Recipient organisationNIHR University College London Hospitals Biomedical Research Centre
NIHR supportRecorded as supported by this research centre
PeriodFeb 2025 — Sept 2025
In plain English
AI plain-English summary
A small group of people with ALS will be the first to receive an experimental drug called QRL-201, starting at low doses and gradually increasing, to test whether it is safe and tolerable. ALS (motor neurone disease) is a rapidly fatal condition with no cure. Existing treatments slow progression modestly. QRL-201 is a new compound that has never been given to humans. This first-in-human trial is a necessary safety gate: before any drug can be tested for effectiveness, researchers must know it does not cause serious harm at the doses needed. The study enrolls approximately 64 participants in eight small groups, with doses rising across the first six groups. Participants receive up to five doses over three months, with follow-up lasting up to 40 weeks. If QRL-201 proves safe and tolerable at these doses, it clears the path for larger trials to test whether it actually slows or stops disease progression. That would be a direct, tangible benefit for people with ALS, who currently face a median survival of two to five years from diagnosis. For now, this study is a cautious, necessary first step—no claims of efficacy are being tested, only the fundamental question of safety.
View original technical description
This is a first-in-human, randomised, double-blind study. This study will evaluate multiple dose levels of QRL-201, and participants will be enrolled into the study in small groups of approximately 8 participants each, called cohorts. This study will include approximately 64 participants. The dose level of QRL-201 will increase with each group for Cohorts 1 through 6. Cohorts 7 through 8 will have the same dose level. Study drug will be administered up to 5 times to each participant over a period of approximately 3 months.For participants in cohorts 1 to 4, the duration will be approximately 40 weeks: 4 weeks of screening, 12 weeks for study drug administration, 20 weeks for terminal PK collection and a final follow-up visit at 36 weeks after the first study drug administration. For participants in cohorts 5 to 8, the duration of the study will be approximately 20 weeks: up to 4 weeks for screening, 12 weeks for study drug administration, and a final follow-up visit at 16 weeks after the first study drug administration.The planned study duration is 30 months from screening of the first participant until the last follow-up of the last participant.
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