Study of Rasagiline in Patients With Amyotrophic Lateral Sclerosis

Phase 2

Completed

• Conditions: Amyotrophic Lateral Sclerosis
• Interventions: Drug: Rasagiline; Drug: Placebo

• Registration Number: NCT01879241
• Lead Sponsor: University of Ulm

Brief Summary

The primary objective of the trial is to investigate the survival time (the time from randomization until death or end of the trial) compared between control group and experimental group.

This is a prospective, multicenter, randomized, stratified, parallel-group, double-blind trial comparing placebo with 1 mg/d rasagiline as add-on therapy to 100 mg riluzole in amyotrophic lateral sclerosis (ALS) in 250 enrolled patients. For entry, the El Escorial Criteria for the diagnosis of ALS will be used. The patients have to be stable on riluzole at least 4 weeks prior to randomization.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-06
• Study First Submitted: 2013-06-12
• Study First Submitted QC: 2013-06-12
• Study First Posted: 2013-06-17
• Primary Completion: 2016-04
• Study Completion: 2016-08
• Status Verified: 2016-10
• Last Update Submitted: 2016-10-24
• Last Update Posted: 2016-10-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 252

Inclusion Criteria

• Possible, probable (clinically or laboratory) or definite ALS according to the revised version of the El Escorial World Federation of Neurology criteria
• Disease duration more than 6 months and less than 3 years (inclusive). Disease onset defined as date of first muscle weakness, excluding fasciculations and cramps
• Vital capacity more than 50% of normal (slow vital capacity; best of three measurements)
• Age: ≥ 18 years
• Continuously treated with 100 mg riluzole for at least four weeks
• Capable of thoroughly understanding all information given and giving full informed consent according to GCP
• Women of childbearing age must be non-lactating and surgically sterile or using a highly effective method of birth control and have a negative pregnancy test. Acceptable methods of birth control with a low failure rate i.e. less than 1% per year) when used consistently and correct are such as implants, injectables, combined oral contraceptives, hormonal intrauterine devices (IUDs), or double-barrier methods (condom or diaphragm with spermicidal agent or IUD), sexual abstinence or vasectomized partner

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Exclusion Criteria

• Previous participation in another clinical study within the preceding 12 weeks
• Tracheostomy or assisted ventilation of any type during the preceding three months
• Gastrostomy
• Any medical condition known to have an association with motor neuron dysfunction which might confound or obscure the diagnosis of ALS
• Presence of any concomitant life-threatening disease or impairment likely to interfere with functional assessment
• Patients on sympathomimetic agents. This includes pseudoephedrine, phenylephrine, phenylpropanolamine, and ephedrine.
• Patients on analgesics with serotoninergic properties such as meperidine, tramadol, methadone and propoxyphene.
• Patients on serotonin reuptake inhibitors (SSRIs). This includes fluoxetine or fluvoxamine.
• Patients on dextromethorphan, St. John's wort, cyclobenzaprine or other MAO inhibitors (selective or non-selective)
• Patients taking Antidepressants
• Confirmed hepatic insufficiency or abnormal liver function (ASAT and/or ALAT greater than 3 times the upper limit of the normal range)
• Renal insufficiency (serum creatinine more than 2.26 mg/dL)
• Evidence of major psychiatric disorder or clinically evident dementia precluding evaluation of symptoms
• Known hypersensitivity to any component of the study drug
• Liable to be not cooperative or comply with the trial requirements (as assessed by the investigator), or unable to be reached in the case of emergency
• Female with childbearing potential, if no adequate contraceptive measures are used
• Pregnancy or breast-feeding females

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Rasagiline	Rasagiline	Rasagiline 1 mg/day; 18 months
Placebo	Placebo	once daily, 18 months

Primary Outcome Measures

Name	Time	Method
Survival in ALS-Patients with Rasagiline compared to placebo	18 Months

Secondary Outcome Measures

Name	Time	Method
Change of total score of ALS Functional Rating Scale - Revised (ALSFRS-R)	18 Months
Change of individual Quality of Life (SEIQoL, Schedule for the Evaluation of Individual Quality of Life	18 Months
Change of slow vital capacity	18 Months

Trial Locations

Locations (15)

Department of Neurology, Universty of Bonn; 🇩🇪 Bonn, Nordrhrein-Westfalen, Germany

Department of Neurology, TU Dresden; 🇩🇪 Dresden, Sachsen, Germany

Department of Neurology, University of Halle-Wittenberg; 🇩🇪 Halle/Saale, Sachsen-Anhalt, Germany

Department of Neurology, Universty of Regensburg; 🇩🇪 Regensburg, Bayern, Germany

Department of Neurology, University of Jena; 🇩🇪 Jena, Thueringen, Germany

Department of Neurology, Humboldt University; 🇩🇪 Berlin, Germany

Department of Neurology, University of Ulm; 🇩🇪 Ulm, Baden-Württemberg, Germany

Department of Neurology, Universty of Muenster; 🇩🇪 Muenster, Nordrhein-Westfalen, Germany

Department of Neurology, University of Wuerzburg; 🇩🇪 Wuerzburg, Bayern, Germany

Department of Neurology, Technische Universität München; 🇩🇪 Muenchen, Bayern, Germany

Department of Neurology, University of Rostock; 🇩🇪 Rostock, Mecklenburg-Vorpommern, Germany

Department of Neurology, University of Goettingen; 🇩🇪 Goettingen, Niedersachsen, Germany

Department of Neurology, Deutsche Klinik für Diagnostik; 🇩🇪 Wiesbaden, Hessen, Germany

Department of Neurology, Medical School Hannover; 🇩🇪 Hannover, Niedersachsen, Germany

Neurologische Universitätsklinik Bergmannsheil; 🇩🇪 Bochum, Nordrhein-Westfalen, Germany