Sustained-release 4-aminopyridine (Fampyra®) in the treatment of cerebellar ataxia
- Conditions
- G11.8Other hereditary ataxias
- Registration Number
- DRKS00005271
- Lead Sponsor
- Klinikum der Universität München, Campus Großhadern
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 75
Patients male or female, aged between 18 and 80 years
- Clinical evaluated diagnosis of cerebellar ataxia with at least 2 points in the subscore gait of the scale for the assessment and rating of ataxia (SARA)
- Written informed consent of the subject
- Subjects, with the ability to follow study instructions and likely to attend and complete all required visits
- Body weight 40 kg or less
- Pregnancy or breast-feeding
- Treatment with inhibitors of organic cation transporter 2 (OCT2), e.g. cimetidine
- Cardiovascular diseases e.g. recent heart attack (within the last 3 months), cardiac arrhythmia (QTc interval > 500 ms, atrial fibrillation, AV block grade = II), unstable angina pectoris, severe heart failure (NYHA class IV)
- Recently occurred stroke (within the last 3 months)
- Epileptic seizure currently or in the past
- Asthma (severity = grade III according to the Leitlinien des Programm für Nationale Versorgungsleitlinien)
- Mild or severe renal failure (Creatinine Clearance = 80ml/min)
- Unadjusted thyroid dysfunction
- Acute gastric and intestinal ulcer
- Other acute, serious illness of the subject
- Subject is unable to understand the scope, significance and consequences of this clinical trial and is unable to comply with the study design
- Previous participation in this clinical trial or participation in any clinical trial taking an investigational medicinal product within 30 days prior to participation in this clinical trial
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method ogarithmized gait variability at maximum walking speed (CVmax [%]) 14 days after start of study treatment.<br><br><br>Change in logarithmized individual preferred walking speed (G_pref) 14 days after start of study treatment compared to baseline.
- Secondary Outcome Measures
Name Time Method ogarithmized gait variability at maximum walking speed at the end of each 3-month treatment period and after an additional 1-month follow-up period.<br><br>Change of the logarithmized individual preferred walking speed [m/sec] at the end of each 3-month treatment period and after an additional 1-month follow-up period.<br><br>Number of falls analysed via a standarized fall diary measured during each 3-month treatment period and after an additional 1-month follow-up period.<br><br>Changes in ataxia-score (SCAFI) 14 days after beginning of each treatment phase or at the end of each 3-month treatment period and after an additional 1-month follow-up period.<br><br><br>Changes in mobility- and QoL-scores (FES, ABC, BDI-II, EQ-5D-5L, FSS) 14 days after beginning of each treatment phase or at the end of each 3-month treatment period and after an additional 1-month follow-up period.