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Neuroprotection With Riluzole Patients With Early Multiple Sclerosis
The recruitment status of this study is unknown because the information has not been verified recently.
Verified January 2010 by University of California, San Francisco.   Recruitment status was  Active, not recruiting

First Received on July 12, 2007.   Last Updated on April 2, 2010   History of Changes
Sponsor: University of California, San Francisco
Collaborators: National Multiple Sclerosis Society
Oregon Health and Science University
Information provided by: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT00501943
  Purpose

This is a double blind, randomized, parallel group design placebo-controlled mono-center study. Patients will be evaluated within twelve months of CIS onset. Patients with at least 2 silent ovoid T2 bright areas in the deep white matter on their clinic brain MRI scan will be offered participation in the study. Patients will be randomized to oral riluzole or placebo (1:1). Patient will take 50 mg of riluzole or placebo once a day for one month. If 50 mg once a day is well tolerated, patients will then go on 50 mg twice daily for the rest of the study. They will start Avonex therapy 30 mcg IM once weekly 3 months after study drug (riluzole or placebo) is initiated if their liver function has remained normal.

Forty patients within twelve months of onset CIS onset will be enrolled at UCSF MS Center. Patients will be evaluated every month for the first 12 months and every three months thereafter for a total study duration of 24-month. Enrollment period will last six months.


Condition Intervention Phase
Multiple Sclerosis
Drug: Riluzole/Placebo +Avonex
Phase II

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Prevention

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • To determine the effect of treatment on MRI parameters and safety of riluzole up to 50 mg bid in patients with CIS combined with Avonex 30 mcg IM once a week. [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To determine the effect of riluzole compared to placebo on annual change in proton spectroscopic intensities of N-acetyl aspartate (NAA) and glutamate in normal appearing white matter (NAWM), in acute and chronic lesions. [ Time Frame: data analysis ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 40
Study Start Date: July 2006
Estimated Study Completion Date: December 2011
Estimated Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Riluzole
Drug: Riluzole/Placebo +Avonex
Riluzole/Placebo +Avonex
Other Name: Riluzole/Placebo +Avonex
Placebo Comparator: 2
placebo
Drug: Riluzole/Placebo +Avonex
Riluzole/Placebo +Avonex
Other Name: Riluzole/Placebo +Avonex

Detailed Description:

To determine the effect of riluzole up to 50 mg bid on MRI parameters, including T1 lesions load, atrophy of gray and white matter, and 1H-MRSI; and to determine safety of riluzole when administered orally up to 50 mg bid for 2 years in double blinded clinical trial of patients with clinically isolated syndromes (CIS) and at least 2 silent T2-bright areas in the deep white matter. These patients have a high risk of conversion to MS within 2 years and faster rate of atrophy (Dalton 2004).

Specific aims:

  1. To determine the effect of treatment compared to placebo on annual change in measures of normalized brain gray and white matter volume changes.
  2. To determine the effect of riluzole compared to placebo on annual change in proton spectroscopic intensities of N-acetyl aspartate (NAA) and glutamate in normal appearing white matter (NAWM), in acute and chronic lesions.
  3. To determine the safety of riluzole up to 50 mg bid in patients with CIS in association to Avonex 30 mcg IM once a week.
  4. To monitor changes on MS functional composite (MSFC) (Cutter 1999, Rudick 1998), optic coherence tomography (OCT), low contrast sensitivity and EDSS in these patients.
  5. To monitor recovery from exacerbations.
  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patient must give written informed consent;
  2. Patients with a early MS or clinically isolated syndromes (CIS) in the past 12 months as defined by an acute or sub-acute episode suggestive of demyelination affecting the optic nerves, brain stem or spinal cord or other central nervous system location.
  3. Entry age 18-55
  4. Males and females
  5. At least 2 silent T2 bright areas in the deep white matter on screening brain MRI.
  6. No riluzole, interferon, copaxone, cyclophosphamide, mitoxantrone or other off-label immunosuppressive drugs for MS prior to study entry
  7. No corticosteroid during the 4 weeks prior to baseline MRI exam
  8. No prior exposure to total lymphoid irradiation
  9. No history of substance abuse, including documented alcohol dependence within 6 months prior to screening or alcohol liver damage with AST , ALT > twice upper normal limits
  10. No pregnant or nursing patients
  11. No history of systemic illness or medical condition that would limit the likelihood of completing the gadolinium-enhanced MRI procedures. Automatic exclusionary conditions will include hypersensitivity reaction to riluzole or any of the tablets components, uncontrolled hypertension, epilepsy, and insulin dependent diabetes, asthma, known malignancy other than skin cancer, symptomatic cardiac disease or metallic objects on or inside the body.
  12. Patients willing to use birth control during the study.
  13. Patients willing to go on Avonex therapy 3 months after being randomized to study drug and no contra-indication to use of interferon therapy.

Exclusion Criteria:

  1. A history of major depression or psychosis.
  2. A clinically significant MS exacerbation within 30 days of the screening
  3. Pregnancy
  4. Abnormal screening liver function (AST or ALT > twice the upper normal limit).
  5. Patients receiving hepatotoxic medications such as drugs interfering with CYP 1A2.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00501943

Locations
United States, California
UCSF MS Center , 350 Parnassus Ave , suite #908
San Francisco, California, United States, 94117
Sponsors and Collaborators
University of California, San Francisco
National Multiple Sclerosis Society
Oregon Health and Science University
Investigators
Principal Investigator: Emmanuelle Waubant, MD, PhD UCSF , MS Center
Principal Investigator: Emmanuelle Waubant, MD PhD UCSF, MS Center
  More Information

No publications provided

Responsible Party: University of California, San Francisco, MS Center
ClinicalTrials.gov Identifier: NCT00501943     History of Changes
Other Study ID Numbers: H9924-29155-05
Study First Received: July 12, 2007
Last Updated: April 2, 2010
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Multiple Sclerosis
Sclerosis
Demyelinating Autoimmune Diseases, CNS
Autoimmune Diseases of the Nervous System
Nervous System Diseases
Demyelinating Diseases
Autoimmune Diseases
Immune System Diseases
Pathologic Processes
Riluzole
Interferon beta 1a
Excitatory Amino Acid Antagonists
Excitatory Amino Acid Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs
Neuroprotective Agents
Protective Agents
Central Nervous System Agents
Therapeutic Uses
Anticonvulsants
Adjuvants, Immunologic
Immunologic Factors
Antineoplastic Agents

ClinicalTrials.gov processed this record on February 09, 2012