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Study identifier: NCT06126315 Synced from ClinicalTrials.gov · August 07, 2026
● Study status: Recruiting

Trial on the Biological and Clinical Effects of Acetyl-L-carnitine in ALS

Condition: Amyotrophic Lateral Sclerosis  ·  Sponsor: Mario Negri Institute for Pharmacological Research

PhasePhase 2/Phase 3
Planned participants246
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

Sponsor, CRO or site team? See where this study is running → — listed sites, countries and recruiting context. Everything below is written for patients and caregivers.

About this study

Phase II/III multicenter, randomized, double-blind, placebo-controlled trial on acetyl-L-carnitine (ALCAR) in subjects living with amyotrophic lateral sclerosis (ALS). Primary study aim: The clinical objective consists of assessing the efficacy of ALCAR (two different dosages will be tested: 1.5g/day and 3g/day) on the progression of functional disability (loss of self-sufficiency), as measured by the ALSFRS-R scale. Secondary study aims: 1. The effect of ALCAR treatment on different clinical aspects: functional decline as measured by ALSFRS-R total score; the decline of forced vital capacity (FVC); quality of life as measured by ALSAQ-40 scale; cognitive function as measured by Edinburgh Cognitive and Behavioural ALS Screen (ECAS) scale; survival (being alive and without tracheostomy). 2. To measure the effects of ALCAR treatment on disease biomarkers potentially involved in the drug's mechanisms of action. These include PGC-1 alpha, 3-nitrotyrosine (3-NT), acetyl cyclophilin A (acetyl-PPIA), neurofilament light chain (NFL), creatine kinase (CK), Musclin/osteocrin, MyomiRNA (MiR-206), Uric acid, Matrix metalloproteinase-9 (MMP-9), Monocyte Chemoattractant Protein-1 (MCP-1), 4-Hydroxynonenal (HNE). 3. The tolerability and safety of ALCAR treatment by identifying unexpected adverse events. Study population: 246 subjects will be enrolled on one Australian and ten Italian ALS sites. Inclusion criteria: subjects aged 18+ years with a diagnosis of ALS according to Gold Coast Cri…

This description comes directly from the study's public registry record.

Talk to the study team

Elisabetta Pupillo, PharmD  ·  00390239014605  ·  elisabetta.pupillo@marionegri.it

Always discuss trial participation with your own doctor first.

Locations (19)

Concord HospitalSydney, AustraliaRecruiting
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Dipartimento di NeurologiaBergamo, ItalyRecruiting
Fondazione Serena ONLUS Centro Clinico NEMO BresciaBrescia, ItalyRecruiting
Istituto Auxologico Italiano, IRCCS Dipartimento di NeurologiaMilan, ItalyRecruiting
Fondazione Serena ONLUS centro clinico NEMOMilan, ItalyRecruiting
AOU di Modena Nuovo Ospedale Civile S. Agostino Estense di Modena - Ospedale di BaggiovaraModena, ItalyRecruiting
Azienda Ospedaliera Universitaria Federico II Di NapoliNaples, ItalyRecruiting
Azienda Ospedaliera Universitaria "Luigi Vanvitelli", Dipartimento di Scienze mediche e chirurgiche avanzateNaples, ItalyNot Yet Recruiting
Azienda Ospedaliero-Universitaria Maggiore della CaritàNovara, ItalyRecruiting
Azienda Ospedale-Università di Padova, Unità di Neurologia ClinicaPadova, ItalyRecruiting
A.S.P. Palermo, Villa delle Ginestre HospitalPalermo, ItalyNot Yet Recruiting
Fondazione Mondino Istituto Neurologico Nazionale a Carattere Scientifico IRCCSPavia, ItalyRecruiting

+ 7 more locations — full list on the registry record.

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