Globally, researchers are exploring multiple therapeutic pathways and investigating new potential treatments for ALS

Developing a new disease-modifying treatment and a cure for ALS is a lengthy and costly process, due to the complexities of the disease and the multiple experiments and clinical trials needed.

Drug discoveries start with fundamental (basic) research in the lab, studying animal and cellular models. Fundamental research aims to better understand the biology of ALS and discover new ways to treat it. ALS researchers will study cells from people living with ALS and replicate the disease in animal models, to better understand the biology of ALS in a living system, with the hope that it will represent (model) what happens in people.

Promising therapeutic compounds identified in these models need to then be tested in humans, as the presentation of ALS in people is significantly more complex than in animals and cells in the lab.

New potential compounds will undergo rigorous testing with multiple clinical trial phases that are necessary to assess if the drug is safe, tolerable, and effective in humans.

Female scientist examining samples under a microscope in a laboratory.
Doctor consulting with a patient in a clinical setting.

ALS drug development has come a long way in the past few decades, with a great number of clinical trials globally currently testing potential therapies for the treatment and management of ALS. Despite these numbers, many therapies that show promise in animal models often fail to replicate those results in clinical trials, which is a major challenge in developing treatments for ALS. However, even unsuccessful clinical trials provide key insights into pathways and targets for new drugs, and the ongoing research around the world offers hope for advancements in ALS treatment and management.

As the only national dedicated source of funding for ALS research across Canada, the ALS Canada Research Program aims to accelerate drug development by providing funding for the most promising ALS projects focused on translating scientific discoveries into treatments for ALS.

Drug access process

How are drugs approved?

In Canada, new drugs undergo a multi-step review and approval process—known as the drug access process—before they are available for use.

Status of ALS treatments in Canada

Disclaimer: ALS Canada does not endorse or recommend any specific treatments.

Please consult your ALS clinician for information and advice on specific treatments.

RADICAVA Oral Suspension (edaravone)

Available in all provinces
Approved

RADICAVA Oral Suspension (edaravone) is the oral liquid form of RADICAVA, developed by Mitsubishi Tanabe Pharma Corporation (MTP-CA).

RADICAVA IV (edaravone)

Discontinued
Discontinued

RADICAVA IV (edaravone) is an intravenous medication for the treatment of ALS, developed by Mitsubishi Tanabe Pharma Corporation (MTP-CA).

RILUTEK (riluzole)

Available in all provinces
Approved

RILUTEK (riluzole) is an oral therapy for the treatment of ALS, developed by Sanofi-Aventis.

Tofersen

Undergoing Health Canada Review

Tofersen is an investigational therapy for the treatment of SOD1-ALS, developed by Biogen.

ALBRIOZA (AMX0035)

Discontinued
Discontinued

ALBRIOZA (AMX0035) is a combination of two compounds that was investigated for the treatment of ALS, developed by Amylyx Pharmaceuticals.

ALS Research and Clinical Trials 101

Have questions about ALS drug development or research?

Watch out latest ALS Research and Clinical Trials 101 webinar here.

This monthly Q&A drop-in session is available for people living with ALS, their families, caregivers, and anyone close to someone living with the disease who is seeking information or might have questions about ALS research and/or clinical trials.

Drop in to have your questions addressed, chat with peers, meet the ALS Canada Team, and get access to research resources.