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Phase III Randomized, Double-Blind, Placebo-Controlled Study of Dichlorphenamide for Periodic Paralyses and Associated Sodium Channel Disorders

This study has been completed.

Sponsors and Collaborators: National Center for Research Resources (NCRR)
Ohio State University
Information provided by: Office of Rare Diseases (ORD)
ClinicalTrials.gov Identifier: NCT00004802
  Purpose

OBJECTIVES:

I. Assess the efficacy of dichlorphenamide in the treatment of episodic weakness attacks in patients with hyperkalemic periodic paralysis, paramyotonia congenita with periodic paralysis, and hypokalemic periodic paralysis.


Condition Intervention Phase
Paralysis, Hyperkalemic Periodic
Hypokalemic Periodic Paralysis
Paramyotonia Congenita
Drug: dichlorphenamide
Phase III

Genetics Home Reference related topics:   hyperkalemic periodic paralysis    hypokalemic periodic paralysis    paramyotonia congenita    potassium-aggravated myotonia   

MedlinePlus related topics:   Paralysis   

Drug Information available for:   Dichlorphenamide   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double-Blind, Placebo Control

Further study details as provided by Office of Rare Diseases (ORD):

Estimated Enrollment:   64
Study Start Date:   June 1992

Detailed Description:

PROTOCOL OUTLINE: This is a randomized, double-blind study. Patients are stratified by participating institution and diagnosis.

The weekly attack rate is determined during an 8-week assessment prior to therapy initiation and at crossover.

Patients are randomly assigned to oral dichlorphenamide (DCP) or placebo for 9 weeks and then cross to the alternate treatment. Patients on DCP at baseline continue on the same dose; those on acetazolamide (ACZ) at baseline receive a DCP dose equivalent to one fifth of the ACZ dose.

  Eligibility
Ages Eligible for Study:   10 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

Hypokalemic periodic paralysis Typical clinical profile Normal serum thyroxine Hypokalemia during spontaneous or glucose-induced paralytic attack in subject or affected family member

Periodic paralysis associated with sodium channel 17q alpha-subunit, e.g.:

  • Hyperkalemic periodic paralysis with or without myotonia
  • Paramyotonia congenita with periodic paralysis

Distinct, regular episodes of weakness at least once a week and no more than 3 times a day

No history of worsening symptoms with carbonic anhydrase inhibitor

No history of life-threatening weakness episodes prior to treatment

No atypical periodic paralysis without demonstrable 17q alpha-subunit defect

--Prior/Concurrent Therapy--

No requirement for the following agents, unless for periodic paralysis:

  • Diuretics
  • Antiepileptics
  • Antiarrhythmics
  • Magnesium supplements
  • Steroids
  • Calcium supplements
  • Beta-blockers
  • Potassium supplements
  • Calcium channel blockers

--Patient Characteristics--

Hepatic: No hepatic disease

Renal:

  • No renal failure
  • No nephrolithiasis

Cardiovascular:

  • No heart disease
  • No cardiac arrhythmia

Pulmonary: No restrictive or obstructive lung disease

Other:

  • No active thyroid disease
  • No pregnant women
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00004802

Sponsors and Collaborators

Investigators
Study Chair:     Jerry R. Mendell     Ohio State University    
  More Information


Study ID Numbers:   199/11958, OSU-92H0173
First Received:   February 24, 2000
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00004802
Health Authority:   United States: Federal Government

Keywords provided by Office of Rare Diseases (ORD):
neurologic and psychiatric disorders  
periodic paralysis  
rare disease  

Study placed in the following topic categories:
Metabolic Diseases
Dichlorphenamide
Hypokalemic Periodic Paralysis
Rare Diseases
Paramyotonia congenita
Myotonic Disorders
Hypokalemic periodic paralysis
Paralysis
Signs and Symptoms
Metabolism, Inborn Errors
Paralysis, Hyperkalemic Periodic
Muscular Diseases
Musculoskeletal Diseases
Neuromuscular Diseases
Genetic Diseases, Inborn
Mental Disorders
Neurologic Manifestations
Metabolic disorder

Additional relevant MeSH terms:
Carbonic Anhydrase Inhibitors
Paralyses, Familial Periodic
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Enzyme Inhibitors
Metal Metabolism, Inborn Errors
Pharmacologic Actions

ClinicalTrials.gov processed this record on December 03, 2008




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