Completed
Topics
Amyotrophic lateral sclerosis (ALS) is a rapidly progressive, invariably fatal neurological disease. Individuals affected by ALS include those living with ALS, their caregivers, presymptomatic individuals at risk for developing ALS, and others. Currently no treatments stop or reverse the disease, although various FDA-approved formulations may extend life by several months. This committee will identify and recommend key actions for the public, private, and nonprofit sectors to undertake to make ALS a livable disease within a decade.
Featured publication
Consensus
·2024
At any one time, at least 30,000 people in the U.S. are living with amyotrophic lateral sclerosis (ALS), a rapidly progressive, fatal neurological disease affecting individuals, caregivers, at-risk genetic carriers, and others. In 2022, Congress directed the National Institutes of Health to commissi...
View details
Description
An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine will conduct a study to identify and recommend key actions for the public, private, and nonprofit sectors to undertake to make amyotrophic lateral sclerosis (ALS) a livable disease within a decade.
The committee will consider the landscape of ALS therapeutic development, care, services, and supports, such as:
- pathways for developing more effective and meaningful treatments and a cure
- interventions to reduce and prevent the progression and complications of ALS
- challenges and obstacles for public, private, and nonprofit sectors to overcome to make ALS a livable disease within a decade
- the type and range of care and services people with ALS and their families need and how to ensure they receive comprehensive, quality care
- what care, services, and preventive measures people at-risk of ALS need
- how to improve the quality of life, health, and well-being of affected individuals and families.
The committee’s work will consider equity issues across the landscape and build on priorities identified in the National Institute of Neurological Disorders and Stroke’s ALS Strategic Plan, the Food and Drug Administration’s Action Plan for Rare Neurodegenerative Diseases including Amyotrophic Lateral Sclerosis, and additional existing analyses and expert and public input. The committee will develop a report with its recommendations for key actions that federal agencies, the pharmaceutical industry, and nongovernmental organizations can take, including identifying opportunities for collaboration.
Contributors
Committee
Chair
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Staff Officer
Conflict of Interest Disclosure
The conflict-of-interest policy of the National Academies of Sciences, Engineering, and Medicine (https://www.nationalacademies.org/about/institutional-policies-and-procedures/conflict-of-interest-policies-and-procedures) prohibits the appointment of an individual to a committee like the one that authored this consensus study report if the individual has a conflict of interest that is relevant to the task to be performed. An exception to this prohibition is permitted only if the National Academies determine that the conflict is unavoidable and the conflict is promptly and publicly disclosed.
When the committee that authored this report was established, a determination of whether there was a conflict of interest was made for each committee member given the individual’s circumstances and the task being undertaken by the committee. A determination that an individual has a conflict of interest is not an assessment of that individual’s actual behavior or character or ability to act objectively despite the conflicting interest.
Dr. Suma Babu has a financial conflict of interest because of her work as a physician investigator in industry-sponsored clinical trials of disease-modifying therapeutics for ALS supported by Biogen, Novartis, Ionis, OrphAI Therapeutics, and Denali. As of March 2024, she also serves as a compensated consultant for uniQure, a gene therapy company.
The National Academies has concluded that for this committee to accomplish the tasks for which it was established, its membership must include at least one individual with current leadership experience and expertise in clinical trials and expanded access programs involving industry sponsors As described in her biographical summary, Dr. Babu bridges the interface between patient care and therapeutic development through her work at MGH leading a number of clinical trials and expanded access programs to benefit individuals living with ALS, with a particular focus on gene therapy, neuroimaging, and developing disease-modifying treatments and clinical trial biomarker readouts for patients with motor neuron diseases.
The National Academies has determined that the experience and expertise of Dr. Babu is needed for the committee to accomplish the task for which it has been established. The National Academies could not find another available individual with the equivalent experience and expertise who does not have a conflict of interest. Therefore, the National Academies has concluded that the conflict is unavoidable.
The National Academies believes that Dr. Babu can serve effectively as a member of the committee, and the committee can produce an objective report, taking into account the composition of the committee, the work to be performed, and the procedures to be followed in completing the study.
Dr. Chelsey Carter has a financial conflict of interest because of her work as a consultant on issues of race, equity, and inclusion for Amylyx, a pharmaceutical company developing new therapies for ALS. The National Academies has concluded that for this committee to accomplish the tasks for which it was established, its membership must include at least one individual with current experience and expertise in race, equity, and inclusion and the experiences of people living with ALS. As described in her biographical summary, Dr. Carter brings significant experience and understanding of how systemic marginalization impacts historically underrepresented communities affected by neurodegenerative diseases, like ALS, and deep expertise in medicine, public health, and race. Dr. Carter is also undertaking a book project that includes an ethnographic study of the diverse experiences of living with ALS drawing on over 15 years of experience with Black communities affected by ALS. Dr. Carter has previously been compensated for a presentation to Cytokinetics on issues of race, equity, and inclusion and currently presents on race, equity, and inclusion to Amylyx.
The National Academies has determined that the experience and expertise of Dr. Carter is needed for the committee to accomplish the task for which it has been established. The National Academies could not find another available individual with the equivalent experience and expertise who does not have a conflict of interest. Therefore, the National Academies has concluded that the conflict is unavoidable.
The National Academies believes that Dr. Carter can serve effectively as a member of the committee, and the committee can produce an objective report, taking into account the composition of the committee, the work to be performed, and the procedures to be followed in completing the study.
Dr. John Dunlop has a conflict of interest in relation to service on the Committee on Amyotrophic Lateral Sclerosis: Accelerating Treatments and Improving Quality of Life because of his relationships with Aliada Therapeutics., which develops therapeutics for central nervous system conditions including ALS.
The National Academies has concluded that for this committee to accomplish the tasks for which it was established, its membership must include at least one individual with current experience and expertise in private-sector ALS therapeutic research and development. As described in his biographical summary, Dr. Dunlop held scientific and leadership roles at firms such as Neumora Therapeutics, Amgen, AstraZeneca, Wyeth, and Pfizer, in addition to his current role as Chief Scientific Officer at Aliada. Dr. Dunlop also has ongoing roles for several entities and projects including the NIH’s HEAL Partnership Committee, Target-ALS, MassBio, Vigil Neuroscience, and the Packard Center for ALS Research at Johns Hopkins.
The National Academies has determined that the experience and expertise of Dr. Dunlop is needed for the committee to accomplish the task for which it has been established. The National Academies could not find another available individual with the equivalent experience and expertise who does not have a conflict of interest. Therefore, the National Academies has concluded that the conflict is unavoidable.
The National Academies believes that Dr. Dunlop can serve effectively as a member of the committee, and the committee can produce an objective report, taking into account the composition of the committee, the work to be performed, and the procedures to be followed in completing the study.
In each case, the National Academies determined that the experience and expertise of the individual was needed for the committee to accomplish the task for which it was established. The National Academies could not find other available individuals who had the equivalent experience and expertise and did not have a conflict of interest. Therefore, the National Academies concluded that the conflicts were unavoidable and publicly disclosed them on its website (www.nationalacademies.org).
Committee Membership Roster Comments
-Committee posted on March 10, 2023
-Edits made to the bios of Suma Babu, Eva Feldman, Holly Fernandez Lynch, Ileana Howard, Hal Paz, and Rita Sattler on April 10, 2023.
-Edits made to the bios of Eva Feldman and Joel Shamaskin on April 18, 2023.
-Edits made to the bio of Mindy Uhrlaub on May 5, 2023.
-Edits made to the bio of Anantha Shekhar on July 11, 2023.
-Edits made to the bio of Joshua Sharfstein on August 18, 2023.
-Edits made to the bio of Rita Sattler on September 22, 2023.
-Edits made to the bio and disclosure of an unavoidable conflict of interest statement for John Dunlop on October 6, 2023.
-Edits made to the bio of Ileana Howard on October 10, 2023.
-Edits made to the bio of Harold Paz on October 27, 2023.
-Edits made to the bios of Eva Feldman, Holly Fernandez Lynch, Jerome Kurent, and Harold Paz on March 21, 2024.
-Edits made to the bio and disclosure of an unavoidable conflict of interest statement for Suma Babu on May 23, 2024.
-Edits made to the bio of Harold Paz on May 24, 2024.
Sponsors
National Institutes of Health
Staff
Rebecca English
Lead
Ashley Bologna
Lyle Carrera