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Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis

Primary Purpose

Amyotrophic Lateral Sclerosis

Status
Recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
recombinant human erythropoietin(rhEPO)
Sponsored by
Hanyang University Seoul Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Amyotrophic Lateral Sclerosis

Eligibility Criteria

25 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age between 25 to 80
  • upper motor neuron signs and lower motor neuron signs were identified in neurological examination.
  • Meet the revised El Escorial Criteria for clinically possible, probable-laboratory -supported, probable, definite ALS.
  • Disease duration < 3 years (Within 3 years from symptom onset)
  • ALSFRS-R score between 21 to 46
  • Patient who can visit an outpatient under the aid of his or her own walking or caregivers.
  • The person who have agreed in writing to participate in this clinical trial by themselves and the legal representative
  • FVC over 50% at screening

Exclusion Criteria:

  • Person who were not compatible with ALS
  • Patient with PLS or PMA
  • A group of patients who are concerned about the adverse effects of the drug administration (e.g. malignant hypertension,...)
  • ALSFRS-R score below 20 at screening
  • Ventilator user or Tracheostomy state patients at screening
  • Gastrostomy state at screening
  • FVC below 50% at screening or patient who cannot perform FVC test.
  • EKG abnormality, history of coronary stent , CABG at screening
  • Person who was given another clinical trial drug three months prior to screening.
  • History of seizure/ epilepsy
  • Abnormal renal function (serem creatinine > 2.0mg/dl)
  • Abnormal liver function(AST/ALT/bilirubin over 2 times the upper normal limit
  • Pregnant
  • Bleeding tendency at screening
  • Infectious disease at screening
  • Drug sensitivity
  • Person who injected erythropoietin 6 months prior to screening
  • Malignant tumor
  • Other neurological disease (stroke, parkinson's disease, dementia...)
  • Psychological disease
  • Hb more than 16g/dL

Sites / Locations

  • Hanyang Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Control group

Low dose group

High dose group

Arm Description

Inject Normal saline 100ml * 12 times (1month apart)

Inject 500IU/kg of EPO mixed with normal saline 100ml * 12 times (1month apart)

Inject 750IU/kg of EPO mixed with normal saline 100ml * 12 times (1month apart)

Outcomes

Primary Outcome Measures

changes of ALSFRS-R score
changes between score of ALSFRS-R at initial and study end point

Secondary Outcome Measures

Full Information

First Posted
August 8, 2018
Last Updated
February 6, 2019
Sponsor
Hanyang University Seoul Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03835507
Brief Title
Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis
Official Title
Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Recruiting
Study Start Date
June 20, 2016 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hanyang University Seoul Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Erythropoietin is neuroprotective in animal models of neurodegenerative diseases including amyotrophic lateral sclerosis (ALS). The aim of this study was to determine the safety and feasibility of repetitive high-dose recombinant human erythropoietin (rhEPO) therapy in ALS patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyotrophic Lateral Sclerosis

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
64 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control group
Arm Type
Placebo Comparator
Arm Description
Inject Normal saline 100ml * 12 times (1month apart)
Arm Title
Low dose group
Arm Type
Experimental
Arm Description
Inject 500IU/kg of EPO mixed with normal saline 100ml * 12 times (1month apart)
Arm Title
High dose group
Arm Type
Experimental
Arm Description
Inject 750IU/kg of EPO mixed with normal saline 100ml * 12 times (1month apart)
Intervention Type
Drug
Intervention Name(s)
recombinant human erythropoietin(rhEPO)
Intervention Description
Injection of erythropoietin every months (total 12 months)
Primary Outcome Measure Information:
Title
changes of ALSFRS-R score
Description
changes between score of ALSFRS-R at initial and study end point
Time Frame
Last visit [15th visit (15 months)]

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age between 25 to 80 upper motor neuron signs and lower motor neuron signs were identified in neurological examination. Meet the revised El Escorial Criteria for clinically possible, probable-laboratory -supported, probable, definite ALS. Disease duration < 3 years (Within 3 years from symptom onset) ALSFRS-R score between 21 to 46 Patient who can visit an outpatient under the aid of his or her own walking or caregivers. The person who have agreed in writing to participate in this clinical trial by themselves and the legal representative FVC over 50% at screening Exclusion Criteria: Person who were not compatible with ALS Patient with PLS or PMA A group of patients who are concerned about the adverse effects of the drug administration (e.g. malignant hypertension,...) ALSFRS-R score below 20 at screening Ventilator user or Tracheostomy state patients at screening Gastrostomy state at screening FVC below 50% at screening or patient who cannot perform FVC test. EKG abnormality, history of coronary stent , CABG at screening Person who was given another clinical trial drug three months prior to screening. History of seizure/ epilepsy Abnormal renal function (serem creatinine > 2.0mg/dl) Abnormal liver function(AST/ALT/bilirubin over 2 times the upper normal limit Pregnant Bleeding tendency at screening Infectious disease at screening Drug sensitivity Person who injected erythropoietin 6 months prior to screening Malignant tumor Other neurological disease (stroke, parkinson's disease, dementia...) Psychological disease Hb more than 16g/dL
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jinseok Park, MD
Phone
+82-2-2290-8367
Email
jinseok.park0@gmail.com
Facility Information:
Facility Name
Hanyang Medical Center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jinseok Park, MD
Phone
+82-2-2290-8367
Email
jinseok.park0@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
25324884
Citation
Kim HY, Moon C, Kim KS, Oh KW, Oh SI, Kim J, Kim SH. Recombinant human erythropoietin in amyotrophic lateral sclerosis: a pilot study of safety and feasibility. J Clin Neurol. 2014 Oct;10(4):342-7. doi: 10.3988/jcn.2014.10.4.342. Epub 2014 Oct 6.
Results Reference
result
PubMed Identifier
24820540
Citation
Noh MY, Cho KA, Kim H, Kim SM, Kim SH. Erythropoietin modulates the immune-inflammatory response of a SOD1(G93A) transgenic mouse model of amyotrophic lateral sclerosis (ALS). Neurosci Lett. 2014 Jun 27;574:53-8. doi: 10.1016/j.neulet.2014.05.001. Epub 2014 May 10.
Results Reference
result

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Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis

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