- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05730738
Dalfampridine in Egyptian Patients With Multiple Sclerosis
Effect of Dalfampridine on Gait Impairment, Cognition and Fatigue in Egyptian Patients With Multiple Sclerosis
The only approved treatment for impaired ambulation in MS is Dalfampridine (also known as fampridine, 4-aminopyridine, 4-AP). Fampridine penetrates the blood-brain barrier and improves impaired axonal conduction by selectively blocking potassium channels. Moreover, further studies investigated the possible beneficial effect of dalfampridine on cognitive functions and fatigue.
The main objective of this study is to investigate the effect of dalfampridine on gait impairment, cognitive functions and fatigue in a sample of Egyptian patients with multiple sclerosis.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Type of the Study: randomized double blinded placebo controlled study. Study Setting: MS outpatient clinic in Ain Shams University hospital and Dar Alshefa Hospital, they are located in Eastern Cairo and serves large sector of the ministry of health patients in Greater Cairo.
Period two years. Population patients with relapsing remittent multiple sclerosis attending to ms clinic meeting the inclusion criteria.
Sample size: 100 patients (50 patients in active group and 50 patients in placebo group).
Study Procedures:
Patients diagnosed with MS will be evaluated for inclusion and exclusion criteria using the selected screening scales. Eligible patients will be randomly assigned to one of two groups: dalfampridine ER 10mg twice daily group and placebo group for 12 consecutive weeks.
All patients will be subjected to:
Comprehensive medical history and neurological examination. Demographic information (sex, age and education years), as well as clinical characteristics of them (age at onset, duration of illness, onset of last relapse, received DMD and other medications during the study).
MRI brain and spine lesions (site & number of lesions). Check list for side effects of dalfampridine. Expanded Disability Status Scale (EDSS) (Kurtzke, 1983). The Patient Health Questionnaire (PHQ-9) Arabic translation (Kroenke et al., 2001).
Gait assessment by:
- Timed 25 foot walk test (25FWT) (Motl et al., 2017).
- Hauser ambulatory index (Hauser et al., 1983).
- Berg balance scale (Berg et al., 1992).
- Falls in last 2 weeks.
Cognitive assessment by:
- Arabic validated version of the BICAM battery, which compromised the symbol digit modality test (SDMT, information processing speed), verbal learning test (VLT, verbal memory) and brief visuospatial memory teat revised (BVMT-R, visual memory) (Alboudi et al., 2020).
- Montreal Cognitive Assessment (MoCA) Arabic version (Abd El-Rahman and El-Gaafary, 2009).
- Frontal assessment battery (FAB) (for executive functions) (Dubois and Litvan, 2000).
Fatigue assessment by:
o Modified fatigue impact scale (MFIS) in last 4 weeks Arabic version (Farran et al., 2020).
• Assessment for gait, cognition and fatigue will be done at baseline and after 12 weeks of treatment by a blinded rater.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ali Shalash, PhD
- Phone Number: 01111124815
- Email: ali_neuro@yahoo.com
Study Contact Backup
- Name: Eman Hamid, MD
Study Locations
-
-
-
Cairo, Egypt, 11591
- Recruiting
- Ain Shams Univeristy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age > 18 years.
- Individuals diagnosed with RRMS based on revised McDonald Criteria 2017
- Patients with Expanded Disability Status Scale (EDSS) ≤ 5.5
- Patients with gait impairment according to 25 foot walk test (25FWT) with cutoff ≥ 4 seconds
Exclusion Criteria:
- Women who are pregnant, intended to be pregnant or breastfeeding.
- Past History of epilepsy or trigeminal neuralgia.
- History of any psychiatric or medical illness affecting cognition and fatigue.
- Other comorbidities that might affect gait.
- Clinical relapse in the last three months.
- Uncooperative patients or couldn't perform the required scales.
- Patients with moderate to severe depression according to patient health questionnaire (PHQ-9) with cutoff point ≥15.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: dalfampridine
patients received dalfampridine ER 10mg twice daily
|
The only approved treatment for impaired ambulation in MS is Dalfampridine (also known as fampridine, 4-aminopyridine, 4-AP).
Fampridine penetrates the blood-brain barrier and improves impaired axonal conduction by selectively blocking potassium channels
|
Placebo Comparator: Placebo
patients received placebo
|
placebo similar to Dalfampridine capsule
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
gait
Time Frame: at 3 months
|
Timed 25 foot walk test (25FWT), higher scores mean a worse outcome
|
at 3 months
|
gait
Time Frame: 3 months
|
Hauser ambulatory index, higher scores mean a worse outcome
|
3 months
|
Balance
Time Frame: 3 months
|
Berg balance scale, higher scores mean a worse outcome
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
cognition
Time Frame: 3 months
|
Arabic validated version of the BICAM battery
|
3 months
|
fatigue
Time Frame: 3 months
|
Modified fatigue impact scale: physical, 0 to 36; cognitive, 0 to 40; and psychosocial, 0 to 8. higher scores mean a worse outcome
|
3 months
|
cognition
Time Frame: 3 months
|
MOCA, higher scores mean a better outcome
|
3 months
|
Cognition
Time Frame: 3 months
|
frontal assessment battery
|
3 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Nervous System Diseases
- Immune System Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Autoimmune Diseases
- Multiple Sclerosis
- Sclerosis
- Molecular Mechanisms of Pharmacological Action
- Membrane Transport Modulators
- Potassium Channel Blockers
- 4-Aminopyridine
Other Study ID Numbers
- FMASU MD 551/2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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 Multiple Sclerosis
-
University Hospital, Basel, SwitzerlandSwiss National Science FoundationRecruitingMultiple Sclerosis (MS) | Relapsing-remitting Multiple Sclerosis (RRMS) | Secondary-progressive Multiple Sclerosis (SPMS) | Primary Progressive Multiple Sclerosis (PPMS)Switzerland
-
University of California, Los AngelesUnknownRelapsing-remitting Multiple Sclerosis | Secondary-progressive Multiple Sclerosis | Primary-progressive Multiple SclerosisUnited States
-
BiogenCompletedMultiple Sclerosis | Relapsing-Remitting Multiple Sclerosis | Secondary Progressive Multiple Sclerosis | Multiple Sclerosis, Primary Progressive | Multiple Sclerosis, Remittent ProgressiveJapan
-
The Cleveland ClinicUniversity Hospitals Cleveland Medical CenterCompletedRelapsing-Remitting Multiple Sclerosis | Secondary Progressive Multiple Sclerosis | Progressive Relapsing Multiple SclerosisUnited States
-
Rigshospitalet, DenmarkOdense University Hospital; Aarhus University Hospital; Hvidovre University Hospital and other collaboratorsRecruitingRelapsing Remitting Multiple Sclerosis | Primary Progressive Multiple Sclerosis | Secondary Progressive Multiple SclerosisDenmark
-
University of California, San FranciscoUnited States Department of DefenseRecruitingMultiple Sclerosis, Chronic Progressive | Multiple Sclerosis, Relapsing-Remitting | Multiple Sclerosis (MS) | Multiple Sclerosis Relapse | Multiple Sclerosis, Primary Progressive | Multiple Sclerosis Brain Lesion | Multiple Sclerosis BenignUnited States
-
Icahn School of Medicine at Mount SinaiColumbia University; New York Stem Cell Foundation Research InstituteCompletedClinically Isolated Syndrome | Relapsing-Remitting Multiple Sclerosis | Primary Progressive Multiple Sclerosis | Secondary Progressive Multiple SclerosisUnited States
-
Banc de Sang i TeixitsVall d'Hebron Research Institute (VHIR)CompletedRelapsing-Remitting Multiple Sclerosis | Secondary Progressive Multiple SclerosisSpain
-
BiogenElan PharmaceuticalsCompletedRelapsing-Remitting Multiple Sclerosis | Secondary Progressive Multiple SclerosisUnited States
-
Queen Mary University of LondonTakeda Pharmaceuticals International, Inc.RecruitingRelapsing Remitting Multiple Sclerosis | Primary Progressive Multiple Sclerosis | Secondary Progressive Multiple SclerosisUnited Kingdom
Clinical Trials on Dalfampridine ER, 10 Mg Oral Tablet, Extended Release
-
Zogenix, Inc.Completed
-
AstraZenecaWithdrawnHealthy Male Subjects | Pharmacokinetics | Safety | Food EffectUnited Kingdom
-
Acorda TherapeuticsTerminatedPost-ischemic StrokeUnited States, Canada
-
TaiRx, Inc.CompletedAdvanced CancerTaiwan
-
GlaxoSmithKlineTerminated
-
UCB Pharma SACompleted
-
Woman'sPfizer; American Cancer Society, Inc.; Our Lady of the Lake Regional Medical...WithdrawnInsulin Resistance | Breast Cancer Stage | Racial BiasUnited States
-
University of MichiganFood and Drug Administration (FDA)RecruitingHuman Gastrointestinal Physiology DataUnited States
-
Zogenix, Inc.Completed
-
Tris Pharma, Inc.Massachusetts General Hospital; Massachusetts Institute of TechnologyCompleted