Treatment of Multiple System Atrophy Using Intravenous Immunoglobulins
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Purpose
Multiple System Atrophy (MSA) is a progressive sporadic neurodegenerative disorder leading to widespread loss of brain cells that results in parkinsonian, cerebellar and autonomic dysfunction. The cause of the MSA remains unclear. Available treatment is symptomatic only and does not alter the course of disease.
Although the cause of MSA remains unclear, there is evidence of presence of common neuroinflammatory mechanisms in the MSA brains including activation of microglia and production of toxic cytokines. This research protocol is based on hypothesis that the MSA progression can be altered by blocking the neuroinflammatory activity.
This protocol includes administration of intravenous immunoglobulin (IVIg). IVIg contains antibodies derived from human plasma which can block the inflammatory responses in the brain that can lead to loss of brain cells.
| Condition | Intervention | Phase |
|---|---|---|
|
Multiple System Atrophy |
Drug: intravenous immunoglobulin (IVIg) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Treatment of Multiple System Atrophy Using Intravenous Immunoglobulins |
- To evaluate safety of the IVIg infusions for treatment of MSA. [ Time Frame: Monthly ] [ Designated as safety issue: Yes ]
- To evaluate preliminary efficacy of IVIg for treatment of MSA. [ Time Frame: Monthly ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 10 |
| Study Start Date: | June 2008 |
| Estimated Study Completion Date: | February 2013 |
| Estimated Primary Completion Date: | February 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: intravenous immunoglobulin (IVIg)
The IVIg will be infused intravenously, monthly, 6 times, the dose will be 0.4 gram/kg for each infusion.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female older than 17 years.
- Clinical diagnosis of probable multiple system atrophy
- Provide written informed consent to participate in the study
- Understand that they may withdraw their consent at any time
Exclusion Criteria:
- Women who are pregnant or lactating
- In the investigator's opinion, have any other significant systemic, hepatic, cardiac or renal illness.
- In the investigator's opinion, the subjects are significantly dehydrated, as determined by clinical evaluation including measurement of skin turgor, BUN and Cr values.
Contacts and Locations| United States, Massachusetts | |
| University of Massachusetts Medical School | |
| Worcester, Massachusetts, United States, 01655 | |
| Principal Investigator: | Peter Novak, MD, PhD | University of Massachusetts, Worcester |
More Information
No publications provided by University of Massachusetts, Worcester
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Peter Novak, Study Principle Investigator, University of Massachusetts, Worcester |
| ClinicalTrials.gov Identifier: | NCT00750867 History of Changes |
| Other Study ID Numbers: | H-12784 |
| Study First Received: | September 9, 2008 |
| Last Updated: | November 21, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of Massachusetts, Worcester:
|
multiple system atrophy, MSA, intravenous immunoglobulin, IVIg |
Additional relevant MeSH terms:
|
Shy-Drager Syndrome Multiple System Atrophy Atrophy Primary Dysautonomias Autonomic Nervous System Diseases Nervous System Diseases Basal Ganglia Diseases Brain Diseases Central Nervous System Diseases Movement Disorders Neurodegenerative Diseases |
Hypotension Vascular Diseases Cardiovascular Diseases Pathological Conditions, Anatomical Immunoglobulins Antibodies Immunoglobulins, Intravenous Rho(D) Immune Globulin Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013