Trial Outcomes & Findings for Improving Stroke Rehabilitation: Spacing Effect and D-cycloserine (NCT NCT00720759)

NCT ID: NCT00720759

Last Updated: 2014-03-07

Results Overview

The Wolf Motor Function Test (time) score is the average time in seconds taken to perform each of 15 functional tasks ranging in difficulty from putting one's forearm on a table to stacking checkers. Participants are given 120 seconds to perform a task and if they fail, they are scored 120 for that task. Score range on the WMFT-T is 0-120, lower scores being better.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

3 months after completion of treatment

Results posted on

2014-03-07

Participant Flow

Subjects were recruited between 1/5/10 and 6/3/11. Recruitment sites included: 1) The VA Rehabilitation Research and Development Brain Rehabilitation Research Center of Excellence at the Malcom Randall VA Medical Center, Gainesville, Florida; and outpatient clinics of the Brooks Rehabilitation Hospital, Jacksonville, Florida.

All potential participants who met inclusion and exclusion criteria for the study and who provided informed consent were promptly randomized and entered into the study.

Participant milestones

Participant milestones
Measure
Arm 1
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Overall Study
STARTED
6
6
6
6
Overall Study
COMPLETED
6
5
5
6
Overall Study
NOT COMPLETED
0
1
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Overall Study
Lost to Follow-up
0
1
1
0

Baseline Characteristics

Improving Stroke Rehabilitation: Spacing Effect and D-cycloserine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=6 Participants
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
n=6 Participants
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
n=6 Participants
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
n=6 Participants
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
6 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
18 Participants
n=21 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
6 Participants
n=21 Participants
Age, Continuous
60.33 years
STANDARD_DEVIATION 6.71 • n=5 Participants
57.83 years
STANDARD_DEVIATION 4.40 • n=7 Participants
56.50 years
STANDARD_DEVIATION 12.31 • n=5 Participants
58.17 years
STANDARD_DEVIATION 11.63 • n=4 Participants
58.2 years
STANDARD_DEVIATION 8.9 • n=21 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
12 Participants
n=21 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
4 Participants
n=4 Participants
12 Participants
n=21 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
24 participants
n=21 Participants

PRIMARY outcome

Timeframe: 3 months after completion of treatment

The Wolf Motor Function Test (time) score is the average time in seconds taken to perform each of 15 functional tasks ranging in difficulty from putting one's forearm on a table to stacking checkers. Participants are given 120 seconds to perform a task and if they fail, they are scored 120 for that task. Score range on the WMFT-T is 0-120, lower scores being better.

Outcome measures

Outcome measures
Measure
Arm 1
n=6 Participants
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
n=6 Participants
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
n=6 Participants
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
n=6 Participants
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Wolf Motor Function Test (Time)
10.21 units on a scale
Standard Deviation 14.26
29.69 units on a scale
Standard Deviation 39.06
19.09 units on a scale
Standard Deviation 32.55
26.05 units on a scale
Standard Deviation 31.03

Adverse Events

Arm 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 3

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Arm 4

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1
n=6 participants at risk
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
n=6 participants at risk
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
n=6 participants at risk
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
n=6 participants at risk
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Nervous system disorders
Recurrent stroke
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
16.7%
1/6 • Number of events 1 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.

Other adverse events

Other adverse events
Measure
Arm 1
n=6 participants at risk
D-cycloserine + distributed treatment D-cycloserine + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 2
n=6 participants at risk
D-cycloserine + condensed treatment D-cycloserine + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with d-cycloserine 50 mg PO administered before each treatment session
Arm 3
n=6 participants at risk
Placebo + distributed treatment Placebo + distributed treatment : Subjects will receive CIMT 2 hours/day, 3 days a week, for 10 weeks, in conjunction with placebo administered before each treatment session
Arm 4
n=6 participants at risk
Placebo + condensed treatment Placebo + condensed treatment : Subjects will receive CIMT 6 hours/day, 5 days a week, for 2 weeks, in conjunction with placebo administered before each treatment session
Skin and subcutaneous tissue disorders
skin tear
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
16.7%
1/6 • Number of events 1 • Adverse event data were collected from trial entry through 3 months following treatment completion.
Nervous system disorders
insomnia
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.
16.7%
1/6 • Number of events 1 • Adverse event data were collected from trial entry through 3 months following treatment completion.
0.00%
0/6 • Adverse event data were collected from trial entry through 3 months following treatment completion.

Additional Information

Stephen E. Nadeau

VAHSRD

Phone: 352-374-6082

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place