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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.
Data snapshot: 16 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.
Clinical phase
Recruitment status
Planned enrollment
Primary-completion proxy
NCT07414212 evaluates Riluzole in Amyotrophic Lateral Sclerosis. The disclosed sponsor is Biogipuzkoa Health Research Institute, the design is Interventional, and the geographic footprint is Spain. The first listed primary endpoint is ALSFRS-R scale, assessed over Up to 48 weeks.
The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.
PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.
Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT07414212 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Amyotrophic Lateral Sclerosis landscape. Drug & Asset MCP drug_fetch was queried for Riluzole, while Company & Deal Intelligence MCP organization_fetch was queried for Biogipuzkoa Health Research Institute.
This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.
| Trial | Asset / intervention | Phase / status | Sponsor | Geography | Primary endpoint | Readout proxy |
|---|---|---|---|---|---|---|
| NCT07414212 | Riluzole | Phase 1/2 / Recruiting | Biogipuzkoa Health Research Institute | Spain | ALSFRS-R scale Up to 48 weeks | 2026-11-25 |
| NCT07589764 | Beta-Hydroxy-Beta-Methylbutyrate | Phase 1 / Not yet recruiting | Duke University | United States | ALS Functional Rating Scale, Revised (ALSFRS-R) Baseline, month 3, month 9 | 2027-10-01 |
| NCT07571174 | LY-4256984 | Phase 1 / Recruiting | Eli Lilly & Co. | Canada, Netherlands, Belgium, Germany, Spain | Number of Participants with One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to… Baseline Up to Week 96 | 2029-06-01 |
| ACTRN12626000231347 | ACE-2223 | Phase 1 / Recruiting | Acelot, Inc. | Australia | Timing not reported | |
| ACTRN12626000233325 | ACE-2223 | Phase 1 / Not yet recruiting | Acelot, Inc. | Australia | Timing not reported |
The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.

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NCT07414212 is a Phase 1/2, recruiting study with 90 planned participants. Allocation is Randomized, masking is Triple, and the intervention model is Parallel Assignment.
The primary endpoint is “ALSFRS-R scale” over “Up to 48 weeks.” The retrieved endpoint description is: Change from baseline in the ALS Functional Rating Scale-Revised (ALSFRS-R) \[range from 0 to 48, being 48 normal function and 0 complete function loss\] to assess disease progression and evaluate the clinical efficacy and safety of the combination of NAC and EH301 during the randomized treatment period (24 weeks) and, for participants who enter the open-label extension, up to 48 weeks..
Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 90 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.
The protocol identifies Riluzole as control therapy. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.
5 recent result records were selected as contextual evidence for Amyotrophic Lateral Sclerosis. These records do not establish direct evidence for NCT07414212 unless the registration number matches.
Phase 1/2; n=8; AE = 3 participants Source: https://clinicaltrials.gov/ct2/show/results/NCT05683860
Phase 1; n=3; Number of Participants With Treatment-related Adverse Events as Assessed by Common Terminology Criteria for Adverse Events (CTCAE v4.0) & Medical Dictionary for Regulatory Activities (MedDRA). = 0 Participants Source: https://clinicaltrials.gov/ct2/show/results/NCT03241784
Phase 2; n=68; Drug-related adverse events = 4.3 % ; Drug-related adverse events = 20.0 % Source: https://pubmed-ncbi-nlm-nih-gov.libproxy1.nus.edu.sg/41837970/
Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.
No exact Drug & Asset MCP profile was returned for the protocol wording “Riluzole.” The report therefore avoids inferring modality, target or global development stage from the name alone.
Biogipuzkoa Health Research Institute is indexed in Spain with the website https://www.biodonostia.org. The organization record is used to resolve sponsor identity. The record lists 4 development-stage drug assets.
For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.
White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.
For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.
For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.
Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.
Anchor trial: NCT07414212
Protocol source: https://clinicaltrials.gov/study/NCT07414212
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 16 September 2026.
Riluzole in Amyotrophic Lateral Sclerosis is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes ALSFRS-R scale and 2026-11-25 the leading decision points.

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