TY - JOUR AU - Rudnicki, Stacy A AU - Al-Chalabi, Ammar AU - Andrews, Jinsy A AU - Chio, Adriano AU - Corcia, Philippe AU - Couratier, Philippe AU - Cudkowicz, Merit E AU - De Carvalho, Mamede AU - Genge, Angela AU - Hardiman, Orla AU - Heiman-Patterson, Terry AU - Henderson, Robert D AU - Ingre, Caroline AU - Johnston, Wendy AU - Ludolph, Albert AU - Maragakis, Nicholas J AU - Miller, Timothy M AU - Mora, Jesus S AU - Petri, Susanne AU - Simmons, Zachary AU - Van Den Berg, Leonard H AU - Zinman, Lorne AU - Herder, Katherine E AU - Kupfer, Stuart AU - Malik, Fady I AU - Meng, Lisa AU - Simkins, Tyrell J AU - Wei, Jenny AU - Wolff, Andrew A AU - Shefner, Jeremy M TI - Hospitalizations as an outcome measure in COURAGE-ALS. JO - Amyotrophic lateral sclerosis & frontotemporal degeneration VL - 26 IS - 7-8 SN - 2167-8421 CY - Abingdon PB - Taylor Francis Group M1 - DZNE-2025-01179 SP - 802 - 811 PY - 2025 AB - Objective: To describe the development of a methodology to characterize hospitalizations and their relationship to amyotrophic lateral sclerosis (ALS) and provide results using this process in a phase 3 trial of reldesemtiv in ALS. Methods: ALS clinical trialists assisted in developing a classification system to determine if a hospitalization was related to ALS (HR-ALS), unrelated (HU-ALS), or if the relationship was indeterminate (HI-ALS) and this was applied by the investigators to hospitalizations in COURAGE-ALS. Time to first hospitalization and number of hospitalizations were compared between those assigned reldesemtiv or placebo for up to 48 weeks. Demographic and clinical features were evaluated for prediction of hospitalization risk; this analysis was limited to those participants who completed the first 24-week double-blind placebo-controlled portion of the trial. Results: COURAGE-ALS terminated early due to futility. Time to first hospitalization was similar in the reldesemtiv compared to placebo arms as was the incidence, with 86 of the participants (17.6 KW - Humans KW - Amyotrophic Lateral Sclerosis: drug therapy KW - Amyotrophic Lateral Sclerosis: therapy KW - Amyotrophic Lateral Sclerosis: diagnosis KW - Amyotrophic Lateral Sclerosis: epidemiology KW - Hospitalization: statistics & numerical data KW - Male KW - Female KW - Middle Aged KW - Double-Blind Method KW - Aged KW - Outcome Assessment, Health Care: methods KW - Amyotrophic lateral sclerosis (Other) KW - COVID-19 (Other) KW - fast skeletal muscle troponin activator (Other) KW - hospitalization (Other) KW - motor neuron disease (Other) KW - reldesemtiv (Other) LB - PUB:(DE-HGF)16 C6 - pmid:40503807 DO - DOI:10.1080/21678421.2025.2515907 UR - https://pub.dzne.de/record/281786 ER -