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Hyper- and Hypokalemic Periodic Paralysis Study (HYP-HOP)
This study is currently recruiting participants.
Verified January 2012 by University of Rochester

First Received on June 27, 2007.   Last Updated on January 24, 2012   History of Changes
Sponsor: University of Rochester
Collaborator: National Institute of Neurological Disorders and Stroke (NINDS)
Information provided by (Responsible Party): Robert Griggs, MD, University of Rochester
ClinicalTrials.gov Identifier: NCT00494507
  Purpose

The purpose of this study is to compare Dichlorphenamide with placebo (an inactive substance) for prevention of episodes and for improvement of strength in periodic paralysis. This study will also look at the long-term effects of Dichlorphenamide in periodic paralysis.


Condition Intervention Phase
Periodic Paralysis
Drug: Dichlorphenamide
Drug: Placebo
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: Dichlorphenamide vs. Placebo for Periodic Paralysis

Resource links provided by NLM:


Further study details as provided by University of Rochester:

Primary Outcome Measures:
  • The number of attacks/week over the last 8 weeks of the initial 9-week study phase. [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Efficacy: severity-weighted attack rate; muscle strength and mass measures; changes in health-related quality-of-life; intolerable increase in attack frequency or severity necessitating withdrawal from the 9-week phase (HOP trial only). [ Time Frame: 8 to 61 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 140
Study Start Date: June 2007
Estimated Study Completion Date: November 2012
Estimated Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Dichlorphenamide Drug: Dichlorphenamide
has been prescribed to treat periodic paralysis, but is no longer available
Placebo Comparator: Placebo
inactive substance
Drug: Placebo
an inactive substance

Detailed Description:

Periodic paralysis is a relatively rare, life-long disorder characterized by intermittent bouts of paralysis, progressive weakness, and diminished quality of life. Two drugs, acetazolamide and dichlorphenamide, have been prescribed to treat the disorder, however, dichlorphenamide is no longer available.

In this multi-center, parallel, randomized trial researchers will compare the effects of dichlorphenamide vs. placebo in patients with hyperkalemic (HYP) and hypokalemic (HOP) periodic paralysis.

The trial consists of two 9-week studies—one study will enroll persons with hyperkalemic periodic paralysis and the other study will enroll persons with hypokalemic periodic paralysis. Participants will be randomly assigned to one of two treatment groups: dichlorphenamide or placebo (an inactive substance). During the studies, participants will be asked to keep a daily diary to record the time, length, and severity of each episode of weakness. The study coordinator will contact participants weekly to review the diary information.

The 9-week phase will be followed by a 1-year open-label dichlorphenamide extension without placebo to determine the long-term effects of dichlorphenamide on the course of the disease and on inter-attack weakness.

Duration of the trial for participants is approximately 65 weeks, including a screening phase to determine eligibility, the first 9-week treatment phase, and the one-year open-label extension phase.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Genetically definite, clinically definite or clinically probable Hyperkalemic or Hypokalemic Periodic Paralysis as outlined in the protocol
  • Male and female participants, age 18 and older who are able to comply with the study conditions.
  • Participants who have distinct regular episodes of weakness with an average frequency of > or = to 1 a week and < or = to 3 a day either on or off treatment, whichever is higher
  • Normal thyroid-stimulating hormone (TSH) level

Exclusion Criteria:

  • Evidence for Andersen-Tawil syndrome (any one of the following 3 criteria)
  • Prolonged QT interval or complex ventricular ectopy between attacks
  • Distinctive physical features (2 out of 5)

    1. Low set ears
    2. Short stature
    3. Hypo-/micrognathia
    4. Clinodactyly
    5. Hypo-/hypertelorism
  • KIR 2.1 gene mutation
  • Coincidental renal, hepatic, active thyroid disease, restrictive or obstructive lung disease, other neuromuscular disease, or heart disease
  • Chronic, non-congestive, angle-closure glaucoma
  • Use of any of the following medications for reasons other than treatment of periodic paralysis: diuretics, antiarrhythmics, corticosteroids, beta-blockers, calcium channel blockers, antiepileptics, magnesium
  • History of life-threatening episodes of respiratory muscle weakness or cardiac arrhythmias during attacks
  • Pregnancy
  • Known mutation in the alpha subunit of the sodium channel gene in hypokalemic periodic paralysis patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00494507

Contacts
Contact: Patty Smith 585-275-4339

Locations
United States, California
UCLA Neurology Recruiting
Los Angeles, California, United States, 90095
Contact: Russell Byrns     310-825-3264        
Principal Investigator: Perry Shieh, MD            
University of California-San Francisco Recruiting
San Francisco, California, United States, 94143
Contact: Dennis Robins     415-353-3667        
Principal Investigator: Jeffrey Ralph, MD            
United States, Kansas
University of Kansas Medical Center Recruiting
Kansas City, Kansas, United States, 66160
Contact: Maureen Walsh     913-588-5095        
Principal Investigator: Richard Barohn, MD            
United States, Massachusetts
Brigham & Women's Hospital Recruiting
Boston, Massachusetts, United States, 02115
Contact: Kristen Roe     617-525-6763        
Principal Investigator: Anthony Amato, MD            
United States, Minnesota
Mayo Clinic Recruiting
Rochester, Minnesota, United States, 55905
Contact: Delana Weis     507-266-7196        
Principal Investigator: Brian Crum, MD            
United States, Missouri
Washington University School of Medicine Recruiting
St Louis, Missouri, United States, 63110
Contact: Pamela Townsend     314-747-8288        
Principal Investigator: Alan Pestronk, MD            
United States, New York
Columbia University Medical Center Recruiting
New York, New York, United States, 10032
Contact: Nicole Armstrong     212-305-8148        
Principal Investigator: Hiroshi Mitsumoto, MD            
University of Rochester Recruiting
Rochester, New York, United States, 14642
Contact: Laura Zak     585-276-5432        
Principal Investigator: Emma Ciafaloni, MD            
United States, Ohio
Ohio State University Recruiting
Columbus, Ohio, United States, 43210
Contact: Amy Bartlett     614-366-9050        
Principal Investigator: John Kissel, MD            
United States, Texas
University of Texas Southwestern-Dallas Recruiting
Dallas, Texas, United States, 75390
Contact: Nina Gorham     214-648-0462        
Principal Investigator: Stephen C. Cannon, MD            
Sub-Investigator: Jaya Trivedi, MD            
France
Hospital Pitie-Salpetriere Not yet recruiting
Paris, France
Contact: Savine Vicart, MD     33 1 42161691        
Principal Investigator: Bertrand Fontaine, MD            
Sub-Investigator: Savine Vicart, MD            
Italy
University of Milan Recruiting
San Donato, Milan, Italy
Contact: Valeria Sansone     39 02 5607450        
Principal Investigator: Giovanni Meola, MD            
Sub-Investigator: Valeria Sansone, MD            
United Kingdom
Institute of Neurology-Queen's Square Recruiting
London, United Kingdom
Contact: James Burge, MD     +44 (0) 207 837 3611 ext 4320        
Principal Investigator: Michael Hanna, MD            
Sponsors and Collaborators
University of Rochester
Investigators
Principal Investigator: Robert C. Griggs, M.D. University of Rochester
Principal Investigator: Rabi Tawil, M.D. Co-Principal Investigator, University of Rochester
Investigator: Michael McDermott, Ph.D. Biostatistician, University of Rochester
  More Information

No publications provided

Responsible Party: Robert Griggs, MD, Principal Investigator, University of Rochester
ClinicalTrials.gov Identifier: NCT00494507     History of Changes
Other Study ID Numbers: R01NS045686-02, CRC
Study First Received: June 27, 2007
Last Updated: January 24, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by University of Rochester:
periodic paralysis
dichlorphenamide

Additional relevant MeSH terms:
Paralyses, Familial Periodic
Hypokalemic Periodic Paralysis
Paralysis
Muscular Diseases
Musculoskeletal Diseases
Neuromuscular Diseases
Nervous System Diseases
Metal Metabolism, Inborn Errors
Metabolism, Inborn Errors
Genetic Diseases, Inborn
Metabolic Diseases
Neurologic Manifestations
Signs and Symptoms
Dichlorphenamide
Carbonic Anhydrase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions

ClinicalTrials.gov processed this record on February 09, 2012