Trial Outcomes & Findings for Efficacy and Safety of Lithium Carbonate in the Treatment of Chronic Spinal Cord Injuries (NCT NCT00750061)

NCT ID: NCT00750061

Last Updated: 2015-05-04

Results Overview

Changes of Motor Scores (0 \~ 100), Pin Prick Scores (0 \~ 112) and Light Touch Scores (0 \~ 112) from Baseline to Week 6 and Month 6. The higher the changes the better the functional improvement.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

6 months

Results posted on

2015-05-04

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo: Matching placebo
Lithium Carbonate Tablet
Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Overall Study
STARTED
20
20
Overall Study
COMPLETED
18
18
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo: Matching placebo
Lithium Carbonate Tablet
Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Overall Study
Adverse Event
2
0
Overall Study
Withdrawal by Subject
0
1
Overall Study
Physician Decision
0
1

Baseline Characteristics

Efficacy and Safety of Lithium Carbonate in the Treatment of Chronic Spinal Cord Injuries

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=20 Participants
Placebo Placebo: Matching placebo
Lithium Carbonate
n=20 Participants
Lithium Carbonate Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
38.05 Year
STANDARD_DEVIATION 10.092 • n=5 Participants
41.4 Year
STANDARD_DEVIATION 6.785 • n=7 Participants
39.624 Year
STANDARD_DEVIATION 8.617 • n=5 Participants
Age, Customized
18-30 years-old
4 participants
n=5 Participants
1 participants
n=7 Participants
5 participants
n=5 Participants
Age, Customized
31-40 years-old
9 participants
n=5 Participants
8 participants
n=7 Participants
17 participants
n=5 Participants
Age, Customized
41-50 years-old
4 participants
n=5 Participants
10 participants
n=7 Participants
14 participants
n=5 Participants
Age, Customized
51-60 years-old
3 participants
n=5 Participants
1 participants
n=7 Participants
4 participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
19 Participants
n=7 Participants
38 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Full Analysis Set

Changes of Motor Scores (0 \~ 100), Pin Prick Scores (0 \~ 112) and Light Touch Scores (0 \~ 112) from Baseline to Week 6 and Month 6. The higher the changes the better the functional improvement.

Outcome measures

Outcome measures
Measure
Placebo
n=20 Participants
Placebo Placebo: Matching placebo
Lithium Carbonate
n=20 Participants
Lithium Carbonate Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Changes of Neurological Scores for Baseline
change light touch score (wk6-d0)
-0.158 units on a scale
Standard Deviation 0.688
0 units on a scale
Standard Deviation 0
Changes of Neurological Scores for Baseline
change light touch score (m6-d0)
2.208 units on a scale
Standard Deviation 7.141
-0.766 units on a scale
Standard Deviation 6.014
Changes of Neurological Scores for Baseline
change pin-prick score (wk6-d0)
0.053 units on a scale
Standard Deviation 0.229
0.053 units on a scale
Standard Deviation 0.229
Changes of Neurological Scores for Baseline
change pin-prick score (m6-d0)
1.906 units on a scale
Standard Deviation 6.775
-0.982 units on a scale
Standard Deviation 6.498
Changes of Neurological Scores for Baseline
change motor score (wk6-d0)
-1 units on a scale
Standard Deviation 4.607
0 units on a scale
Standard Deviation 0
Changes of Neurological Scores for Baseline
change motor score (m6-d0)
0.844 units on a scale
Standard Deviation 6.471
1.316 units on a scale
Standard Deviation 2.657

SECONDARY outcome

Timeframe: 6 months

Population: Full Analysis Set

Changes from Baseline to Week 6 and Month 6 in Functional Independence Measure (FIM) motor subscale (0 \~ 91, the higher the better), Visual Analog Scale (VAS) for pain (0 \~ 100, the less the better)

Outcome measures

Outcome measures
Measure
Placebo
n=20 Participants
Placebo Placebo: Matching placebo
Lithium Carbonate
n=20 Participants
Lithium Carbonate Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Changes in Functional Independence Measure (FIM) Motor Subscale and Visual Analog Scale (VAS) for Pain
change in VAS (Wk6 - D0)
1.0 units on a scale
Standard Deviation 4.0
-9.3 units on a scale
Standard Deviation 16.6
Changes in Functional Independence Measure (FIM) Motor Subscale and Visual Analog Scale (VAS) for Pain
change in FIM (Wk6 - D0)
0.2 units on a scale
Standard Deviation 0.4
-0.3 units on a scale
Standard Deviation 1.6
Changes in Functional Independence Measure (FIM) Motor Subscale and Visual Analog Scale (VAS) for Pain
change in FIM (M6 - D0)
3.5 units on a scale
Standard Deviation 7.3
0.04 units on a scale
Standard Deviation 5.4
Changes in Functional Independence Measure (FIM) Motor Subscale and Visual Analog Scale (VAS) for Pain
change in VAS (M6 - D0)
-0.9 units on a scale
Standard Deviation 17.1
-9.3 units on a scale
Standard Deviation 15.3

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Lithium Carbonate Tablet

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=20 participants at risk
Placebo: Matching placebo
Lithium Carbonate Tablet
n=20 participants at risk
Lithium Carbonate: The subject start at a dosage regime of three times a day and one tablet of lithium carbonate, 250mg/table, oral administration each time for three days. The daily dose will be adjusted according to the serum lithium level and the clinical findings. Target serum lithium level is 0.6-1.2mM. The course of medication is 6 weeks.
Eye disorders
Dry eye
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Gastrointestinal disorders
Nausea
5.0%
1/20 • Number of events 1 • 6 months
25.0%
5/20 • Number of events 5 • 6 months
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/20 • 6 months
15.0%
3/20 • Number of events 3 • 6 months
Gastrointestinal disorders
Diarrhoea
5.0%
1/20 • Number of events 1 • 6 months
20.0%
4/20 • Number of events 4 • 6 months
Gastrointestinal disorders
Vomiting
0.00%
0/20 • 6 months
10.0%
2/20 • Number of events 2 • 6 months
Gastrointestinal disorders
Salivary hypersecretion
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Gastrointestinal disorders
Toothache
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Gastrointestinal disorders
Gingival swelling
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Gastrointestinal disorders
Gastrooesophageal disease
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
General disorders
Asthenia
10.0%
2/20 • Number of events 2 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
General disorders
Thirst
5.0%
1/20 • Number of events 1 • 6 months
20.0%
4/20 • Number of events 4 • 6 months
General disorders
Pain
20.0%
4/20 • Number of events 4 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
General disorders
Oedema
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
General disorders
Chest discomfort
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Infections and infestations
Urogenital infection bacterial
10.0%
2/20 • Number of events 2 • 6 months
10.0%
2/20 • Number of events 2 • 6 months
Infections and infestations
Upper respiratory tract infection
5.0%
1/20 • Number of events 1 • 6 months
15.0%
3/20 • Number of events 3 • 6 months
Investigations
Urine output
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Investigations
Blood glucose abnormal
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Investigations
Blood creatinine increased
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Investigations
Alanine aminotransferase increased
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Investigations
Urine sediment present
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Investigations
Aspartate aminotransferase increase
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Investigations
Glucose urine present
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Investigations
Neutrophil count decreased
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Metabolism and nutrition disorders
Polydipsia
0.00%
0/20 • 6 months
15.0%
3/20 • Number of events 3 • 6 months
Musculoskeletal and connective tissue disorders
Back pain
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Musculoskeletal and connective tissue disorders
Limb discomfort
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Muscle spasms
15.0%
3/20 • Number of events 3 • 6 months
15.0%
3/20 • Number of events 3 • 6 months
Nervous system disorders
Poor quality sleep
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Nervous system disorders
Headache
0.00%
0/20 • 6 months
10.0%
2/20 • Number of events 2 • 6 months
Nervous system disorders
Dizziness
5.0%
1/20 • Number of events 1 • 6 months
25.0%
5/20 • Number of events 5 • 6 months
Nervous system disorders
Hypoaesthesia
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Nervous system disorders
Somnolence
0.00%
0/20 • 6 months
10.0%
2/20 • Number of events 2 • 6 months
Nervous system disorders
Tremor
0.00%
0/20 • 6 months
15.0%
3/20 • Number of events 4 • 6 months
Nervous system disorders
Hypotonia
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Psychiatric disorders
Self injurious behaviour
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Psychiatric disorders
Insomnia
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months
Renal and urinary disorders
Polyuria
5.0%
1/20 • Number of events 1 • 6 months
10.0%
2/20 • Number of events 2 • 6 months
Renal and urinary disorders
Chromaturina
5.0%
1/20 • Number of events 1 • 6 months
0.00%
0/20 • 6 months
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.00%
0/20 • 6 months
5.0%
1/20 • Number of events 1 • 6 months

Additional Information

Dr. Wendy Cheng

China Spinal Cord Injury Network

Phone: +852 28660829

Results disclosure agreements

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