- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00876889
Safety of Riluzole in Patients With Acute Spinal Cord Injury
September 11, 2017 updated by: Robert G. Grossman, MD, The Methodist Hospital Research Institute
Safety and Pharmacokinetics of Riluzole in Patients With Traumatic Acute Spinal Cord Injury
The purpose of the study is to find out if the use of the drug Riluzole is both safe and improves outcome in patients with acute traumatic spinal cord injury (SCI).
Study Overview
Detailed Description
The primary aim of the study is to develop acute care safety and pharmacokinetic profiles of riluzole in patients who have sustained a acute traumatic spinal cord injury.
Secondary objectives are to conduct exploratory analyses of functional outcomes for purposes of planning a subsequent Phase II randomized study of the efficiency of Riluzole for the treatment of acute traumatic spinal cord injury.
Study Type
Observational
Enrollment (Actual)
36
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Ontario
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Toronto, Ontario, Canada, M5T-2S8
- University of Toronto/Toronto Western Hospital
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Florida
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Miami, Florida, United States, 33136
- University of Miami
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Kentucky
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Louisville, Kentucky, United States, 40205
- University of Louisville Health Sciences Center
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Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland Medical Center
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
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Texas
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Houston, Texas, United States, 77030
- The Methodist Hospital
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Houston, Texas, United States, 77030
- The University Of Texas
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Virginia
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Charlottesville, Virginia, United States, 22903
- University of Virginia Health System
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Admitted to a NACTN hospital
Description
Inclusion Criteria:
- Age equal to or greater than 18 years and less than or equal to 70 years;
- Willing to give written informed consent to participate in the study. The informed consent may require legally authorized representative to sign if arm/hand function is compromised.
- No other life-threatening injury
- Spinal cord injury at the neurologic level from C4 to T12
- ASIA Impairment Scale level A, B or C
- No cognitive impairment which would preclude an informed consent (including moderate or severe traumatic brain injury)
- Less than 12 hours since injury
Exclusion Criteria:
- Equal or more than 12 hours since injury
- Hypersensitivity to riluzole or any of its components
- Unable to receive riluzole orally or via nasogastric tube
- History of liver or kidney disease (e.g. Hepatitis A, B or C, Cirrhosis, etc.)
- Has a recent history of regular substance abuse (illicit drugs, alcohol)
- Unconscious
- Penetrating spinal cord injury
- Pregnancy as established by urine pregnancy test
- Breastfeeding
- Life expectancy less than 12 months
- Is currently involved in another therapeutic SCI research study that precludes or complicates participation in this study (e.g. study of another therapeutic drug aiming for spinal cord injury recovery, any study that substantially interferes with the follow -up schedule (f/u) schedule, or any high risk study that complicates evaluation of safety outcomes. Types of studies that would not preclude participation are e.g. behavioral adaptation studies, mental health interventions)
- Has a mental disorder or other illness, which in the view of the site investigator, would preclude accurate evaluation (e.g. schizophrenia, severe cognitive disability, Parkinson disease)
- Unable to commit to the follow-up schedule
- Is a prisoner
- Unable to converse, read or write English at the elementary school level
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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American Spinal Injury Association Impairment Scale
Time Frame: Baseline, days 3 and 14, 6 weeks, 3 and 6 months and unscheduled follow-up
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Neurological assessment and classification of spinal cord injury
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Baseline, days 3 and 14, 6 weeks, 3 and 6 months and unscheduled follow-up
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Study Chair: Robert G Grossman, MD, The Methodist Hospital Research Institute
- Principal Investigator: Michael Fehlings, MD, PhD, University of Toronto/Toronto Western Hospital, Toronto
- Principal Investigator: Michele M Johnson, MD, the University of Houston/Memorial HermannHospital, Houston
- Principal Investigator: Christopher Shaffery, MD, University of Virginia Health System, Charlottesville
- Principal Investigator: Susan Harkema, PhD, University of Louisville, Louisville
- Principal Investigator: Bizhan Aarabi, MD, University of Maryland Medical Center, Baltimore
- Principal Investigator: James Harrop, MD, Thomas Jefferson University, Philadelphia
- Principal Investigator: James Guest, MD, PhD, University of Miami, Miami
- Principal Investigator: Ralph Frankowski, PhD, The University of Texas School of Public Health, Houston
- Principal Investigator: Diana Chow, PhD, University of Houston, College of Pharmacy, Houston
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Nagoshi N, Nakashima H, Fehlings MG. Riluzole as a neuroprotective drug for spinal cord injury: from bench to bedside. Molecules. 2015 Apr 29;20(5):7775-89. doi: 10.3390/molecules20057775.
- Fehlings MG, Wilson JR, Frankowski RF, Toups EG, Aarabi B, Harrop JS, Shaffrey CI, Harkema SJ, Guest JD, Tator CH, Burau KD, Johnson MW, Grossman RG. Riluzole for the treatment of acute traumatic spinal cord injury: rationale for and design of the NACTN Phase I clinical trial. J Neurosurg Spine. 2012 Sep;17(1 Suppl):151-6. doi: 10.3171/2012.4.AOSPINE1259.
- Chow DS, Teng Y, Toups EG, Aarabi B, Harrop JS, Shaffrey CI, Johnson MM, Boakye M, Frankowski RF, Fehlings MG, Grossman RG. Pharmacology of riluzole in acute spinal cord injury. J Neurosurg Spine. 2012 Sep;17(1 Suppl):129-40. doi: 10.3171/2012.5.AOSPINE12112.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2010
Primary Completion (ACTUAL)
June 1, 2011
Study Completion (ACTUAL)
April 1, 2012
Study Registration Dates
First Submitted
March 25, 2009
First Submitted That Met QC Criteria
April 6, 2009
First Posted (ESTIMATE)
April 7, 2009
Study Record Updates
Last Update Posted (ACTUAL)
September 12, 2017
Last Update Submitted That Met QC Criteria
September 11, 2017
Last Verified
September 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Central Nervous System Diseases
- Nervous System Diseases
- Trauma, Nervous System
- Spinal Cord Diseases
- Wounds and Injuries
- Spinal Cord Injuries
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Excitatory Amino Acid Antagonists
- Excitatory Amino Acid Agents
- Neuroprotective Agents
- Protective Agents
- Anticonvulsants
- Riluzole
Other Study ID Numbers
- Pro00002029
- W81XWH-07-0042 (OTHER: Department of Defense)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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