- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02566720
Amantadine and Functional Improvement Following ABI Measured by MRI Tractography; A Pilot Study
Mechanism of Amantadine and Functional Improvement Following Acquired Brain Injury as Measured by MRI Tractography; A Pilot Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary Aim:
To determine the size of the RAS tracts as measured by MRI tractography. Specifically, the investigators will be measuring the fiber tracts that project through the posterior thalamus. The RAS is involved in mediating arousal and consciousness. The size of fiber tracts will be measured prior to initiating treatment and near the time of discharge from the rehabilitation hospital or at approximately ninety-days. It is hypothesized that treatment will result in an increase in the size of these fiber tracts.
As a pilot study, the investigators will be determining the feasibility of recruiting and retaining patients in this type of study. This will allow the clarification and understanding of the technical standards for MRI tractography related to the assessment of the reticular activating system.
Secondary Aim:
To determine and monitor changes in function following acquired brain injury as measured by the Disability Rating Scale (DRS) score. The DRS score will be obtained prior to initiating treatment and at termination of the study. It is hypothesized that treatment with amantadine in addition to standard medical treatment, will be associated with an improvement in function.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Pankaj Bansal, MD
- Phone Number: 9055748515
- Email: bansalp@hhsc.ca
Study Locations
-
-
Ontario
-
Hamilton, Ontario, Canada
- Hamilton Health Sciences
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 years - 65 years
- Nonpenetrating acquired brain injury (ABI)
- Persistent vegetative or minimally conscious state (as indicated by DRS score greater than 11)
- Consent from substitute decision maker
Exclusion Criteria:
- Contraindication to MRI (such as metal in the body, pacemaker, implanted nerve stimulator)
- Anticipated neurosurgical intervention
- Medical instability including uncontrolled hypertension, fever, or infection
- Seizure disorder prior to acquired brain injury or uncontrolled seizures subsequent to acquired brain injury
- Parkinson's disease
- History of heart failure or pre-existing peripheral oedema
- History of eczematoid dermatitis
- History of angle-closure glaucoma
- History of neuroleptic malignant syndrome
- Current treatment with Amantadine
- Impairment related to other neurologic disease other than ABI
- Allergy to Amantadine
- Pregnancy or lactation
- Impairment of renal function (creatinine clearance less than 60ml/min)
Study Plan
How is the study designed?
Design Details
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Treatment and MRI scanning
After informed consent has been obtained, the subjects will be examined by a physician and assigned a Disability Ratings Scale (DRS) score.
Subjects will undergo MRI tractography study, which does not require the administration of contrast.
All participants will receive oral amantadine at escalating doses to ensure tolerance (50mg twice daily for 7 days, then 100mg twice daily for 1 week, then 150mg twice daily, then 200mg twice daily).
The usual length of stay on the inpatient brain injury program is ninety days.
The MRI tractography study and DRS score will be repeated near the time of discharge or ninety days from enrollment.
|
Participants will initially receive amantadine at the starting dose of 50mg twice daily either by mouth or feeding tube.
The dosage will increase every week by 50mg twice daily (100mg total dose increase) up to the target dose of 200mg twice daily.
These are the usual doses and rate of increase that are offered to patients with brain injury.
Other Names:
Participants will initially receive a baseline MRI Tractography scan.
The size of RAS fiber tracts will be measured prior to initiating treatment and near the time of discharge from the rehabilitation hospital or at approximately ninety-days.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Radiographic Changes
Time Frame: At baseline and ninety days or at time of discharge from hospital if occurs earlier.
|
MRI Tractography will be performed to measure the size the of reticular activating system fiber tracts.
Specifically, the tracts that project through the posterior thalamus.
|
At baseline and ninety days or at time of discharge from hospital if occurs earlier.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functional Improvement
Time Frame: At ninety days or at time of discharge from hospital if occurs earlier.
|
Disability Rating Scale Score (at enrolment and at completion of the study).
|
At ninety days or at time of discharge from hospital if occurs earlier.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Pankaj E Bansal, MD, Hamilton Health Sciences Corporation
- Principal Investigator: Seyed Hosseini, MD, Hamilton Health Sciences Corporation
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Brain Damage, Chronic
- Craniocerebral Trauma
- Trauma, Nervous System
- Unconsciousness
- Consciousness Disorders
- Brain Injuries
- Wounds and Injuries
- Brain Injuries, Traumatic
- Persistent Vegetative State
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Peripheral Nervous System Agents
- Antiviral Agents
- Analgesics
- Sensory System Agents
- Analgesics, Non-Narcotic
- Dopamine Agents
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Amantadine
Other Study ID Numbers
- 0452
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.
Clinical Trials on Traumatic Brain Injury
-
Hospital Sirio-LibanesUniversity of Sao Paulo; Ministry of Health, Brazil; Hospital Sao Rafael; PROAD... and other collaboratorsRecruitingBrain Injury Traumatic Severe | Brain Injury Traumatic Moderate | Post Traumatic EpilepsyBrazil
-
Toronto Rehabilitation InstituteCentre for Aging and Brain Health Innovation; Ontario Neurotrauma FoundationUnknownBrain Injuries, Traumatic | Brain Injury, Chronic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateCanada
-
Fondazione per la Ricerca Ospedale MaggioreCompletedBrain Injuries, Traumatic | Brain Injury Traumatic Severe | Brain Injury Traumatic ModerateItaly
-
University of TurkuTurku University Hospital; The Finnish Funding Agency for Technology and Innovation... and other collaboratorsCompletedBrain Injuries | TBI (Traumatic Brain Injury) | Brain Injuries, Traumatic | Traumatic Brain Injury | Injury, Brain, TraumaticFinland
-
Children's Hospital Medical Center, CincinnatiUniversity of CincinnatiCompletedBrain Injury Traumatic MildUnited States
-
Institut National de la Santé Et de la Recherche...Institut National de Recherche en Informatique et en AutomatiqueNot yet recruitingTBI (Traumatic Brain Injury)France
-
BrainScope Company, Inc.RecruitingTBI (Traumatic Brain Injury) | Concussion, Brain | MTBI - Mild Traumatic Brain Injury | Closed Head InjuryUnited States
-
First Affiliated Hospital Xi'an Jiaotong UniversityXijing Hospital; Second Affiliated Hospital of Wenzhou Medical University; Central... and other collaboratorsRecruitingMTBI - Mild Traumatic Brain Injury | Moderate Traumatic Brain InjuryChina
-
First Affiliated Hospital Xi'an Jiaotong UniversityHealth Science Center of Xi'an Jiaotong University; The Second Affiliated Hospital...RecruitingMTBI - Mild Traumatic Brain InjuryChina
-
Perception Dynamics InstituteUniversity of California, San Diego; University of South Alabama; University...RecruitingMTBI - Mild Traumatic Brain InjuryUnited States
Clinical Trials on Amantadine
-
Assiut UniversityRecruitingIntubation, IntratrachealEgypt
-
TC Erciyes UniversityUnknown
-
Xinhua Hospital, Shanghai Jiao Tong University...The Affiliated Hospital of Qingdao University; Shanghai University of Traditional... and other collaboratorsUnknownL-DOPA-Induced DyskinesiaChina
-
Adamas Pharmaceuticals, Inc.TerminatedParkinson's Disease | Levodopa Induced Dyskinesias (LID)France, Spain, Germany, Canada, United States
-
Assiut UniversityCompletedSpinal CurvaturesEgypt
-
Dokuz Eylul UniversityUnknown
-
Sheba Medical CenterCompletedFatigue | Ataxia | Dystonia | Parkinsonism | ChoreaIsrael
-
Wake Forest University Health SciencesWithdrawnTraumatic Brain InjuryUnited States
-
Methodist Rehabilitation CenterU.S. Department of EducationCompletedDelirium | Traumatic Brain Injury | Posttraumatic Confusional StateUnited States
-
CancerCare ManitobaUniversity of Manitoba; Canadian Institutes of Health Research (CIHR); The Metabolomics... and other collaboratorsRecruiting