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DNL343

Phase 2

Amyotrophic Lateral Sclerosis | Small molecule | Neurology |Denali Therapeutics Inc.|Trials Updated: Jan 28, 2026

DNL343 development status

Highest phase Phase 2 (NCT05842941)
Phase scored for DNLIPhase 1
Registered trials 5 across 2 sponsors since Feb 2020

DNL343 target and mechanism

Molecular targeteIF2B
Target classProtein
ModalitySmall molecule

Also known as [14C]-DNL343

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment278

FDA Designations

No designations recorded

DNL343 clinical trials

DNL343 · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT05842941HEALEY ALS Platform Trial - Regimen G DNL343Amyotrophic Lateral Sclerosis
COMPLETED249 Analytics
PHASE2COMPLETED
HEALEY ALS Platform Trial - Regimen G DNL343
Amyotrophic Lateral SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease Progression as Assessed by the ALSFRS-R-Slope
Baseline to 24 Weeks

Change in disease severity as measured by the ALS Functional Rating Scale-Revised (ALSFRS-R) total score using a Bayesian repeated measures model that accounts for loss to follow-up due to mortality. Each of 12 questions assessing distinct functional ability is scored from 4(normal) to 0 (no ability), with a maximum total score of 48 and a minimum total score of 0. Participants with higher scores have more physical function. Note that only participants who survived to their Week 24 visit contribute to the estimate.

Mortality Event Rate
Baseline to 24 weeks

The Mortality Rate, presented as mean deaths per month, was estimated from a Bayesian shared-parametric model that assumed exponentially distributed survival times. Mortality is defined as death or death equivalent. A participant is determined to meet the criteria of death equivalent if permanent assisted ventilation (PAV) is used for more than 22 hours per day for more than seven days in a row.

Incidence of treatment-emergent adverse events (TEAEs) throughout the double-blind period
28 Days

Secondary Endpoints

ALSFRS-R Total Score
Baseline to 24 Weeks
Combined Assessment of Function and Survival (CAFS)
Baseline to 24 Weeks
Respiratory Function
Baseline to 24 Weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DNL343EXPERIMENTAL -
Matching PlaceboPLACEBO_COMPARATOR -
DNL343 (High Dose)EXPERIMENTAL -
DNL343 (Low Dose)EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
DNL343DRUGDNL343 is administered orally once daily per day for 24 weeks.
Matching PlaceboDRUGMatching placebo is administered orally once daily per day for 24 weeks.
PlaceboDRUGOral repeating dose
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * No additional inclusion criteria beyond the inclusion criteria specified in the Master Protocol (NCT NCT04297683). Exclusion Criteria: * The following exclusion criteria are in addition to the exclusion criteria specified in the Master Protocol (NCT NCT04297683). 1. Diagn...

Countries:United StatesNetherlands
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Frequently asked questions about DNL343

What is DNL343 used for?

DNL343 is an investigational small molecule being developed for the treatment of amyotrophic lateral sclerosis (ALS), a progressive neurological disease. It is not approved for any indication and remains in clinical development. Denali Therapeutics is evaluating it in ALS patients, including through the HEALEY ALS Platform Trial.

What does DNL343 target?

DNL343 targets eIF2B, a protein that regulates protein synthesis under cellular stress. In ALS, stress pathways can impair eIF2B activity, and DNL343 is designed to act on this target. The compound is a small molecule developed by Denali Therapeutics.

Who is developing DNL343?

DNL343 is being developed by Denali Therapeutics Inc., which trades on the Nasdaq under the ticker DNLI. The company is advancing the small molecule for amyotrophic lateral sclerosis. The HEALEY ALS Platform Trial regimen for DNL343 was conducted in the United States.

What phase is DNL343 in?

DNL343 is in Phase 1 development, with a Phase 2 regimen conducted within the HEALEY ALS Platform Trial. It is investigational and has not been approved by the FDA. Both listed trials for DNL343 have completed, and no trials are currently active.

What clinical trials is DNL343 in?

DNL343 has been studied in two completed trials. NCT05842941 was the HEALEY ALS Platform Trial Regimen G, a Phase 2 placebo-controlled study that enrolled 249 participants in the United States. NCT05006352 was a Phase 1 study of safety, pharmacokinetics, and pharmacodynamics in 29 participants in the United States and the Netherlands.

Is DNL343 the same as [14C]-DNL343?

Yes. [14C]-DNL343 refers to a carbon-14 labeled form of DNL343 used in clinical research, typically to study how the drug is absorbed, metabolized, and eliminated. Both names refer to the same Denali Therapeutics compound being developed for amyotrophic lateral sclerosis.