Cited by 92Amyotrophic Lateral Sclerosis ResearchNeurogenetic and Muscular Disorders ResearchAlzheimer's disease research and treatments

Efficacy and tolerability of EH301 for amyotrophic lateral sclerosis: a randomized, double-blind, placebo-controlled human pilot study

Open access
de la Rubia, JosÉ E., Drehmer, Eraci, Platero, JosÉ L., Benlloch, MarÍa, Caplliure-Llopis, Jordi, Villaron-Casales, Carlos, de Bernardo, Nieves, AlarcÓn, Jorge +17 more·2019·Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

Abstract

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease, characterized by progressive loss of spinal and cortical motor neurons, leading to muscular atrophy, respiratory failure, and ultimately death. There is no known cure, and the clinical benefit of the two drugs approved to treat ALS remains unclear. Novel disease-modifying therapeutics that are able to modulate the disease course are desperately needed. Our objective was to evaluate the efficacy and tolerability of Elysium Health's candidate drug EH301 in people with ALS (PALS). METHODS: This was a single-center, prospective, double-blind, randomized, placebo-controlled pilot study. Thirty-two PALS were recruited thanks to the collaboration of the Spanish Foundation for ALS Research (FUNDELA). Study participants were randomized to receive either EH301 or placebo and underwent evaluation for 4 months. Differences between EH301 and placebo-treated participants were evaluated based on standard clinical endpoints, including the revised ALS functional rating scale (ALSFRS-R), forced vital capacity (FVC), and the Medical Research Council (MRC) grading scale. RESULTS: Compared to placebo, participants treated with EH301 demonstrated significant improvements in the ALSFRS-R score, pulmonary function, muscular strength, and in skeletal muscle/fat weight ratio. EH301 was shown to significantly slow the progression of ALS relative to placebo, and even showed improvements in several key outcome measures compared with baseline. CONCLUSIONS: This study provides evidence in support of the disease-modifying effects of EH301 for the treatment of ALS.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1080/21678421.2018.1536152

Cites

30 of 30 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • A preliminary EH301 trial, using an NAD+ precursor plus a SIRT1 activator, supports the importance of NAD+ metabolism and SIRT1 activation.

    “The importance of NAD+ metabolism and SIRT1 activation has been supported by a recent preliminary clinical trial with EH301, consisting of an NAD+ precursor and a SIRT1 activator”

    From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as de la Rubia et al., 2019

  • Despite the small number of participants, the EH301 trial supports the potential of NAD+ augmentation or SIRT1 activation as an ALS treatment and warrants larger trials.

    “Despite the low level of participants in this study, it sets the stage for the potential for NAD+ augmentation/SIRT1 activation as a treatment for ALS, and large-scale phase trials are warranted.”

    From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as de la Rubia et al., 2019

  • The ALS EH301 trial was randomized and double-blind and included both males and females.

    “The study was a randomized double-blind design and included both males and females.”

    From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as de la Rubia et al., 2019

  • NRPT/EH301 treatment improved ALSFRS-R, increased the MRC grading scale index, forced vital capacity, and muscle electrical activity in ALS patients.

    “NRPT/EH301 treatment improved ALS functional rating scale revised (ALSFRS-R), increased the MRC grading scale index (grades muscle power), and forced vital capacity (FVC, functional respiratory capacity test), as well as increased electrical activity in muscles.”

    From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as de la Rubia et al., 2019

  • After 4 months, all patients in the EH301 group chose to continue treatment; after 1 year, no deterioration except in FVC was observed.

    “All patients in the EH301 group choose to continue the treatment after 4 months, and thus the treatment was finalized after 1-year treatment, where no deterioration, except of FVC, was observed”

    From NAD+ in Brain Aging and Neurodegenerative Disorders (2019) · cites this paper as de la Rubia et al., 2019

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
de la Rubia, J. E., Drehmer, E., Platero, J. L., Benlloch, M., Caplliure-Llopis, J., Villaron-Casales, C., de Bernardo, N., AlarcÓn, J., Fuente, C., Carrera, S., Sancho, D., GarcÍa-Pardo, P., Pascual, R., JuÁrez, M., Cuerda-Ballester, M., Forner, A., Sancho-Castillo, S., Barrios, C., Obrador, E., Marchio, P., Salvador, R., Holmes, H. E., Dellinger, R. W., Guarente, L., & Estrela, J. M.
Affiliations
  • Department of Nursing, Catholic University San Vicente Mártir, Valencia, Spain,
  • Valencia Catholic University Saint Vincent Martyr (ES)
  • Primary Care Service, University Hospital La Ribera, Alcira, Spain,
  • Department of Physiotherapy, European University of Valencia, Valencia, Spain,
  • Department of Medicine, University Jaume I, Castellón, Spain,
  • Hospital General Universitario De Valencia (ES)
  • Clínica Artes & Timefit, Valencia, Spain,
  • Universitat de València (ES)
  • Virgen del Consuelo Hospital, Valencia, Spain,
  • Department of Physiology, University of Valencia, Valencia, Spain,
  • Elysium Health, Inc. (United States) (US)
Corresponding author
Estrela, José M.
Venue
Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
Published
2019-01-02
Volume
20
Issue
1-2
Pages
115-122
ISSN
  • 2167-8421 (ISSN-L)
  • 2167-9223
OpenAlex
W2911693028
Cited by
92
References
30
Citations by year
2026: 3 · 2025: 9 · 2024: 16 · 2023: 12 · 2022: 18 · 2021: 13 · 2020: 19 · 2019: 2
FWCI
8.77
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration (publishedVersion)
  • PubMed (publishedVersion)
  • RIUCV (Universidad Católica de Valencia San Vicente Martír) (submittedVersion, cc-by-nc-nd)
  • ABACUS. Repositorio de Producción Científica (Universidad Europea) (submittedVersion)
  • Hispana (submittedVersion, cc-by-nc-nd)
  • Repositori UJI (Universitat Jaume I) (submittedVersion, public-domain)
  • Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
Funders
  • Catholic University San Vicente Mártir (2017-216-001)
  • University of Valencia (OTR2017-18255INVES)
Topics
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
  • Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
Keywords
amyotrophic lateral sclerosis, disease-modifying therapy, drug efficacy, tolerability, ALSFRS-R, forced vital capacity, lung function, muscle strength, disease progression, neurodegenerative diseases
MeSH terms
Aged, Amyotrophic Lateral Sclerosis, Double-Blind Method, Drug Combinations, Electromyography, Female, Humans, Male, Middle Aged, Niacinamide, Pilot Projects, Ribonucleosides, Stilbenes, Vital Capacity, Treatment Outcome, Disease Progression, Muscle Strength

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review