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R(+) Pramipexole in Early Amyotrophic Lateral Sclerosis - Article


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Amyotrophic Lateral Sclerosis

Als; Amyotrophic Lateral Sclerosis (ALS); Amyotrophic lateral sclerosis, type 2; Amyotrophic lateral sclerosis, type 4; Amyotrophic Lateral Sclerosis/als; autosomal dominant juvenile ALS; autosomal recessive form of juvenile ALS type 3; Charcot disease; dHMN; FALS; familial amyotrophic lateral sclerosis; juvenile amyotrophic lateral sclerosis; Lou Gehrig Disease; Lou Gehrig's Disease; Lou Gehrig//'s disease; Motor Neuron Disease, Amyotrophic Lateral Sclerosis; neuronopathy, distal hereditary motor, with pyramidal features; RFALS type 3


Clinical Trial: R(+) Pramipexole in Early Amyotrophic Lateral Sclerosis

This study is currently recruiting patients.
Verified by Bennett, James P., Jr., M.D.,Ph.D. August 2005

Sponsored by: Bennett, James P., Jr., M.D.,Ph.D.
Information provided by: Bennett, James P., Jr., M.D.,Ph.D.
ClinicalTrials.gov Identifier: NCT00140218

Purpose

The hypothesis of this study is that treatment with R(+) pramipexole at 30 mg/day will alter the slope of decline in ALS functional rating scale over the course of 6 months. ALS patients at an early stage of disease will be observed for 3 months after enrollment and then treated with drug for 6 months.
Condition Intervention Phase
Amyotrophic Lateral Sclerosis
 Drug: R(+) pramipexole dihydrochloride monohydrate
Phase II

MedlinePlus related topics:  Amyotrophic Lateral Sclerosis
Genetics Home Reference related topics:  amyotrophic lateral sclerosis

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Historical Control, Single Group Assignment, Safety/Efficacy Study

Official Title: Futility Study of R(+) Pramipexole in Early Amyotrophic Lateral Sclerosis

Further Study Details: 
Primary Outcomes: ALS-FRSr score taken each month for 3 months during lead-in and for 6 months during treatment
Secondary Outcomes: FVC taken each month; hand dynamometry taken each month
Expected Total Enrollment:  20

Study start: August 2005;  Expected completion: August 2006
Last follow-up: July 2006;  Data entry closure: July 2006

This is a futility design Phase II study using ALS-FRSr as the primary variable to monitor progression of disease in patients with early ALS. The drug to be tested is R(+) pramipexole, an antioxidant that concentrates into brain and mitochondria. R(+)PPX will be administered at 30 mg/day over 6 months, following a 3 month lead-in period without drug therapy. For purposes of this study, futility is defined as failure to decrease the slope of ALS-FRSr decline by less than 40%.

Eligibility

Ages Eligible for Study:  21 Years   -   85 Years,  Genders Eligible for Study:  Both
Criteria

Inclusion Criteria:

  • established diagnosis of ALS FVC>60% of predicted not being ventilated no difficulty swallowing ambulatory (can use assistance devices)

Exclusion Criteria:

  • ALS duration >3 years advanced ALS with survival predicted <6 months dementia (MMSE<22) prior exposure to R(+) pramipexole orthostatic hypotension >30 mmHg history of psychosis or hallucinations abnormal baseline safety lab values

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier  NCT00140218

Lawrence H Phillips, M.D.      434-924-5361    lhp3n@virginia.edu

Virginia
      University of Virginia, Charlottesville,  Virginia,  22908,  United States; Recruiting
Hua Wang, M.D., Ph.D.  434-924-5717    hw2p@virginia.edu 
Lawrence H Phillips II, M.D.,  Principal Investigator

Study chairs or principal investigators

Lawrence H Phillips, M.D.,  Principal Investigator,  University of Virginia   

More Information

Study ID Numbers:  11736
Last Updated:  August 31, 2005
Record first received:  August 30, 2005
ClinicalTrials.gov Identifier:  NCT00140218
Health Authority: United States: Food and Drug Administration
ClinicalTrials.gov processed this record on 2005-09-06


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Page Updated: October 3, 2005
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