Prevention of Imminent Paralysis Following Spinal Cord Trauma or Ischemia by Minocycline: A Multi-center Study in Israel With IDF Primary Care Involvement
1 other identifier
interventional
444
1 country
1
Brief Summary
Spinal cord trauma and the consequent paraplegia are possibly among the most devastating injuries in soldiers and during spine surgery, and are significant in the medical, social and financial aspects. Limited mobility, the need for assistance in all human activities, shame, and many medical complications related directly to the neural deficits make paraplegia an important target for prevention. Our study will evaluate the efficacy of Minocycline in two different groups:
- 1.Minimizing the neurological damage among trauma patients.
- 2.Preventing neurological damage through operation in spinal tumors patients.
- 3.Efficacy of administrating minocycline in minimizing the neurological damage among acute spinal cord injury patients and spinal cord tumors (primary and metastases) patients?
- 4.Efficacy of administrating minocycline at changing the natural history and rehabilitation of spinal cord trauma patients.
- 5.Safety of applying minocycline in spinal cord injuries patients and spinal cord tumors?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 11, 2013
CompletedFirst Posted
Study publicly available on registry
March 18, 2013
CompletedStudy Start
First participant enrolled
May 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedMarch 18, 2013
March 1, 2013
1.9 years
March 11, 2013
March 15, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Efficacy of administrating minocycline in minimizing the neurological damage among acute spinal cord injury patients and spinal cord tumors (primary and metastases) patients
The Efficacy will be evaluated using the following measures: 1. ASIA SCORE - We will compare the results before administrating the study medication and after six months of follow up. The ASIA score will be the Primary Efficacy Endpoint. 2. The Spinal Cord Independence Measure and Functional Independence Measure outcome scales. 3. Objective reduction in lesion size by imaging modalities
six months
Secondary Outcomes (2)
Efficacy of administrating minocycline at changing the natural history and rehabilitation of spinal cord trauma patients.
six months
Safety of applying minocycline in spinal cord injuries patients and spinal cord tumors?
six months
Study Arms (4)
Minocycline, Spinal Tumor patients, quality of life
EXPERIMENTALMinocycline, Trauma patuents, quality of life
EXPERIMENTALPlacebo, Trauma patients, quality of life
PLACEBO COMPARATORPlacebo, Spinal cord tumors, quality of life
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Trauma patients with incomplete spinal cord syndromes related to fractures, dislocations, blunt trauma (central cord syndrome).
- Patients with incomplete spinal cord syndromes related to fractures, dislocations, blunt trauma (central cord syndrome).
- Ages: 18 to 65
- Males - including those involved in active military duty.
- Females - of child-bearing potential who have a negative pregnancy test (hCG urine) within 72 hours of informed consent. Pregnant women will be excluded from the study.
You may not qualify if:
- Complete cord transection, severe head injury, coma, or other disease of the CNS, and spinal injury diagnosed later than 24 hours.
- Pregnant women (minocycline can cause fetal harm) and children.
- Spinal tumors:
- \. Intrathecal extramedullary tumors, vertebral metastases or primary vertebral tumors causing cord compression with or without incomplete cord syndrome.
- Intramedullary tumors or tumors causing complete cord syndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hadassah Medical Organization
Jerusalem, Israel
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Anesthesia, Director, Orthopedic Anesthesia,
Study Record Dates
First Submitted
March 11, 2013
First Posted
March 18, 2013
Study Start
May 1, 2013
Primary Completion
April 1, 2015
Last Updated
March 18, 2013
Record last verified: 2013-03