Effects of 5HTP and LDOPA on CNS Excitability After SCI

NCT ID: NCT04000919

Last Updated: 2022-10-17

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

SUSPENDED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-19

Study Completion Date

2023-12-30

Brief Summary

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This study will examine whether supplementation with the serotonin and dopamine precursors, 5HTP and L-DOPA can alter central nervous system excitability and improve motor function after incomplete and complete spinal cord injuries.

Detailed Description

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Conditions

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Spinal Cord Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Both the participant and assessors are blinded to which drug/placebo the participant reviews because all drugs are housed in similar capsules. Only the PI and caregiver will be aware of which drug will be administered for safety purposes.

Study Groups

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Effects of single-dose of carbidopa (50mg) on CNS excitability

Participants will visit the lab and on one of four different occasions they will receive carbidopa only (50 mg). Neurophysiology outcome measures will be obtained at 30, 60, 90, 120 and 150 min post drug-intake.

Group Type SHAM_COMPARATOR

Carbidopa

Intervention Type DRUG

Carbidopa (50mg)

Effects of single-dose placebo on CNS Excitability

Participants will visit the lab and on one of four different occasions and will receive a placebo. Neurophysiology outcome measures will be obtained at 30, 60, 90, 120 and 150 min post drug-intake.

Group Type PLACEBO_COMPARATOR

Placebo oral tablet

Intervention Type DRUG

Placebo

Effects of single-dose 5HTP/carbidopa on CNS Excitability

During one of the four occasions participants visit the lab they will receive 5HTP combined with carbidopa (50-200mg HTP/50mg carbidopa). Neurophysiology outcome measures will be obtained at 30, 60, 90, 120 and 150 min post drug-intake.

Group Type ACTIVE_COMPARATOR

5HTP

Intervention Type DRUG

5HTP/carbidopa (50-200 mg 5-HTP/50 mg carbidopa)

Effects of single-dose L-DOPA/carbidopa on CNS Excitability

During one of the four occasions participants visit the lab they will receive L-DOPA combined with carbidopa (50-200mg L-DOPA/50mg carbidopa). Neurophysiology outcome measures will be obtained at 30, 60, 90, 120 and 150 min post drug-intake.

Group Type ACTIVE_COMPARATOR

L-DOPA

Intervention Type DRUG

L-DOPA/carbidopa (50-200 mg L-DOPA/50 mg carbidopa)

Interventions

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5HTP

5HTP/carbidopa (50-200 mg 5-HTP/50 mg carbidopa)

Intervention Type DRUG

L-DOPA

L-DOPA/carbidopa (50-200 mg L-DOPA/50 mg carbidopa)

Intervention Type DRUG

Placebo oral tablet

Placebo

Intervention Type DRUG

Carbidopa

Carbidopa (50mg)

Intervention Type DRUG

Other Intervention Names

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carbidopa Sinemet Carbidopa

Eligibility Criteria

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Inclusion Criteria

* Individuals aged 18-65 years of age.
* Patients must have suffered a trauma to the spinal cord at least 1 year ago or longer.
* Patients must exhibit some degree of spasticity which can be self-reported (Penn spasm frequency) or if assessed by a physiotherapist, a modified Ashworth spasticity score greater than 1

Exclusion Criteria

* Individuals with damage to the nervous system other than to the spinal cord
* Pregnant or breastfeeding women
* Alcoholic patients
* Patients with a history of seizures or epilepsy
* Patients with a history of suicidal thoughts or behaviors
* Patients with active or inactive implants including cardiac pacemakers, implantable defibrillators, ocular implants, deep brain stimulators, vagus nerve stimulator, and implanted medication pumps
* Patients with conductive, ferromagnetic or other magnetic-sensitive metals implanted in their head
* Patients with:
* Known or suspected allergy to the medication or the ingredients
* Cardiovascular disease including history of heart attack or heart rhythm irregularities
* Coronary artery disease
* Comatose or depressed states due to CNS depressants
* Endocrine dysfunction
* Blood dyscrasias
* Bone marrow depression
* History of seizures
* Hypocalcemia
* History of stomach ulcers
* Wide-angle glaucoma
* Phenylketonuria

Patients taking:

* Monoamine oxidase inhibitor therapy
* Serotonergic antidepressants: selective serotonin and norepinephrine reuptake inhibitors
* Tricyclic antidepressants
* Any type of serotonergic agonist
* Dopamine D2 receptor antagonists
* Amphetamine
* CNS depressants
* Levodopa
* Lithium
* Anti-hypertensive drugs (Carbidopa and L-DOPA)
* Iron salts
* Metoclopramide
* Phenothiazine medication
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jessica M D'Amico

OTHER

Sponsor Role lead

Responsible Party

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Jessica M D'Amico

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jessica D'Amico, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Louisville

Locations

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University of Louisville, Kentucky Spinal Cord Injury Research Centre

Louisville, Kentucky, United States

Site Status

Countries

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United States

Other Identifiers

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18.1268

Identifier Type: -

Identifier Source: org_study_id

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