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Terminated Phase 1Phase 2 Interventional Results available

A Study to Assess the Safety, Tolerability, and Effect on Disease Progression of BIIB105 in Participants With Amyotrophic Lateral Sclerosis (ALS) and Participants With the ALS Ataxin-2 (ATXN2) Genetic Mutation

ClinicalTrials.gov ID: NCT04494256

Public ClinicalTrials.gov record NCT04494256. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.

ClinicalTrials.gov public records Last synced Oct 21, 2026, 6:22 PM EDT

Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.

Official title

A Phase 1/2 Multiple-Ascending-Dose Study With a Long-Term Open-Label Extension to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Effect on Disease Progression of BIIB105 Administered Intrathecally to Adults With Amyotrophic Lateral Sclerosis With or Without Poly-CAG Expansion in the ATXN2 Gene

Brief summary

Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.

The ALSpire Study is a clinical trial evaluating the investigational drug BIIB105 in adults living with amyotrophic lateral sclerosis (ALS). The ALSpire Study consists of two parts: * Part 1: 6-month placebo-controlled study. During Part 1, participants are randomly assigned to receive either BIIB105 or placebo in a 3:1 or 2:1 ratio (depending on the participant's assigned Cohort). * Part 2: up to 3-year long-term open-label extension. During Part 2, all participants receive BIIB105. The objectives of the study are to evaluate: * The safety and tolerability of BIIB105 in people with ALS * What the body does to BIIB105 (also called "pharmacokinetics") * What BIIB105 does to the body (also called "pharmacodynamics") * Whether BIIB105 can slow the worsening of clinical function

Study identification

NCT ID
NCT04494256
Recruitment status
Terminated
Study type
Interventional
Phase
Phase 1, Phase 2
Lead sponsor
Biogen
Industry
Enrollment
99 participants

Conditions and interventions

Interventions

Drug

Eligibility (public fields only)

Age range
18 Years and older
Sex
All
Healthy volunteers
Healthy volunteers not accepted

This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.

Study timeline

Start date
Sep 28, 2020 (Actual)
Primary completion
Aug 13, 2024 (Actual)
Completion
Aug 13, 2024 (Actual)
Last update posted
Oct 9, 2025

2020 – 2024

United States locations

U.S. sites
14
U.S. states
12
U.S. cities
14
Facility City State ZIP Site status
Barrow Neurological Institute Phoenix Arizona 85013 —
University of California San Diego Medical Center La Jolla California 92037 —
Stanford Neuromuscular Research Center Palo Alto California 94305 —
University of Colorado Hospital - Neuroscience Center -Anschutz Medical Campus Aurora Colorado 80045 —
Georgetown University Washington D.C. District of Columbia 20007-2113 —
Mayo Clinic Florida Jacksonville Florida 32224 —
Orlando Health Orlando Florida 32806 —
The Emory Clinic Atlanta Georgia 30322 —
ALS Clinic - Department of Neurology, Neuromuscular Division, Johns Hopkins University, School of Medicine Baltimore Maryland 21218 —
Massachusetts General Hospital Boston Massachusetts 02114 —
Washington University, School of Medicine St Louis Missouri 63110 —
University of Pennsylvania Philadelphia Pennsylvania 19104 —
Houston Methodist Neurological Institute Houston Texas 77030 —
University of Utah Salt Lake City Utah 84132 —

Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.

Non-U.S. locations

This page focuses on the U.S. directory. The official record also lists 3 non-U.S. sites.

About this trial record page

What this page shows
Public field values for ClinicalTrials.gov record NCT04494256, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
What this page does not do
No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
Where the data comes from
Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
Last refresh
Last update posted Oct 9, 2025 · Synced Oct 21, 2026

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Open the official record

The complete public registry record, listed eligibility criteria, and available contact information for NCT04494256 live on ClinicalTrials.gov.

View official ClinicalTrials.gov record →