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Janus Kinase (JAK) Inhibitor

Baricitinib for Alzheimer's & ALS (NADALS Trial)

Phase 1 & 2
Recruiting
Led By Mark W Albers, MD, PhD
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Must be 55-90 years old, inclusive and have subjective cognitive decline (SCD), minor neurocognitive disorder (mild cognitive impairment (MCI)), or major neurocognitive disorder (possible or probable AD)
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through study completion, an average of 1 year
Awards & highlights

NADALS Trial Summary

This trial will study whether the drug baricitinib can help people with Alzheimer's, ALS, or other cognitive disorders by reducing inflammation.

Who is the study for?
Adults aged 55-90 with cognitive issues like Alzheimer's or mild impairment, and those aged 18-80 with ALS or carrying an ALS-related gene. Participants must have up-to-date vaccinations including Shingrix and COVID-19, be able to consent, and for those with AD, a MoCA score ≥8 plus a study partner is required. For ALS patients: stable on FDA treatments if any, able to walk at home daily, and life expectancy over 12 months.Check my eligibility
What is being tested?
The trial tests baricitinib in participants with various neurodegenerative conditions over 24 weeks without using a placebo. It starts at a lower dose for the first eight weeks before doubling. The goal is to see if it can reach therapeutic levels in the brain/spinal fluid and reduce inflammation markers linked to these diseases.See study design
What are the potential side effects?
Baricitinib may cause infections due to immune system suppression, changes in blood test results indicating liver or kidney issues, cholesterol increases, allergic reactions where the drug enters the body (if injected), digestive tract problems like diverticulitis or ulcers.

NADALS Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am between 55 and 90 years old and have been experiencing memory problems or have been diagnosed with a cognitive disorder.

NADALS Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through study completion, an average of 1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and through study completion, an average of 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
CSF CCL2 Concentration
CSF Concentration of baricitinib
Secondary outcome measures
CSF C-X-C motif chemokine ligand 10 (CXCL10) Concentration
CSF interferon gamma (IFNG) Concentration
CSF interleukin-6 (IL-6) Concentration
+8 more

Side effects data

From 2015 Phase 3 trial • 1307 Patients • NCT01710358
10%
Nasopharyngitis
4%
Upper respiratory tract infection
4%
Urinary tract infection
4%
Headache
4%
Pharyngitis
3%
Alanine aminotransferase increased
3%
Back pain
3%
Erectile dysfunction
3%
Nausea
3%
Hypertension
2%
Diarrhoea
2%
Cough
2%
Dyspepsia
2%
Bronchitis
2%
Influenza
2%
Rash
1%
Hypercholesterolaemia
1%
Hyperlipidaemia
1%
Rheumatoid arthritis
1%
Anaemia
1%
Blood creatine phosphokinase increased
100%
80%
60%
40%
20%
0%
Study treatment Arm
Adalimumab Treatment A
Adalimumab Treatment B
Placebo Treatment B
Baricitinib Follow-up
Baricitinib Treatment A
Placebo Follow-up
BaricitinibTreatment B
Adalimumab Follow-up
Placebo Treatment A
Rescue

NADALS Trial Design

1Treatment groups
Experimental Treatment
Group I: BaricitinibExperimental Treatment1 Intervention
Baricitinib 2mg administered by mouth once daily for the first 8 weeks, followed by baricitinib 4mg administered by mouth once daily for 16 weeks.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Baricitinib
2017
Completed Phase 3
~9510

Find a Location

Who is running the clinical trial?

Massachusetts General HospitalLead Sponsor
2,929 Previous Clinical Trials
13,198,285 Total Patients Enrolled
37 Trials studying Amyotrophic Lateral Sclerosis
11,200 Patients Enrolled for Amyotrophic Lateral Sclerosis
Mark W Albers, MD, PhDPrincipal InvestigatorMassachusetts General Hospital

Media Library

Baricitinib (Janus Kinase (JAK) Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05189106 — Phase 1 & 2
Amyotrophic Lateral Sclerosis Research Study Groups: Baricitinib
Amyotrophic Lateral Sclerosis Clinical Trial 2023: Baricitinib Highlights & Side Effects. Trial Name: NCT05189106 — Phase 1 & 2
Baricitinib (Janus Kinase (JAK) Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05189106 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this research currently open to recruitment?

"Confirmed. According to the information found on clinicaltrials.gov, this research project is actively searching for participants and has been since October 7th 2022 with the last update being made six days later."

Answered by AI

How many participants has this research attracted?

"Indeed, clinicaltrials.gov displays that this research trial is actively searching for participants as of October 7th 2022 and was last updated on the 13th of October. The study aims to enrol 20 individuals from 4 distinct sites."

Answered by AI

Is the enrollment of participants aged fifty and above being considered for this medical experiment?

"The parameters for participant selection specify that those entering the trial must be aged between 18 and 90. For patients younger than 18, 97 trials are available whereas 1349 trials are available for individuals beyond 65 years of age."

Answered by AI

What are the typical applications of Baricitinib?

"Baricitinib is the preferred medication for hospitalised patients. Additionally, baricitinib has been proven to be effective in managing coronavirus disease 2019 (covid‑19), extracorporeal membrane oxygenation (ECMO) treatment, and rheumatoid arthritis."

Answered by AI

What are the objectives of this research endeavor?

"The primary assessment for this study will measure CSF CCL2 Concentration at baseline, 8 weeks and 16 weeks. Secondary markers of the trial's efficacy include CSF tau Concentration (a neuronal death biomarker), IFNG protein concentration (an inflammatory marker) and CXCL10 protein levels (another indicator of inflammation). All measurements are relative to pre-treatment values."

Answered by AI

Is it feasible for me to partake in this medical experiment?

"This randomized clinical trial is recruiting 20 individuals aged 18 to 90 with a diagnosis of amyotrophic lateral sclerosis. Subsequently, applicants must meet the following particulars: Subjective cognitive decline(SCD), Minor neurocognitive disorder(mild cognitive impairment(MCI)), Major neurocognitive disorder (potential or certain Alzheimer's disease) OR sporadic or familial ALS as outlined in the revised El Escorial criteria; Asymptomatic carriers of an ALS-causative mutation certified through CLIA genetic testing (MGH site only); CSF CCL2 levels ≥ 250 pg/mL at screening; Up-to-date immun"

Answered by AI

What other experiments have been conducted involving Baricitinib?

"The initial research into baricitinib was conducted in 2007 at University of Nebraska Medical Center, since then there have been 44 completed clinical trials. Currently, 31 live studies are being carried out mainly within Charlestown, Florida."

Answered by AI

Who else is applying?

What state do they live in?
Massachusetts
What site did they apply to?
Massachusetts General Hospital - ALS Site
What portion of applicants met pre-screening criteria?
Met criteria
~6 spots leftby Dec 2024