Adaptive Platform Trials to Transform Amyotrophic Lateral Sclerosis Therapy Development.

Document Type

Article

Abstract

Current therapeutic development in amyotrophic lateral sclerosis (ALS) relies on individual randomized clinical trials to test a specific investigational product in a single patient population. This approach has intrinsic limitations, including cost, time, and lack of flexibility. Adaptive platform trials represent a novel approach to investigate several interventions for a single disease in a continuous manner. Already in use in oncology, this approach is now being employed more often in neurology. Here, we describe a newly launched platform trial for ALS. The Healey ALS Platform Trial is testing multiple investigational products concurrently in people with ALS, with the goal of rapidly identifying novel treatments, biomarkers, and trial endpoints. ANN NEUROL 2022;91:165-175.

Medical Subject Headings

Amyotrophic Lateral Sclerosis; Animals; Biomarkers; Clinical Trials as Topic; Endpoint Determination; Humans; Research Design

Publication Date

2-1-2022

Publication Title

Annals of neurology

ISSN

1531-8249

Volume

91

Issue

2

First Page

165

Last Page

175

PubMed ID

34935174

Digital Object Identifier (DOI)

10.1002/ana.26285

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