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Updated May 2026 · ClinicalTrials.gov

RECRUITINGPhase 2INTERVENTIONAL

PHENOGENE-1A (Cromolyn) Treatment in Patients With Mild to Moderate ALS

A Phase IIB Randomized, Double-Blind, Placebo-Controlled, Multi-Dose Study to Evaluate the Effects of PHENOGENE-1A (Cromolyn) as an Adjuvant Treatment in Subjects With Mild to Moderate Amyotrophic Lateral Sclerosis (ALS)

PHENOGENE-1A (Cromolyn) Treatment in Patients With Mild to Moderate ALS (NCT07142291) is a Phase 2 interventional studying Amyotrophic Lateral Sclerosis (ALS), sponsored by PhenoNet, INC.. RECRUITING as of the most recent ClinicalTrials.gov update. Talk to your doctor before contacting the trial site.

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The purpose of this study is to test the effects of PHENOGENE-1A, which is the treatment under investigation in this study. This research will investigate if PHENOGENE-1A can help people with ALS by measuring their function using the ALS Functional Rating Scale Revised (ALSFRS-R), measuring lung function using pulmonary function tests (PFTs), such as forced vital capacity (FVC), and measuring neuro-inflammatory biomarkers in the blood.

What Stage of Research Is This?

Phase 2 trials evaluate whether a treatment actually works against Amyotrophic Lateral Sclerosis (ALS) and continue monitoring side effects. Phase 2 enrolls larger groups (typically 100–300 patients) and produces the first real efficacy signal. A successful Phase 2 readout is what unlocks the much larger Phase 3 confirmatory trials needed for FDA approval.

This trial is currently recruiting participants. The sponsor has registered the study with ClinicalTrials.gov as actively enrolling, which means new applicants who meet the eligibility criteria can be considered for screening. Trial status can change between updates — confirm current recruiting status with the study contact before traveling for a screening visit.

Target enrollment of 105 participants puts this in the typical range for a Phase 2-style efficacy study or a moderate Phase 3 trial in a focused Amyotrophic Lateral Sclerosis (ALS) subpopulation. At this scale, the study has enough statistical power to detect a clear treatment effect but is not the largest cohort in the field.

Who May Be Eligible (Plain English)

Who May Qualify: 1. Diagnosis of ALS; the diagnosis of ALS defined by revised El Escorial criteria as follows: 1. Evidence of lower motor neuron (LMN) degeneration by clinical, electrophysiological, or neuropathological examination. 2. Evidence of upper motor neuron (UMN) degeneration by clinical examination. 3. Progressive spread of symptoms or signs within a region or to other regions, as determined by clinical examination or the history of disease progression. 4. Absence of electrophysiological, neuroimaging, or pathological evidence of other diseases that might explain the UMN or LMN degeneration and exclusion of other causes. 2. Male or female subjects aged 18 to 75 years inclusive. 3. Must provide written willing to sign a consent form for study-related procedures. 4. Must be capable of completing all study-related procedures, assessments, and visits in the judgment of Investigator. 5. Disease duration from ALS symptom onset of motor weakness ≤24 months. 6. ALSFRS-R total score ≥38 at screening visit. 7. ALSFRS-R Breathing subscore should be ≥9 at the time of screening. 8. ALSFRS-R Bulbar subscore should be ≥9 at the time of screening. 9. Forced vital capacity \>70% of predicted value. 10. PIFR ≥100 L/minute. 11. Must be receiving a stable dose of standard-of-care treatment Riluzole for 4-weeks before signing willing to sign a consent form. 12. Female subjects who are of childbearing potential must agree to use of highly effective methods of contraception consistent with local regulations during the study, and for 3 months after the study drug administration. Examples include the following, but not limited to: 1. Combined (estrogen and progestogen containing) or progestogen-only hormonal contraceptives; 2. Intrauterine device or intrauterine hormone-releasing system; OR 3. Post-menopausal status must have experienced their last menstrual period minimum of 1 year prior to study drug administration; OR ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

These are translations of the protocol\'s inclusion and exclusion criteria, simplified for patients and caregivers. The original clinical text appears below. Eligibility is ultimately confirmed by the trial site\'s screening process — this summary is a starting point for a conversation with your doctor, not a final determination.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: 1. Diagnosis of ALS; the diagnosis of ALS defined by revised El Escorial criteria as follows: 1. Evidence of lower motor neuron (LMN) degeneration by clinical, electrophysiological, or neuropathological examination. 2. Evidence of upper motor neuron (UMN) degeneration by clinical examination. 3. Progressive spread of symptoms or signs within a region or to other regions, as determined by clinical examination or the history of disease progression. 4. Absence of electrophysiological, neuroimaging, or pathological evidence of other diseases that might explain the UMN or LMN degeneration and exclusion of other causes. 2. Male or female subjects aged 18 to 75 years inclusive. 3. Must provide written informed consent for study-related procedures. 4. Must be capable of completing all study-related procedures, assessments, and visits in the judgment of Investigator. 5. Disease duration from ALS symptom onset of motor weakness ≤24 months. 6. ALSFRS-R total score ≥38 at screening visit. 7. ALSFRS-R Breathing subscore should be ≥9 at the time of screening. 8. ALSFRS-R Bulbar subscore should be ≥9 at the time of screening. 9. Forced vital capacity \>70% of predicted value. 10. PIFR ≥100 L/minute. 11. Must be receiving a stable dose of standard-of-care treatment Riluzole for 4-weeks before signing informed consent. 12. Female subjects who are of childbearing potential must agree to use of highly effective methods of contraception consistent with local regulations during the study, and for 3 months after the study drug administration. Examples include the following, but not limited to: 1. Combined (estrogen and progestogen containing) or progestogen-only hormonal contraceptives; 2. Intrauterine device or intrauterine hormone-releasing system; OR 3. Post-menopausal status must have experienced their last menstrual period minimum of 1 year prior to study drug administration; OR 4. Surgically sterilized. Female subject should be willing to not donate egg during the trial and for 3 months after the last dose of the study drug. 13. Male subjects who are sexually active with a female of childbearing potential must agree to use highly effective contraception as described above, or a combination of 2 acceptable methods of contraception (e.g., a barrier method along with a female partner using a hormonal contraceptive method), in accordance with local regulations, throughout the duration of the study, and for 3 months after the last dose of the study drug. (Male subject should be willing to not donate sperm during the trial and for 3 months after the last dose of the study drug.) Exclusion Criteria: 1. ALSFRS-R score change (decrease) by 2.5 or more points between the screening visit and Day 1 (baseline) score. 2. Bulbar onset ALS (\<9 bulbar subscore) 3. Any use of non-invasive ventilation (e.g., continuous positive airway pressure, non-invasive bi-level positive airway pressure or non-invasive volume ventilation) for any portion of the day, or mechanical ventilation via tracheostomy, or on any form of oxygen supplementation. 4. Any other significant neurological disorder which can interfere with study assessments, e.g., significant cognitive impairment and/or clinical dementia. 5. Significant psychiatric illness like schizophrenia, bipolar disorder etc. Subjects with depression can be included, only if the depression has been stable and no episode of major depression has occurred in the past year. 6. Severe cardiac disease (e.g., QTc\>500 ms), Torsade de Pointes, evidence of significant heart failure (New York Heart Association \[NYHA\] Class 3 or greater, myocardial infarction or unstable angina in the 6 months prior to screening). 7. Any moderate-to-severe pulmonary disease or difficulty taking inhaled drugs. 8. Inability to tolerate the administration of an oral inhaled powder via DPI. 9. Has taken any investigational product within 30 days or 5 half lives of the drug, whichever is longer, prior to dosing. 10. Taking inhaled protein products on a chronic basis (such as insulin, parathyroid hormone, etc). 11. Subjects with a body weight of 32 kg or less, or a body mass index of \<17.5 or \>35.0 at time of screening. 12. Moderate-to-severe liver disease: aspartate aminotransferase (AST), alanine aminotransferase (ALT) \>3 times the upper limit of normal; total bilirubin \> 1.5 x ULN.; subjects with hepatic diseases such as hepatic cirrhosis, hepatic cancer and active hepatitis. 13. Moderate-to-severe renal disease: creatinine clearance \<45 mL/min/1.73 m2 (by Cockcroft-Gault calculation). 14. Any clinically significant disorder or laboratory abnormality that, in the Investigator's opinion, could interfere with the subject's participation in the study, place the subject at increased risk, or confound interpretation of the study results. 15. Pregnant or breast-feeding females.

Treatments Being Tested

DRUG

Cromolyn Sodium (34.2 mg BID)

17.1 mg, BID, oral inhalation

DRUG

Cromolyn Sodium (17.1 mg BID)

34.2 mg, BID, oral inhalation via dry powder inhaler

DRUG

Placebo

Placebo comparator matched to active treatment.

DRUG

Riluzole (100 mg)

50 mg, oral tablet, BID, standard of care treatment

Locations (17)

Trial sites listed on ClinicalTrials.gov for this study. Site activation status can vary — confirm with the specific site before traveling for a screening visit.

Honor Health Neurology - Bob Bove Neuroscience Institute
Scottsdale, Arizona, United States
University of California San Diego
La Jolla, California, United States
Sutter Health - California Pacific Medical Center Research Institute
San Francisco, California, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
Lange Neurology
New York, New York, United States
NEUROHK s.r.o.
Hradec Králové, Czechia
Thomayer University Hospital - Fakultni Thomayerova nemocnice
Prague, Czechia
Charité Centrum für Neurologie, Neurochirurgie und Psychiatrie
Berlin, Germany
DIAKOVERE Henriettenstift - Klinik für Neurologie und Klinische Neurophysiologie
Hanover, Germany
Universitaetsklinikum Schleswig-Holstein
Lübeck, Germany
Michalski i Partnerzy Lekarze Spółka Partnerska
Krakow, Poland
SP ZOZ Szpital Uniwersytecki w Krakowie
Krakow, Poland
Centrum Medyczne NeuroProtect (NeuroProtect Medical Center)
Warsaw, Poland
City Clinic Research
Warsaw, Poland
University Clinical Center of Serbia
Belgrade, Serbia
Hospital Universitario Vall D Hebron
Barcelona, Spain
Hospital Universitario Ramon Y Cajal
Madrid, Spain

How to Talk to Your Doctor About This Trial

Bring the printable summary of this trial — including the NCT ID (NCT07142291), the sponsor (PhenoNet, INC.), and the key eligibility criteria — to your next appointment. Your doctor can review the inclusion and exclusion criteria against your medical history, lab values, and current treatments to assess whether you are likely to qualify. They can also help you weigh whether trial participation makes sense alongside your existing care plan.

Useful questions to walk through together: What does the trial protocol require beyond standard care? How long is the active treatment phase, and how long is follow-up? Are there study visits at sites I can reach? Who pays for the trial-specific procedures, and who pays for standard-of-care portions? See our 25 questions to ask about clinical trials guide for a more complete checklist.

Authoritative Sources

The official record for this trial lives on ClinicalTrials.gov — the federal registry maintained by the National Library of Medicine at NIH. For background on how this trial fits into the FDA approval pathway, see the FDA drug approval process. For oncology-specific guidance for patients considering trials, the National Cancer Institute publishes patient-oriented overviews. International trial registries are aggregated by the WHO ICTRP.

Frequently Asked Questions

What is the NCT07142291 clinical trial studying?

The purpose of this study is to test the effects of PHENOGENE-1A, which is the treatment under investigation in this study. This research will investigate if PHENOGENE-1A can help people with ALS by measuring their function using the ALS Functional Rating Scale Revised (ALSFRS-R), measuring lung function using pulmonary function tests (PFTs), such as forced vital capacity (FVC), and measuring neuro-inflammatory biomarkers in the blood. The full protocol is registered on ClinicalTrials.gov and includes the primary outcome measures, eligibility criteria, and study endpoints.

Who can participate in NCT07142291?

Eligibility for this trial depends on the specific inclusion and exclusion criteria set by the sponsor. The plain-English summary above translates the most important criteria into accessible language; the official clinical text is preserved in the collapsible section underneath. Whether you fit any specific trial is a medical decision your doctor needs to confirm — bring the trial information to your treating physician for a full review against your medical history.

How do I contact the trial site for NCT07142291?

Contact information registered with ClinicalTrials.gov is shown in the sidebar of this page. Before reaching out, confirm with your treating physician that this trial is appropriate for your situation. The trial site will then walk you through the screening process to determine final eligibility.

Is participating in a clinical trial safe?

Clinical trials in the United States are regulated by the FDA and overseen by Institutional Review Boards (IRBs) that review the protocol for safety. Risk varies by trial — Phase 1 studies test new treatments in humans for the first time, while Phase 3 trials use treatments that have already passed earlier safety screening. The informed consent document for any specific trial details the known risks and what to expect. Discuss those risks with your physician before deciding whether to participate.

Where can I verify the data on this page?

Every detail on this page comes directly from the ClinicalTrials.gov API. Click "View on ClinicalTrials.gov" in the sidebar to see the official, unmodified record. The federal record is always authoritative; this page is a structured presentation with a plain-English eligibility translation. For background on how clinical trials are regulated, see the FDA drug approval process documentation.

How This Page Is Built

Every field on this page is pulled directly from the ClinicalTrials.gov API v2 — no estimates, no proxies. The plain-English eligibility translation is generated from the original protocol text and reviewed for fidelity to the underlying clinical criteria. The original clinical text remains visible in the collapsible section above so users and clinicians can verify the translation. Read the full methodology for the data pipeline and known limitations.

Source: ClinicalTrials.gov API v2 record for NCT07142291. Maintained by the National Library of Medicine at NIH. Public domain. Cite as: "TrialFinderData. NCT07142291. Data: ClinicalTrials.gov."

Medical disclaimer: This page is informational, not medical advice. Talk to your doctor about whether a clinical trial is right for you.

Last updated 2026-05-08 · Data from ClinicalTrials.gov.