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.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

7 participants

Primary outcome timeframe

up to 12 months

Results posted on

2021-09-09

Participant Flow

Participant milestones

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

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

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 months

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.

Outcome measures

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 weeks

Change 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

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 events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Graham P Taylor

Imperial College London

Phone: 0207 594 3910

Results disclosure agreements

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