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HomeResearch   Participate in Research Studies   Participate in a Clinical Trial

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Participate in a Clinical Trial

Without the participation of people with MS, it would be impossible to develop new and better therapies and other interventions.

Clinical Trial Finder

Search Results

Amantadine and Transcranial Magnetic Stimulation for Treating Fatigue in Multiple Sclerosis

Study Purpose

Multiple Sclerosis (MS) is the most frequent cause of non-traumatic disability in people under 55 years of age. Fatigue is the most frequent and disabling symptom in the disease, and for which there is no effective treatment. Among the proposed drugs, amantadine is the one that could be most useful, although up to now it has not been adequately demonstrated due to a lack of sufficiently powerful and methodologically appropriate clinical trials. Transcranial magnetic stimulation (TMS) has recently been proposed as a useful treatment for fatigue in MS in preliminary studies.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Expanded Disability Status Scale mark 1.5
  • - 4.5.
2. Fatigue Severity Scale > 4. 3. Beck Depression Inventory < 30. 4. No relapse for, at least, three month prior to screening. 5. Drug washout period = 4 weeks for any fatigue aimed drug. 6. Patient capable to sign the informed consent.

Exclusion Criteria:

1. Fatigue causing disease other than multiple sclerosis: 1. sleep apnea. 2. other autoimmune disease that could be explain the fatigue. 3. endocrine autoimmune disease if the blood test is not in range in the last 6 month. 4. patient with diagnosis of chronic fatigue. 5. Patient with high blood pressure out of range or decompensated heart failure or New York Heart Association (NYHA) 3-4. 2. Secondary Epilepsy or neuropathic chronic pain which requires continuous treatment. 3. Contraindication for trial treatment: 1. Some kind of magnetic metal. 2. Epilepsy antecedents. 3. Any drugs that could decrease the seizure threshold. 4. Amantadine sensitivity. 5. Cardiopathy disease, severe kidney failure, Angle-closure glaucoma. 4. Breastfeeding, pregnancy, or pregnancy planning phase in the next year. Of childbearing potential and willing to use an acceptable method of contraception during the study period. 5. Patient with a terminal disease with no more than one year life expectancy. 6. Patient has been treated for a maligned disease in the past three years. 7. A scheduled surgery in the course of the trials. 8. Any condition that a member of research team consider could affect to participation/follow up patient. 9. Alcoholic o toxics condition in the last year. 10. Major mental disorders. 11. Poor communication skills or poor cognitive condition. 12. Other trial participation in the previous 4 month. 13. Use a chronic drug that could interfere in the clinical outcome.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05809414
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Hospital San Carlos, Madrid
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Jorge Matias-Guiu Guia, MD PhD
Principal Investigator Affiliation Hospital San Carlos, Madrid
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Spain
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Multiple Sclerosis, Fatigue
Additional Details

Multiple Sclerosis (MS) is the most frequent cause of non-traumatic disability in people under 55 years of age. Fatigue is the most frequent and disabling symptom in the disease, and for which there is no effective treatment. Among the proposed drugs, amantadine is the one that could be most useful, although up to now it has not been adequately demonstrated due to a lack of sufficiently powerful and methodologically appropriate clinical trials. Transcranial magnetic stimulation (TMS) has recently been proposed as a useful treatment for fatigue in MS in preliminary studies. The main objective of the study is to evaluate the change in the severity of fatigue in MS patients undergoing treatment with amantadine, TMS and both in combination, compared to placebo. A randomized, placebo-controlled, crossover, double-blind clinical trial will be conducted. As secondary objectives, changes in cognition, depression and quality of life will be evaluated. For all this, the reference scales adequately validated for each of the objectives will be used.

Arms & Interventions

Arms

Experimental: Amantadine

Placebo Comparator: Placebo

Experimental: TMS

Sham Comparator: TMS sham

Interventions

Device: - Transcranial Magnetic Stimulation

TMS is a technique for electrical stimulation of brain tissue by generating a magnetic field, which modulates neural activity at the stimulation site and in interconnected neural networks. The treatment will be applied to the left dorsolateral prefrontal region. Each patient will receive 3 sessions per week of approximately 10 minutes for 6 weeks. In the case of TMS sham, a placebo coil will be used, which is indistinguishable from the therapeutic one. In addition, the sessions will be carried out with the same frequency, so the patient will be unaware of the treatment they are receiving.

Drug: - Amantadine Hydrochloride 100 mg (milligrams) Oral Capsule

It will be used at a dose of 100 mg, 1 capsule a day for 1 week, followed by 2 daily doses of 100 mg until completing 6 weeks in total. After completing the treatment phase, the dose will be de-escalated (1 capsule a day for 5 days and discontinued). In the case of placebo amantadine capsules, they will have the same organoleptic characteristics as amantadine. The start, maintenance and de-escalation pattern will be identical.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Hospital Puerta del Mar, Cadiz, Spain

Status

Recruiting

Address

Hospital Puerta del Mar

Cadiz, , 11009

Site Contact

Lucía Forero Díaz, MD PhD

[email protected]

+34 913303000

Hospital General Gregorio Marañon, Madrid, Spain

Status

Recruiting

Address

Hospital General Gregorio Marañon

Madrid, , 28007

Site Contact

María Luisa Martínez Ginés, MD PhD

[email protected]

+34 913303000

Hospital Clínico San Carlos, Madrid, Spain

Status

Recruiting

Address

Hospital Clínico San Carlos

Madrid, , 28040

Site Contact

Jorge Matias-Guiu Guia, MD PhD

[email protected]

+34 913303000

Santa Cruz De Tenerife, Spain

Status

Recruiting

Address

Hospitalario Universitario Nuestra Señora de la Candelaria

Santa Cruz De Tenerife, , 38010

Site Contact

Miguel Ángel Hernández Pérez, MD PhD

[email protected]

+34 913303000

Resources

Clinical Trials in MS


The latest clinical research in MS, including trials funded by the Society and trials in progressive MS.

Read more

Read more

NARCOMS Patient Registry

Register as a willing MS research participant to facilitate multicenter studies. Initiated by the Consortium of MS Centers.

Visit NARCOMS

Visit NARCOMS

Posting a Trial

If you would like us to post a study on these pages, please email [email protected] to find out what information you need to submit for review.

Powered By

The content provided on clinical trials is for informational purposes only and is not a substitute for medical consultation with your healthcare provider. We do not recommend or endorse any specific study and you are advised to discuss the information shown with your healthcare provider. While we believe the information presented on this website to be accurate at the time of writing, we do not guarantee that its contents are correct, complete, or applicable to any particular individual situation. We strongly encourage individuals to seek out appropriate medical advice and treatment from their physicians. We cannot guarantee the availability of any clinical trial listed and will not be responsible if you are considered ineligible to participate in a given clinical trial. We are also not liable for any injury arising as a result of participation.

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