Multiple Sclerosis Clinical Trial
Official title:
A Phase IIb, Double-blind, Randomized, Mono-center, Placebo-controlled Study With Crossover Design Characterizing the Effects of Prolonged-release Fampridine Treatment on Ambulatory Function in Patients With Multiple Sclerosis Using Detailed Gait Analysis Based on Kinematic and Kinetic Parameters
The objective of the present investigator-initiated mono-center trial to be performed at the
Department of Neurology of the University Hospital Zurich is a detailed characterization of
the effects of prolonged-release fampridine on walking function of 50-70 patients with MS.
In a randomized, double-blind, placebo-controlled study with cross-over design, changes of
essential gait elements such as stability, coordination, correct loading, posture or
endurance in addition to walking speed after treatment with prolonged-release fampridine
will be investigated using a comprehensive kinematic gait analysis protocol. This protocol
comprises outcome parameters ranging from very specific and sensitive biomechanical measures
to clinically meaningful indicators of improved ambulatory function. Kinematic, kinetic and
electromyographic gait parameters will be assessed during treadmill walking (primary outcome
parameters). Changes in overground walking capacity will be investigated by means of
different functional walking tests (e.g. six minute walk test). Furthermore, the patient's
perception of the effects of the treatment on walking function will be evaluated by a
standardized questionnaire. Changes of global ambulatory activity will be assessed
(Actimeter) indicating a successful translation of improved gait (sub-)functions due to
prolonged-release fampridine treatment into everyday life. The study will last for a period
of 18 weeks, excluding the screening period. Based on the mechanism of action, the
investigators hypothesize that treatment with prolonged-release fampridine will not only
improve walking speed, but also clinically more meaningful features of walking function in
patients with MS.
- Trial with medicinal product
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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