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Phase 4 N=21 Randomized Quadruple-blind Treatment

Memantine for Spasticity in MS Patients

Multiple Sclerosis

Enrolled (actual)
21
Serious AEs
0.0%
Results posted
Dec 2015
Primary outcome: Primary: Difference in Ashworth Spasticity Scale Score Between Baseline and 12 Weeks — -1.55; -1.00 units on a scale

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
placebo (Drug); memantine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Rochester
Primary completion
Feb 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Difference in Ashworth Spasticity Scale Score Between Baseline and 12 Weeks
-1.55; -1.00
SECONDARY
Difference in the Multiple Sclerosis Spacticy Scale (MSSS-88) Between Baseline and 12 Weeks
-5.55; -3.33
SECONDARY
Change in Multiple Sclerosis Functional Composite (MSFC) Score Between Baseline and Week 12
0.02; -0.04

Summary

Participants (n=20) will be identified at routine care visits performed at the Rochester Multiple Sclerosis Center. Eligible participants will have MS by McDonald Criteria,7 and will have a modified Ashworth spasticity rating8 of two or higher in at least one lower extremity muscle group. Participants will be seen at screening, one, and three months, and will be evaluated using the modified Ashworth scale,8 pendulum test,9 toe tapping test,10 manual muscle testing,11 timed 25 foot walk,12 and Multiple Sclerosis Functional Composite.13 The type and severity of any adverse events will be recorded using standard definitions. Participants will be instructed to call between visits to inform the investigators regarding any adverse events they experience. Follow-up will continue until all adverse events resolve or stabilize.

Eligibility Criteria

Inclusion Criteria

  • Multiple sclerosis by McDonald Criteria.
  • Spasticity. A minimum score of two on the Ashworth spasticity scale in at least one lower extremity muscle group and a total score of at least four in the lower extremity muscles tested.
  • Age 18-70.
  • Normal renal function (estimated CrCl > 50 ml/min).
  • Women of childbearing potential (i.e., those not postmenopausal or surgically sterile) may participate provided that they are using adequate birth control methods (including barrier methods, IUD, and oral contraceptives) for the duration of the study.
  • Willing and able to perform all procedures related to the clinical trial and to provide informed consent.

Exclusion Criteria

  • Evidence of clinically significant thyroid, gastrointestinal, cardiovascular, hepatic, renal, hematologic, respiratory, neoplastic, endocrine (including diabetes mellitus), neurologic (other than MS), or other medical or psychiatric disorder at screening.
  • Women must not be pregnant or lactating. Serum or urine pregnancy tests will be required prior to randomization for women of childbearing potential unless the last menstrual period started less than 28 days prior to randomization.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00638027). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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