The study will generate data on safety, tolerability and pharmacokinetics after multiple daily doses of CK-2017357 in patients with ALS. Patients will be randomized into one of four different treatment groups, receiving daily oral doses of either placebo, 125 mg, 250 mg, or 375 mg of CK-2017357 for 14 days.
In Part A, approximately 24 patients will be randomized to one of four different treatment groups. After a 7-day washout of riluzole, patients in each treatment group will receive daily oral doses of placebo, 125 mg, 250 mg, or 375 mg of CK-2017357 for 14 days. Patients will take daily doses of CK-2017357 or placebo (Day 1 through Day 14) and will return to the study site on Day 2, Day 8 and Day 15. All patients will return for a follow-up visit 7 days (± 2 days) after their last dose. In Part B, approximately additional 24 patients will be randomized to one of four different treatment groups as in Part A. Patients in Part B will be required to decrease their riluzole dose to 50 mg once a day (QD) for 7 days prior to randomization. After this 7 day period, patients will take riluzole at 50 mg QD concurrently with their morning dose of blinded study drug.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
49
Placebo tablets once daily for 14 days (Part A)
One 125 mg CK-2017357 tablet once daily for 14 days (Part A)
Two 125 mg CK-2017357 tablets once daily for 14 days (Part A)
California Pacific Medical Center
San Francisco, California, United States
Mayo Florida
Jacksonville, Florida, United States
University of Kansas
Kansas City, Kansas, United States
Johns Hopkins Hospital
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Safety and tolerability of CK-2017357 after multiple oral doses to steady state in patients with ALS
Time frame: 21 days
Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R)
An instrument for evaluating the functional status of patients with ALS. Minimum score is 0 and maximum score is 40. The higher the score the more function is retained.
Time frame: 21 days
Measurement of Grip Strength and Handgrip Fatigue
Measured using the DynEx Electronic Hand Dynamometer. Patients asked to squeeze the device with the maximum possible force to establish the maximum voluntary contraction. Handgrip fatigue is then measured. Patient is asked to squeeze the device until they can no longer stay above 60% of target or 120 seconds.
Time frame: 21 days
Measurement of muscle strength
Muscle strength is measured using Hand Held Dynamometry. A series of assessments are done on different muscle groups.
Time frame: 21 days
Measurement of Slow Vital Capacity (SVC)
SVC will be measured using the ndd EasyOne Spirometer System at Screening, Day -7, Day 1, Day 2, Day 8, Day 15 and at the Follow-Up Visit
Time frame: 21 days
Measurement of Sniff Nasal Inspiratory Pressure (SNIP)
SNIP will be measured using the Micro Medical Respiratory Pressure Meter (MicroRPM) at Screening, Day -7, Day 1, Day 2, Day 8, Day 15 and at the Follow-Up Visit
Time frame: 21 days
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Three 125 mg CK-2017357 tablets once daily for 14 days (Part A)
One 50 mg tablet once daily for 14 days (Part B)
Placebo tablets once daily for 14 days (Part B)
One 125 mg tablet once daily for 14 days (Part B)
Two 125 mg tablets once daily for 14 days (Part B)
Three 125 mg tablets once daily for 14 days (Part B)
Baltimore, Maryland, United States
Columbia University Medical Center
New York, New York, United States
SUNY Upstate Medical Center
Syracuse, New York, United States
Carolinas Neuromuscular ALS-MND Center
Charlotte, North Carolina, United States
Penn State Hershey Medical Center
Hershey, Pennsylvania, United States
Drexel University College of Medicine
Philadelphia, Pennsylvania, United States
Measurement of Maximum Voluntary Ventilation (MVV)
MVV will be measured using the EasyOne Spirometer System at Screening, Day -7, Day 1, Day 2, Day 8, Day 15 and at the Follow-Up Visit
Time frame: 21 days
Patient global assessment
Patients will be asked to assess whether they feel the same, better or worse as compared to how they felt at pre-dose on Day 1
Time frame: 15 days
Investigator global assessment
Investigator will assess whether the patient appears the same, better or worse as compared to the patient's status at pre-dose on Day 1.
Time frame: 15 days