What have we achieved by now?

TRICALS Milestones

In December 2019, TRICALS began with the objective of improving and accelerating medical research for ALS, PSMA and PLS. We aim to have new treatments available within 5 years. What have we achieved by now?

The highway towards a cure

Together with all the countries within our network, we have mapped out a highway towards new treatments. Currently, a separate infrastructure is being set up for every new clinical trial. This is then terminated when the trial has been completed. So for a following trial people have to build up everything again from the very beginning. This leads to a considerable waste of knowledge, materials, costs and, in particular, time. Time that is very precious for people with ALS. Our highway will therefore serve to carry out clinical studies more efficiently and to use it to test more treatments.

The highway consists of various lanes which each represent an important research theme which will contribute to better and more efficient drug studies. Read more here about our research themes.

Our milestones

Thanks to the commitment of patients and our large-scale international collaboration with top ALS centres, patient organisations, fundraisers and pharmaceutical companies, we have already achieved a great deal with TRICALS.

Trial network

Largest ALS trial network in Europe

Up until now, TRICALS has been the largest research initiative in Europe for finding a treatment for ALS, PSMA and PLS. Our research network currently consists of 48 centres in 15 European countries. Our network is continually expanding. In 2021 alone, 3 new ALS expertise centres from Portugal, Spain and England joined TRICALS. When a new trial begins, with our widespread network we can quickly recruit a large number of participants.



More accessible trials

TRICALS is continually committed to making clinical trials more accessible for everyone with ALS, PSMA and PLS. By using advanced mathematical models, we ensure that many more people are eligible to take part. Using these models, we can also shorten the duration of studies, reduce the number of hospital visits required and reduce the exposure to placebos. These models will be applied in 2021 in the drug studies developed by TRICALS.


Unique patient database

TRICALS has set up an international patient database. In this database, we collect research data from people with ALS, PSMA and PLS. We use this data to inform people directly when a clinical trial is starting and to improve the design of trials. Do you wish to register with TRICALS? Then register here.


Website and Communication

In 2020, we launched our new English language website. From May, this will also be available in Dutch, Spanish, French, Italian and Swedish. People who take part in clinical trials receive an update once every 3 months about the research that they are taking part in. Finally, we are currently sending newsletters in English and in Dutch 4 times per year. In this newsletter, you will read about ongoing studies and other news reports from TRICALS. Would you like to receive our newsletter? Then register here.



Kick-off event by TRICALS

In 2019, TRICALS was officially launched in Utrecht. We did this along with researchers and pharmaceutical companies. Due to the considerable success, we decided to make the Masterclass an annual reoccurring event. In this way, we remain in contact with each other about accelerating and improving drug studies. During the Masterclass, we give an overview of where we are at with TRICALS and subsequently also organise a training day for researchers. Unfortunately, this year, as a result of Covid-19, we were unable to give a Master class and we are working hard to organise this again in 2022.


Improving participation in clinical studies

In November 2020, we gave an online webinar about the efficient inclusion of participants in clinical studies into ALS. The webinar was aimed in particular at people from the pharmaceutical industry and was given in collaboration with Julius Clinical. More than 70 people had registered for the webinar. You can view the webinar here.


International MNDA Symposium 2020

In December 2020, the International MNDA Symposium 2020, in which TRICALS participated, was held online. This is the largest medical and scientific congress of experts in the field of ALS, PSMA and PLS and takes place annually. Dr. Ruben van Eijk gave a presentation about his mathematical model with the aim that more patients can take part in clinical studies. Click here to read a brief summary of our highlights from this year.


Swimming along the Catalan coast

In order to raise money for TRICALS, within 24 days Daniel Rossinés swam along the entire Catalan coast (400 km!). With this impressive action, he raised €85,000! We thank him and everyone who donated or joined him for their support in our mission to accelerate the search for new treatments for people with ALS, PSMA and PLS. Read more about the action. If you also wish to start an event to raise funds for TRICALS, you can do so here.


Positive EMA advice

Our models and set-up for a platform trial (see also under the heading MAGNET) for improving drug studies were assessed positively in July 2020 by the European Medicines Agency (EMA). The agency hereby gives the green light for carrying out future drug studies in a more efficient way and making them more widely accessible for more patients.


Master protocol: MAGNET

Traditional studies into drugs for ALS are very expensive, take a long time and are often not accessible to the vast majority of the patients. TRICALS has therefore developed an innovative clinical study by means of a so-called Master Protocol (the MAGNET study). In this way, we can test several drugs at the same time. This protocol can also be used by pharmaceutical companies. In addition, new candidate drugs can easily be added. The Master Protocol of the MAGNET study has meanwhile been assessed positively by the EMA.


Research on Lithium

Our research has shown that the effect of a drug can be influenced by the genetic format. For instance, we made the discovery that the drug Lithium potentially has a delaying effect in people with ALS who carry a mutation in the UNC13A gene. TRICALS will further research this with the aid of the MAGNET study (see ‘Master protocol: MAGNET’). This study is currently in the early preparation stages. As soon as the study begins, people who are registered at TRICALS will be the first to be informed about this.


Lighthouse II trial

From laboratory research, indications have emerged that a virus called ‘endogenous retrovirus’ can play a role in the development of ALS. Triumeq is an existing drug which potentially offers protection against this virus. We will therefore research whether Triumeq can slow down the progression of ALS. This study is currently in the early preparation stages. As soon as the study begins, people who are registered at TRICALS will be the first to be informed about this.


Collaborations with pharmaceutical companies

In order to accelerate drug research into ALS, PSMA and PLS, we want to take as many studies as possible to Europe. Thanks to our unique network, TRICALS is an interesting partner for pharmaceutical companies. Since the set-up of TRICALS, we have worked actively on 3 trials by various pharmaceutical companies (see a few examples below) as well as giving advice for the development of drug studies. In 2021, we are also contributing to 4 different studies in collaboration with pharmaceutical companies. As soon as a new study begins, people who are registered with TRICALS are the first to be informed about this.



AMX0035 phase 3 study

In April 2021, Amylyx Pharmaceuticals made plans for the further development of their drug ‘AMX0035’ for the treatment of ALS. They announced that they will apply for a licence from the European Medicines Agency (EMA) in order to put the drug on the European market. Furthermore, after promising results from the CENTAUR study, Amylyx plans to start a phase 3 clinical trial in Europe and the United States. TRICALS will collaborate with Amylyx on the European part of their phase 3 study.


VALOR study

TRICALS is working together with Biogen on their VALOR study. This clinical trial is researching the safety and effectiveness of the drug BiiB067 for people with ALS who carry a SOD1 gene mutation. Worldwide, 40 centres are taking part in the study, including 6 TRICALS centres. Read more here about the study.


Scientific impact

From TRICALS, we publish scientific articles about our research on a regular basis. In 2020, on behalf of TRICALS, we wrote a scientific article which describes our main recommendations for better drug research for ALS. We present our work at large international congresses and have received beautiful awards for our research.


Reconsideration of the ALSFRS-R questionnaire in drug research

Twenty years ago, the ALSFRS questionnaire was revised. This questionnaire is an important instrument for evaluating the disease progression of people with ALS in drug research. A new study by researchers from the ALS Centrum Nederland shows that the original ALSFRS is actually better at detecting small treatment effects than the revised version. Click here to read the news report.


Developments in the design and execution of drug research

Researchers from the ALS Centrum Nederland analysed the set-up and execution of current clinical studies into ALS. Their findings were published in 2020 in a scientific article. Click here to read the news report.


Improving drug research into ALS

In order to find new treatments for ALS, PSMA and PLS, our current strategy for drug development must change. We have published our deliberations and suggestions in a scientific journal. On the basis of our findings, TRICALS will tackle five important points which must be improved in order to help research to progress. Click here to read the news report.


Dr. Ruben van Eijk wins Paolo Gontijo Prize

In 2020, dr. Ruben van Eijk won the prestigious Paulo Gontijo prize for his pioneering research into broadening inclusion criteria for trials into ALS. His research shows that with the aid of advanced, mathematical models, we can let many more people take part in clinical studies (see also ‘More Accessible Trials’).


Training courses for professionals

As TRICALS, we give training courses on a regular basis into outcome measures which are important in clinical trials. This concerns for instance taking specific questionnaires, cognitive tests or lung function tests.

Our Partners

We could not have achieved the milestones mentioned above without the collaboration and support of our partners.

Current Trials
Phase i

VRG50635 study

Industry trial
Verge Genomics is conducting a phase 1b trial to evaluate the safety, tolerability, and potential efficacy of VRG50635 for people with Amyotrophic Lateral Sclerosis (ALS).
Read more
Phase ii

DAZALS trial

Industry trial
In this study, an investigational oral drug named dazucorilant (also called CORT113176) is being studied in people living with ALS (also known as MND) to understand its safety (side effects) and to determine if dazucorilant can slow down the worsening of the disease. The effects of dazucorilant will be compared to the effects of a placebo. This study is sponsored by Corcept Therapeutics.
Read more
Phase ii


Industry trial
The CARDINALS clinical research study is evaluating a study drug (Utreloxastat) to see if it can help slow ALS symptoms. Researchers will also test the safety and tolerability of the study drug and how the body responds to it. The study drug is a liquid that is swallowed 2 times a day.
Read more
Phase ii


Industry trial
In this study we investigate the safety, tolerability, pharmacodynamics markers and pharmacokinetics (how a drug is absorbed and excreted) of AP-101 in patients with familial and sporadic amyotrophic lateral sclerosis (ALS). Currently, we are only looking for patients with familial ALS (caused by a SOD1 gene mutation) to participate in the study. This study is sponsored by AL-S Pharma.
Read more
Phase iii

ATLAS trial

Industry trial
Biogen is conducting a clinical trial to evaluate the efficacy and safety and of an investigational drug for adults who do not have any clinical signs or symptoms of Amyotrophic Lateral Sclerosis (ALS) (that definitely indicate the onset of ALS) but do carry a certain superoxide dismutase 1 (SOD1) gene variant.
Read more
Phase iii

FUSION trial

Industry trial
In this study we investigate the safety and efficacy of the study drug ‘ION363’ for the treatment of ALS caused by mutations in the FUS gene. About 1% to 5% of ALS cases are caused by FUS mutations.
Read more
Phase iii


Industry trial
Amylyx Pharmaceuticals Inc is conducting a phase 3 trial to determine the safety and efficacy of their compound 'AMX0035' for the treatment of ALS.
Read more
Phase iii

ADORE trial

Industry trial
Ferrer is conducting a phase 3 trial to evaluate the safety and potential efficacy of an investigational drug for people with Amyotrophic Lateral Sclerosis (ALS).
Read more
Phase iii


Investigator initiated trial
This trial will evaluate the efficacy of tauroursodeoxycholic acid (TUDCA) as add-on treatment for people with ALS.
Read more