Trial Outcomes & Findings for Ciclosporin in HTLV-1 Associated Myelopathy/ Tropical Spastic Paraparesis (HAM/TSP) (NCT NCT00773292)
NCT ID: NCT00773292
Last Updated: 2021-09-09
Results Overview
Lack of objective clinical improvement after three months of therapy. Objective improvement was defined as any of the following comparing baseline measurements to 12, 24 and 48 weeks: i) one point decrease in the IPEC 1 scale (Instituto de Pesquisa Clínica Evandro Chagas), ii) \>30% improvement in 10 m timed walk, iii) visual analogue pain score reduced by \>2 points, iv) reduction of frequency or nocturia by greater than one or reduction of residual volume by more than 10% at two consecutive visits. Proof of concept study and therefore outcomes report is descriptive only. No statistical test appropriate.
COMPLETED
PHASE2/PHASE3
7 participants
up to 12 months
2021-09-09
Participant Flow
Participant milestones
| Measure |
Ciclosporin
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Pre-treatment 4 Weeks
STARTED
|
7
|
|
Pre-treatment 4 Weeks
COMPLETED
|
7
|
|
Pre-treatment 4 Weeks
NOT COMPLETED
|
0
|
|
Treatment 48 Weeks
STARTED
|
7
|
|
Treatment 48 Weeks
COMPLETED
|
5
|
|
Treatment 48 Weeks
NOT COMPLETED
|
2
|
|
Post Treatment 24 Weeks
STARTED
|
7
|
|
Post Treatment 24 Weeks
COMPLETED
|
7
|
|
Post Treatment 24 Weeks
NOT COMPLETED
|
0
|
Reasons for withdrawal
| Measure |
Ciclosporin
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Treatment 48 Weeks
Adverse Event
|
1
|
|
Treatment 48 Weeks
Lack of Efficacy
|
1
|
Baseline Characteristics
Race and Ethnicity were not collected from any participant.
Baseline characteristics by cohort
| Measure |
Ciclosporin
n=7 Participants
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Age, Continuous
|
50 years
n=7 Participants
|
|
Sex: Female, Male
Female
|
5 Participants
n=7 Participants
|
|
Sex: Female, Male
Male
|
2 Participants
n=7 Participants
|
|
Region of Enrollment
United Kingdom
|
7 participants
n=7 Participants
|
PRIMARY outcome
Timeframe: up to 12 monthsLack of objective clinical improvement after three months of therapy. Objective improvement was defined as any of the following comparing baseline measurements to 12, 24 and 48 weeks: i) one point decrease in the IPEC 1 scale (Instituto de Pesquisa Clínica Evandro Chagas), ii) \>30% improvement in 10 m timed walk, iii) visual analogue pain score reduced by \>2 points, iv) reduction of frequency or nocturia by greater than one or reduction of residual volume by more than 10% at two consecutive visits. Proof of concept study and therefore outcomes report is descriptive only. No statistical test appropriate.
Outcome measures
| Measure |
Ciclosporin
n=7 Participants
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Number of Patient With Lack of Objective Clinical Improvement
|
0 Participants
|
SECONDARY outcome
Timeframe: 0, 12 weeksChange in the time taken to walk 10 meters 0 - 12 weeks compared with baseline. A timed walk rank was created to take into account the use of walking aids. Timed walk rank was calculated by ranking the time to walk 10 meters over all patients and visits, in the following order (highest/worst score to lowest/best score): unable to walk; able to walk, but not able to complete 10 meters (ranked on distance walked and time taken); able to walk 10 meters with a bilateral aid; able to walk 10 meters with a unilateral aid; able to walk 10 meters unaided (all ranked on time taken). Decrease in score means improvement. All evaluable patients were ranked on the time taken. There is no specific range for the rank scores. Upper and lower limits vary with the number of participants evaluated
Outcome measures
| Measure |
Ciclosporin
n=7 Participants
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Change in Timed Walk Rank Between Baseline and 12 Weeks
|
-7 rank
Standard Deviation 5
|
Adverse Events
Ciclosporin
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Ciclosporin
n=7 participants at risk
48 weeks treatment with ciclosporin
ciclosporin: Ciclosporin 2.5 - 5mg/kg/day in two equally divided doses. dose adjusted according to trough ciclosporin concentration
|
|---|---|
|
Nervous system disorders
tremor
|
14.3%
1/7 • Number of events 1 • 72 weeks
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place