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Updated: May 3, 2026

ALS - Motor Neuron Disease: Mechanism and Development of New Therapies
Published on: July 29, 2007
Opportunities for improving therapy development in ALS
Lucie Bruijn1, Merit Cudkowicz,
1ALS Association , Washington, D.C.
Abstract:
In May 2013, The ALS Association and The Northeast ALS Consortium (NEALS) convened a meeting of stakeholders for a round-table discussion of ways to improve therapy development in ALS. The following overview summarizes issues raised and potential new directions discussed at the meeting. We recommend that future phase II clinical trials in ALS proceed when the proposed treatment is directed at targets that are likely to be involved in ALS pathogenesis in a defined subgroup of patients, and be accompanied by one or more biomarkers to track both clinical progression and pharmacodynamic engagement of the target. Innovations in trial structure and design, and greater involvement of patient advocates, may also improve trials.
Insights
To improve amyotrophic lateral sclerosis (ALS) therapy development, future clinical trials should target specific patient subgroups with biomarkers and incorporate innovative designs with patient advocate involvement.
Area of Science:
- Neurology
- Clinical Trials
- Biomarkers
Background:
- Stakeholders convened in May 2013 to discuss challenges in amyotrophic lateral sclerosis (ALS) therapy development.
- The meeting involved The ALS Association and The Northeast ALS Consortium (NEALS).
Purpose of the Study:
- To summarize issues and propose new directions for improving ALS therapy development.
- To provide recommendations for future clinical trial designs in ALS.
Main Methods:
- A round-table discussion among stakeholders was convened.
- Issues and potential new directions were identified and summarized.
Main Results:
- Future phase II clinical trials in ALS should target specific patient subgroups based on likely involvement in pathogenesis.
- Trials should include biomarkers to monitor clinical progression and pharmacodynamic engagement.
- Innovations in trial structure, design, and patient advocate involvement are recommended.
Conclusions:
- Targeted therapies with biomarkers are crucial for advancing ALS treatment.
- Improving clinical trial design and patient engagement can enhance therapeutic development for ALS.
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