E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Esclerosis Lateral Amiotrofica Amyotrophic lateral Sclerosis |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002026 |
E.1.2 | Term | Amyotrophic lateral sclerosis |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluar la eficacia de la memantina en la progresión de la discapacidad en la esclerosis lateral amiotrófica To asess the efficacy of memantine in the progression of discapacity in amyotrophic lateral sclerosis |
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E.2.2 | Secondary objectives of the trial |
Evaluar la seguridad de la memantina en los pacientes con Esclerosis Lateral Amiotrófica To evaluate the safety of Memantine in patients with Amyotrophic Lateral Sclerosis |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Hombre /mujer adulto (rango 18-75 años de edad); 2. Paciente con diagnóstico probable o definitivo de Esclerosis Lateral Amiotrófica (Brooks BR, Miller RG, Swash M, Munsat TL; World Federation of Neurology Research Group on Motor Neuron Diseases. El Escorial revisited: revised criteria for the diagnosis of amyotrophic lateral sclerosis. Amyotroph Lateral Scler Other Motor Neuron Disord. 2000 Dec; 1(5):293-9) 3. Paciente con una evolución de la enfermedad inferior a 36 meses (rango 0 a 36) 4. Escala de Puntuación Funcional de 20 a 35 puntos (rango: 0-40) 5. El paciente deberá haber sido tratado con medicación para la ELA (riluzol) durante al menos 1 mes antes del estudio 6. Riluzol será el único fármaco permitido en combinación
• . Male/female adults (range 18-75 years old);
2. Subjects with diagnosis of probable or definite Amyotrophic Lateral Sclerosis (Brooks BR, Miller RG, Swash M, Munsat TL; World Federation of Neurology Research Group on Motor Neuron Diseases. El Escorial revisited: revised criteria for the diagnosis of amyotrophic lateral sclerosis. Amyotroph Lateral Scler Other Motor Neuron Disord. 2000 Dec; 1(5):293-9)
3. Subjects with a disease evolution of less than 36 months (range 0 to 36);
4. Functional Rating Scale between 20 and 35 points (range: 0-40)
5. Patients will have to be on ALS medication (riluzole) for at least 1 month before the study.
6. Riluzole will be the only drug allowed in combination
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E.4 | Principal exclusion criteria |
1. Signos de bloqueo de la conducción de nervios motores, nervios sensoriales o ambos, en la electromiografía; 2. Otra enfermedad neurológica; 3. Signos de demencia (Estado Mini Mental inferior a 27); 4. Paraproteinemia en la inmunoelectroforesis; disfunción tiroidea,diabetes; 5. Para mejorar la detección de las variables de valoración, se excluirá al paciente si han transcurrido más de 36 meses desde el inicio de los primeros síntomas, si presenta otras enfermedades incapacitantes o de riesgo vital, si presenta una capacidad vital forzada del 60 por ciento o menos del valor esperado, si ha sido sometido a traqueotomía o si presenta una disfunción hepática o renal severa; 6. Embarazo 7. Incapacidad para otorgar el consentimiento informado escrito (con la asistencia del cónyuge si es necesario
Signs of conduction blocks of motor nerves, sensory nerves, or both on electromyography; 2. Other neurological disease; 3. Signs of dementia (Mini Mental State less than 27); 4. Paraproteinemia on immunoelectrophoresis; Thyroid malfunction, Diabetes 5. To improve the detection of outcomes, patients will be excluded if more than 36 months had elapsed since the onset of their first symptoms, if they have other incapacitating or life-threatening diseases, if they have a forced vital capacity of 60 percent of the expected value or less, if they have undergone tracheotomy, or if they have severe hepatic or renal dysfunction; 6. Pregnancy;
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E.5 End points |
E.5.1 | Primary end point(s) |
Incapacidad Funcional El investigador del estudio (investigador enmascarado) evaluará el estado funcional del paciente en todas las visitas de seguimiento (selección, basal, 1, 3, 6, 9 y 12 meses) a través de la Escala de Puntuación Funcional de 40 puntos que tiene una elevada fiabilidad inter-calificadores. Se trata de una calificación de cuatro ítems que incluye puntuaciones de la función de las extremidades, función bulbar, resultados de la exploración física y síntomas comunicados por el paciente.
Functional Disability.
Functional status will be assessed by a study investigator (blinded investigator) at all follow-up visits (screening, baseline, 1, 3, 6, 9 and 12 months) with the use of the 40-point Functional Rating Scale that has a high interrater reliability. This is a four-point rating that includes scores for limb function, bulbar function, the results of clinical examination, and symptoms reported by the patient.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
add on with riluzole in both sides |
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E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 2 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Dos años desde el inicio Two years from the begginning |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |