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Phase 1 Pilot Study of 4-MP to Treat Stargardt Macular Dystrophy

This study has been completed.

Sponsored by: University of Utah
Information provided by: University of Utah
ClinicalTrials.gov Identifier: NCT00346853
  Purpose

The purpose of this study is to investigate whether taking 4-methylpyrazole (4-MP, fomepizole, Antizol™) inhibits dark adaptation of the eye. In other words, we are testing if 4-MP slows the processing of vitamin A derivatives in the eye. By slowing down these processes, individuals with Stargardt disease may have better chances of saving their remaining vision. 4-MP has been shown to slow dark adaptation in animals, and is FDA approved for human use to treat individuals with methanol or ethylene glycol (antifreeze) poisoning by shutting down the body's ability to process alcohols. This medication has an excellent safety profile and has been reported to have no short-term or long-term side effects, as long as patients refrain from any alcohol while the medication is in the body. A single dose of 4-MP remains in the body for about 12 hours, and therefore, it may inhibit dark adaptation of your eyes for up to 12 hours. Studying the effects of 4-MP may lead to effective medical treatment to save Stargardt patients' vision, and may also have similar effects in other macular degenerative diseases.


Condition Intervention Phase
Macular Dystrophy, Corneal
Drug: 4-Methylpyrazole
Other: saline
Phase I

Genetics Home Reference related topics:   Lenz microphthalmia syndrome    oculofaciocardiodental syndrome    Peters plus syndrome   

ChemIDplus related topics:   Sodium chloride    Fomepizole   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title:   Clinical Interventions Against Stargardt Macular Dystrophy: Phase 1 Pilot Study of 4-MP as an Inhibitor of Dark Adaptation

Further study details as provided by University of Utah:

Primary Outcome Measures:
  • Dark adaptation inhibition measured 30 minutes after drug infusion using Goldman-Weeker adaptometer. [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]

Enrollment:   10
Study Start Date:   November 2005
Study Completion Date:   September 2006
Primary Completion Date:   May 2006 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental Drug: 4-Methylpyrazole
15 mg/kg dose
2: Placebo Comparator
saline
Other: saline

  Eligibility
Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • All nonpregnant, nonlactating adults with normal vision in both eyes

Exclusion Criteria:

  • Previous ocular pathologies
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00346853

Locations
United States, Utah
Moran Eye Center, University of Utah    
      Salt Lake City, Utah, United States, 84132

Sponsors and Collaborators
University of Utah

Investigators
Principal Investigator:     Paul S Bernstein, M.D., Ph.D.     University of Utah    
  More Information

Responsible Party:   Department of Ophthalmology ( Dr. Randall Olson, Chair )
Study ID Numbers:   4-MP Dark Adaptation Inhib.
First Received:   June 28, 2006
Last Updated:   July 9, 2008
ClinicalTrials.gov Identifier:   NCT00346853
Health Authority:   United States: Institutional Review Board

Keywords provided by University of Utah:
Dark adaptation inhibition  
Stargardt macular dystrophy  
4-Methylpyrazole (4-MP)  
Antizol  
Fomepizole  

Study placed in the following topic categories:
Corneal Diseases
Corneal dystrophy
Genetic Diseases, Inborn
Corneal Dystrophies, Hereditary
Eye Diseases
Fomepizole
Eye Diseases, Hereditary

Additional relevant MeSH terms:
Physiological Effects of Drugs
Protective Agents
Pharmacologic Actions
Antidotes

ClinicalTrials.gov processed this record on September 05, 2008




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