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TerminatedNCT06658977Lighthouse IIIUpdated Jun 8, 2025

RolloverTreatment With Triumeq for People With ALS Following the Lighthouse II Trial

A Phase 3 interventional study of Abacavir 600mg, Lamivudine 300mg and Dolutegravir 50mg (Triumeq) in Amyotrophic Lateral Sclerosis and ALS, sponsored by Macquarie University, Australia. Terminated at 7 sites in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-08.

Sponsored by Macquarie University, Australia · Phase 3, Interventional, and Treatment

Why this study was terminated
This is a rollover study following the Lighthouse II trial; it was scheduled to stop when the LH II trial was stopped/completed. The LH II trial has been prematurely terminated so, likewise, this study has also now been stopped.
Phase
Phase 3
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Triumeq is an approved medicine for HIV. The effectiveness of Triumeq in Amyotrophic Lateral Sclerosis (ALS) is being investigated in the Lighthouse II trial. This study aims to assess whether Triumeq is safe and effective at delaying ALS disease progression when given long term. It is available for participants who have completed the Lighthouse II study. The main measurements are safety, tolerability and survival.

The study will go for approximately 2 years.

Read the detailed description

Treatment options for ALS are very limited and there is a high unmet need for effective treatments. Triumeq targets a known neuron toxic pathway and is currently under investigation in a double blind placebo controlled trial, Lighthouse II. This study will be open to participants who took part in, and were still taking the study drug when they completed the Lighthouse II trial, in Australia and New Zealand.

The nature of the target and the mechanism of action of Triumeq are well understood. Participation in this rollover study is concurrent with standard of care, so participants are not limited in their use of therapies.

Participants will be assessed for adverse events, discontinuation of study medication, survival, measures of daily functioning, plus biomarker assessments of blood and urine samples.

Participant contacts may be face to face, or remote, and will be at 3 monthly intervals until approx December 2026 by which time it is anticipated the results of the Lighthouse II study will be available.

02

Conditions studied

  • Amyotrophic Lateral Sclerosis
  • ALS

Keywords

  • Lighthouse
03

In context

Motor Neuron Disease

717 studies on the registry are indexed under Motor Neuron Disease; 137 are open to participants now.

This study's enrollment of 12 is below the median of 35 across 461 interventional studies indexed under Motor Neuron Disease.

Browse Motor Neuron Disease studies →

Lead sponsor

Macquarie University, Australia is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

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

Inclusion criteria

  • Participants diagnosed with ALS according to the Lighthouse II protocol who completed the Lighthouse II trial.
  • Participants taking Riluzole must be on a stable dose.
  • Participants taking taurursodiol supplements (TUDCA) can participate in this trial if the supplement does not contain sodium phenylbutyrate.
  • Women must not become pregnant (e.g., post-menopausal, surgically sterile, using highly effective birth control methods or not having potentially reproductive sex) for the duration of the study plus five days; and women of childbearing potential must have a negative urine pregnancy test at baseline and be non-lactating.
  • For participants taking antacids (regularly or as required), participant is willing and able to avoid taking antacids for at least 6 hours before and 2 hours after the Triumeq dose.
  • Capable of providing informed consent and complying with the trial procedures.

Exclusion criteria

Exclusion Criteria:

  • In the Principal Investigator's opinion, the participant is unlikely to be compliant with the study drug dosing.
  • People who are HLA-B*5701 positive.
  • Presence of HIV antibodies at screening
  • Presence of Hepatitis C antibodies at screening unless participants have had effective treatment for Hepatitis C
  • Presence of Hepatitis B core or surface antigen at screening
  • Known hypersensitivity to Dolutegravir, Abacavir or Lamivudine, or to any of the excipients.
  • Moderate to severe hepatic impairment, as defined by local clinical guidelines.
  • Participation in any other investigational drug trial or using another investigational drug within 5 half-lives of that drug.
  • Use of NIV ≥22 h per day or having a tracheostomy
  • Clinically significant history of unstable or severe cardiac, oncological, psychiatric, hepatic, or renal disease or other medically significant illness
  • Taking medication contraindicated with Triumeq: Dofetilide or Fampridine (dalfampridine)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Triumeq open label

    Abacavir 600mg, Lamivudine 300mg and Dolutegravir 50mg ('Triumeq') one tablet daily

    Drug: Abacavir 600mg, Lamivudine 300mg and Dolutegravir 50mg (Triumeq)

Interventions

  • DrugAbacavir 600mg, Lamivudine 300mg and Dolutegravir 50mg (Triumeq)

    One Triumeq tablet per day

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]).

    The primary endpoint of this trial is whether a patient had any drug related (definite, probable, possible) adverse events over the course of the extension trial. Tolerability is defined as the number of participants discontinuing study medication. Adverse events will be described in terms of relationship to temporary or permanent discontinuation of the study medication.

    Time frame: Duration of the study plus 7 days

07

Study locations

7 sites
  • Macquarie University, Neurology
    North Ryde, New South Wales 2109, Australia
  • Neuroscience Research Australia (NeuRA)
    Randwick, New South Wales 2031, Australia
  • Royal Brisbane and Womens Hospital
    Herston, Queensland 4029, Australia
  • Flinders Medical Centre
    Bedford Park, S.A. 5042, Australia
  • Launceston General Hospital
    Launceston, Tasmania 7250, Australia
  • Calvary Health Care Bethlehem
    Caulfield South, Victoria 3162, Australia
  • The Perron Institute
    Nedlands, W.A. 6009, Australia
08

References and documents

Individual participant data

Plan to share: Yes — Contact Chief Investigator for access information

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06658977
Lead sponsor
Macquarie University, Australia
Responsible party
Sponsor
First posted
Oct 26, 2024
Start date
Nov 15, 2024
Primary completion
Jun 3, 2025
Completion
Jun 3, 2025
Last update
Jun 8, 2025

Oversight

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

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

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