Neurophysiological Study of Sativex in Multiple Sclerosis (MS) Spasticity

NCT ID: NCT01538225

Last Updated: 2014-01-20

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

Clinical Phase

PHASE3

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2013-11-30

Brief Summary

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Aim of this randomized, double-blind, placebo-controlled, cross-over study is to investigate cannabinoid-induced changes in neurophysiological parameters in a group of 40 patients with secondary or primary progressive Multiple Sclerosis (MS).

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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first sativex, second placebo

2 weeks first titration period (as per approved SmPC), a 2-week first treatment period (Sativex), a 2-week washout, a cross-over followed by another 2 weeks titration period (as per SmPC), followed by a second 2-week period treatment (placebo)

Group Type EXPERIMENTAL

Sativex®

Intervention Type DRUG

THC:CBD 1:1 ratio oromucosal spray. A titration period is required to reach optimal dose. The number and timing of sprays may vary between patients.

Duration: 2 weeks

Placebo

Intervention Type DRUG

Placebo

Same frequency and dosage form as Sativex.

Duration: 2 weeks

first placebo, second sativex

2 weeks first titration period (as per approved SmPC), a 2-week first treatment period (placebo), a 2-week washout, a cross-over followed by another 2 weeks titration period (as per SmPC), followed by a second 2-week period treatment (Sativex)

Group Type EXPERIMENTAL

Sativex®

Intervention Type DRUG

THC:CBD 1:1 ratio oromucosal spray. A titration period is required to reach optimal dose. The number and timing of sprays may vary between patients.

Duration: 2 weeks

Placebo

Intervention Type DRUG

Placebo

Same frequency and dosage form as Sativex.

Duration: 2 weeks

Interventions

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Sativex®

THC:CBD 1:1 ratio oromucosal spray. A titration period is required to reach optimal dose. The number and timing of sprays may vary between patients.

Duration: 2 weeks

Intervention Type DRUG

Placebo

Placebo

Same frequency and dosage form as Sativex.

Duration: 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged 18 years or above
* Willing and able to comply with the protocol for the duration of the study
* Diagnosis of Secondary-Progressive or Primary-Progressive MS from at least 12 months
* Relapse free from at least 3 months before screening visit
* Lower limb spasticity
* EDSS from \> 3.0 and \< 6.5
* Moderate to severe spasticity due to MS from at least 6 months and with stable drug treatment not able to relieve symptoms as a whole, deserving a specific add-on treatment
* Immunomodulatory or immunosuppressant therapies not modified during the study and 6 months before starting the study
* Stable doses of anti-spasticity agents from at least 2 months prior to screening visit
* Have given written informed consent

Exclusion Criteria

* Any concomitant disease that may cause spasticity or that could interfere with subject's spasticity
* Botulinum Toxin injection for spasticity in the 4 months prior to screening visit
* Any known or suspected history of psychotic illness, alcohol or substance abuse, epilepsy, hypersensitivity to cannabinoids
* Significant cardiac, renal or hepatic disease
* Female subjects of child bearing potentials and male subjects whose partner is child bearing potential, unless willing to ensure that they or their partner use contraception during the study
* Female subjects who is pregnant lactating or planning pregnancy during the course of the study and for three months thereafter
* Sativex® SmPC contraindications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Almirall, S.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giancarlo Comi, Prof

Role: PRINCIPAL_INVESTIGATOR

Institute of Experimental Neurology (Milan, Italy)

Locations

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Institute of Experimental Neurology

Milan, , Italy

Site Status

Countries

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Italy

Other Identifiers

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2011-002258-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M/SATIVX/01

Identifier Type: -

Identifier Source: org_study_id

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