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Application of the ENCALS predictive survival model in assessing the effect of the 24/44 inclusion criteria in FORTITUDE-ALS

Title: Application of the ENCALS predictive survival model in assessing the effect of the 24/44 inclusion criteria in FORTITUDE-ALS
Authors: Simkins Lead,Tyrell; Shefner,Jeremy M; Kupfer,Stuart; Malik,Fady I; Meng,Lisa; Rudnicki,Stacy A; Wei,Jenny; van Eijk, Ruben Pa; Projectafdeling ALS; Brain
Publication Year: 2025
Subject Terms: ALS; ENCALS survival prediction model; FORTITUDE-ALS; clinical trials design; Journal Article
Description: FORTITUDE-ALS was a study evaluating reldesemtiv in people living with ALS. Post-hoc analysis identified larger treatment effects in those with symptom onset ≤24 months and baseline ALSFRS-R ≤ 44 (24/44 criteria). Using the ENCALS risk score (RS), we analyzed how the 24/44 criteria changed the eligible population. Of the 272 participants meeting the 24/44 criteria, 73% had very short to intermediate RS compared to 18% not meeting the criteria. Though the 24/44 criteria enriched the FORTITUDE-ALS population with rapidly progressing patients, they did not completely exclude all patients with a very long predicted survival.
Document Type: manuscript
File Description: application/pdf
Language: English
ISSN: 2214-3599
Relation: https://dspace.library.uu.nl/handle/1874/465996
Availability: https://dspace.library.uu.nl/handle/1874/465996
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.B6A74C03
Database: BASE