Post-Poliosyndrome Treated With Intravenous Immunoglobulin (IvIg)
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Purpose
Inflammatory cytokines in the cerebrospinal fluid may contribute to the new muscle weakness, fatigue and pain experienced by patients with post-polio syndrome. Intravenousimmunoglobulin (IvIg) reduces this inflammation. The purpose of this study is to investigate the clinical effect of IvIg in post-polio syndrome.
| Condition | Intervention | Phase |
|---|---|---|
|
Post-Polio Syndrome |
Drug: IvIg |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Post-Polio Syndrome Treated With Intravenous Immunoglobulin (IvIg) |
- Pain after three months
- Fatigue after 3 months
- Muscle strength after 3 months
- Pain, Fatigue, Muscle strength after 6 months. Changes in cytokine levels in CSF and serum
| Estimated Enrollment: | 40 |
| Study Start Date: | August 2003 |
| Estimated Study Completion Date: | July 2004 |
Post-polio syndrome (PPS) is characterised by new muscle weakness, pain, and fatigue several years after the attack of acute polio. This leads to increased disability, and up to now only supportive therapy is available.
Patients with PPS lose more motor neurons than expected and surviving neurons fail to maintain neurogenic supply to enlarged motor units. New data report an increased level of inflammatory cytokines in the cerebrospinal fluid (CSF). Immune modulating therapy like IvIg could be an option and this pilot study is the first to investigate the clinical effect of IvIg in PPS. In addition, levels of cytokines in CSF and serum before and after treatment will be investigated.
Eligibility| Ages Eligible for Study: | up to 75 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Post-polio syndrome diagnosed at Dept of Neurology, Haukeland University Hospital Walking ability -
Exclusion Criteria:
Other autoimmune disorders Other ongoing autoimmune therapy Severe cardiopulmonary disease IgA deficiency Previous treatment of IvIg Wheelchair dependence
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00231439 History of Changes |
| Other Study ID Numbers: | HUS1 |
| Study First Received: | September 30, 2005 |
| Last Updated: | December 12, 2005 |
| Health Authority: | Norway: Norwegian Social Science Data Services |
Keywords provided by Haukeland University Hospital:
|
Post-polio syndrome IvIg |
Additional relevant MeSH terms:
|
Poliomyelitis Postpoliomyelitis Syndrome Myelitis Central Nervous System Viral Diseases Virus Diseases Enterovirus Infections Picornaviridae Infections RNA Virus Infections Central Nervous System Infections Central Nervous System Diseases Nervous System Diseases Spinal Cord Diseases |
Neuromuscular Diseases Muscular Disorders, Atrophic Muscular Diseases Musculoskeletal Diseases Neurodegenerative Diseases Immunoglobulins Antibodies Immunoglobulins, Intravenous Rho(D) Immune Globulin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013