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A trial is testing intermittent low-oxygen breathing with istradefylline in ALS

Original source

Acute Adenosine Receptor Antagonism in Combination With Acute Intermittent Hypoxia to Promote Breathing Plasticity in Amyotrophic Lateral Sclerosis: Protocol for a Randomized, Double-Blinded, Placebo-Controlled Trial.JMIR Res Protoc · 7 November 2025 (opens in a new tab)

Compass summarised this from the study's abstract.

Study details

Study type
Trial protocol
Studied in
Human
Trial registration
NCT05377424

A randomized, blinded, placebo-controlled trial is testing whether combining acute intermittent hypoxia with the adenosine A2A receptor inhibitor istradefylline can affect breathing-related measures in adults with amyotrophic lateral sclerosis (ALS). The study will assess safety, breathing, respiratory strength, symptoms and selected motor measures across four test sessions. Recruitment is ongoing, so the treatment’s effects are not yet known.

Why this matters

The study concerns adults with ALS who may develop respiratory impairment. Its results could indicate whether this paired approach is safe and feasible for further research, but this protocol does not show that it delays respiratory decline or improves treatment for anyone.

Limitations and context

This is a clinical trial protocol, not a report of completed results. The planned study is small, with a target of 16 participants in each group, and recruitment was still ongoing when the source was published. Findings are expected after the study is completed and do not yet establish benefit.

Summarised by Compass 18 August 2026

This summary was generated by AI from the source listed above. It is not medical advice, so read the original source for anything that affects your care.

Bibliographic data from PubMed is courtesy of the U.S. National Library of Medicine. Compass does not reproduce source abstracts and may not reflect the most current record.

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