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NCT04172792: TOLCAL
Safety and Tolerability Ultra-high-caloric Food Supplements in Amyotrophic Lateral Sclerosis (ALS)
Phase 1 trial testing high-caloric fatty diet in Amyotrophic Lateral Sclerosis in 64 participants. Completed in 5 April 2021.
5 April 2021
Quick facts
| Lead sponsor | Albert Christian Ludolph, Prof. |
|---|---|
| Phase | Phase 1 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 64 |
| Start date | 26 November 2019 |
| Primary completion | 5 April 2021 |
| Estimated completion | 5 April 2021 |
| Sites | 1 location across Germany |
Drugs / interventions tested
- high-caloric fatty diet
- ultra-high-caloric fatty diet
- ultra-high-caloric carbohydrate-rich diet
Conditions studied
- Amyotrophic Lateral Sclerosis — all drugs for Amyotrophic Lateral Sclerosis →
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):
-
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 -
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 -
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 -
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 -
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
Verify or expand the search:
- PubMed search for NCT04172792
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Other Albert Christian Ludolph, Prof. trials
Trials by the same sponsor.
- NCT02671682 — Immunoadsorption vs. Plasmapheresis in the Escalation Therapy of Relapse in Multiple Sclerosis · NA · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04172792 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Albert Christian Ludolph, Prof.
- Last refreshed: 29 April 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04172792.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing