ClinicalTrials.gg
CompletedNCT03487263Updated Aug 20, 2025

Dose-Escalation, Safety and Pharmacokinetic Study of IC14 in Motor Neurone Disease

A Phase 1 interventional study of IC14 in Motor Neuron Disease and Amyotrophic Lateral Sclerosis, sponsored by Implicit Bioscience. Completed at 1 site in Australia. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-08-20.

Primary conditionAmyotrophic Lateral SclerosisRegistry: Motor Neuron DiseaseReclassifiedWhy we changed it
Registry
Motor Neuron Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Amyotrophic Lateral Sclerosis
Why
  1. Motor Neuron Disease is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Amyotrophic Lateral Sclerosis, a narrower term within Motor Neuron Disease.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Implicit Bioscience · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Apr 2018, 8 years 6 months ago, and no results have been posted to the registry.
  • Registered 5 months after the study started (first participant enrolled Oct 2017, registered Mar 2018).

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 44 studies in Amyotrophic Lateral Sclerosis with a site in Australia — 8 open to participants now, 13 under way, 2 of them phase 3. Amyotrophic Lateral Sclerosis · Australia.

Enrollment
38th of 44
10 · median 63
Started
2017
with 1 other
Phase 1
5 of 44
2 open now
Registered
9th of 44
by date
Lead sponsor
3 of 44
Implicit Bioscience

Among the 44 studies in Amyotrophic Lateral Sclerosis with a site in Australia, this one is the 38th largest by enrollment, is one of 2 that started in 2017, is one of 5 in phase 1, and was the 9th registered.

Amyotrophic Lateral Sclerosis

979 studies on the registry are indexed under Amyotrophic Lateral Sclerosis; 278 are open to participants now.

Browse Amyotrophic Lateral Sclerosis studies →

Open to participants now

8 of the 44 studies in Amyotrophic Lateral Sclerosis with a site in Australia are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 open studies →

A study can be open while its sites in Australia have not opened yet or have stopped. Only those recruiting at a site in Australia →

Who these studies take

Of the 193 Amyotrophic Lateral Sclerosis studies recruiting now, 118 (61%) set no upper age limit and 23 (12%) stop at 75 or younger; 15 take children under 18; 55 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 44 studies in Amyotrophic Lateral Sclerosis with a site in Australia, or all of them as a file.
02

Study summary

Ten patients with motor neurone disease (MND, also known as amyotrophic lateral sclerosis or ALS) will be successively enrolled to one of two dose levels of IC14 (human chimeric monoclonal anti-CD14) intravenously for four doses. Patients must be within 3 years of MND diagnosis and have adequate respiratory function. Safety, tolerability, immunogenicity, and PK/PD will be measured. To evaluate feasibility of the endpoints, additional endpoints of ALSFRS-R, respiratory function tests, disease biomarkers and patient-reported outcomes will be measured.

Read the detailed description

The objectives of this study are to determine:

  • The safety, tolerability and immunogenicity of IC14 in patients with motor neurone disease (MND).
  • The pharmacokinetics and pharmacodynamics of IC14 in patients with MND.
  • The preliminary effect of IC14 on the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) in patients with MND.
  • The preliminary effect of IC14 on forced vital capacity (FVC) and other clinical markers of disease severity in patients with MND.
  • The preliminary effect of IC14 on patient-reported outcome measures.
  • The preliminary effect of IC14 on disease biomarkers.

Ten patients with MND will be sequentially assigned to receive one of two dose regimens of IC14 in an unblinded manner:

  • For the initial 3 patients: IC14 at a dosage of 2 mg/kg on Study Day 1, then 1 mg/kg once daily on Study Days 3-5 for 4 total doses.
  • For the subsequent 7 patients: IC14 at a dosage of 4 mg/kg on Study Day 1, then 2 mg/kg once daily on Study Days 2-4 for 4 total doses.

Study participation will continue until 28 days after the last dose of study drug.

03

Conditions studied

  • Motor Neuron Disease
  • Amyotrophic Lateral Sclerosis

Browse trials for

Keywords

  • motor neurone disease
  • amyotrophic lateral sclerosis
  • IC14 [anti-CD14 (cluster of differentiation 14) monoclonal antibody]
  • monoclonal antibody
  • anti-CD14
04

In context

Amyotrophic Lateral Sclerosis Reclassified

979 studies on the registry are indexed under Amyotrophic Lateral Sclerosis; 278 are open to participants now.

This study's enrollment of 10 is below the median of 38 across 663 interventional studies indexed under Amyotrophic Lateral Sclerosis.

Browse Amyotrophic Lateral Sclerosis studies →

Lead sponsor

Implicit Bioscience is the lead sponsor of 11 studies on the registry; 1 is open to participants now.

Compared within Amyotrophic Lateral Sclerosis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Motor Neuron Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

A patient must fulfill all of the following criteria to be eligible for enrollment:

  1. Signed prior to initiation of any study-specific procedures.
  2. Familial or sporadic motor neurone disease (MND) defined as clinically possible, probable, or definite by Awaji-Shima Consensus Recommendations.
  3. First symptoms of MND within 3 years of informed consent.
  4. Age between 18 and 75 years at time of informed consent.
  5. Seated Forced Vital Capacity (FVC) ≥ 65% of predicted value.
  6. Not taking riluzole or on a stable dose of riluzole for at least 4 weeks prior to screening visit.
  7. Adequate bone marrow reserve, renal and liver function:

    • ≥ 1500/µL
    • lymphocyte count \< 48%
    • count ≥ 150,000/µL
    • ≥ 11 g/dL
    • Estimated (eGFR) >= 40 mL/min/1.73 m2
    • (ALT) and/or Aspartate aminotransferase (AST) ≤ 2x upper imit of normal (), total ≤ 1.5x ULN
    • serum albumin ≥ 2.8 g/dL
  8. Females of should be using and committed to continue using one of the following acceptable methods:

    • Sexual abstinence (inactivity) for 1 month prior to screening through study completion; or
    • Intrauterine device (IUD) in place for at least 3 months prior to study through study completion; or
    • Stable hormonal contraception for at least 3 months prior to study through study completion; or
    • Surgical sterilization (vasectomy) of male partner at least 6 months prior to study.
  9. To be considered of non-childbearing potential, females should be surgically sterilized (bilateral tubal ligation, hysterectomy, or bilateral oophorectomy at least 2 months prior to study) or be and at least 3 years since last menses.
  10. Males with female partners of childbearing potential must use contraception through study completion.
  11. Medically safe to have lumbar puncture to collect cerebrospinal fluid.
  12. Able to give informed consent and able to comply with all study visits and all study procedures.

Exclusion criteria

Exclusion Criteria:

A patient fulfilling any of the following criteria at screening is to be excluded from enrollment in the study:

  1. Dependence on mechanical ventilation, defined as being unable to lay supine without it, unable to sleep without it, or continuous daytime use; presence of tracheostomy at screening; or presence of diaphragm pacing system at screening.
  2. Treatment with a drug or device within the last 30 days that has not received regulatory approval.
  3. Treatment within 12 months with immunomodulator or agent (including but not limited to cyclophosphamide, cyclosporine, interferon-α, interferon-β-1a, rituximab, alemtuzumab, azathioprine, etanercept, infliximab, adalimumab, certolizumab, golimumab, anakinra, rilonacept, secukinumab, tocilizumab, mycophenolate mofetil, methotrexate, haematopoietic stem cell transplantation).
  4. Known active current or history of recurrent bacterial, viral, fungal, mycobacterial or other opportunistic infections or major episode of infection requiring hospitalization or treatment with IV antibiotics within 4 weeks.
  5. History of severe allergic or anaphylactic reactions to human, humanized or murine monoclonal antibodies.
  6. Presence of any of the following clinical conditions:

    • Bleeding diathesis or receipt of anticoagulants within 7 days (or any other clinical condition that would, in the opinion of the investigator, place the patient at increased risk during lumbar puncture).
    • History of one or more of the following: cardiac insufficiency ( [NYHA] III/IV), uncontrolled cardiac arrhythmias, unstable ischemic heart disease, or uncontrolled hypertension (systolic blood pressure > 170 mmHg or diastolic blood pressure > 110 mmHg).
    • History of venous thromboembolic disease within 12 months, myocardial infarction, or cerebrovascular accident.
    • Unstable pulmonary, renal, hepatic, endocrine or hematologic disease.
    • disease, mixed connective tissue disease, scleroderma, polymyositis, or significant systemic involvement secondary to rheumatoid arthritis.
    • Evidence of active malignant disease, diagnosed within the previous 5 years, or breast cancer diagnosed within the previous 5 years (except skin cancers other than melanoma).
    • infection or other immunodeficiency illness.
    • Unstable psychiatric illness defined as psychosis or untreated major depression within 90 days.
    • Drug abuse or alcoholism within the past 12 months.
    • Significant neuromuscular disease other than MND.
    • Other ongoing disease that may cause neuropathy, such as toxin exposure, dietary deficiency, uncontrolled diabetes, hyperthyroidism, cancer, systemic lupus erythematosus or other connective diseases, infection with HIV, virus (HBV), or (HCV), Lyme disease, multiple myeloma, Waldenström's macroglobulinemia, amyloid, and hereditary neuropathy.
  7. Pregnancy or breastfeeding.
  8. Deprivation of freedom by administrative or court order.
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

06

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    IC14 dose level 1

    For the initial 3 patients: intravenous IC14 at a dosage of 2 mg/kg on Study Day 1, then 1 mg/kg once daily on Study Days 3-5 for 4 total doses

    Biological: IC14

  • Experimental
    IC14 dose level 2

    For the subsequent 7 patients: intravenous IC14 at a dosage of 4 mg/kg/day on Day 1, followed by IC14 2 mg/kg/day on Days 2-4

    Biological: IC14

Interventions

  • BiologicalIC14

    chimeric monoclonal antibody against human IC14

    Also known as: monoclonal antibody against CD14

07

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events (safety, tolerability)

    Number of participants with treatment-emergent adverse events (safety, tolerability) classified by MedDRA

    Time frame: one month

Secondary outcomes

  1. Treatment-related change in ALSFRS-R functional scale

    Treatment-related change in Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) \[0 (worst) to 48 (best)\]

    Time frame: one month

  2. Respiratory function

    Treatment-related change in percent normal Forced Vital Capacity \[0% (worst) to 100% (best)\]

    Time frame: one month

  3. Muscle function

    Treatment-related change in percent normal Sniff Nasal Pressure \[0% (worst) to 100% (best)\]

    Time frame: one month

  4. Quality of life measured by ALSSQOL

    Treatment-related change in Amyotrophic Lateral Sclerosis Specific Quality of Life - Revised (ALSSQOL-R) \[0 (worst) to 460 (best)\]

    Time frame: one month

  5. Patient-reported outcome

    Treatment-related change Edinburgh Cognitive and Behavioural Assessment Score (ECAS) \[0 (worst) to 136 (best)\]

    Time frame: one month

  6. Maximum Plasma Concentration (Cmax)

    Maximum serum IC14 concentration (micrograms per milliliter)

    Time frame: one month

  7. Area Under the Curve (AUC)

    Area Under the Curve for serum IC14 (microgram x hr/mL)

    Time frame: one month

  8. Monocyte CD14 Receptor Occupancy

    Treatment-related change in percent monocyte CD14 receptor occupancy as a pharmacodynamic marker

    Time frame: one month

  9. Urinary p75 neurotrophin receptor (biomarker)

    Treatment-related change in urinary concentration of urinary p75 neurotrophin receptor (NTR) (nanograms per milligram creatinine)

    Time frame: one month

  10. Neurofilament (biomarker)

    Treatment-related change in concentration of neurofilament (picograms per milliliter)

    Time frame: one month

  11. Anti-drug antibodies

    Development of human anti-monoclonal antibodies following treatment

    Time frame: one month

08

Study locations

1 site
  • Royal Brisbane and Women's Hospital
    Herston, Queensland 4006, Australia
09

References and documents

Publications

  • Henderson RD, Agosti JM, McCombe PA, Thorpe K, Heggie S, Heshmat S, Appleby MW, Ziegelaar BW, Crowe DT, Redlich GL. Phase 1b dose-escalation, safety, and pharmacokinetic study of IC14, a monoclonal antibody against CD14, for the treatment of amyotrophic lateral sclerosis. Medicine (Baltimore). 2021 Oct 22;100(42):e27421. doi: 10.1097/MD.0000000000027421. PubMed 34678870 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Apr 2018, 6 months.

Of 40 industry-sponsored phase 1 interventional studies under Amyotrophic Lateral Sclerosis, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 38. This study's 6 months is below that.

Counting every sponsor, half of 70 studies reached it within 21 months; a quarter within 13 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 9, 2018
First posted
Apr 4, 2018
StartActual
Oct 1, 2017
Primary completionActual
Apr 18, 2018
CompletionActual
Dec 30, 2018
Last update
Aug 20, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03487263
Lead sponsor
Implicit Bioscience
Collaborators
Royal Brisbane and Women's Hospital
Responsible party
Sponsor
First posted
Apr 4, 2018
Start date
Oct 1, 2017
Primary completion
Apr 18, 2018
Completion
Dec 30, 2018
Last update
Aug 20, 2025

Study contacts

Robert D. Henderson, MBBS
principal investigator · Royal Brisbane and Women's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Atibuclimab

Start the discussion