ClinicalTrials.gg
RecruitingNCT07778836FORWARD-FAUpdated Oct 9, 2026

A Study to Evaluate the Efficacy and Safety of Subcutaneous Nomlabofusp in Subjects With Friedreich's Ataxia

A Phase 3 interventional study of Nomlabofusp and Placebo in Friedreich Ataxia and Friedreich's Ataxia, sponsored by Larimar Therapeutics, Inc.. Recruiting at 4 sites in United States. Open to participants aged 12 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Larimar Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Updated Oct 9, 2026Start date moved1 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
12 Years to 40 Years
Sex
All
01

Where this study stands

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

Among 70 studies in Friedreich Ataxia with a site in United States — 17 open to participants now, 24 under way, 4 of them phase 3. Friedreich Ataxia · United States.

Planned enrollment
3rd of 48
150 · median 33
Started
2026
with 6 others
Phase 3
10 of 70
2 open now
Primary completion
2029-07
later than 14 of 23 live
Registered
68th of 70
by date
Lead sponsor
8 of 70
Larimar Therapeutics, Inc.

Among the 70 studies in Friedreich Ataxia with a site in United States, this one is the 3rd largest by planned enrollment of the 48 interventional ones that give a count, is one of 7 that started in 2026, is one of 10 in phase 3, reaches primary completion later than 14 of the 23 other live ones, and was the 68th registered.

Friedreich Ataxia

110 studies on the registry are indexed under Friedreich Ataxia; 27 are open to participants now.

Browse Friedreich Ataxia studies →

Open to participants now

17 of the 70 studies in Friedreich Ataxia with a site in United States are open now. Recruiting first, the newest first:

11 more — sign in →

All 17 open studies →

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

Who these studies take

Of the 18 Friedreich Ataxia studies recruiting now, 9 (50%) set no upper age limit and 9 (50%) stop at 75 or younger; 15 take children under 18; 3 take healthy volunteers.

This study: 12 Years to 40 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.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 70 studies in Friedreich Ataxia with a site in United States, or all of them as a file.
02

Study summary

To evaluate the efficacy and safety of subcutaneous nomlabofusp in adult and pediatric subjects with Friedreich's ataxia

Read the detailed description

This is a global, randomized, multi-center, placebo-controlled study to investigate the efficacy and safety of nomlabofusp in subjects with Friedreich's ataxia

The main objectives of the study are to evaluate:

  • The efficacy of subcutaneous (SC) administration of nomlabofusp compared to placebo at Week 72; 1) on the Upright Stability Score (USS) Subscale E of the Modified Friedreich's Ataxia Ratings Scale (mFARS), or 2) mFARS total score (Region specific objective)
  • The efficacy of SC administration of nomlabofusp compared to placebo at Week 72 on the Clinical Global Impression of Severity (CGI-S) score
  • The safety and tolerability of SC administration of nomlabofusp
03

Conditions studied

  • Friedreich Ataxia
  • Friedreich's Ataxia

Browse trials for

Keywords

  • FA
  • FRDA
04

Who can participate

Ages eligible
12 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

Subjects who meet all of the following criteria are potentially eligible for study participation:

  1. Subject must provide genetically confirmed FRDA diagnosis report and is homozygous for GAA repeat expansions documented on the genetic diagnostic report, with repeat sizing (if available).
  2. Subject must complete 1 trial at Screening and 1 trial at Day -1 of the T25-FW test, using their customary assistive device (e.g., cane, 2 canes/crutches [Canadian crutches], wheeled walker/rollator or canine assistance) if needed. Each trial must be completed within 3 minutes.
  3. Subject must have the following at Screening and Day -1 per the following upright stability items from Module E of the mFARS:

    1. Item #E1, Sitting Posture - no more than a maximum score of 2
    2. Item #E2A, Stance Feet Apart - no more than a maximum score of 2 (average of 3 attempts)
  4. Subject must have an mFARS score ≥ 20 and \< 60 at Screening and Day -1.
  5. Subject must have a Functional Staging for Ataxia score of 4 or less at Screening.
  6. Subject demonstrates sufficient dexterity and visual acuity to prepare and self-administer SC injections of study drug daily (QD) or has an identified caregiver who will be trained and committed to prepare and administer the injections.
  7. Subject has a Screening ≤ 7.0%.
  8. If the subject is taking permitted concomitant medication(s), subject must have been on a stable dose and frequency of medication(s) over the past 28 days prior to initiation of Screening. Subjects taking niacin and resveratrol must have been on a stable dose and frequency for 90 days prior to initiation of Screening and subjects taking omaveloxolone must have been on a stable dose and frequency for 1 years prior to initiation of Screening.

Key Exclusion Criteria

Subjects are excluded from the study if any of the following exclusion criteria are met:

  1. Subject who is confirmed as compound heterozygous (GAA repeat expansion on only 1 allele) for FRDA.
  2. Subject previously participated in a clinical trial involving nomlabofusp. Participation is defined as the subject having signed the for the study and received at least 1 dose of study drug (nomlabofusp or placebo).
  3. The subject has any condition, disease, or situation that could confound the results of the study or put the subject at undue risk, making participation inadvisable in the opinion of the PI.
  4. Women of who are pregnant (have a positive pregnancy test at Screening or Day -1), lactating, or planning to attempt to become pregnant during this study or within 90 days after the last dose of study drug (this includes male subjects with partners of childbearing potential who are attempting to become pregnant).
  5. Subject used any drug or device within 90 days prior to the initiation of Screening.
  6. Subject previously received a gene therapy (investigational or approved) at any time in the past.
  7. Subject requires use of amiodarone.
  8. Subject used erythropoietin, etravirine, or gamma interferon within 90 days prior to the initiation of Screening.
  9. Subject's use of biotin supplementation exceeds 30 μg/day, either as part of a multivitamin or as a standalone supplement, within 7 days prior to the first dose of study drug. Biotin supplementation ≤ 30 μg/day is permitted if taken at a stable dose and frequency for at least 28 days prior to the initiation of Screening and there is a commitment from the subject to maintain the biotin dose throughout the study (due to interference with assays).
  10. Subject receives medication that requires SC injection in the abdomen or thigh.
  11. Subject has a Screening ECHO \< 45%.
  12. Subject has a on an as specified below:

    1. For subjects ≥ 12 and \< 18 years of age, a male or female subject with a QTcF > 460 ms.
    2. For subjects ≥ 18 years of age, a male subject with a QTcF > 450 ms or a female subject has a QTcF > 470 ms.
  13. Subject has suicidal ideation as determined by a "yes" to item #2 on the C-SSRS at Screening (within the last 28 days) or at Day -1.
Terms in these criteria, in plain language(7)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Nomlabofusp

    Daily subcutaneous injection of nomlabofusp for 72 weeks

    Drug: Nomlabofusp

  • Placebo comparator
    Placebo

    Daily subcutaneous injection of placebo for 72 weeks

    Drug: Placebo

Interventions

  • Nomlabofusp is a recombinant fusion protein provided in a sterile, preservative-free buffered solution for subcutaneous injection intended to deliver human frataxin, the protein deficient in Friedreich's ataxia.

    Also known as: CTI-1601

  • DrugPlacebo

    The placebo is a sterile, preservative-free, clear liquid for subcutaneous injection.

    Also known as: CTI-1601 Placebo, Nomlabofusp Placebo

06

What researchers measure

Primary outcomes

  1. Change from baseline in Upright Stability Score (USS) subscale E of modified Friedreich's Ataxia Rating Scale (mFARS) at Week 72 (Region-specific)

    Number - The USS has a score range from 0 to 36. Lower scores mean less impairment and higher scores mean greater neurological impairment.

    Time frame: Baseline, Weeks 12, 24, 36, 48, 72

  2. Change from baseline in the total modified Friedreich's Ataxia Rating Scale (mFARS) at Week 72 (Region-specific)

    Number - The mFARS has a total score range from 0 to 93. Lower scores mean less impairment and higher scores mean greater neurological impairment.

    Time frame: Baseline, Weeks 12, 24, 36, 48, 72

Secondary outcomes

  1. Change from baseline in the Clinical Global Impression-Severity (CGI-S) score at Week 72

    Number - The CGI-S is a 7-point scale. Lower scores mean less impairment and higher scores mean greater neurological impairment.

    Time frame: Baseline, Weeks 12, 24, 36, 48, 72

07

Study locations

3 of 4 sites recruiting
08

References and documents

Publications

  • Liu, C. (1993). "Bartlett's Decomposition of the Posterior Distribution of the Covariance for Normal Monotone Ignorable Missing Data." Journal of Multivariate Analysis 46:198-206.
  • Bauer P, Kohne K. Evaluation of experiments with adaptive interim analyses. Biometrics. 1994 Dec;50(4):1029-41. PubMed 7786985 ↗
  • Carpenter JR, Roger JH, Kenward MG. Analysis of longitudinal trials with protocol deviation: a framework for relevant, accessible assumptions, and inference via multiple imputation. J Biopharm Stat. 2013;23(6):1352-71. doi: 10.1080/10543406.2013.834911. PubMed 24138436 ↗
  • Delatycki MB, Corben LA. Clinical features of Friedreich ataxia. J Child Neurol. 2012 Sep;27(9):1133-7. doi: 10.1177/0883073812448230. Epub 2012 Jun 29. PubMed 22752493 ↗
  • Deutsch EC, Santani AB, Perlman SL, Farmer JM, Stolle CA, Marusich MF, Lynch DR. A rapid, noninvasive immunoassay for frataxin: utility in assessment of Friedreich ataxia. Mol Genet Metab. 2010 Oct-Nov;101(2-3):238-45. doi: 10.1016/j.ymgme.2010.07.001. Epub 2010 Jul 8. PubMed 20675166 ↗
  • Dmitrienko, A., Yuan, Y. (2017). Interim data monitoring. Analysis of Clinical Trials Using SAS: A Practical Guide (Second Edition). Dmitrienko, A., Koch, G.G. (editors). SAS Press: Cary, NC.
  • Fahey MC, Corben L, Collins V, Churchyard AJ, Delatycki MB. How is disease progress in Friedreich's ataxia best measured? A study of four rating scales. J Neurol Neurosurg Psychiatry. 2007 Apr;78(4):411-3. doi: 10.1136/jnnp.2006.096008. Epub 2006 Oct 20. PubMed 17056635 ↗
  • Fisk JD, Ritvo PG, Ross L, Haase DA, Marrie TJ, Schlech WF. Measuring the functional impact of fatigue: initial validation of the fatigue impact scale. Clin Infect Dis. 1994 Jan;18 Suppl 1:S79-83. doi: 10.1093/clinids/18.supplement_1.s79. PubMed 8148458 ↗
  • Gladman D, Nash P, Goto H, Birt JA, Lin CY, Orbai AM, Kvien TK. Fatigue numeric rating scale validity, discrimination and responder definition in patients with psoriatic arthritis. RMD Open. 2020 Jan;6(1):e000928. doi: 10.1136/rmdopen-2019-000928. PubMed 31958274 ↗
  • Goodkin DE, Hertsgaard D, Seminary J. Upper extremity function in multiple sclerosis: improving assessment sensitivity with box-and-block and nine-hole peg tests. Arch Phys Med Rehabil. 1988 Oct;69(10):850-4. PubMed 3178453 ↗
  • Indelicato E, Nachbauer W, Eigentler A, Amprosi M, Matteucci Gothe R, Giunti P, Mariotti C, Arpa J, Durr A, Klopstock T, Schols L, Giordano I, Burk K, Pandolfo M, Didszdun C, Schulz JB, Boesch S; EFACTS (European Friedreich's Ataxia Consortium for Translational Studies). Onset features and time to diagnosis in Friedreich's Ataxia. Orphanet J Rare Dis. 2020 Aug 3;15(1):198. doi: 10.1186/s13023-020-01475-9. PubMed 32746884 ↗
  • Koeppen AH. Friedreich's ataxia: pathology, pathogenesis, and molecular genetics. J Neurol Sci. 2011 Apr 15;303(1-2):1-12. doi: 10.1016/j.jns.2011.01.010. PubMed 21315377 ↗
  • Lawerman TF, Brandsma R, Burger H, Burgerhof JGM, Sival DA; the Childhood Ataxia and Cerebellar Group of the European Pediatric Neurology Society. Age-related reference values for the pediatric Scale for Assessment and Rating of Ataxia: a multicentre study. Dev Med Child Neurol. 2017 Oct;59(10):1077-1082. doi: 10.1111/dmcn.13507. Epub 2017 Aug 17. PubMed 28815574 ↗
  • Lawrence, J. and Hung, H.M.J. (2003), Estimation and Confidence Intervals after Adjusting the Maximum Information. Biom. J., 45: 143-152. https://doi.org/10.1002/bimj.200390001
  • Lazaropoulos M, Dong Y, Clark E, Greeley NR, Seyer LA, Brigatti KW, Christie C, Perlman SL, Wilmot GR, Gomez CM, Mathews KD, Yoon G, Zesiewicz T, Hoyle C, Subramony SH, Brocht AF, Farmer JM, Wilson RB, Deutsch EC, Lynch DR. Frataxin levels in peripheral tissue in Friedreich ataxia. Ann Clin Transl Neurol. 2015 Aug;2(8):831-42. doi: 10.1002/acn3.225. Epub 2015 Jul 1. PubMed 26339677 ↗
  • Li KH. Imputation using Markov chains. J Stat Comput Simul 1988;30:57-79.
  • Little R, Yau L. Intent-to-treat analysis for longitudinal studies with drop-outs. Biometrics. 1996 Dec;52(4):1324-33. PubMed 8962456 ↗
  • Lynch DR, Chin MP, Delatycki MB, Subramony SH, Corti M, Hoyle JC, Boesch S, Nachbauer W, Mariotti C, Mathews KD, Giunti P, Wilmot G, Zesiewicz T, Perlman S, Goldsberry A, O'Grady M, Meyer CJ. Safety and Efficacy of Omaveloxolone in Friedreich Ataxia (MOXIe Study). Ann Neurol. 2021 Feb;89(2):212-225. doi: 10.1002/ana.25934. Epub 2020 Nov 5. PubMed 33068037 ↗
  • Meyer RD, Ratitch B, Wolbers M, Marchenko O, Quan H, Li D, Fletcher C, Li X, Wright D, Shentu Y, Englert S, Shen W, Dey J, Liu T, Zhou M, Bohidar N, Zhao PL, Hale M. Statistical Issues and Recommendations for Clinical Trials Conducted During the COVID-19 Pandemic. Stat Biopharm Res. 2020 Jul 6;12(4):399-411. doi: 10.1080/19466315.2020.1779122. PubMed 34191971 ↗
  • MSCfCP Guidelines. Fatigue and multiple sclerosis: evidence-based management strategies for fatigue in multiple sclerosis. 1998
  • nQuery (2017). Sample Size and Power Calculation. "Statsols" (Statistical Solutions Ltd), Cork, Ireland.
  • Pandolfo M. Friedreich ataxia. Arch Neurol. 2008 Oct;65(10):1296-303. doi: 10.1001/archneur.65.10.1296. PubMed 18852343 ↗
  • Qu Y, Dai B. Return-to-baseline multiple imputation for missing values in clinical trials. Pharm Stat. 2022 May;21(3):641-653. doi: 10.1002/pst.2191. Epub 2022 Jan 5. PubMed 34985825 ↗
  • Ratitch, B., O'Kelly, M. (2011). Implementation of pattern-mixture models using standard SAS/STAT procedures
  • Rubin, D.B. (1987). Multiple Imputation for Nonresponse in Surveys. New York: John Wiley and Sons. DOI:10.1002/9780470316696
  • Rudick R, Antel J, Confavreux C, Cutter G, Ellison G, Fischer J, Lublin F, Miller A, Petkau J, Rao S, Reingold S, Syndulko K, Thompson A, Wallenberg J, Weinshenker B, Willoughby E. Clinical outcomes assessment in multiple sclerosis. Ann Neurol. 1996 Sep;40(3):469-79. doi: 10.1002/ana.410400321. PubMed 8797541 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Start is estimated for Oct 2026; primary completion for Jul 2029, 33 months later.

Start moved once since we started tracking on Sep 25, 2026: Aug 2026 → Oct 2026, on Oct 9, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Aug 17, 2026
First posted
Aug 21, 2026
StartEst.
Oct 26, 2026was Aug 2026
Primary completionEst.
Jul 2029
CompletionEst.
Dec 2029
Last update
Oct 9, 2026
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.
Sites
1 site added
Show site
  • Morsani Center for Advanced Health Care, University of South Florida Health · Tampa, United States
Oct 9, 2026
Start date
Aug 5, 2026→Oct 26, 2026
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    1 site added
    Show site
    • Morsani Center for Advanced Health Care, University of South Florida Health · Tampa, United States
    Start date Aug 5, 2026→Oct 26, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07778836
Lead sponsor
Larimar Therapeutics, Inc.
Responsible party
Sponsor
First posted
Aug 21, 2026
Start date
Oct 26, 2026 (estimated)
Primary completion
Jul 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Oct 9, 2026

Study contacts

Larimar Therapeutics, Inc.
Contact
medicalinfo@larimartx.com
844-511-9056

Oversight

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

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