Safety Study of Ibuprofen to Treat Acute Traumatic Spinal Cord Injury

NCT ID: NCT02096913

Last Updated: 2017-10-30

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

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2017-09-30

Brief Summary

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The Ibuprofen - Spinal Cord Injury (SCI) - Safety trial investigates tolerability and feasibility of "small molecule" (Ibuprofen) mediated Rho-inhibition as putative neuroprotective, plasticity-enhancing and neurorestaurative intervention. The primary safety analysis is based on the incidence of severe gastrointestinal bleedings. In addition, the feasibility of recruitment procedure, and oral administration of the compound within the multidisciplinary setting of acute intensive medical care will be explored. Furthermore, the pharmacokinetics of Ibuprofen under the condition of acute motor complete SCI will be investigated. Secondary endpoints will permit preliminary statements about effects on neuropathic pain, spasticity, and neurological function.

Detailed Description

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Conditions

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Spinal Cord Injury

Keywords

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Rho-Inhibition Plasticity Neurological Function RhoA Ibuprofen NSAIDs

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dolormin® extra (Ibuprofen) 4 weeks

Group Type ACTIVE_COMPARATOR

Dolormin® extra (Ibuprofen)

Intervention Type DRUG

Ibuprofen Tablets (as lysine-salt) 2400mg/d (400mg 2-2-2) applied orally for 4 weeks (Arm I; n=6).

In order to reduce the risk of damage to the gastrointestinal mucosa Pantoprazole is applied as concomitant medication in a dosage 40mg/d during the treatment period.

Dolormin® extra (Ibuprofen) 12 weeks

Group Type ACTIVE_COMPARATOR

Dolormin® extra (Ibuprofen)

Intervention Type DRUG

Ibuprofen Tablets (as lysine-salt) 2400mg/d (400mg 2-2-2) applied orally for 12 weeks (Arm II, n=6).

In order to reduce the risk of damage to the gastrointestinal mucosa Pantoprazole is applied as concomitant medication in a dosage 40mg/d during the first 4 weeks of treatment and may be reduced to 20mg/d during the following treatment period after individual risk-benefit assessment.

Interventions

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Dolormin® extra (Ibuprofen)

Ibuprofen Tablets (as lysine-salt) 2400mg/d (400mg 2-2-2) applied orally for 4 weeks (Arm I; n=6).

In order to reduce the risk of damage to the gastrointestinal mucosa Pantoprazole is applied as concomitant medication in a dosage 40mg/d during the treatment period.

Intervention Type DRUG

Dolormin® extra (Ibuprofen)

Ibuprofen Tablets (as lysine-salt) 2400mg/d (400mg 2-2-2) applied orally for 12 weeks (Arm II, n=6).

In order to reduce the risk of damage to the gastrointestinal mucosa Pantoprazole is applied as concomitant medication in a dosage 40mg/d during the first 4 weeks of treatment and may be reduced to 20mg/d during the following treatment period after individual risk-benefit assessment.

Intervention Type DRUG

Other Intervention Names

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Ibuprofen-DL-Lysinsalz Ibuprofen-DL-Lysinsalz

Eligibility Criteria

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Inclusion Criteria

* Acute SCI of the cervical spine due to trauma
* Time frame of 4-21 days post-trauma
* Motor complete injury AIS A and B
* Neurological level of the lesion C4-T4
* No participation in a different clinical trial according to German Pharmaceuticals Act (AMG) 1 month before and during participation in the current trial
* The patient has been informed and his/her written consent has been obtained
* Age: 18 to 65 years
* For women of reproductive age: Negative pregnancy test and highly effective contraception (defined as Pearl Index \< 1) or sexual abstinence during participation in the trial

Exclusion Criteria

* Multifocal lesions of the spinal cord
* Penetrating spinal cord injury
* Accompanying traumatic brain injury (TBI) with visible structural lesions including intracranial hemorrhage on diagnostic imagesSigni
* Significant accompanying injury to the peripheral nervous system, particularly plexus lesions
* Acute or chronic systemic diseases accompanied by neurological deficits or that have caused permanent neurological deficits which may overlay or hinder the registration of sensomotor functions (e.g. multiple sclerosis, Guillain-Barré syndrome, HIV infection, Lues etc.)
* Malignant neoplasms, except if these are in complete remission.
* Mental diseases or dementia which, in the investigator's opinion, limit the patient's cooperation in respect of the intake of the study medication and/or significantly hinder the registration of follow-up parameters
* Hemophilia
* History of myocardial infarction or stroke
* Current and persistent misuse of illegal drugs or alcohol
* Hypothermia below 35 C°
* Pregnancy and lactation
* All further contraindications to the study medication, including other ingredients of the pharmaceutical form according to the Summary of Product Characteristics (SPC)
* Known hypersensitivity to the active substance contained in the concomitant medication Pantoprazole or one of the components of the drug.
* Intake of Ibuprofen or intake of other active substances from the group of Nonsteroidal Anti-inflammatory Drugs (NSAIDs; e.g., Diclofenac, Indometacin) or the intake of NSAIDs in maximum recommended daily doses during one week prior to enrolment in the trial
* Simultaneous intake of salicylates, particularly acetylsalicylic acid
* Simultaneous intake of oral anticoagulants
* Simultaneous intake of systemic glucocorticoids
* Unwilling to consent to storage and transfer of pseudonymized medical data for the purpose of the clinical trial
* Admitted to an institution by a court or official order (pursuant to AMG §40 (1) 4)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Else Kröner Fresenius Foundation

OTHER

Sponsor Role collaborator

Jan M. Schwab, MD, PhD

OTHER

Sponsor Role lead

Responsible Party

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Jan M. Schwab, MD, PhD

Prof. Dr. Dr.

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Andreas Niedeggen, MD

Role: PRINCIPAL_INVESTIGATOR

Unfallkrankenhaus Berlin, Treatment Centre for Spinal Cord Injuries, Germany

Jan M Schwab, MD, PhD

Role: STUDY_DIRECTOR

Charité, Universitätsmedizin Berlin, Spinal Cord Injury Research, Germany

Locations

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Unfallkrankenhaus Berlin, Treatment Centre for Spinal Cord Injuries, Warener Straße 7

Berlin, , Germany

Site Status

Countries

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Germany

References

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Kopp MA, Liebscher T, Watzlawick R, Martus P, Laufer S, Blex C, Schindler R, Jungehulsing GJ, Knuppel S, Kreutztrager M, Ekkernkamp A, Dirnagl U, Strittmatter SM, Niedeggen A, Schwab JM. SCISSOR-Spinal Cord Injury Study on Small molecule-derived Rho inhibition: a clinical study protocol. BMJ Open. 2016 Jul 26;6(7):e010651. doi: 10.1136/bmjopen-2015-010651.

Reference Type DERIVED
PMID: 27466236 (View on PubMed)

Other Identifiers

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2011-000584-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Ibuprofen-SCI-Safety

Identifier Type: -

Identifier Source: org_study_id