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NCT04172792: TOLCAL

Safety and Tolerability Ultra-high-caloric Food Supplements in Amyotrophic Lateral Sclerosis (ALS)

Completed Phase 1 Last updated 29 April 2021
What this trial tests

Phase 1 trial testing high-caloric fatty diet in Amyotrophic Lateral Sclerosis in 64 participants. Completed in 5 April 2021.

Timeline
26 November 2019
Primary endpoint
5 April 2021
5 April 2021

Quick facts

Lead sponsorAlbert Christian Ludolph, Prof.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment64
Start date26 November 2019
Primary completion5 April 2021
Estimated completion5 April 2021
Sites1 location across Germany

Drugs / interventions tested

Conditions studied

Sponsor

Albert Christian Ludolph, Prof.

Who can join

18 and older, any sex, with Amyotrophic Lateral Sclerosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The LIPCAL-ALS study (NCT02306590) has provided preliminary evidence that a high-caloric nutrition might prolong survival in fast-progressing ALS patients. Since increasing the amount of calories of the intervention might possibly increase the beneficial effect, the investigators seek to investigate whether an ultra-high caloric diet (UHCD), featuring the double amount of calories compared to LIPCAL-ALS, will be well tolerated by ALS patients and may serve as an intervention for a potential LIPCALII study. For this purpose, the investigators will compare two different UHCDs (one fat-rich and one carbohydrate-rich) with regard to safety and tolerability over a time frame of 4 weeks. A third group will receive the original diet from LIPCAL, and a fourth group will receive no intervention (control group).

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Lipid Metabolic Alterations in the ALS-FTD Spectrum of Disorders.
    Godoy-Corchuelo JM, Fernández-Beltrán LC, Ali Z, Gil-Moreno MJ, et al · · 2022 · cited 28× · PMID 35625841 · DOI 10.3390/biomedicines10051105
  2. Mitochondria: A Promising Convergent Target for the Treatment of Amyotrophic Lateral Sclerosis.
    Cunha-Oliveira T, Montezinho L, Simões RF, Carvalho M, et al · · 2024 · cited 19× · PMID 38334639 · DOI 10.3390/cells13030248
  3. Importance of lipids for upper motor neuron health and disease.
    Gunay A, Shin HH, Gozutok O, Gautam M, et al · · 2021 · cited 4× · PMID 33323321 · DOI 10.1016/j.semcdb.2020.11.004
  4. Ketogenic effect of coconut oil in ALS patients.
    Carrera-Juliá S, Obrador E, López-Blanch R, Oriol-Caballo M, et al · · 2024 · cited 2× · PMID 39086545 · DOI 10.3389/fnut.2024.1429498
  5. The gut microbiota influences neurodegenerative diseases through the gut-brain axis: molecular mechanisms and effects on immune function.
    Yang J, Song X, Yan S, Li Q, et al · · 2025 · PMID 41601624 · DOI 10.3389/fimmu.2025.1739329

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