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The safety and effect of Teriflunomide in patients with HTLV-1-induced myelopathy

Phase 3
Recruiting
Conditions
HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients.
Tropical spastic paraplegia
G04.1
Registration Number
IRCT20180618040127N3
Lead Sponsor
Mashhad University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
22
Inclusion Criteria

Positive serology for Human T-cell Lymphotropic Virus Type-1 (HTLV-1)
Occurrence of spastic paraparesia
Existence of anti HTLV-1 antibody in cerebrospinal fluid
Rule out of other etiologies of spastic paraparesia
Motor Disability Grading (MDG) less than 9
Informed consent for participating in the study

Exclusion Criteria

Existence of other active and latent infections include of old or active tuberculosis or hepatitis
Receiving other drug which influence immune system
Severe renal dysfunction
Married women of childbearing age who do not use safe contraception

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Serum level of inflammatory cytokines (TNF-a and NFL) and Viral load. Timepoint: At the begging of study and 12 months later. Method of measurement: Serum level evaluation.
Secondary Outcome Measures
NameTimeMethod
Medical Research Council (MRC) Scale for Muscle Strength. Timepoint: At the begging of study and months of three, six, nine and twelve. Method of measurement: Physical examination.;Spasticity score with Ashworth scale. Timepoint: At the begging of study and months of three, six, nine and twelve. Method of measurement: Physical examination.;Motor Disability score with Osame Motor Disability Score. Timepoint: At the begging of study and months of three, six, nine and twelve. Method of measurement: Physical examination.;Urinary disturbance score. Timepoint: At the begging of study and months of three, six, nine and twelve. Method of measurement: Physical examination.
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