Original Investigation

Safety and Efficacy of PrimeC in Amyotrophic Lateral Sclerosis

JAMA Neurology 10.1001/jamaneurol.2026.0230

March 16, 2026 at 11:00 AM EDT

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Is PrimeC safe and well tolerated in people with amyotrophic lateral sclerosis (ALS), and does it demonstrate clinical and biomarker activity?In this randomized clinical trial, PrimeC demonstrated a safety profile comparable to placebo over 18 months. Continuous treatment was associated with slower functional decline, reduced risk of ALS-related complications, and increased probability of overall survival, alongside significant modulation of iron-regulatory and microRNA biomarkers.These findings reinforce the safety and treatment effect in conjunction with biologic activity of PrimeC treatment and support confirmatory evaluation in phase 3 trial as a potential disease-modifying therapy for ALS.

Corresponding Author: Jeremy M. Shefner, MD, PhD, Department of Neurology, Barrow Neurological Institute, 2910 N Third Ave, Phoenix, AZ 85013 (jeremy.shefner@commonspirit.org).

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