The argument about access from places like Montreal to Massachusetts does seem reasonable and I am glad they are doing this. I wonder whether in practice there will be a geographical limit. If a person from the far Northwest asked, what would they say?
Some of the trials want you to be able to get back to the trial site in a reasonable time frame if complications ensue. If you can be closer for the duration then it isn’t an issue
I don’t remember the trial as she did not do it but there was something my sister looked at where she was too far. It was not a matter of good medical care being available or not but the trial site. I have seen geographically accessible in trial criteria at times
Karen, if you feel up to it and it wouldn't be a huge burden to travel or cause you too much fatigue, do it! Their criteria (< two years symptoms) is small. That's symptoms, not diagnosis. That cuts a huge number of folks out immediately.
Ironically one of their earlier trials in 2014 also insisted on symptom onset more than 1 year which I did not have then. Yes if you are SALS and not chasing gene therapy I agree with Fiona. Good luck!