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临床试验/NL-OMON52129
NL-OMON52129招募中3 期

Clemastine fumarate as remyelinating treatment in internuclear ophthalmoparesis and multiple sclerosis - RESTORE

Amsterdam UMC0 个研究点目标入组 80 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. A clinically definite diagnosis of multiple sclerosis.
  • 2. Diagnosis of internuclear ophthalmoplegia determined by the first infrared
  • oculography at screening with either cut-off of 1.174 of the versional
  • dysconjugacy index area under the curve (VDI-AUC) of 15° saccades or 1.180 of
  • the versional dysconjugacy index peak velocity/saccadic amplitude (VDI-PV/Am)
  • of 15° saccades.
  • 3. Age 18-70 (inclusive)
  • 4. Use of disease modifying therapies is not a contraindication.
  • 5. Ability to understand the purpose and risks of the study and provide signed
  • and dated informed consent.

排除标准

  • MS-related exclusion criteria:
  • 1. Changes in immunomodulatory therapy for multiple sclerosis in the 6 months
  • before inclusion into the study.
  • 2. Clinical relapse of MS or high dosage corticosteroid use within 30 days
  • before inclusion into the study.
  • IMP and medication related exclusion criteria:
  • 3. Contraindications to clemastine use, such as known porphyria or
  • hypersensitivity to clemastine, other antihistamines with a similar chemical
  • structure or any of the excipients.
  • 4. Contraindications to fampridine use, such as hypersensitivity to fampridine
  • or any of the excipients, history of epilepsy, kidney disease (GFR <50 ml/min
  • absolute contraindication; GFR = 50-80 ml/min relative contraindication), use
  • of Organic Cation Transporter 2 (OCT2) inhibitors or history of significant
  • cardiac arrhythmias or conduction block.
  • 5. Concomitant use of Fampridine or any other formulation of 4-aminopyridine
  • (4AP) or diamino4ap that cannot be temporarily suspended prior to each study
  • 6. Changes in the use of medication currently being investigated in
  • remyelination trials within 6 months before screening, including but not
  • limited to domperidone, liothyronine, quetiapine, testosterone and bazedoxifene.
  • 7. Non-incidental use of central nervous system depressants including but not
  • limited to hypnotics, anxiolytics, monoamine-oxidase inhibitors (MAOI*S),
  • tricyclic antidepressants, opioid analgesics and other antihistamines with
  • sedating properties (e.g. promethazine).
  • Other medical history and concomitant disease exclusion criteria:
  • 8. History of significant cardiac conduction block.
  • 9. History of malignancy of any organ system (other than localized squamous or
  • basal cell carcinoma of the skin or adequately treated cervical cancer),
  • treated or untreated, within the past 3 years, regardless of whether there is
  • evidence of local recurrence or metastases.
  • 10. Estimated glomerular filtration rate (eGFR) < 50 ml/min/1.73 m2; AST, ALT,
  • or alkaline phosphatase > 3 times the upper limit of normal.
  • 11. Any ophthalmological disease which may prevent accurate infrared
  • oculography assessment.
  • 12. Suicidal ideation or behaviour in 6 months prior to baseline.
  • 13. History of drug or alcohol abuse within the past year.
  • 14. Clinically significant cardiac, metabolic, hematologic, hepatic,
  • immunologic, urologic, endocrinologic, neurologic, pulmonary, psychiatric,
  • dermatologic, allergic, renal or other major diseases that in the PI*s
  • judgement may affect interpretation of study results or patient safety.
  • 15. History of or presence of clinically significant medical illness or
  • laboratory abnormality that, in the opinion of the investigator would preclude
  • participation in the study.
  • General exclusion criteria:
  • 16. Pregnancy at the time of inclusion into the study or planning on
  • breastfeeding within the first 7 months after inclusion in the study.
  • 17. Involvement in other study protocol simultaneously without prior approval.
  • 18. Insufficient proficiency in reading Dutch or English.
  • 19. Unable or unwilling to suspend driving for a duration of 6 months.

研究者

发起方
Amsterdam UMC

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