Amiloride Hydrochlorothiazide as Treatment of Acute Inflammation of the Optic Nerve
A Randomized, Placebo-Controlled, Double-Blind, Phase IIa Study of Amiloride in the Treatment of Acute Autoimmune Optic Neuritis
2 other identifiers
interventional
78
1 country
1
Brief Summary
Following acute inflammation of the optic nerve region, as commonly seen in multiple sclerosis patients, the optic nerve often undergoes atrophy, thus representing permanent damage. Data from animal studies suggest that amiloride may prevent this process. The aim of this study is to assess a potential neuroprotective effect of amiloride in acute autoimmune inflammation of the optic nerve region.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2014
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
June 13, 2013
CompletedFirst Posted
Study publicly available on registry
June 18, 2013
CompletedStudy Start
First participant enrolled
March 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedMay 12, 2015
May 1, 2015
2.1 years
June 13, 2013
May 8, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Change in thickness of retinal nerve fiber layer (RNFL)
Baseline versus follow-up at 24 weeks
Study Arms (2)
Amiloride hydrochlorothiazide
ACTIVE COMPARATOR5,68 mg Amiloridhydrochloride 2H20 (analogue 4,32 mg Amilorid) und 50 mg Hydrochlorothiazid. Trade name of the agent: Amilostad HCT 5/50mg tablets Manufacturer: Stada initial dose: 1 x 5/50mg once daily target dose: 2 x 5/50mg once daily Patients will be provided with capsules (size 00) containing one tablet of study medication and instructed to take these capsules once daily in the morning together with breakfast. Visit 2 will be scheduled one week after baseline and at visit 2 patients will be provided with capsules containing two tablets of study medication
Sugar pill
PLACEBO COMPARATORPatients will be provided with capsules (size 00) containing sugar and instructed to take these capsules once daily in the morning together with breakfast.
Interventions
Blinding will be done by over-encapsulating amiloride HCT tablets and providing corresponding placebo capsules.Patients will be provided with capsules (size 00) containing one tablet of study medication (Amilostad HCT 5/50mg tablet or placebo) and instructed to take these capsules once daily in the morning together with breakfast. Visit 2 will be scheduled one week after baseline and at visit 2 patients will be provided with capsules containing two tablets of study medication. This maintenance dose will not be changed throughout the remaining study period. Placebo will be administered in the exact same manner.
Eligibility Criteria
You may not qualify if:
- Known allergy or hypersensitivity to amilostad HCT or any of its ingredients
- Known allergy or hypersensitivity to other sulphonamide-derived drugs
- Impaired renal function or any known renal disease
- Intake of other potassium-conserving diuretics
- Intake of potassium supplements or a special potassium rich diet
- Intake of spironolactone or triamterene
- Moderate to severe hepatic failure
- Morbus Addison
- Known hypercalcaemia
- Intake of lithium therapy
- Blood urea \> 10mmol/l
- Diabetes mellitus
- History of ON or any other ocular disease (affected as well as unaffected eye)
- Pregnancy or lactation period
- Use of any immunomodulatory or immunosuppressive agents anytime in the past
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Medical University of Vienna, Department of Neurology
Vienna, Vienna, 1090, Austria
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fritz Leutmezer, MD
Medical University of Vienna
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
June 13, 2013
First Posted
June 18, 2013
Study Start
March 1, 2014
Primary Completion
April 1, 2016
Study Completion
April 1, 2016
Last Updated
May 12, 2015
Record last verified: 2015-05