The Norwegian Study of Chronic Fatigue Syndrome in Adolescents: Pathophysiology and Intervention Trial (NorCAPITAL)
The purpose of this study IS to
- explore the underlying pathophysiology of chronic fatigue syndrome (CFS) in adolescents, particularly focusing on genetics, infections/immunology, endocrinology, autonomic control and cognitions
- to assess the effect of clonidine (a drug that attenuates sympathetic nervous activity) in adolescent CFS.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Oslo, Norway, PO box 4950 Nydalen, 0424 Oslo
- Dept. of Pediatrics, Oslo University Hospital Rikshospitalet
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Persisting or constantly relapsing fatigue lasting 3 months or more.
- Functional disability resulting from fatigue to a degree that prevent normal school attendance
Exclusion Criteria:
- Another disease process or current demanding life event that might explain the fatigue
- Another chronic disease (in particular pheochromocytoma, polyneuropathy, Renal insufficiency)
- Permanent use of pharmaceuticals (including hormone drugs)
- Permanently bed-ridden
- Positive pregnancy test
- Evidence of reduced cerebral and/or peripheral circulation due to vessel disease
- Know hypersensitivity towards clonidine or inert substances (lactose, sakkarose) in capsula
- Abnormal ECG (in particular bradyarrythmias due to sick sinus syndrome or AV-block. Isolated ectopic beats do not lead to exclusion)
- Supine heart rate < 50 beats/min
- Supine systolic blood pressure < 85 mmHg
- Systolic blood pressure fall upon standing > 30 mmHg
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: Clonidine capsula
|
Day 1-56 (week 1-8): 25 microgram (1 capsula) x 2/day for patients < 35 kg; 50 microgram (2 capsula) x 2/day for patients > 35 kg. Day 57-63 (week 9): 25 microgram (1 capsula) x 1/day for patients < 35 kg; 25 microgram (2 capsula) x 2/day for patients > 35 kg. |
|
PLACEBO_COMPARATOR: Lactose capsula
|
Day 1-56 (week 1-8): 1 capsula x 2/day for patients < 35 kg; 2 capsula x 2/day for patients > 35 kg. Day 57-63 (week 9): 1 capsula x 1/day for patients < 35 kg; 1 capsula x 2/day for patients > 35 kg |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Mean steps/day count during one week
Time Frame: 8 weeks after inclusion
|
8 weeks after inclusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Fatigue scores
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Pain scores
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Algometer testing response
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Autonomic symptom scores
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Quality of life-score
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Disability scores
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
School attendance
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Mean steps/day count during one week
Time Frame: 30 weeks after inclusion
|
30 weeks after inclusion
|
|
Scores on cognitive function tests
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
The change in mean arterial pressure (MAP) during head-up tilt-test
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
The change in heart rate during head-up tilt-test
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
The change in LF/HF-ratio (a measure of autonomic control) during head-up tilt-test
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Hormonal levels (inluding tryptophan metabolites)
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
|
Microbiological analyses
Time Frame: 8 and 30 weeks after inclusion
|
8 and 30 weeks after inclusion
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Vegard Bruun Wyller, MD, PhD, Dept. of Pediatrics, Oslo University Hospital, Norway
Publications and helpful links
General Publications
- Wyller VB, Eriksen HR, Malterud K. Can sustained arousal explain the Chronic Fatigue Syndrome? Behav Brain Funct. 2009 Feb 23;5:10. doi: 10.1186/1744-9081-5-10.
- Wyller VB, Due R, Saul JP, Amlie JP, Thaulow E. Usefulness of an abnormal cardiovascular response during low-grade head-up tilt-test for discriminating adolescents with chronic fatigue from healthy controls. Am J Cardiol. 2007 Apr 1;99(7):997-1001. doi: 10.1016/j.amjcard.2006.10.067. Epub 2007 Feb 16.
- Asprusten TT, Sletner L, Wyller VBB. Are there subgroups of chronic fatigue syndrome? An exploratory cluster analysis of biological markers. J Transl Med. 2021 Jan 30;19(1):48. doi: 10.1186/s12967-021-02713-9.
- Wyller VB, Nguyen CB, Ludviksen JA, Mollnes TE. Transforming growth factor beta (TGF-beta) in adolescent chronic fatigue syndrome. J Transl Med. 2017 Dec 4;15(1):245. doi: 10.1186/s12967-017-1350-1.
- Nguyen CB, Alsoe L, Lindvall JM, Sulheim D, Fagermoen E, Winger A, Kaarbo M, Nilsen H, Wyller VB. Whole blood gene expression in adolescent chronic fatigue syndrome: an exploratory cross-sectional study suggesting altered B cell differentiation and survival. J Transl Med. 2017 May 11;15(1):102. doi: 10.1186/s12967-017-1201-0.
- Wyller VB, Vitelli V, Sulheim D, Fagermoen E, Winger A, Godang K, Bollerslev J. Altered neuroendocrine control and association to clinical symptoms in adolescent chronic fatigue syndrome: a cross-sectional study. J Transl Med. 2016 May 5;14(1):121. doi: 10.1186/s12967-016-0873-1. Erratum In: J Transl Med. 2017 Jul 18;15(1):157.
- Fagermoen E, Sulheim D, Winger A, Andersen AM, Gjerstad J, Godang K, Rowe PC, Saul JP, Skovlund E, Wyller VB. Effects of low-dose clonidine on cardiovascular and autonomic variables in adolescents with chronic fatigue: a randomized controlled trial. BMC Pediatr. 2015 Sep 10;15:117. doi: 10.1186/s12887-015-0428-2.
- Winger A, Kvarstein G, Wyller VB, Sulheim D, Fagermoen E, Smastuen MC, Helseth S. Pain and pressure pain thresholds in adolescents with chronic fatigue syndrome and healthy controls: a cross-sectional study. BMJ Open. 2014 Oct 6;4(9):e005920. doi: 10.1136/bmjopen-2014-005920.
- Sulheim D, Fagermoen E, Winger A, Andersen AM, Godang K, Muller F, Rowe PC, Saul JP, Skovlund E, Oie MG, Wyller VB. Disease mechanisms and clonidine treatment in adolescent chronic fatigue syndrome: a combined cross-sectional and randomized clinical trial. JAMA Pediatr. 2014 Apr;168(4):351-60. doi: 10.1001/jamapediatrics.2013.4647.
- Fagermoen E, Sulheim D, Winger A, Andersen AM, Vethe NT, Saul JP, Thaulow E, Wyller VB. Clonidine in the treatment of adolescent chronic fatigue syndrome: a pilot study for the NorCAPITAL trial. BMC Res Notes. 2012 Aug 7;5:418. doi: 10.1186/1756-0500-5-418.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Central Nervous System Diseases
- Nervous System Diseases
- Virus Diseases
- Infections
- Disease
- Musculoskeletal Diseases
- Muscular Diseases
- Neuromuscular Diseases
- Central Nervous System Infections
- Syndrome
- Fatigue
- Fatigue Syndrome, Chronic
- Encephalomyelitis
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Sympatholytics
- Clonidine
Other Study ID Numbers
Other Study ID Numbers
- NorCAPITAL.02
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