Safety of Riluzole in Patients With Acute Spinal Cord Injury

NCT ID: NCT00876889

Last Updated: 2017-09-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

36 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-04-30

Study Completion Date

2012-04-30

Brief Summary

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The purpose of the study is to find out if the use of the drug Riluzole is both safe and improves outcome in patients with acute traumatic spinal cord injury (SCI).

Detailed Description

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The primary aim of the study is to develop acute care safety and pharmacokinetic profiles of riluzole in patients who have sustained a acute traumatic spinal cord injury. Secondary objectives are to conduct exploratory analyses of functional outcomes for purposes of planning a subsequent Phase II randomized study of the efficiency of Riluzole for the treatment of acute traumatic spinal cord injury.

Conditions

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Spinal Cord Injury

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Interventions

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Riluzole

50mg PO (by mouth) every 12 hours starting within 12 hours of injury and continuing for 14 days (28 doses).

Intervention Type DRUG

Other Intervention Names

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Rilutek

Eligibility Criteria

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Inclusion Criteria

* Age equal to or greater than 18 years and less than or equal to 70 years;
* Willing to give written informed consent to participate in the study. The informed consent may require legally authorized representative to sign if arm/hand function is compromised.
* No other life-threatening injury
* Spinal cord injury at the neurologic level from C4 to T12
* ASIA Impairment Scale level A, B or C
* No cognitive impairment which would preclude an informed consent (including moderate or severe traumatic brain injury)
* Less than 12 hours since injury

Exclusion Criteria

* Equal or more than 12 hours since injury
* Hypersensitivity to riluzole or any of its components
* Unable to receive riluzole orally or via nasogastric tube
* History of liver or kidney disease (e.g. Hepatitis A, B or C, Cirrhosis, etc.)
* Has a recent history of regular substance abuse (illicit drugs, alcohol)
* Unconscious
* Penetrating spinal cord injury
* Pregnancy as established by urine pregnancy test
* Breastfeeding
* Life expectancy less than 12 months
* Is currently involved in another therapeutic SCI research study that precludes or complicates participation in this study (e.g. study of another therapeutic drug aiming for spinal cord injury recovery, any study that substantially interferes with the follow -up schedule (f/u) schedule, or any high risk study that complicates evaluation of safety outcomes. Types of studies that would not preclude participation are e.g. behavioral adaptation studies, mental health interventions)
* Has a mental disorder or other illness, which in the view of the site investigator, would preclude accurate evaluation (e.g. schizophrenia, severe cognitive disability, Parkinson disease)
* Unable to commit to the follow-up schedule
* Is a prisoner
* Unable to converse, read or write English at the elementary school level
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Christopher Reeve Paralysis Foundation

OTHER

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

AO Clinical Investigation and Publishing Documentation

OTHER

Sponsor Role collaborator

Ontario Neurotrauma Foundation

OTHER

Sponsor Role collaborator

The Methodist Hospital Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Robert G. Grossman, MD

Professor, Department of Neurosurgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert G Grossman, MD

Role: STUDY_CHAIR

The Methodist Hospital Research Institute

Michael Fehlings, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Toronto/Toronto Western Hospital, Toronto

Michele M Johnson, MD

Role: PRINCIPAL_INVESTIGATOR

the University of Houston/Memorial HermannHospital, Houston

Christopher Shaffery, MD

Role: PRINCIPAL_INVESTIGATOR

University of Virginia Health System, Charlottesville

Susan Harkema, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Louisville, Louisville

Bizhan Aarabi, MD

Role: PRINCIPAL_INVESTIGATOR

University of Maryland Medical Center, Baltimore

James Harrop, MD

Role: PRINCIPAL_INVESTIGATOR

Thomas Jefferson University, Philadelphia

James Guest, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Miami, Miami

Ralph Frankowski, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas School of Public Health, Houston

Diana Chow, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Houston, College of Pharmacy, Houston

Locations

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University of Miami

Miami, Florida, United States

Site Status

University of Louisville Health Sciences Center

Louisville, Kentucky, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

The Methodist Hospital

Houston, Texas, United States

Site Status

The University of Texas

Houston, Texas, United States

Site Status

University of Virginia Health System

Charlottesville, Virginia, United States

Site Status

University of Toronto/Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Carroll AH, Fakhre E, Quinonez A, Tannous O, Mesfin A. An Update on Spinal Cord Injury and Current Management. JBJS Rev. 2024 Oct 24;12(10). doi: 10.2106/JBJS.RVW.24.00124. eCollection 2024 Oct 1.

Reference Type DERIVED
PMID: 39446982 (View on PubMed)

Chow DS, Nguyen A, Park J, Wu L, Toups EG, Harrop JS, Guest JD, Schmitt KM, Aarabi B, Fehlings MG, Boakye M, Grossman RG. Riluzole in Spinal Cord Injury Study (RISCIS)-Pharmacokinetic (PK) Sub-Study: An Analysis of Pharmacokinetics, Pharmacodynamics, and Impact on Axonal Degradation of Riluzole in Patients With Traumatic Cervical Spinal Cord Injury Enrolled in the RISCIS Phase III Randomized Controlled Trial. J Neurotrauma. 2023 Sep;40(17-18):1889-1906. doi: 10.1089/neu.2022.0499.

Reference Type DERIVED
PMID: 37130044 (View on PubMed)

Nagoshi N, Nakashima H, Fehlings MG. Riluzole as a neuroprotective drug for spinal cord injury: from bench to bedside. Molecules. 2015 Apr 29;20(5):7775-89. doi: 10.3390/molecules20057775.

Reference Type DERIVED
PMID: 25939067 (View on PubMed)

Fehlings MG, Wilson JR, Frankowski RF, Toups EG, Aarabi B, Harrop JS, Shaffrey CI, Harkema SJ, Guest JD, Tator CH, Burau KD, Johnson MW, Grossman RG. Riluzole for the treatment of acute traumatic spinal cord injury: rationale for and design of the NACTN Phase I clinical trial. J Neurosurg Spine. 2012 Sep;17(1 Suppl):151-6. doi: 10.3171/2012.4.AOSPINE1259.

Reference Type DERIVED
PMID: 22985381 (View on PubMed)

Chow DS, Teng Y, Toups EG, Aarabi B, Harrop JS, Shaffrey CI, Johnson MM, Boakye M, Frankowski RF, Fehlings MG, Grossman RG. Pharmacology of riluzole in acute spinal cord injury. J Neurosurg Spine. 2012 Sep;17(1 Suppl):129-40. doi: 10.3171/2012.5.AOSPINE12112.

Reference Type DERIVED
PMID: 22985379 (View on PubMed)

Related Links

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http://christopherreeve.org

The Reeve Foundation is dedicated to curing spinal cord injury by funding innovative research, and improving the quality of life for people living with paralysis through grants, information and advocacy. Click here for more information about the network.

Other Identifiers

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W81XWH-07-0042

Identifier Type: OTHER

Identifier Source: secondary_id

Pro00002029

Identifier Type: -

Identifier Source: org_study_id

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