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Foralumab

Phase 2

ALS (Amyotrophic Lateral Sclerosis) | Small molecule | Neurology |Tiziana Life Sciences Ltd|Last Updated: Jul 7, 2026

Target and mechanism

Molecular targetCD3E, CD3G, CD3D
Target classInhibitor
ModalitySmall molecule

Also known as Foralumab Nasal

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment44

FDA Designations

ORPHAN_DRUGFAST_TRACK

Clinical trial landscape

Foralumab · 4 trials · 7 indications

Phase 2 3Phase 1 1
NCT07688239The BANYAN Trial, an ALS MyMatch Trial Evaluating Safety, Biomarker Activity, and Microglial Activation of Nasal ForalumabALS (Amyotrophic Lateral Sclerosis)
NOT YET_RECRUITING44 Analytics
NCT06868628A Phase 2a Study of Foralumab Nasal in Patients With Multiple System Atrophy (MSA)Multiple System Atrophy
RECRUITING5 Analytics
NCT06292923A Study of Nasal Foralumab in Non-Active Secondary Progressive Multiple Sclerosis PatientsSecondary Progressive Multiple Sclerosis
ACTIVE NOT_RECRUITING54 Analytics
PHASE2NOT YET_RECRUITING
The BANYAN Trial, an ALS MyMatch Trial Evaluating Safety, Biomarker Activity, and Microglial Activation of Nasal Foralumab
ALS (Amyotrophic Lateral Sclerosis)Unlock trial analytics
PHASE2RECRUITING
A Phase 2a Study of Foralumab Nasal in Patients With Multiple System Atrophy (MSA)
Multiple System AtrophyUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of Nasal Foralumab in Non-Active Secondary Progressive Multiple Sclerosis Patients
Secondary Progressive Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety - Occurrence of serious and non-serious treatment emergent adverse events and clinically significant treatment emergent abnormalities.
12 weeks and 24 weeks

The occurrence of serious (inclusive of SUSARs) and non-serious treatment emergent adverse events (TEAEs) and clinically significant treatment-emergent abnormalities in clinical, including vital signs (heart rate, blood pressure, weight) and laboratory values (reported as AEs) over both 12 (4 cycles) and 24 (8 cycles) week treatment periods in the Safety population.

Tolerability - Percentage of participant that complete 12 or 24 weeks of study treatment.
12 and 24 Weeks

the percentage of nasal foralumab treated participants in the Safety population who complete four (12-weeks) or eight (24-weeks) cycles of study treatment without study drug attributed intolerable AEs or SAEs or AESIs that lead to early permanent drug discontinuation.

Change from Screening to Month 6 in the total MDS-UMSARS score
From Screening to Month 6
Change in TSPO activity as measured by [F-18]PBR06 retention calculated over whole brain and within key regions of interest (ROIs) at 6 months as compared to screening
From Screening to Month 6
The number of patients with adverse event (AE) reports.
Throughout the study, an average of 12 weeks (3 months).
Changes in the Total Nasal Symptom Score (TNSS).
TNSS is performed during the Screening Visit and during the Treatment Period at the first visit of Cycle 1, Cycle 2, Cycle 3, and Cycle 4 (each Cycle is 3 weeks).

The TNSS is the sum of scores over 24 hours and 2 weeks for nasal congestion, runny nose, nasal itching, sneezing, and difficulty sleeping. The TNSS is quantified using the following scale: None 0, Mild 1 (symptom clearly present but easily tolerated), Moderate 2 (symptom bothersome but tolerable), Severe 3 (symptom difficult to tolerate - interferes with activities).

Change from baseline for [18F]PBR06-positron emission tomography (PET) scans for microglial activation after 12 weeks (3 months) of study treatment.
Subjects will undergo PET imaging prior to Week 1 (i.e., prior to dosing) and after Week 12 (after Cycle 4 at the PET sub-study site).

Subjects at all sites will undergo PET imaging with the radiotracer \[18F\]PBR06.

Safety- Adverse Events
Day 1 vs End of Study (Day 30)

Establish the safety of administration of nasal Foralumab to healthy volunteers in escalating doses for 5 consecutive days. Two or more serious adverse events occur that are possibly, probably or definitely related to nasal Foralumab.

Immune Effect
Dat 1 vs End of Study (Day 30)

Determine the dose at which immune effects are observed in subjects treated with Foralumab

Secondary Endpoints

Immune Reconstitution Changes: change in blood Tregs and functional T cell markers on flow cytometry
12 weeks
Immunological gene expression changes: single cell RNA sequencing
12 weeks
Neurofilament light changes
12 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ForalumabEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Foralumab NasalEXPERIMENTALThis study includes a 6-month observational lead-in phase followed by a 6-month open-label treatment phase with Foralumab Nasal.
Nasal Foralumab 50 μgEXPERIMENTALEach patient will receive nasal foralumab 50 μg per dosing day (25 μg per nostril).
Nasal Foralumab 100 μgEXPERIMENTALEach patient will receive nasal foralumab 100 μg per dosing day (50 μg per nostril).
Nasal placebo (acetate buffer)PLACEBO_COMPARATOREach patient will receive placebo on each dosing day in divided doses, in each nostril.
nasal foralumab 10 μg dailyEXPERIMENTALGroup A: nasal foralumab 10 μg daily for 5 days
nasal foralumab 50 μg dailyEXPERIMENTALGroup B: nasal foralumab 50 μg daily for 5 days
nasal foralumab 250 μg dailyEXPERIMENTALGroup C: nasal foralumab 250 μg daily for 5 days

Interventions

NameTypeDescription
Foralumab NasalDRUGForalumab is an anti-CD3 monoclonal antibody administered as a nasal spray. Participants will complete eight 3-week dosing cycles over the study. During each cycle, Foralumab will be administered intranasally three times per week for the first two weeks, with no administration in the third week.
PlaceboDRUGForalumab placebo nasal solution is a preservative-free, sterile, clear, colorless-to-slightly-yellow solution filled in an Aptar Unidose nasal atomizer device. Participants will complete eight 3-week dosing cycles over the study. During each cycle, Foralumab placebo nasal solution will be administered intranasally three times per week for the first two weeks, with no administration in the third week.
ForalumabDRUGForalumab nasal solution is a preservative-free, sterile, clear, colorless-to-slightly-yellow solution filled in an Aptar Unidose nasal atomizer device. Each Unidose device contains 0.13 mL foralumab placebo nasal solution, sufficient for administration to a single nare. Two Aptar Unidose devices will be used for a single dose (one device per nare). Each Unidose device contains foralumab nasal solution, supplied at either 25 μg foralumab or 50 μg foralumab, sufficient for administration into a single nare.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Adults ≥18 years of age and ≤75 years of age with a diagnosis of symptomatic ALS by revised El Escorial Criteria (clinically possible, probable, probable lab-supported, or definite). * Participant must be actively enrolled and must have met eligibility criteria for the Healey ...

Countries:United States
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Recent Changes (Last 90 Days)

LOWJul 7, 2026NCT07688239NEW_TRIAL: changed
LOWJul 7, 2026NCT07688239NEW_TRIAL: changed
MEDIUMJul 2, 2026NCT06292923Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 2, 2026NCT06292923Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJul 2, 2026NCT06292923Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJun 10, 2026NCT06868628lastUpdatePostDate: changed
LOWJun 10, 2026NCT06868628lastUpdatePostDate: changed

Frequently asked questions about Foralumab

What is Foralumab used for?

Foralumab is an investigational drug being studied for Secondary Progressive Multiple Sclerosis, Multiple System Atrophy, and ALS (Amyotrophic Lateral Sclerosis). It is also being evaluated in a safety study in healthy volunteers. Foralumab is in Phase 2 clinical development for these neurological conditions.

What does Foralumab target?

Foralumab targets CD3E, CD3G, and CD3D, which are components of the CD3 T-cell receptor complex. It acts as an inhibitor of these molecular targets. By inhibiting CD3, Foralumab is designed to modulate T-cell activity, which is relevant to the autoimmune and neurodegenerative conditions being studied.

Who makes Foralumab?

Foralumab is being developed by Tiziana Life Sciences Ltd, a biopharmaceutical company. The company's stock is listed under the ticker symbol TLSA. Tiziana Life Sciences is conducting clinical trials of Foralumab in the United States for multiple neurological indications.

What phase is Foralumab in?

Foralumab is in Phase 2 clinical development. It has received Orphan Drug and Fast Track designations from the FDA. Foralumab is investigational and has not been approved by the FDA. It is being studied in Phase 2 trials for Secondary Progressive Multiple Sclerosis, Multiple System Atrophy, and ALS.

What clinical trials is Foralumab in?

Foralumab is being studied in several clinical trials. NCT06292923 is a Phase 2 study in non-active Secondary Progressive Multiple Sclerosis with 54 participants. NCT06868628 is a Phase 2a study in Multiple System Atrophy with 5 participants. NCT06879067 is a completed Phase 1 safety study in healthy volunteers. NCT07688239 is a Phase 2 trial in ALS with 44 participants.

Is Foralumab the same as Foralumab Nasal?

Yes, Foralumab is also known as Foralumab Nasal. The drug is administered via the nasal route, as indicated by the name. Clinical trials of Foralumab Nasal are being conducted for conditions such as Secondary Progressive Multiple Sclerosis, Multiple System Atrophy, and ALS.