Efficacy and Safety of Masitinib Versus Placebo in the Treatment of ALS Patients

Last updated: September 8, 2025
Sponsor: AB Science
Overall Status: Active - Recruiting

Phase

3

Condition

Amyotrophic Lateral Sclerosis (Als)

Myasthenia Gravis (Chronic Weakness)

Scar Tissue

Treatment

Masitinib (4.5)

Placebo

Masitinib (6.0)

Clinical Study ID

NCT03127267
AB19001
  • Ages 18-81
  • All Genders

Study Summary

The objective is to compare the efficacy and safety of masitinib in combination with riluzole versus matched placebo in combination with riluzole for the treatment of Amyotrophic Lateral Sclerosis (ALS).

Eligibility Criteria

Inclusion

Main inclusion criteria include:

  • Patients diagnosed with laboratory supported probable, clinically probable or definite ALS according to the World Federation of Neurology Revised El Escorial criteria

  • Patient with a familial or sporadic ALS

  • ALS disease duration from diagnosis no longer than 24 months at the screening visit

  • Patient treated with a stable dose of riluzole (100 mg/day) for at least 12 weeks days prior to the baseline visit

  • Patient with an ALSFRS-R score progression between onset of the disease and screening of > 0.3 per month, confirmed with an ALSFRS-R score progression of ≥ 1 point during a 12-week run-in period between screening and randomization.

  • Patient with a score, at screening, of at least 26 overall, including a score of at least 3 on item #3 and at least 2 on each of the 12 ALSFRS-R individual component items and with a score, at randomization, of at least 2 on each of the 12 ALSFRS-R individual component items

Main exclusion criteria include:

  • Patient with dementia or significant neurological, psychiatric, systemic or organic disease, uncontrolled or that may interfere with the conduct of the trial or its results

  • Patient with a FVC < 60% predicted normal value for gender, height, and age at screening and baseline

  • Pregnant, or nursing female patient

Study Design

Total Participants: 495
Treatment Group(s): 4
Primary Treatment: Masitinib (4.5)
Phase: 3
Study Start date:
February 02, 2021
Estimated Completion Date:
December 31, 2027

Study Description

Masitinib is a selective, oral tyrosine kinase inhibitor with neuroprotective capability demonstrated via numerous preclinical studies. Two of masitinib's main cellular targets are the mast cell and microglia cell. It is well-established that mast cells play a prominent role in neuroinflammatory processes. Microglia, resident immune cells of the central nervous system (CNS), also constitute an important source of neuroinflammatory mediators and may have fundamental roles in numerous neurodegenerative disorders. The development of masitinib in ALS is therefore based on the pharmacological action of masitinib in microglia cells and mast cells, thereby slowing microglial-related disease progression, reducing neuro-inflammation, and modulating the neuronal microenvironment in both central and peripheral nervous systems. This is a multicenter, double-blind, randomized, placebo-controlled, parallel-group (two ascending dose titrations of masitinib and matching placebo), comparative study of oral masitinib in the treatment of patients with amyotrophic lateral sclerosis (ALS).

Connect with a study center

  • University Hospital Leuven (UZ Leuven)

    Leuven,
    Belgium

    Site Not Available

  • University Hospital Leuven (UZ Leuven)

    Leuven 2792482,
    Belgium

    Active - Recruiting

  • Montreal Neurological Institute and Hospital

    Montréal,
    Canada

    Site Not Available

  • Bispebjerg Hospital

    Copenhagen,
    Denmark

    Site Not Available

  • Bispebjerg Hospital

    Copenhagen 2618425,
    Denmark

    Active - Recruiting

  • CHU de Angers

    Angers,
    France

    Site Not Available

  • CHU de Angers

    Angers 3037656,
    France

    Active - Recruiting

  • Groupe Hospitalier Pellegrin Tripode

    Bordeaux,
    France

    Site Not Available

  • Groupe Hospitalier Pellegrin Tripode

    Bordeaux 3031582,
    France

    Active - Recruiting

  • Hôpital neurologique Pierre Wertheimer

    Bron,
    France

    Site Not Available

  • Hôpital neurologique Pierre Wertheimer

    Bron 3029931,
    France

    Active - Recruiting

  • CHU Gabriel Montpied

    Clermont Ferrand,
    France

    Site Not Available

  • CHU Gabriel Montpied

    Clermont-Ferrand 3024635,
    France

    Active - Recruiting

  • CHU de Lille - Hopital Roger Salengro

    Lille,
    France

    Site Not Available

  • CHU de Lille - Hopital Roger Salengro

    Lille 2998324,
    France

    Active - Recruiting

  • CHU de Limoges - Hôpital Dupuytren

    Limoges,
    France

    Site Not Available

  • CHU de Limoges - Hôpital Dupuytren

    Limoges 2998286,
    France

    Active - Recruiting

  • CHU de Marseille - Hôpital de la Timone

    Marseille,
    France

    Site Not Available

  • CHU de Marseille - Hôpital de la Timone

    Marseille 2995469,
    France

    Active - Recruiting

  • CHRU de Montpellier - Gui de Chauliac

    Montpellier,
    France

    Site Not Available

  • CHRU de Montpellier - Gui de Chauliac

    Montpellier 2992166,
    France

    Active - Recruiting

  • CHU de Nancy - Hopital Central

    Nancy,
    France

    Site Not Available

  • CHU de Nancy - Hopital Central

    Nancy 2990999,
    France

    Active - Recruiting

  • CHU Hôpital Pasteur Nice

    Nice,
    France

    Site Not Available

  • CHU Hôpital Pasteur Nice

    Nice 2990440,
    France

    Active - Recruiting

  • CHRU de Tours - Hopital Bretonneau

    Tours,
    France

    Site Not Available

  • CHRU de Tours - Hopital Bretonneau

    Tours 2972191,
    France

    Active - Recruiting

  • Department of Neurology, University of Ulm

    Ulm, 89081
    Germany

    Site Not Available

  • Department of Neurology, University of Ulm

    Ulm 2820256, 89081
    Germany

    Site Not Available

  • Athens Naval Hospital

    Athens,
    Greece

    Site Not Available

  • Eginition Hospital

    Athens,
    Greece

    Active - Recruiting

  • Athens Naval Hospital

    Athens 264371,
    Greece

    Active - Recruiting

  • Eginition Hospital

    Athens 264371,
    Greece

    Active - Recruiting

  • University General Hospital of Larissa

    Larissa,
    Greece

    Site Not Available

  • University General Hospital of Larissa

    Larissa 258576,
    Greece

    Active - Recruiting

  • General University Hospital of Patras

    Rio 254315,
    Greece

    Active - Recruiting

  • General University Hospital of Patras

    Río,
    Greece

    Site Not Available

  • Hadassah University Hospital

    Jerusalem,
    Israel

    Site Not Available

  • Hadassah University Hospital

    Jerusalem 281184,
    Israel

    Active - Recruiting

  • Tel-Aviv Medical Center Hôpital Sourasky (ICHILOV)

    Tel Aviv,
    Israel

    Site Not Available

  • Tel-Aviv Medical Center Hôpital Sourasky (ICHILOV)

    Tel Aviv 293397,
    Israel

    Active - Recruiting

  • Ospedale Civile Sant'Agostino - Estense

    Baggiovara, Modena
    Italy

    Site Not Available

  • Ospedale Civile Sant'Agostino - Estense

    Baggiovara 7870564, Modena
    Italy

    Active - Recruiting

  • ASST degli Spedali Civili di Brescia

    Brescia,
    Italy

    Site Not Available

  • ASST degli Spedali Civili di Brescia

    Brescia 3181554,
    Italy

    Active - Recruiting

  • Centro Clinico NeMO Fondazione Serena Onlus

    Gussago,
    Italy

    Site Not Available

  • Centro Clinico NeMO Fondazione Serena Onlus

    Gussago 3175670,
    Italy

    Active - Recruiting

  • Clinico Nemo Center (Centro Clinico NeMO Milano)

    Milan 6951411,
    Italy

    Active - Recruiting

  • IRCCS Istituto Auxologico Italiano

    Milan 6951411,
    Italy

    Active - Recruiting

  • Istituti Clinici Scientifici Maugeri IRCCS

    Milan 6951411,
    Italy

    Active - Recruiting

  • San Raffaele Hospital (Ospedale San Raffaele)

    Milan 6951411,
    Italy

    Active - Recruiting

  • Clinico Nemo Center (Centro Clinico NeMO Milano)

    Milano,
    Italy

    Active - Recruiting

  • IRCCS Istituto Auxologico Italiano

    Milano,
    Italy

    Active - Recruiting

  • Istituti Clinici Scientifici Maugeri IRCCS

    Milano,
    Italy

    Active - Recruiting

  • San Raffaele Hospital (Ospedale San Raffaele)

    Milano,
    Italy

    Site Not Available

  • Azienda Ospedaliero-Universitaria di Modena

    Modena,
    Italy

    Site Not Available

  • University Hospital Maggiore della Carita

    Novara,
    Italy

    Site Not Available

  • University Hospital Maggiore della Carita

    Novara 3172189,
    Italy

    Active - Recruiting

  • Azienda Ospedale-Università Padova

    Padova,
    Italy

    Site Not Available

  • Azienda Ospedale-Università Padova

    Padua 3171728,
    Italy

    Active - Recruiting

  • IRCCS Mondino Foundation

    Pavia,
    Italy

    Site Not Available

  • IRCCS Mondino Foundation

    Pavia 3171366,
    Italy

    Active - Recruiting

  • University Hospital in Turin (Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino)

    Torino,
    Italy

    Site Not Available

  • University Hospital in Turin (Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino)

    Torino 8980539,
    Italy

    Active - Recruiting

  • Oslo University Hospital HF Ullevål

    Oslo,
    Norway

    Site Not Available

  • Oslo University Hospital HF Ullevål

    Oslo 3143244,
    Norway

    Active - Recruiting

  • Centrum Medyczne Neuromed

    Bydgoszcz,
    Poland

    Site Not Available

  • Centrum Medyczne Neuromed

    Bydgoszcz 3102014,
    Poland

    Active - Recruiting

  • Hospital de Santa Maria

    Lisboa,
    Portugal

    Site Not Available

  • Hospital de Santa Maria

    Lisbon 2267057,
    Portugal

    Active - Recruiting

  • Moscow city clinical Hospital after V.M. Buyanov

    Moscow 524901,
    Russia

    Active - Recruiting

  • Scientific Practical Medical Center "Innovation and Health"

    Novosibirsk 1496747,
    Russia

    Active - Recruiting

  • Moscow city clinical Hospital after V.M. Buyanov

    Moscow,
    Russian Federation

    Site Not Available

  • Scientific Practical Medical Center "Innovation and Health"

    Novosibirsk,
    Russian Federation

    Site Not Available

  • Clinical Centre of Serbia

    Belgrad,
    Serbia

    Site Not Available

  • Clinical Centre of Serbia

    Belgrade 792680,
    Serbia

    Active - Recruiting

  • Klinicni center Ljubljana

    Ljubljana,
    Slovenia

    Site Not Available

  • Klinicni center Ljubljana

    Ljubljana 3196359,
    Slovenia

    Active - Recruiting

  • Hospital General Universitario de Alicante

    Alicante,
    Spain

    Site Not Available

  • Hospital General Universitario de Alicante

    Alicante 2521978,
    Spain

    Active - Recruiting

  • Hospital Universitari de Bellvitge

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitari de Bellvitge

    Barcelona 3128760,
    Spain

    Active - Recruiting

  • Hospital Carlos III

    Madrid,
    Spain

    Site Not Available

  • Hospital San Rafael

    Madrid,
    Spain

    Active - Recruiting

  • Hospital Carlos III

    Madrid 3117735,
    Spain

    Active - Recruiting

  • Hospital San Rafael

    Madrid 3117735,
    Spain

    Active - Recruiting

  • Clinical Hospital Santiago de Compostela

    Santiago De Compostela,
    Spain

    Site Not Available

  • Clinical Hospital Santiago de Compostela

    Santiago de Compostela 3109642,
    Spain

    Active - Recruiting

  • Hospital Universitario y Politecnico La Fe

    Valencia,
    Spain

    Site Not Available

  • Hospital Universitario y Politecnico La Fe

    Valencia 2509954,
    Spain

    Active - Recruiting

  • Centralsjukhuset Karlstad (Central Hospital Karlstad)

    Karlstad,
    Sweden

    Site Not Available

  • Centralsjukhuset Karlstad (Central Hospital Karlstad)

    Karlstad 2701680,
    Sweden

    Active - Recruiting

  • Skåne University Hospital

    Malmo 2692969,
    Sweden

    Active - Recruiting

  • Skåne University Hospital

    Malmö,
    Sweden

    Site Not Available

  • Norrlands universitetssjukhus

    Umeå,
    Sweden

    Site Not Available

  • Norrlands universitetssjukhus

    Umeå 602150,
    Sweden

    Active - Recruiting

  • The State Institution of Neurology, Psychiatry and Narcology of NAMS of Ukraine

    Kharkiv,
    Ukraine

    Site Not Available

  • The State Institution of Neurology, Psychiatry and Narcology of NAMS of Ukraine

    Kharkiv 706483,
    Ukraine

    Active - Recruiting

  • Medical Center of LLC Medical Center Dopomoga Plus

    Kyiv,
    Ukraine

    Site Not Available

  • Medical Center of LLC Medical Center Dopomoga Plus

    Kyiv 703448,
    Ukraine

    Active - Recruiting

  • Communal Non-Profit Enterprise of Lviv Regional Council, Lviv Regional Clinical Hospital, Neurological Department

    Lviv,
    Ukraine

    Site Not Available

  • Communal Non-Profit Enterprise of Lviv Regional Council, Lviv Regional Clinical Hospital, Neurological Department

    Lviv 702550,
    Ukraine

    Active - Recruiting

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • University of Alabama at Birmingham

    Birmingham 4049979, Alabama 4829764 35294
    United States

    Active - Recruiting

  • University of Southern California

    Los Angeles, California 90007
    United States

    Site Not Available

  • University of California, Irvine - ALS & Neuromuscular Center

    Orange, California 92868
    United States

    Site Not Available

  • University of Southern California

    Los Angeles 5368361, California 5332921 90007
    United States

    Active - Recruiting

  • University of Chicago Neurology

    Chicago, Illinois 60637
    United States

    Site Not Available

  • University of Kentucky

    Lexington, Kentucky 40506
    United States

    Site Not Available

  • University of Kentucky

    Lexington 4297983, Kentucky 6254925 40506
    United States

    Active - Recruiting

  • Johns Hopkins Medicine Brain Science Institute

    Baltimore, Maryland 21205
    United States

    Site Not Available

  • Johns Hopkins Medicine Brain Science Institute

    Baltimore 4347778, Maryland 4361885 21205
    United States

    Active - Recruiting

  • Lahey Hospital and Medical Center

    Burlington, Massachusetts 01805
    United States

    Site Not Available

  • Lahey Hospital and Medical Center

    Burlington 4931737, Massachusetts 6254926 01805
    United States

    Active - Recruiting

  • Mount Sinai Downtown Union Square

    New York, New York 10003
    United States

    Site Not Available

  • Temple University

    Philadelphia, Pennsylvania 19122
    United States

    Site Not Available

  • University of Virginia Health System

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • University of Virginia Health System

    Charlottesville 4752031, Virginia 6254928 22903
    United States

    Active - Recruiting

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