This research project entails delivery of a personalized antisense oligonucleotide (ASO) drug designed for a single participant with amyotrophic lateral sclerosis (ALS) due to a pathogenic variant in CHCHD10
This is an interventional study to evaluate the safety and efficacy of treatment with an individualized antisense oligonucleotide (ASO) treatment in a single participant with amyotrophic lateral sclerosis (ALS) due to a pathogenic variant in CHCHD10
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1
Personalized antisense oligonucleotide
Mayo Clinic
Rochester, Minnesota, United States
Clinical Functioning
Change from baseline at 12-months post nL-CHCHD-001 administration in scores on Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R).
Time frame: Baseline to 12 Months
Motor Function
Change from baseline at 12-months post nL-CHCHD-001 administration in Forced Vital Capacity (FVC)
Time frame: Baseline to 12 months
Motor Function
Change from baseline at 12-months post nL-CHCHD-001 administration in muscle strength as quantified by Handheld Dynamometry (HHD)
Time frame: Baseline to 12 months
Clinical Functioning
Change from baseline at 12-months post nL-CHCHD-001 administration in Edinburgh Cognitive and Behavioral ALS Screen (ECAS) score
Time frame: Baseline to 12 months
Clinical Functioning
Change from baseline at 12-months post nL-CHCHD-001 administration in scores on ALS Cognitive Behavioral Screen (ALS-CBS)
Time frame: Baseline to 12 months
Clinical Functioning
Change from baseline at 12-months post nL-CHCHD-001 administration in scores on Amyotrophic Lateral Sclerosis Assessment Questionnaire 5 (ALSAQ-5)
Time frame: Baseline to 12 months
Disease Biomarkers
Change from baseline at 12-months post nL-CHCHD-001 administration in serum and CSF neurofilament light chain levels
Time frame: Baseline to 12 months
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Safety and Tolerability
Incidence and severity of Adverse Events
Time frame: Baseline to 12 months
Safety and Tolerability
Emergent abnormalities in physical exam (changes in appearance, skin, neck, ears, nose, throat, heart/lungs, abdomen, lymph nodes, and extremities compared to baseline)
Time frame: Baseline to 12 months
Safety and Tolerability
Emergent abnormalities in neurological exam (changes in mental status, gait, cerebellar, cranial nerve, motor, reflex, and sensations compared to baseline)
Time frame: Baseline to 12 months
Safety and Tolerability
Emergent abnormalities in laboratory analyses (results outside of normal range for CSF, chemistry, hematology, coagulation, and urinalysis)
Time frame: Baseline to 12 months