NeuroSense Receives FDA Clearance to Initiate Pivotal Phase 3 Trial for PrimeC in ALS

Core Insights - NeuroSense Therapeutics has received FDA authorization to initiate a pivotal Phase 3 clinical trial for its lead drug candidate, PrimeC, aimed at treating amyotrophic lateral sclerosis (ALS) [1][2][3] Company Overview - NeuroSense is a late-clinical stage biotechnology company focused on developing treatments for severe neurodegenerative diseases, including ALS, Alzheimer's disease, and Parkinson's disease [7] - The company aims to address significant unmet medical needs in the neurodegenerative disease space, where effective therapeutic options are limited [7] Clinical Trial Details - The Phase 3 trial, named PARAGON, will include 300 ALS patients randomized in a 2:1 ratio (PrimeC : Placebo) and is designed to achieve over 95% power to meet its primary endpoint [2][3] - The trial will be conducted in the U.S. and EU, featuring a double-blind, 12-month placebo-controlled design with an open-label extension to assess safety and efficacy [3] - An adaptive design will allow for interim analyses to optimize sample size and evaluate early efficacy and futility boundaries [3] Drug Candidate Information - PrimeC is an extended-release oral formulation combining two FDA-approved drugs: ciprofloxacin and celecoxib, targeting mechanisms involved in ALS and Alzheimer's disease [6] - The drug aims to inhibit the progression of ALS and Alzheimer's by addressing motor neuron degeneration, inflammation, iron accumulation, and impaired RNA regulation [6] ALS Background - ALS is an incurable neurodegenerative disease leading to complete paralysis and death within 2-5 years of diagnosis, with over 5,000 new cases diagnosed annually in the U.S. [5] - The annual disease burden of ALS in the U.S. is approximately $1 billion, and the number of individuals living with ALS is projected to increase by 24% by 2040 in the U.S. and EU [5]