ALS Pipeline

ALS pipeline

Track ALS programs across genetic targeting, stress-response biology, cell therapy, and platform-trial bets.

7 tracked 5 active 2 recruiting 5 late-stage / approved
Filter the main pipeline Balances approved precision therapy with the broader disease-modification bench.

Top programs in this hub

Starts with the highest-priority programs in the current dataset, then widens into the full bench below.

Tofersen

Biogen · ALS
Priority 1
Approved / Post-approval completed completed

Gene-targeted ALS therapy with major strategic importance for precision neurodegeneration treatment.

Mechanism
SOD1 antisense reduction
Modality
ASO
Next catalyst
Longer-term follow-up and real-world use data.
Last verified
20 Apr 2026

MND-SMART

University of Edinburgh · ALS
Priority 2
Mid-stage / Late-stage active recruiting

A UK-centered ALS platform trial that matters as infrastructure as much as any single drug inside it.

Mechanism
multi-arm adaptive platform trial
Modality
platform / multi-intervention trial
Next catalyst
Ongoing arm-level readouts and additions within the adaptive platform framework.
Last verified
20 Apr 2026

Masitinib

AB Science · ALS
Priority 2
Late-stage active recruiting

Late-stage ALS program that stays relevant because the field still lacks enough credible shots on goal.

Mechanism
tyrosine kinase / mast cell modulation
Modality
small molecule
Next catalyst
Phase 3 progression and whether the long-running controversy resolves into a usable signal.
Last verified
20 Apr 2026

What defines this bench

Quick pattern read on the mechanisms and modalities currently showing up most often.

Mechanisms Leading mechanism clusters
SOD1 antisense reduction · 1 multi-arm adaptive platform trial · 1 tyrosine kinase / mast cell modulation · 1 autologous MSC-NTF cell therapy · 1
Modalities Most common program types
small molecule · 2 ASO · 1 platform / multi-intervention trial · 1 cell therapy · 1
Hub view Programs, mechanisms, and context

A disease-specific view of the main programs, the common mechanisms, and the related program pages.

All tracked ALS programs

Every program in the current watchlist for this disease, in priority order.

Tofersen

Biogen · ALS
Priority 1
Approved / Post-approval completed completed

Gene-targeted ALS therapy with major strategic importance for precision neurodegeneration treatment.

Mechanism
SOD1 antisense reduction
Modality
ASO
Next catalyst
Longer-term follow-up and real-world use data.
Last verified
20 Apr 2026

MND-SMART

University of Edinburgh · ALS
Priority 2
Mid-stage / Late-stage active recruiting

A UK-centered ALS platform trial that matters as infrastructure as much as any single drug inside it.

Mechanism
multi-arm adaptive platform trial
Modality
platform / multi-intervention trial
Next catalyst
Ongoing arm-level readouts and additions within the adaptive platform framework.
Last verified
20 Apr 2026

Masitinib

AB Science · ALS
Priority 2
Late-stage active recruiting

Late-stage ALS program that stays relevant because the field still lacks enough credible shots on goal.

Mechanism
tyrosine kinase / mast cell modulation
Modality
small molecule
Next catalyst
Phase 3 progression and whether the long-running controversy resolves into a usable signal.
Last verified
20 Apr 2026

NurOwn

BrainStorm Cell Therapeutics · ALS
Priority 2
Late-stage active not yet recruiting

A controversial but undeniably field-relevant ALS cell-therapy program that should be represented in a serious pipeline monitor.

Mechanism
autologous MSC-NTF cell therapy
Modality
cell therapy
Next catalyst
Whether the renewed Phase 3 path can produce a cleaner efficacy narrative than prior attempts.
Last verified
20 Apr 2026

DNL343

Denali Therapeutics · ALS
Priority 2
Mid-stage completed completed

ALS program aimed at stress-response biology rather than gene-specific targeting.

Mechanism
integrated stress response modulation
Modality
small molecule
Next catalyst
Readouts on clinical progression and tolerability.
Last verified
20 Apr 2026

AMX0035

Amylyx · ALS
Priority 3
Late-stage / Withdrawn active active, not recruiting

Important failed or withdrawn ALS program that still matters as pipeline context.

Mechanism
cell stress and mitochondrial support combination
Modality
small molecule combination
Next catalyst
No active development catalyst currently tracked here.
Last verified
20 Apr 2026

CNM-Au8

Clene Nanomedicine · ALS
Priority 3
Mid-stage active active, not recruiting

Unusual bioenergetic approach in ALS that broadens the monitor beyond antisense and inflammatory narratives.

Mechanism
nanocatalytic bioenergetic support
Modality
nanomedicine / suspension
Next catalyst
Whether follow-up work supports a larger efficacy narrative in ALS.
Last verified
20 Apr 2026

Related pages

Research, key targets, Discover, and ways to contribute.

Research Research agenda Research notes and background around ALS.
Key Targets Key targets The mechanisms and intervention levers behind these programs.
Discover Discover Explainers and visual introductions to the science behind neurodegeneration.
Join Get involved Contribute research, writing, design, engineering, or review.
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