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Active, not recruitingNCT05279755PRO-101Updated Apr 27, 2026

A Study to Evaluate the Safety and Pharmacokinetics of Single and Multiple Doses of Prosetin in Healthy Volunteers and Participants With ALS

A Phase 1 interventional study of prosetin and placebo in Amyotrophic Lateral Sclerosis, sponsored by ProJenX. Active, not recruiting at 4 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-27.

Sponsored by ProJenX · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 3 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 1
Study type
Interventional
Enrollment
72
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to evaluate the safety and tolerability of prosetin in healthy volunteers and participants with ALS.

Read the detailed description

PRO-101 is a four-part study. Parts A and B, which respectively evaluated the safety, tolerability, and PK of single and multiple ascending doses of prosetin in 48 healthy volunteers, have been completed.

Parts C and D, which are ongoing, will evaluate the effects of prosetin on safety, tolerability, PK, and biomarkers in 24 participants with ALS. Part C is a double-blind, placebo-controlled, multiple ascending dose component of the study, and Part D is an optional 52-week open-label extension available to ALS participants who complete 14 days of dosing in Part C.

02

Conditions studied

  • Amyotrophic Lateral Sclerosis

Keywords

  • ALS
  • Amyotrophic lateral sclerosis
  • MAP4K
  • prosetin
03

In context

Amyotrophic Lateral Sclerosis

981 studies on the registry are indexed under Amyotrophic Lateral Sclerosis; 283 are open to participants now.

This study's planned enrollment of 72 is above the median of 36 across 667 interventional studies indexed under Amyotrophic Lateral Sclerosis.

Browse Amyotrophic Lateral Sclerosis studies →

Lead sponsor

This is the only study on the registry with ProJenX as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

PRO-101, Parts A and B, were completed in healthy volunteers.

PRO-101, Parts C and D are ongoing in participants with ALS. Key eligibility criteria are summarized below:

Key Inclusion Criteria - Part C

  • Adults ≥18 years of age
  • Diagnosis of ALS based on the Gold Coast diagnostic criteria
  • Slow Vital Capacity (SVC) >50% predicted
  • If being concomitantly treated with riluzole and/or locally approved standard of care treatments, the participant must be on a stable dose for at least 30 days prior to screening and throughout the study
  • In the opinion of the Investigator, participant is able to swallow liquid in order to ingest the study medication.

Key Exclusion Criteria - Part C

  • Active dementia, neurologic diseases other than ALS, or psychiatric illness that in the opinion of the investigator would affect participation in the current study.
  • Significant history or clinical manifestation of comorbid disease in any organ system that currently requires active treatment or is likely to require treatment during the study.
  • Any episodes of vertigo in the previous 12 months prior to screening.
  • Any medical history of seizures, or any clinically significant EEG finding at Screening or at Day -1.
  • A diagnosis of cancer or evidence of continued disease within five years before screening. Protocol-specified exceptions may be considered with approval from the Sponsor's Medical Monitor.
  • Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 30 days prior to the first dose of study medication.
  • Prior exposure to any stem cell or gene therapies (investigational or off-label) for the treatment of ALS.

Key Inclusion Criteria- Part D

Participants who meet all of the following criteria may be included in Part D of the study:

  • Participants must have completed 14 days of blinded treatment in Part C.
  • Participants taking approved ALS standard-of-care medications must remain on stable doses through Day 28 of open-label treatment.
  • In the judgment of the Investigator, the participant's participation in the open-label portion of the study is medically appropriate

Key Exclusion Criteria- Part D

  • Treatment with any other investigational drug or device throughout the duration of the study is excluded, with the exception of any COVID-19 vaccine or treatment with an emergency use authorization.

NOTE: Other protocol-defined Inclusion/Exclusion Criteria may apply. Please contact trials@projenx.com with any questions about eligibility criteria.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
72 participants (estimated)

Study arms

  • Placebo comparator
    Part A - single dose of placebo

    Healthy volunteers were administered a single dose of prosetin-matched placebo oral solution.

    Drug: placebo

  • Experimental
    Part A - single ascending doses of prosetin

    Healthy volunteers were administered a single dose of prosetin oral solution at 0.03, 0.06, 0.12, or 0.24 mg/kg.

    Drug: prosetin

  • Placebo comparator
    Part B - multiple doses of placebo

    Healthy volunteers were administered a once-daily dose of prosetin-matched placebo for 14 days.

    Drug: placebo

  • Experimental
    Part B - multiple ascending doses of prosetin

    Healthy volunteers were administered a once-daily dose of prosetin at 0.06 or 0.10 mg/kg for 14 days.

    Drug: prosetin

  • Placebo comparator
    Part C - multiple doses of placebo in participants with ALS

    Participants are administered a once-daily dose of prosetin-matched placebo for 14 days.

    Drug: placebo

  • Experimental
    Part C - multiple ascending doses of prosetin in participants with ALS

    Participants will be administered a once-daily dose of prosetin at multiple ascending dose levels for 14 days.

    Drug: prosetin

  • Experimental
    Part D - open-label administration of prosetin in participants with ALS

    Participants will be administered a once-daily dose of prosetin for up to 52 weeks.

    Drug: prosetin

Interventions

  • Drugprosetin

    oral solution

  • Drugplacebo

    oral solution

06

What researchers measure

Primary outcomes

  1. Parts A, B, C, D: Number of Participants Experiencing Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  2. Parts A, B, C, D: Number of Participants with Clinically Significant Laboratory Test Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  3. Parts A, B, C, D: Number of Participants with Clinically Significant Vital Signs Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  4. Parts A, B, C, and D: Number of Participants with Clinically Significant Electrocardiogram (ECG) Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  5. Parts A, B, C, and D: Number of Participants with Clinically Significant Physical Examination Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  6. Parts A, B, C, and D: Number of Participants with Clinically Significant Neurological Examination Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  7. Parts A, B, C, and D: Number of Participants with Clinically Significant Ophthalmic Examination Abnormalities

    Time frame: Part A: Up to 28 days; Part B: Up to 42 days; Part C: Up to 28 days; Part D: Up to 54 weeks

  8. Parts C and D: Number of Participants with Clinically Significant Electroencephalogram (EEG) Abnormalities

    Time frame: Part C: Up to 28 days; Part D: Up to 54 weeks

Secondary outcomes

  1. Parts A, B, C, and D: Maximum Observed Concentration (Cmax) of Prosetin in Plasma

    Time frame: Part A: Up to 28 days Part B: Up to 42 days Part C: Up to 28 days Part D: Up to 54 weeks

  2. Parts A, B, C, and D: Time to Reach Maximum Observed Concentration (Tmax) of Prosetin in Plasma

    Time frame: Part A: Up to 28 days Part B: Up to 42 days Part C: Up to 28 days Part D: Up to 54 weeks

  3. Parts A, B, C, and D: Area Under the Concentration-Time Curve (AUC) of Prosetin in Plasma

    Time frame: Part A: Up to 28 days Part B: Up to 42 days Part C: Up to 28 days Part D: Up to 54 weeks

  4. Parts A, B, C, and D: Apparent Terminal Elimination Half-life (t1/2) of Prosetin in Plasma

    Time frame: Part A: Up to 28 days Part B: Up to 42 days Part C: Up to 28 days Part D: Up to 54 weeks

  5. Parts A and D: Measure of Concentration of Prosetin in CSF

    Time frame: Part A: Day 1; Part D: Up to 48 weeks

07

Study locations

4 sites
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Worldwide Clinical Trials Early Phase Services
    San Antonio, Texas 78217, United States
  • The Neuro - Montréal Neurological Institute-Hospital
    Montreal, Quebec H3A 2B4, Canada
  • University Medical Center Utrecht
    Utrecht, Utrecht 3584 CX, Netherlands
08

References and documents

Publications

  • Thams S, Lowry ER, Larraufie MH, Spiller KJ, Li H, Williams DJ, Hoang P, Jiang E, Williams LA, Sandoe J, Eggan K, Lieberam I, Kanning KC, Stockwell BR, Henderson CE, Wichterle H. A Stem Cell-Based Screening Platform Identifies Compounds that Desensitize Motor Neurons to Endoplasmic Reticulum Stress. Mol Ther. 2019 Jan 2;27(1):87-101. doi: 10.1016/j.ymthe.2018.10.010. Epub 2018 Oct 19. PubMed 30446391 ↗
  • Bos PH, Lowry ER, Costa J, Thams S, Garcia-Diaz A, Zask A, Wichterle H, Stockwell BR. Development of MAP4 Kinase Inhibitors as Motor Neuron-Protecting Agents. Cell Chem Biol. 2019 Dec 19;26(12):1703-1715.e37. doi: 10.1016/j.chembiol.2019.10.005. Epub 2019 Oct 31. PubMed 31676236 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05279755
Lead sponsor
ProJenX
Collaborators
Congressionally Directed Medical Research Programs
Responsible party
Sponsor
First posted
Mar 15, 2022
Start date
Feb 26, 2022
Primary completion
Jun 30, 2026 (estimated)
Completion
Oct 31, 2026 (estimated)
Last update
Apr 27, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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