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Treatment of Peri-calcification Edema in Neurocysticercosis (NCC)

Primary Purpose

Neurocysticercosis

Status
Terminated
Phase
Phase 2
Locations
Peru
Study Type
Interventional
Intervention
Acetazolamide
Dexamethasone
Sponsored by
Universidad Peruana Cayetano Heredia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neurocysticercosis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Calcified NCC
  • Perilesional edema on CT or MRI
  • Normal lab values

Exclusion Criteria:

  • Viable neurocysticercosis
  • Status epilepticus
  • Symptomatic intracranial hypertension
  • Tuberculosis
  • More than 7 days after seizure
  • Pregnancy

Sites / Locations

  • Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

No Intervention

Arm Label

Acetazolamide

Dexamethasone

No additional anti-edema treatment

Arm Description

750 mg acetazolamide p.o. divided in three dily doses, for 10 days

8 mg p.o. divided in three daily daily doses, for 2 days followed by gradual tapering

No additional treatment

Outcomes

Primary Outcome Measures

Decrease in Volume of Perilesional Edema Between Baseline and Day 4
MRI extension of edema

Secondary Outcome Measures

Decrease in Volume of Perilesional Edema Between Baseline and Day 8
MRI extension of edema
Decrease in Volume of Perilesional Edema Between Baseline and Day 30
MRI extension of edema

Full Information

First Posted
May 10, 2016
Last Updated
June 20, 2022
Sponsor
Universidad Peruana Cayetano Heredia
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1. Study Identification

Unique Protocol Identification Number
NCT02945527
Brief Title
Treatment of Peri-calcification Edema in Neurocysticercosis (NCC)
Official Title
Open Controled Randomized Pilot Study on the Use of Acetazolamide and Dexamethasone for the Acute Phase of Perilesional Edema in Calcified Neurocysticercosis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Terminated
Why Stopped
Low recruitment
Study Start Date
December 4, 2015 (Actual)
Primary Completion Date
December 2018 (Actual)
Study Completion Date
December 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Universidad Peruana Cayetano Heredia

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Three-arm open, randomized comparative study of acetazolamide, dexamethasone, or no additional treatment to evaluate decrease in peri-calcification edema in neurocysticercosis
Detailed Description
This study will evaluate 24 patients with calcified NCC and edema in three treatment arms to compare the reduction in edema volume

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neurocysticercosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
4 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Acetazolamide
Arm Type
Active Comparator
Arm Description
750 mg acetazolamide p.o. divided in three dily doses, for 10 days
Arm Title
Dexamethasone
Arm Type
Active Comparator
Arm Description
8 mg p.o. divided in three daily daily doses, for 2 days followed by gradual tapering
Arm Title
No additional anti-edema treatment
Arm Type
No Intervention
Arm Description
No additional treatment
Intervention Type
Drug
Intervention Name(s)
Acetazolamide
Intervention Description
As described above
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Intervention Description
As described above
Primary Outcome Measure Information:
Title
Decrease in Volume of Perilesional Edema Between Baseline and Day 4
Description
MRI extension of edema
Time Frame
Baseline to Day 4
Secondary Outcome Measure Information:
Title
Decrease in Volume of Perilesional Edema Between Baseline and Day 8
Description
MRI extension of edema
Time Frame
Baseline to Day 8
Title
Decrease in Volume of Perilesional Edema Between Baseline and Day 30
Description
MRI extension of edema
Time Frame
Baseline to Day 30

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Calcified NCC Perilesional edema on CT or MRI Normal lab values Exclusion Criteria: Viable neurocysticercosis Status epilepticus Symptomatic intracranial hypertension Tuberculosis More than 7 days after seizure Pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hector H. Garcia, MD, PhD
Organizational Affiliation
Universidad Peruana Cayetano Heredia
Official's Role
Study Chair
Facility Information:
Facility Name
Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas
City
Lima
ZIP/Postal Code
Lima 1
Country
Peru

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
As a concrete product, the clinical trial should provide base data to implement an affordable therapy for edema-related seizures. The data produced will be published in a peer reviewed journal.

Learn more about this trial

Treatment of Peri-calcification Edema in Neurocysticercosis (NCC)

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