Sponsors and collaborators

Lead sponsor

RJK Biopharma Ltd

Industry

Collaborators

  • Peking University Third Hospital

Registry information

Official study title

A Single-arm, Open-label, Phase I Clinical Study to Evaluate the Safety and Efficacy of a Single Intrathecal Injection of RJK002 in Patients With Amyotrophic Lateral Sclerosis (ALS)

Important dates

Study start
2024
Primary completion
2026
Study completion
2030
First posted
Jul 9, 2024
Registry last updated
Nov 20, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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