TrialFinder  /  Landscape Report ALS  ·  2026-10-26 Revasser  /  revasserkernel.com
Landscape Report TrialFinder
SOURCE  ClinicalTrials.gov API v2
GENERATED  2026-10-26
VERSION  v1
SAMPLE  100 of 936 studies

als

The als clinical trial landscape includes 936 actively recruiting trials. Semantic expansion identified 743 additional trials beyond exact-match search, representing a 385% discovery lift across related conditions and therapeutic approaches.

Recruiting
936
active trials
Expansion Lift
+385%
743 additional trials
Top Sponsor
Neuralink Corp
3 trials
Dominant Phase
NA
48 of 102 sampled
Pipeline Overview
Phase Distribution
NA
48
Early I
2
Phase 1
5
Phase 2
6
Phase 3
4
Other
37
Therapeutic Modalities
OTHER
43
DEVICE
36
DRUG
26
PROCEDURE
17
DIAGNOSTIC_TEST
13
BEHAVIORAL
12
DIETARY_SUPPLEMENT
3
COMBINATION_PRODUCT
2
Recruiting vs. Completed (2yr)
Recruiting
936
Completed
427
Competitive Landscape
Sponsor Classification
23%
73%
5%
INDUSTRY (5)
OTHER (16)
NIH (1)
Top Sponsors
SponsorTrialsClass
Neuralink Corp3INDUSTRY
Assistance Publique - Hôpitaux de Paris3OTHER
University of Rochester2OTHER
University of California, Irvine2OTHER
Peking Union Medical College Hospital2OTHER
Biogen1INDUSTRY
National Institute of Mental Health (NIMH)1NIH
Cognixion1INDUSTRY
Nader Pouratian1OTHER
Chulalongkorn University1OTHER
McGill University1OTHER
Johns Hopkins University1OTHER
Ricard Mellado Artigas1OTHER
South West Sydney Local Health District1OTHER
Mansoura University1OTHER
Geographic Distribution
Top U.S. States by Trial Density
StateTrialsTop City
California10Stanford
Texas9Dallas
New York9New York
Massachusetts7Boston
North Carolina5Durham
Maryland4Bethesda
Pennsylvania4Pittsburgh
Illinois3Chicago
Ohio3Columbus
Virginia2Norfolk
Missouri2Kansas City
Washington2Bothell
Connecticut2New Haven
Minnesota2Minneapolis
Kansas2Westwood
South Carolina2Charleston
Florida2Jacksonville
Colorado1Aurora
Oregon1Portland
Kentucky1Louisville
Expansion Intelligence
+385%
Discovery lift — trials found by semantic expansion that exact-match search misses entirely. This is the gap competitors don't see.
3
Exact
1
Parent
3
Related
3
Comorbid
5
Therapeutic
Top Expansion Terms
  • motor neuron disease Parent
  • frontotemporal dementia Related
  • progressive muscular atrophy Related
  • primary lateral sclerosis Related
  • respiratory failure Comorbid
  • dysphagia Comorbid
  • fasciculation Comorbid
  • riluzole Therapeutic
  • edaravone Therapeutic
  • tofersen Therapeutic

These terms are curated from clinical literature — not generated by a language model. Each captures trials that use variant nomenclature for the same underlying condition or therapeutic area.

Key Findings
What This Landscape Means for als
high
Standard searches miss 385% of relevant trials for als — semantic expansion across related conditions and therapeutic approaches is essential for complete landscape visibility.
743 additional trials found via expansion vs 193 exact matches
high
4 Phase 3 trials indicate a maturing pipeline with near-term approval potential.
Phase 3 represents 4% of sampled trials
medium
3 industry sponsors are actively competing in this space, signaling strong commercial interest and investment validation.
Top industry: Neuralink Corp, Biogen, Cognixion
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Top Recruiting Trials
20 actively recruiting studies
NCT07221669 PHASE3
A Study to Learn About Salanersen's (BIIB115) Effects on Movement and Its Safety When Given Before Symptoms Appear in Babies With Genetically Diagnosed Spinal Muscular Atrophy (SMA)
Biogen n=30 Ann and Robert H Lurie Childrens Hospital of Chicago Chicago, Illinois
Intervention DRUG: Salanersen — Administered intrathecally
Eligibility Ages 0 Days – 42 Days
Contact US Biogen Clinical Trial Center · 866-633-4636 · clinicaltrials@biogen.com
NCT04396873 PHASE1
PET Imaging of Cyclooxygenases in Neurodegenerative Brain Disease
National Institute of Mental Health (NIMH) n=184 National Institutes of Health Clinical Center Bethesda, Maryland
Intervention DRUG: 11C-MC1 — Injected IV followed by PET scanning
Eligibility Ages 18 Years – 99 Years
Contact Tara N Turon, C.R.N.P. · (301) 827-6599 · tara.turon@nih.gov
Augmented Reality BCI Longitudinal Study for Persons With Late Stage ALS
Cognixion n=10 Cognixion Santa Barbara, California
Intervention DEVICE: Cognixion ONE — A wearable augmented reality brain computer interface with self contained computer and software to enable communication ...
Eligibility Ages 18 Years
Contact Christopher Principal Investigator · 8053200774 · chris@cognixion.com
MindEx: A Novel, Multifocal, Cognitive Brain-Machine Interface System
Nader Pouratian n=2 UT Southwestern Medical Center Dallas, Texas
Intervention DEVICE: Mind Extender (MindEx) — NeuroPort Multi-Port Arrays allow for the local recording of cerebral cortex. The Mind Extender (MindEx) system is prima...
Eligibility Ages 18 Years – 65 Years
Contact Olivia Gibble, MS · 214-648-8880 · Olivia.gibble@utsouthwestern.edu
Non-invasive Brain Stimulation and Exercise Intervention for Patients With Motor Neuron Disease
Chulalongkorn University n=100 King Chulalongkorn Memorial hospital, The Thai Red Cross Society Bangkok, Pathumwan
Intervention DEVICE: Personalized rTMS — Personalized repetitive transcranial magnetic stimulation (TMS) together with mixed-reality (MR) exercise
Eligibility Ages 18 Years – 80 Years
Contact Jakkrit Amornvit, MD · Thailand: 88-951-9195 · jakkrit.a@chula.ac.th
Cardiopulmonary Exercise Testing and Oscillometry for the Evaluation of Dyspnea
University of Rochester n=50 Highland Hospital Rochester, New York
Intervention DEVICE: Oscillometer — The tremoFlo C-100 Airwave Oscillometry System is intended to measure respiratory system impedance using the Forced Osci...
Eligibility Ages 18 Years
Contact PATRICK DONOHUE, MD · 716-226-8429 · patrick_donohue@urmc.rochester.edu
Comprehensive Assessment of Neurodegeneration and Dementia
McGill University n=1573 University of Calgary Calgary, Alberta
Eligibility Ages 50 Years – 90 Years
Contact Howard Chertkow, MD · 514 340 8222 · howard.chertkow@mcgill.ca
Hemodynamic Assessment of underLying myocyTe Function in Right Heart Failure
Johns Hopkins University n=50 Johns Hopkins Hospital Baltimore, Maryland
Eligibility Ages 18 Years – 90 Years
Contact Steven Hsu, MD · 410-502-0955 · steven.hsu@jhmi.edu
Physiologic Effects of Continuous Positive Airway Pressure and High Flow Nasal Oxygenation in Patients with Acute Respiratory Distress Syndrome.
Ricard Mellado Artigas n=120 Hospital Clínic de Barcelona Barcelona, Barcelona
Intervention DEVICE: CPAP — 12 cmH2O for 48 hours (at least 10 hours of therapy per day). Nasobucal interface will be the preferred route with compl...
Eligibility Ages 18 Years – 80 Years
Contact Ricard Mellado Artigas, PhD · +34 646217716 · rmellado@clinic.cat
Characterization of Inclusion Body Myopathy Associated With Paget's Disease of Bone and Frontotemporal Dementia (IBMPFD)
University of California, Irvine n=50 University of California, Irvine Irvine, California
Eligibility Ages 18 Years
Contact Virginia Kimonis, MD · 949 824 0571 · vkimonis@uci.edu
NCT05540834 PHASE2
Viscoelastic Testing Guided Tissue Plasminogen Activator Treatment in Acute Respiratory Failure
South West Sydney Local Health District n=70 Intensive Care Unit, Liverpool Hospital, South Western Sydney Local Health District Liverpool, New South Wales
Intervention DRUG: Alteplase — The enzyme tissue plasminogen activator that cleaves plasminogen to form plasmin.
Eligibility Ages 18 Years – 75 Years
Contact Anders Aneman · +61 427915693 · Anders.Aneman@health.nsw.gov.au
Role of HFNC During FOB in Patients With Respiratory Failure
Mansoura University n=60 Faculty of Medicine, Mansoura University Al Mansurah, Dakahlia Governorate
Intervention DEVICE: High flow nasal canula — High-flow nasal cannula (HFNC) oxygen therapy will be administered using the Vapotherm Precision Flow Hi-VNI system. HFN...
Eligibility Ages 18 Years
Contact Mohammed Shehta, associate professor-chest med. · +201004344106 · dr_mshehta@mans.edu.eg
NCT07081399 EARLY_PHASE1
the Effect of Adult Intubated Patient Clinical Pathway on Post-extubation Complications Prevention
Damanhour University n=80 Faculty of Nursing, Damanhour University Damanhūr, Egypt
Intervention COMBINATION_PRODUCT: ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we — cough augmentation, larson maneuver, swallowing rehabilitation
Eligibility Ages 18 Years – 60 Years
Contact heba attia effect of adult intubated CP on post-extubation complications · 045 01274855242 · heba.attia@nur.dmu.edu.eg
CAN-PRIME: Precise Robotically Implanted Brain-Computer Interface for the Control of External Devices
Neuralink Corp n=6 University Health Network Toronto, Ontario
Intervention DEVICE: N1 Implant — The N1 Implant is a type of implantable brain-computer interface.
Eligibility Ages 19 Years
Contact Neuralink Clinical Team · (877) 398-4465 · clinical-team-ct@neuralink.com
Stimulation-Based Modulation of Spinal and Cortical Sensory Pathways
Peter C. Gerszten, MD n=15 University of Pittsburgh Pittsburgh, Pennsylvania
Intervention DEVICE: Bipolar Neural Stimulation Electrode — All individuals enrolled in this study will receive electrical stimulation to the dorsal cervical spinal nerves using th...
Eligibility Ages 21 Years – 75 Years
Contact Peter C Gerszten, MD · 412-647-0958 · gerspc@upmc.edu
Cardiac point-of Care Ultrasound Training Pathway for Emergency Department Advanced Practice Providers
Duke University n=75 Duke University Health System Durham, North Carolina
Intervention BEHAVIORAL: Cardiac point-of-care ultrasound (POCUS) training and clinical pathway — Participants will complete a cardiac POCUS simulation session and a hands-on observed structured clinical skill exam (OS...
Eligibility Ages 18 Years
Contact Rebecca G Theophanous, MD, MHSc · 919-681-0196 · rebecca.theophanous@duke.edu
Barrett's Esophagus Related Neoplasia (BERN) Project
Midwest Biomedical Research n=150 Kansas city VA Medical center Kansas City, Missouri
Eligibility Ages 18 Years
Contact April Higbee, BN · 8168614700 · April.Higbee@va.gov
Dissemination and Implementation of DIGEST™ as an Evidence-based Measurement Tool for Dysphagia: A Randomized Implementation Trial
M.D. Anderson Cancer Center n=85 MD Anderson Cancer Center Houston, Texas
Intervention OTHER: No intervention — receive no active implementation
Eligibility Ages 18 Years
Contact Kate Hutcheson, PHD · 713-792-6513 · karnold@mdanderson.org
The Imperial Comprehensive Cognitive Assessment in Cerebrovascular Disease (IC3)
Imperial College London n=700 Imperial College London London
Intervention DIAGNOSTIC_TEST: MRI brain, Blood tests, cognitive assessments — observational study examining cognition post stroke using behavioural tests, MRI brain and blood tests
Eligibility Ages 18 Years
Evaluation of Biochemical Markers and Clinical Investigation of Niemann-Pick Disease, Type C
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) n=900 National Institutes of Health Clinical Center Bethesda, Maryland
Eligibility Ages 1 Day – 120 Years
Contact Derek M Alexander · (301) 827-0387 · derek.alexander@nih.gov