Using the ALSFRS-R in multicentre clinical trials for amyotrophic lateral sclerosis: potential limitations in current standard operating procedures

Author:

Bakers Jaap N.E.123,de Jongh Adriaan D.1,Bunte Tommy M.1,Kendall Lindsay4,Han Steve S.5,Epstein Noam6,Lavrov Arseniy7,Beelen Anita23,Visser-Meily Johanna M.A.23,van den Berg Leonard H.1,van Eijk Ruben P. A.18

Affiliation:

1. Department of Neurology, UMC Utrecht Brain Centre, University Medical Centre Utrecht, Utrecht, the Netherlands

2. Centre of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Centre, University Medical Centre Utrecht, and De Hoogstraat Rehabilitation, Utrecht, the Netherlands

3. Department of Rehabilitation, Physical Therapy Science & Sports, UMC Utrecht Brain Centre, University Medical Centre Utrecht, the Netherlands

4. Biostatistics, GlaxoSmithKline R&D, Stevenage, UK

5. Neurosciences, Takeda Pharmaceuticals, Cambridge, USA

6. Discovery Medicine, GlaxoSmithKline R&D, Upper Providence, USA

7. Clinical Development, Novartis Gene Therapies, Cambridge, UK, and

8. Biostatistics & Research Support, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands

Funder

Netherlands ALS foundation

Publisher

Informa UK Limited

Subject

Neurology (clinical),Neurology

Reference22 articles.

1. Amyotrophic lateral sclerosis

2. Current trends in the clinical trial landscape for amyotrophic lateral sclerosis

3. Food Drug Administration Center for Drugs Evaluation Research. Guidance for industry: amyotrophic lateral sclerosis: developing drugs for treatment 2019 [Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/amyotrophic-lateral-sclerosis-developing-drugs-treatment-guidance-industry.

4. European Medicines Agency. Guideline on clinical investigation of medicinal products for the treatment of amyotrophic lateral sclerosis (ALS) 2016 [Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-investigation-medicinal-products-treatment-amyotrophic-lateral-sclerosis_en.pdf.

5. The ALSFRS-R: a revised ALS functional rating scale that incorporates assessments of respiratory function

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