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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00998634
Other study ID # SCA_LITIO_12
Secondary ID EUDRACT N°2009-0
Status Completed
Phase Phase 2
First received October 16, 2009
Last updated January 7, 2013
Start date October 2009
Est. completion date November 2012

Study information

Verified date January 2013
Source Federico II University
Contact n/a
Is FDA regulated No
Health authority Italy: Ethics Committee
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine safety and tolerability of the treatment with lithium in Spinocerebellar Ataxia 2. Moreover, clinical symptoms, neuronal loss, quality of life and depressive symptoms, will be considered to further investigate the effect of lithium therapy.


Description:

Patients will be progressively enrolled in the study and undergo a screening visit to test for inclusion/exclusion criteria. Patients will then be randomized to receive either Lithium carbonate or placebo. Patients will visit study center at 2, 4, 8, 12, 24, 36 and 48 weeks, for endpoint and laboratory assessments.


Recruitment information / eligibility

Status Completed
Enrollment 20
Est. completion date November 2012
Est. primary completion date November 2012
Accepts healthy volunteers No
Gender Both
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria:

- Molecular diagnosis of SCA2 (=34 CAG in the ataxin-2 gene)

- Age =18, <80

- SARA score =8

Exclusion Criteria:

- SARA score >32

- Heart failure

- Liver disease

- Kidney failure

- Thyroid disease

- Sick sinus syndrome and/or significant ECG alterations

- Hyposodemia

- Treatment with diuretics

- Treatment with haloperidol and/or other antipsychotics

- Treatment with NSAIDs or corticosteroids

- Treatment with ACE inhibitors

- Treatment with aminophyllines

- Treatment with mannitol

- Pregnancy and/or breastfeeding

- Acute diseases that might interfere with the trial

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment


Intervention

Drug:
LITHIUM CARBONATE
Lithium Carbonate will be dosed based on lithiemy, which will be in the range 0.9-1.2 mEq/L. Maximum allowed dose will be 1500mg/day.

Locations

Country Name City State
Italy Dipartimento di Scienze Neurologiche Napoli

Sponsors (1)

Lead Sponsor Collaborator
Federico II University

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Primary endpoint of the study will be the difference in the number and frequency of Severe Adverse Events (SAE) and Non Severe Adverse Events (nSAE) recorded during the study, between treatment and placebo group. Adverse events and Severe Adverse events will be recorded during the trial at each visit starting from Baseline to Visit 8 at 48 weeks of treatment. the endpoint will be recorded at all visits Yes
Secondary Secondary outcome will be the Scale for the Assessment and Rating of Ataxia (SARA). Statistical analysis will be performed to compare the effect of treatment on both groups. 0 weeks No
Secondary Micro- and macrostructural Magnetic Resonance parameters will be compared before and after treatment. This will include Voxel Based Morphometry, resting functional MRI, Diffusion tensor imaging and MRI spectroscopy. 0 weeks No
Secondary The effect of Lithium on mood will be explored with the Beck depression inventory. 0 weeks No
Secondary Effect of Lithium on quality of life will be assessed with the EQ-5D scale. 0 weeks No
Secondary Secondary outcome will be the Scale for the Assessment and Rating of Ataxia (SARA). Statistical analysis will be performed to compare the effect of treatment on both groups. 24 weeks No
Secondary Secondary outcome will be the Scale for the Assessment and Rating of Ataxia (SARA). Statistical analysis will be performed to compare the effect of treatment on both groups. 48 weeks No
Secondary Micro- and macrostructural Magnetic Resonance parameters will be compared before and after treatment. This will include Voxel Based Morphometry, resting functional MRI, Diffusion tensor imaging and MRI spectroscopy. 48 weeks No
Secondary The effect of Lithium on mood will be explored with the Beck depression inventory. 24 weeks No
Secondary The effect of Lithium on mood will be explored with the Beck depression inventory. 48 weeks No
Secondary Effect of Lithium on quality of life will be assessed with the EQ-5D scale. 24 weeks No
Secondary Effect of Lithium on quality of life will be assessed with the EQ-5D scale. 48 weeks No