An Observational Registry-Based Study to Evaluate the Long-Term Safety of Tofersen in People With SOD1-ALS

31/10/2025
11/12/2025
EU PAS number:
EUPAS1000000365
Study
Planned
Study type

Study topic

Disease /health condition

Study type

Non-interventional study

Scope of the study

Disease epidemiology
Safety study (incl. comparative)

Data collection methods

Combined primary data collection and secondary use of data
Non-interventional study

Non-interventional study design

Cohort
Study drug and medical condition

Medicinal product name

Medicinal product name, other

Tofersen

Study drug International non-proprietary name (INN) or common name

TOFERSEN

Anatomical Therapeutic Chemical (ATC) code

(N07XX22) tofersen
tofersen

Medical condition to be studied

Amyotrophic lateral sclerosis
Population studied

Short description of the study population

Participants with SOD1-ALS enrolled in TRICALS network’s Precision-ALS programme with data from participating clinical centers across multiple European countries or at ALS/MND NHC with data from participating clinical centers in the United States (tofersen users and tofersen non-users).

Age groups

  • Adult and elderly population (≥18 years)
    • Adults (18 to < 65 years)

Estimated number of subjects

69
Study design details

Main study objective

The primary objectives of this study are to describe demographic and clinical characteristics of participants with superoxide dismutase 1-amyotropic lateral sclerosis (SOD1-ALS); to describe the frequency of serious adverse events (SAEs) among participants with SOD1-ALS, including serious neurologic events previously reported in clinical trial participants (e.g., myelitis, radiculitis, aseptic meningitis, increased intracranial pressure, and/or papilloedema).

The secondary objectives of this study are to describe the frequency of new comorbid conditions, pregnancy and pregnancy outcome among participants with SOD1-ALS; and to describe the frequency of treatment discontinuation among participants with SOD1-ALS treated with tofersen.

Outcomes

Baseline Demographic [Age, Participant Sex, Race/Ethnicity, Weight, Height, Body Mass Index (BMI), Family History of Amyotrophic Lateral Sclerosis (ALS)], Clinical Characteristics (Age at Diagnosis and Symptom Onset, Revised El Escorial Classification, Classification of SOD1-ALS Clinical Phenotypes, SOD1 Mutation Type, Medical History, Concomitant Medications, Disease History, Pregnancy Status), Number of Participants With SAEs, Number of Participants With New Comorbid Conditions, Number of Participants With Pregnancy and Pregnancy Outcomes, Number of Participants With Reported Treatment Discontinuation, Number of Participants With Reason for Treatment Discontinuation

Data analysis plan

Data will be analysed separately for each registry network. Continuous variables will be described with summary statistics including number of observations, mean, standard deviation, median, first quartile, third quartile, and minimum and maximum values. Categorical data will be described in terms of frequencies and percentages.