Efficacy and Safety of Nerve Growth Factor or Edaravone on Alcohol-induced Brain Injury

NCT ID: NCT03968042

Last Updated: 2020-10-27

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-30

Study Completion Date

2021-12-31

Brief Summary

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Alcohol is one of most common harmful substance, and alcohol intake brings great burden on health worldwide. Excess alcohol intake may lead to alcohol-related brain injuries and cognitive impairment. Although both nerve growth factor and antioxidative treatment were effective to relieve alcohol-related injuries in central nervous system in the preclinical studies, there is no relevant clinical trial about their efficacy and safety on patients. Since nerve growth factor and one of the antioxidative medication, edaravone, have been used in some neural diseases in clinical trials, we tend to evaluate the efficacy and safety of nerve growth factor, or edaravone on alcohol-induced brain injuries. The study is a randomized-controlled study and the patients will be assigned into one of the following three groups randomly: (1) regular treatment (combination of vitamin B1, B6, C, E and mecobalamine) with nerve growth factor for 2 weeks and subsequently regular treatment for 6 months; (2) regular treatment (RT) with edaravone for 2 weeks and subsequently RT for 6 months; (3) RT alone for 6 months. The patients will be followed up for 6 months. Cognitive functions, recurrence of alcohol dependence, duration of abstention, alcohol intake, craving for alcohol and other psychological assessments will be recorded and compared among the 3 treatment groups and the efficacy of nerve growth factor or edaravone will be evaluated in our study.

Detailed Description

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Conditions

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Alcohol-induced Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Regular treatment (RT)

Combination of vitamin B1, B6, C, E and mecobalamine

Group Type PLACEBO_COMPARATOR

Combination of vitamin B1, B6, C, E and mecobalamine

Intervention Type DRUG

Medications of combination of vitamin B1, B6, C, E and mecobalamine for 6 months

RT with NGF

Nerve growth factor adding to regular treatment

Group Type EXPERIMENTAL

Nerve Growth Factor

Intervention Type DRUG

Intramuscular injection for 2 weeks

Combination of vitamin B1, B6, C, E and mecobalamine

Intervention Type DRUG

Medications of combination of vitamin B1, B6, C, E and mecobalamine for 6 months

RT with EDV

Edaravone adding to regular treatment

Group Type EXPERIMENTAL

Edaravone

Intervention Type DRUG

Intravenous injection for 2 weeks

Combination of vitamin B1, B6, C, E and mecobalamine

Intervention Type DRUG

Medications of combination of vitamin B1, B6, C, E and mecobalamine for 6 months

Interventions

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Nerve Growth Factor

Intramuscular injection for 2 weeks

Intervention Type DRUG

Edaravone

Intravenous injection for 2 weeks

Intervention Type DRUG

Combination of vitamin B1, B6, C, E and mecobalamine

Medications of combination of vitamin B1, B6, C, E and mecobalamine for 6 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis as alcohol dependence according to DSM-IV criteria
* MRI-proved demyelinating lesions or atrophy in the brain of the patient
* No definite history of neurological diseases and psychological problems
* Volunteer to participate the study, cooperate to be followed up

Exclusion Criteria

* Acute withdrawal state and CIWA score \> 9
* With other neurological diseases and psychological problems
* With ever brain trauma and damage
* With other psychological medications or other substance dependence
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Ying Peng

Professor, Director of Department of Neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ying Peng, MD, PhD

Role: CONTACT

+86-13380051581

Hongxuan Wang, MD, PhD

Role: CONTACT

+86-13824498978

References

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Sun YY, Li Y, Wali B, Li Y, Lee J, Heinmiller A, Abe K, Stein DG, Mao H, Sayeed I, Kuan CY. Prophylactic Edaravone Prevents Transient Hypoxic-Ischemic Brain Injury: Implications for Perioperative Neuroprotection. Stroke. 2015 Jul;46(7):1947-55. doi: 10.1161/STROKEAHA.115.009162. Epub 2015 Jun 9.

Reference Type BACKGROUND
PMID: 26060244 (View on PubMed)

Kaste M, Murayama S, Ford GA, Dippel DW, Walters MR, Tatlisumak T; MCI-186 study group. Safety, tolerability and pharmacokinetics of MCI-186 in patients with acute ischemic stroke: new formulation and dosing regimen. Cerebrovasc Dis. 2013;36(3):196-204. doi: 10.1159/000353680. Epub 2013 Oct 12.

Reference Type BACKGROUND
PMID: 24135530 (View on PubMed)

Munakata A, Ohkuma H, Nakano T, Shimamura N, Asano K, Naraoka M. Effect of a free radical scavenger, edaravone, in the treatment of patients with aneurysmal subarachnoid hemorrhage. Neurosurgery. 2009 Mar;64(3):423-8; discussion 428-9. doi: 10.1227/01.NEU.0000338067.83059.EB.

Reference Type BACKGROUND
PMID: 19240603 (View on PubMed)

Writing Group; Edaravone (MCI-186) ALS 19 Study Group. Safety and efficacy of edaravone in well defined patients with amyotrophic lateral sclerosis: a randomised, double-blind, placebo-controlled trial. Lancet Neurol. 2017 Jul;16(7):505-512. doi: 10.1016/S1474-4422(17)30115-1. Epub 2017 May 15.

Reference Type BACKGROUND
PMID: 28522181 (View on PubMed)

Apfel SC, Kessler JA, Adornato BT, Litchy WJ, Sanders C, Rask CA. Recombinant human nerve growth factor in the treatment of diabetic polyneuropathy. NGF Study Group. Neurology. 1998 Sep;51(3):695-702. doi: 10.1212/wnl.51.3.695.

Reference Type BACKGROUND
PMID: 9748012 (View on PubMed)

Riggs JE. Recombinant human nerve growth factor in the treatment of diabetic polyneuropathy. Neurology. 1999 Apr 22;52(7):1517-8. doi: 10.1212/wnl.52.7.1517-a. No abstract available.

Reference Type BACKGROUND
PMID: 10227655 (View on PubMed)

McArthur JC, Yiannoutsos C, Simpson DM, Adornato BT, Singer EJ, Hollander H, Marra C, Rubin M, Cohen BA, Tucker T, Navia BA, Schifitto G, Katzenstein D, Rask C, Zaborski L, Smith ME, Shriver S, Millar L, Clifford DB, Karalnik IJ. A phase II trial of nerve growth factor for sensory neuropathy associated with HIV infection. AIDS Clinical Trials Group Team 291. Neurology. 2000 Mar 14;54(5):1080-8. doi: 10.1212/wnl.54.5.1080.

Reference Type BACKGROUND
PMID: 10720278 (View on PubMed)

Lambiase A, Rama P, Bonini S, Caprioglio G, Aloe L. Topical treatment with nerve growth factor for corneal neurotrophic ulcers. N Engl J Med. 1998 Apr 23;338(17):1174-80. doi: 10.1056/NEJM199804233381702.

Reference Type BACKGROUND
PMID: 9554857 (View on PubMed)

Petty BG, Cornblath DR, Adornato BT, Chaudhry V, Flexner C, Wachsman M, Sinicropi D, Burton LE, Peroutka SJ. The effect of systemically administered recombinant human nerve growth factor in healthy human subjects. Ann Neurol. 1994 Aug;36(2):244-6. doi: 10.1002/ana.410360221.

Reference Type BACKGROUND
PMID: 8053664 (View on PubMed)

Zhou F, Wu P, Wang L, Wang HT, Zhang SB, Lin Y, Zhong H, Chen YH. The NGF point-injection for treatment of the sound-perceiving nerve deafness and tinnitus in 68 cases. J Tradit Chin Med. 2009 Mar;29(1):39-42. doi: 10.1016/s0254-6272(09)60029-7.

Reference Type BACKGROUND
PMID: 19514187 (View on PubMed)

Wu ZH, Huang J, Gao WH, Wang AL, Jia Q, Chen B, Xu S, Gu YH. [Effect of nerve growth factor on the promotion of sensory recovery of large skin graft in patients]. Zhonghua Shao Shang Za Zhi. 2007 Dec;23(6):440-3. Chinese.

Reference Type BACKGROUND
PMID: 18457257 (View on PubMed)

Wang H, Liu L, Zhou X, Guan Y, Li Y, Chen P, Duan R, Yang W, Rong X, Wu C, Yang J, Yang M, Jia Y, Hu J, Zhu X, Peng Y. Efficacy and safety of short-term edaravone or nerve growth factor add-on therapy for alcohol-related brain damage: A multi-centre randomised control trial. Addiction. 2024 Apr;119(4):717-729. doi: 10.1111/add.16398. Epub 2023 Dec 4.

Reference Type DERIVED
PMID: 38049955 (View on PubMed)

Other Identifiers

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2019-13-NGF-EDV

Identifier Type: -

Identifier Source: org_study_id