Early Stage Amyotrophic Lateral Sclerosis Phrenic Stimulation
NCT01583088 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 74
Last updated 2015-12-22
Summary
ALS is is characterized by a progressive degeneration of motor neurons, leading to progressive weakness of muscles, including respiratory muscles, the diaphragm. Although specific therapy is lacking, correct respiratory therapy improves quality of life and increases survival. Substituting the failing respiratory muscles by non invasive mechanical ventilatory assistance (NIV) is the current standard of care. Intradiaphragmatic phrenic nerve stimulation is a new treatment and has been the object of a preliminary international proof-of-concept multicenter trial. This trial suggests that the intradiaphragmatic phrenic nerve stimulation slows down the rate of decline of the diaphragm. Our new hypothesis is that phrenic stimulation induces diaphragm conditioning and can delay the need for mechanical ventilation in ALS patients. We will study, during 24 months, 2 groups of 37 patients at the beginning of the respiratory dysfunction, using a intradiaphragmatic phrenic nerve stimulation in one group and a sham stimulation in the other group. Although, all the patients will be implanted, thus, at the end of the study, all the patients will receive effective stimulation.
Conditions
- Amyotrophic Lateral Sclerosis
- Respiratory Insufficiency
Interventions
- DEVICE
-
phenique nerve stimulation NeurX™ (Synapse Biomedical)
phenique nerve stimulation NeurX™ (Synapse Biomedical)
- DEVICE
-
sham phrenic nerve stimulation
sham phenic nerve stimulation
Sponsors & Collaborators
-
ARSla (Association pour la recherche sur la SLA)
collaborator UNKNOWN -
Fondation Thierry Latran
collaborator UNKNOWN -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Gonzalez-Bermejo Jesus, Md, PhD · APHP
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-09-30
- Primary Completion
- 2015-11-30
- Completion
- 2015-11-30
Countries
- France
Study Locations
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