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S-Oxprenolol for treating amyotrophic lateral sclerosis (ALS)

Dr Jochen Springer, Georg-August-Universität Göttingen; Prof. Stefan Anker, Charité - Universitätsmedizin Berlin; Prof. Andrew Coats,



Amyotrophic lateral sclerosis (ALS) is one of the most common neurodegenerative disorders characterized by progressive muscular paralysis reflecting degeneration of motor neurons in the brain and spinal cord. 5-10% of patients have positive family history of ALS, mostly with autosomal dominant inheritance pattern. ALS is a disease of mature adults, with median age of onset of 55 years and its frequency increases with age until age of 75. 50% patients die within the first three years since the first clinical manifestion. Riluzole, approved for treating ALS, delays the onset of ventilator dependence and may prolong life by two to three months. Nevertheless, there is a high medical need for novel drug candidates improving survival and reducing waste of muscle and body weight.


S-Enantiomer enriched compositions of beta blockers, in particular S-Oxprenolol have been shown to be good drug candidates for treating ALS. Treatment of ALS-mice (animal model SOD G93A) with 10mg/kg/d S-Ox-prenolol promotes a prolongation of survival life time by 33% compared to placebo treated mice (survival 56 vs. 42 days after onset). Further on, the waste of muscle, the body lean mass and body mass can be reduced after disease onset, as well as the daily fat mass lost. Moreover, S-Oxprenolol (20mg/kg/d) treated ALS-mice significantly survive longer than higher dosed ALS-compound Riluzole (30 mg/kg/d)- treated mice (80 days vs. 76 days). S-Oxprenolol is also superior to either R-Oxprenolol or racemate Oxprenolol comprising both enantiomers (80 days survival vs. 76 or 77 days survival).

Commercial Opportunity

Available for licensing

Development Status

In vivo data (ALS mouse model SOD1-G93A)

Patent Situation

US Provisional filed 14.03.2013 US 61/786,235 S-Enatiomerically enriched compositions of beta Blockers for treating amyotrophic lateral sclerosis
PCT application filed 03/2014 PCT/AU2014/000274
WO 2014/138814
EP EP 14764992.5 and US US 14/776,037 applications pending

Further Reading

WO 2014/138814


S-Oxprenolol for treating amyotrophic lateral sclerosis (ALS)

Effect of S-Oxprenolol on survival in ALS mice

Therapy starts when mice start to Show ALS symptoms.

S-Oxprenolol significantly prolongs survival compared to Placebo or S-Pindolol