Evidence map›Paper›PMID 40485494›Full record

Trial reportMuscle & nerve2025

Safety Extension Study of Edaravone Oral Suspension in Patients With Amyotrophic Lateral Sclerosis for up to an Additional 96 Weeks of Treatment.

Angela Genge, Gary L Pattee, Gen Sobue, Masashi Aoki, Hiide Yoshino, Philippe Couratier, Christian Lunetta, Susanne Petri, Daniel Selness, Vesna Todorovic and 8 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in Muscle & nerve, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04577404 (A Phase 3, Multi-center, Open-label, Safety Extension Study of Oral Edaravone Administered Over 96 Weeks in Subjects With Amyotrophic Lateral Sclerosis), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04577404 phase3completednot on this map

A Phase 3, Multi-center, Open-label, Safety Extension Study of Oral Edaravone Administered Over 96 Weeks in Subjects With Amyotrophic Lateral Sclerosis (ALS)

TypeinterventionalSponsorShionogiRan2020 to 2023Enrolled124ConditionsAmyotrophic Lateral Sclerosis (ALS)ArmsMT-1186
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Angela GengeMontreal Neurological Institute and Hospital, Montreal, Quebec, Canada.
Gary L PatteeUniversity of Nebraska Medical Center, Lincoln, Nebraska, USA.ORCID https://orcid.org/0000-0001-8365-6707
Gen SobueNagoya University Graduate School of Medicine, Nagoya, Japan.
Masashi AokiTohoku University School of Medicine, Sendai, Japan.
Hiide YoshinoNeurology Clinic, Chiba, Japan.
Philippe CouratierCRMR SLA Service de Neurologie, CHU de Limoges, Limoges, France.
Christian LunettaIstituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Unit of Milano, Milan, Italy.
Susanne PetriHannover Medical School, Hannover, Germany.
Daniel SelnessMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Vesna TodorovicMitsubishi Tanabe Pharma Europe Ltd., London, UK.
Nissim SassonNStat Solutions, Biostatistical Services, Rehovot, Israel.
Manabu HiraiMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Fumihiro TakahashiMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Alejandro SalahMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Stephen AppleMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.ORCID https://orcid.org/0000-0002-3051-3953
Art WamilMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Alexander KalinMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Carlayne E JacksonUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Funding

Mitsubishi Tanabe Pharma America Inc
6 · The paper itself

Abstract

INTRODUCTION/

aimsEdaravone intravenous (IV) and oral suspension have been shown to have similar pharmacokinetics, safety, and slowing of functional decline in patients with amyotrophic lateral sclerosis (ALS). Study MT-1186-A01 indicated that edaravone oral suspension was well-tolerated over 48 weeks, with no new safety concerns identified relative to existing safety data of IV edaravone, including Study MCI186-19. The aim of this study was to assess the long-term safety and tolerability of edaravone oral suspension in patients with ALS.

methodsStudy MT-1186-A03 (NCT04577404) was a phase 3, open-label, multi-center, extension study that evaluated the long-term safety of edaravone oral suspension over an additional 96 weeks in patients with ALS who have completed the initial 48 weeks of Study MT-1186-A01, for a total of up to 144 weeks of treatment. Patients received a 105-mg dose of edaravone administered in treatment cycles identical to the approved edaravone on/off dosing schedule. Patients had definite, probable, probable-laboratory-supported, or possible ALS.

resultsIn Study MT-1186-A03, edaravone oral suspension was well tolerated with no new safety concerns. The most common treatment-emergent adverse events (TEAEs) were fall, muscular weakness, dyspnea, constipation, and dysphagia. These TEAEs were consistent with the safety profile for edaravone from previous clinical trials. DISCUSSION: These results help establish the long-term safety and tolerability profile of edaravone oral suspension.

Indexed as

Amyotrophic Lateral SclerosisEdaravoneFree Radical ScavengersAdministration, OralAdultAgedFemaleHumansMaleMiddle AgedSuspensionsTreatment OutcomeEdaravoneFree Radical ScavengersSuspensionsamyotrophic lateral sclerosisclinical trialedaravonesafetytolerability

Identifiers

PMID40485494
PMCPMC12338009

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.