Trial Outcomes & Findings for Clinical Trial of Lamotrigine to Reverse Cognitive Impairment in Chronic Corticosteroid-Treated Patients (NCT NCT00223262)

NCT ID: NCT00223262

Last Updated: 2019-04-16

Results Overview

Rey Auditory Verbal Learning Test (RAVLT) is a test of verbal learning and declarative memory. During the test, 15 nouns that are read aloud for 5 consecutive trials. Each trial is followed by a free recall test (participant is asked to recall the words that were just read to them). The sum of correctly recalled words across 5 trials is called the total raw score. On completion of Trial 5, an interference list of 15 words (List B) is presented, followed by a free recall test of that list. After a 20-min delay, the examinee is again required to recall the words from list A - this is called the delay raw score. The raw scores on both the total recall and the delay trials (number of words correct across trials 1-5) are converted to standardized T-scores (Mean=50; SD=10; range 20-100) based on participant age and gender. The scores below are presented as T-scores, with higher scores indicative of better performance.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

28 participants

Primary outcome timeframe

24 weeks

Results posted on

2019-04-16

Participant Flow

Participant milestones

Participant milestones
Measure
Lamotrigine
Lamotrigine was initiated at 25 mg/day for 2 weeks, increased to 50 mg/day for 2 weeks, and then increased in 50 mg/day increments weekly to a dose of 400 mg/day at week 10 using a fixed dosing schedule.
Placebo
Matched placebo identical in appearance to the active drug.
Overall Study
STARTED
16
12
Overall Study
COMPLETED
8
11
Overall Study
NOT COMPLETED
8
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Trial of Lamotrigine to Reverse Cognitive Impairment in Chronic Corticosteroid-Treated Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lamotrigine
n=8 Participants
Lamotrigine was initiated at 25 mg/day for 2 weeks, increased to 50 mg/day for 2 weeks, and then increased in 50 mg/day increments weekly to a dose of 400 mg/day at week 10 using a fixed dosing schedule.
Placebo
n=11 Participants
Matched placebo identical in appearance to the active drug.
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
44.6 years
STANDARD_DEVIATION 11.2 • n=99 Participants
47.4 years
STANDARD_DEVIATION 13.3 • n=107 Participants
46.0 years
STANDARD_DEVIATION 12.3 • n=206 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
8 Participants
n=107 Participants
15 Participants
n=206 Participants
Region of Enrollment
United States
8 participants
n=99 Participants
11 participants
n=107 Participants
19 participants
n=206 Participants

PRIMARY outcome

Timeframe: 24 weeks

Rey Auditory Verbal Learning Test (RAVLT) is a test of verbal learning and declarative memory. During the test, 15 nouns that are read aloud for 5 consecutive trials. Each trial is followed by a free recall test (participant is asked to recall the words that were just read to them). The sum of correctly recalled words across 5 trials is called the total raw score. On completion of Trial 5, an interference list of 15 words (List B) is presented, followed by a free recall test of that list. After a 20-min delay, the examinee is again required to recall the words from list A - this is called the delay raw score. The raw scores on both the total recall and the delay trials (number of words correct across trials 1-5) are converted to standardized T-scores (Mean=50; SD=10; range 20-100) based on participant age and gender. The scores below are presented as T-scores, with higher scores indicative of better performance.

Outcome measures

Outcome measures
Measure
Lamotrigine
n=8 Participants
Lamotrigine was initiated at 25 mg/day for 2 weeks, increased to 50 mg/day for 2 weeks, and then increased in 50 mg/day increments weekly to a dose of 400 mg/day at week 10 using a fixed dosing schedule.
Placebo
n=11 Participants
Matched placebo identical in appearance to the active drug.
Rey Auditory Verbal Learning Test (RAVLT)
46.1 T-scores
Standard Deviation 15.0
40.1 T-scores
Standard Deviation 11.0

Adverse Events

Lamotrigine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

E. Sherwood Brown, MD, PhD

University of Texas Southwestern Medical Center

Phone: 2146456950

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place