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ALS Research and Clinical Trials


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Researchers in the United States and around the world are working hard to figure out what causes ALS and how it affects the body so they can develop effective treatments and ultimately find a cure. 
They are studying the potential roles of gene mutations, environmental toxins, viruses, cell abnormalities, and much more.

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Based on their findings, scientists develop and test compounds until they find a potential drug promising enough to test on people living with ALS.


ALS Clinical Trials

Clinical trials are multiphase research studies that explore new treatments with volunteers who fit certain criteria. There are always active clinical trials looking for participants who have been diagnosed with ALS. ALS clinical trials continue to produce breakthroughs that move the needle closer to finding a cure.

Participating in a clinical trial is entirely up to you. Some people volunteer with the hope of getting a new treatment not yet available to the public that will slow progression, but keep in mind that trying an experimental drug can expose you to side effects and other risks. There is also the possibility that you will receive a placebo instead of the actual drug.

​Before enrolling in any trial, always talk with your ALS neurologist. Ask questions to find out what each trial entails. You can learn more and search for clinical trials on the following websites:
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  • ClinicalTrials.gov
  • The ALS Association
  • NEALS (Northeast ALS Consortium)
  • ALS Therapy Development Institute
  • Muscular Dystrophy Association
  • I AM ALS
  • Antidote

Expanded Access Programs

People living with ALS often can’t participate in clinical trials because of strict eligibility requirements or travel limitations. Expanded Access Programs (EAPs) offer an additional pathway to trying experimental therapies that have not yet been proven or authorized by the U.S. Food and Drug Administration (FDA).

EAPs can offer hope and access to potential treatments that show promise, though there is no guarantee that these therapies will be effective or have no side effects.

EAPs for ALS are still not very common, and there can be multiple hurdles to participating. You must seek approval from your neurologist, who then must request the drug from the manufacturer. Neither your neurologist nor the manufacturer is obligated to participate. Some neurologists may feel uncomfortable with EAPs or not have experience with them. The ACT for ALS bill, passed by the U.S. Congress in December 2021, should increase funding and access for EAPs for ALS in the coming years.

To find an EAP, you can talk with your neurologist, contact drug manufacturers, or visit the NEALS webpage on Expanded Access. The FDA website goes into more detail about the EAP process.

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Other ways to help advance ALS research

The National ALS Registry is a database operated by the CDC that collects information from volunteers with ALS to help scientists learn more about the disease so they can develop treatments and find a cure. You can help make a difference by filling out a short survey. The information you submit goes into a secure database and will only be displayed as group information.

To help advance ALS research, you can also:

  • Provide blood, urine, tissue, cell, and DNA samples to the National ALS Biorepository
  • Donate your brain to the National Institutes of Health’s NeuroBioBank
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ALS Research Organizations

Thanks to advocacy efforts and heightened awareness, research funding for ALS has increased in recent years. These are some of the main ALS research organizations in the United States:

  • The ALS Association has a global research program that funds top ALS researchers and promising research projects around the world. Its research funding tripled after the Ice Bucket Challenge in 2014.
 
  • The ALS Therapy Development Institute is a biotech nonprofit whose sole focus is developing treatments for ALS. Its Precision Medicine Program partners with ALS patients who volunteer to share information on their background and disease progression.
 
  • The Northeast ALS Consortium (NEALS) is an academic research consortium and research organization that translates scientific advances into clinical research and new treatments at its member medical institutions across the country.
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  • ​The Muscular Dystrophy Association has supported research on neuromuscular diseases, including ALS, for over 65 years. It funds national and international research conferences, clinical research training grants, and career development grants.

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