ClinicalTrials.gg
CompletedNCT04953286LARMOMIQUEUpdated Dec 22, 2025

Ocular Surface Metabolo-lipidomics in Lateral Amyotrophic Sclerosis

An interventional study of Measure of visual acuity and Interferometry in Amyotrophic Lateral Sclerosis, sponsored by University Hospital, Tours. Completed at 3 sites in France. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by University Hospital, Tours · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
55
Allocation
Non-randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 132 studies in Amyotrophic Lateral Sclerosis with a site in France — 28 open to participants now, 36 under way, 5 of them phase 3. Amyotrophic Lateral Sclerosis · France.

Enrollment
60th of 103
55 · median 83
Started
2021
with 13 others
No phase
47 of 132
14 open now
Registered
85th of 132
by date
Lead sponsor
7 of 132
University Hospital, Tours

Among the 132 studies in Amyotrophic Lateral Sclerosis with a site in France, this one is the 60th largest by enrollment of the 103 interventional ones, is one of 14 that started in 2021, is one of 47 with no phase, and was the 85th registered.

By phase

132 studies; the count open now beside each. This study's row is marked.

No phasethis study47 · 14 open
Observational29 · 9 open
Phase 325 · 2 open
Phase 224 · 2 open
Phase 14 · 0 open
Phase 2/32 · 0 open
Phase 1/21 · 1 open

By the year they started

First in 1996; this study’s year is marked. 14 started in 2021.

Size and results

Median enrollment 83 across the 103 interventional studies, 138 across the 29 observational. Of the 79 that completed or were terminated, 21 (27%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 132 studies in Amyotrophic Lateral Sclerosis with a site in France, or all of them as a file.
02

Study summary

Amyotrophic Lateral Sclerosis (ALS) is the most common neurodegenerative disease affecting the motor neuron. Currently, there is no diagnostic test and no examination that can predict the evolution of this pathology. The search for diagnostic and prognostic biomarkers is therefore essential for a better understanding of the pathophysiology of ALS, which remains poorly understood, and also for better clinical management. The ocular surface, made up of liquid elements, tears, and cells, is an accessible anatomical-physiological entity that has demonstrated its usefulness in the identification of biomarkers in neurodegenerative diseases such as Parkinson's or Alzheimer's. To date, no study has explored the ocular surface as a biomarker in ALS

03

Conditions studied

  • Amyotrophic Lateral Sclerosis

Keywords

  • Amyotrophic Lateral Sclerosis
  • Biomarkers
  • Ocular Surface
  • Tear
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Case group selection criteria :

Inclusion Criteria:

  • Patient with clinically defined or probable primary ALS according to Airlie House criteria(1)
  • Familial or sporadic form
  • ≥18 years of age
  • Patient affiliated with a social security plan
  • signed by the patient

Exclusion Criteria:

  • Motor neuron disease mimicking ALS
  • Pregnant or breastfeeding woman
  • Treatment that may have a neuroprotective effect
  • Any eye drops or treatments that may interfere with tear production
  • Lens wearer
  • Eye surgery ≤3 months
  • Any ocular pathology other than ametropia, oculomotor disorder, amblyopia
  • Any general pathology other than ALS with ocular repercussions
  • Protective measure of guardianship or curators

Control group selection criteria:

Inclusion Criteria:

  • No diagnosed neurological pathology
  • ≥18 years of age
  • Patient affiliated with a social security plan
  • Informed consent signed by the participant

Exclusion Criteria:

  • Pregnant or breastfeeding woman
  • Treatment likely to have a neuroprotective effect
  • Any eye drops or treatments that may interfere with tear production
  • Lens wearer
  • Eye surgery ≤3 months
  • Any ocular pathology except ametropia, oculomotor disorder, amblyopia
  • Any general pathology with ocular repercussions
  • Protective measure of guardianship or curator
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
55 participants (actual)

Study arms

  • Other
    Case group

    The procedure, specific to the study, consists in taking samples of tears and cells at inclusion, 3 months after inclusion and 6 months after inclusion on patients with Amyotrophic Lateral Sclerosis

    Other: Measure of visual acuity · Other: Interferometry · Other: Samples of basal tears · Other: Central corneal sensitivity · Other: Slit lamp examination and undilated fundus · Other: Conjunctival impression · Other: Evaluation of the corneal innervation

  • Other
    Control group

    The procedure, specific to the study, consists in taking samples of tears and cells at inclusion, 3 months after inclusion and 6 months after inclusion on patients without neurological disease

    Other: Measure of visual acuity · Other: Interferometry · Other: Samples of basal tears · Other: Central corneal sensitivity · Other: Slit lamp examination and undilated fundus · Other: Conjunctival impression · Other: Evaluation of the corneal innervation

Interventions

  • OtherMeasure of visual acuity

    ETDRS and Parinaud scale

  • OtherInterferometry

    Non-contact exam measuring N.I.B.U.T (Non-invasive break-up time), quantitative and qualitative evaluation of the meibomian glands and quantitative evaluation of the tear meniscus

  • OtherSamples of basal tears

    Collection of basal tears without instillation of anesthetic with a Schirmer strip for 5 minutes and by microcapillary

  • OtherCentral corneal sensitivity

    Central corneal sensitivity using a Cochet-Bonnet esthesiometer (Luneau©)

  • OtherSlit lamp examination and undilated fundus

    Slit lamp examination and undilated fundus

  • OtherConjunctival impression

    Conjunctival impression with anesthetic instillation

  • OtherEvaluation of the corneal innervation

    Contact corneal confocal microscopy

06

What researchers measure

Primary outcomes

  1. Metabolome profile in tears for the diagnosis and prognosis of ALS.

    Once the composition in metabolites (i.e. tear metabolome) is determined, statistical univariate and multivariate analyses will aim to determine if the tear metabolome can cluster ALS patients and controls and therefore can be used as a diagnosis biomarker

    Time frame: Baseline

  2. Metabolome profile in intra-cellular contents for the diagnosis and prognosis of ALS.

    Once the composition in metabolites in conjunctival cells is determined, statistical univariate and multivariate analyses will aim to determine if the tear metabome can cluster ALS patients and controls and therefore can be used as a diagnosis biomarker.

    Time frame: Baseline

  3. Lipidome profile in tears for the diagnosis and prognosis of ALS.

    Once the composition in lipids (i.e. tear lipidome) is determined, statistical univariate and multivariate analyses will aim to determine if the tear lipidome can cluster ALS patients and controls and therefore can be used as a diagnosis biomarker

    Time frame: Baseline

  4. Lipidome profile in intra-cellular contents for the diagnosis and prognosis of ALS.

    Once the composition in lipids in conjunctival cells is determined, statistical univariate and multivariate analyses will aim to determine if the tear lipidome can cluster ALS patients and controls and therefore can be used as a diagnosis biomarker.

    Time frame: Baseline

Secondary outcomes

  1. Evolution of the ocular surface metabolites during ALS progression using ultra-high performance liquid chromatography coupled with mass spectrometry

    By carrying out a longitudinal analysis in ALS cases, the modification in tear and cells metabo-lipidome will be assessed at three time-points (at diagnosis, at month 3 and 6) and will correlated with bioclinical criteria of ALS progression (i.e. % of weight loss, % of slope of progression of the ALS-FRS-r score and % of decrease in forced vital capacity). This analysis will aim to search for analytes that can predict ALS progression (i.e. prognosis biomarker).

    Time frame: Baseline

  2. Evolution of the ocular surface lipids during ALS progression using ultra-high performance liquid chromatography coupled with mass spectrometry

    By carrying out a longitudinal analysis in ALS cases, the modification in tear and cells metabo-lipidome will be assessed at three time-points (at diagnosis, at month 3 and 6) and will correlated with bioclinical criteria of ALS progression (i.e. % of weight loss, % of slope of progression of the ALS-FRS-r score and % of decrease in forced vital capacity). This analysis will aim to search for analytes that can predict ALS progression (i.e. prognosis biomarker).

    Time frame: Baseline

07

Study locations

3 sites
  • Ophthalmology Department, University Hospital of Tours, France
    Tours, 37000, France
  • Neurology Department, University Hospital of Tours, France
    Tours, 37044, France
  • Centre d'Investigation Clinique_CIC 1415
    Tours, France
08

References and documents

Publications

  • Khanna RK, Catanese S, Mortemousque G, Dupuy C, Lefevre A, Emond P, Beltran S, Gissot V, Pisella PJ, Blasco H, Corcia P. Metabolomics of basal tears in amyotrophic lateral sclerosis: A cross-sectional study. Ocul Surf. 2024 Oct;34:363-369. doi: 10.1016/j.jtos.2024.09.005. Epub 2024 Sep 28. PubMed 39349171 ↗

Individual participant data

Plan to share: No

09

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 Sep 2021 to primary completion in Sep 2023, 24 months.

Of 134 non-industry interventional studies with no phase under Amyotrophic Lateral Sclerosis, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 60. This study's 24 months is below that.

Counting every sponsor, half of 154 studies reached it within 35 months; a quarter within 23 and three quarters within 60.

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

Registered
May 17, 2021
First posted
Jul 7, 2021
StartActual
Sep 17, 2021
Primary completionActual
Sep 30, 2023
CompletionActual
Sep 30, 2023
Last update
Dec 22, 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 Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04953286
Responsible party
Sponsor
First posted
Jul 7, 2021
Start date
Sep 17, 2021
Primary completion
Sep 30, 2023
Completion
Sep 30, 2023
Last update
Dec 22, 2025

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. 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.

Start the discussion