Histaminergic Basis of Central Fatigue in Multiple Sclerosis - A Novel Approach

CompletedPhase 1MS (type not specified)NCT03266965

What it found

No results found

We found no results in the registry or in papers.

This trial finished 6 years ago. We found no results in the registry or in any paper that cites it.

What was tested

Treatment tested

  • Carbidopa anhydrous
  • Histidine

What it measured

Main measures

  • Number of adverse events experienced by participants.

    30 days

    Safety

Other measures (6)

  • Change extent of fatigue.

    Screening(0 day), baseline(15 days) and final visit(30 days)

    Fatigue
  • Change in Quality of life.

    Screening(0 day), baseline(15 days) and final visit(30 days)

    Quality of life (reported by participants)
  • Change of fatigue impact scale.

    Screening(0 day), baseline(15 days) and final visit(30 days)

    Thinking and memoryFatigueSafety
  • Change of visual pain.

    Screening(0 day), baseline(15 days) and final visit(30 days)

    Pain
  • Change of daytime sleepiness.

    Screening(0 day), baseline(15 days) and final visit(30 days)

    Mood and sleep
  • Change of hunger sensitivity.

    Screening(0 day), baseline(15 days) and final visit(30 days)

Who could take part

MS (type not specified) · 18 to 60

Show the full criteria

Inclusion criteria

Inclusion Criteria for Healthy Volunteers: 1. Male or female subjects between the ages of 18 and 60 will be eligible. 2. Subjects should be in good physical health without history of chronic illness and should be generally considered healthy. 3. Spouses or caregivers of patients with MS would be encouraged to participate. Inclusion Criteria for Patients with Multiple Sclerosis (MS): 1. Patients with MS regardless of the disease type, who experience severe fatigue will be eligible to participate. 2. Fatigue Severity Score of >/= 4.0 will qualify as long as all other inclusion / exclusion criteria are met. 3. Established MS by McDonald Criteria - 2010 Revision (24). Relapse Remitting (RR) and progressive forms of MS are eligible 4. Severe fatigue that has lasted greater than 6 months 5. Clinically stable on a current therapy with any Disease Modifying Therapy (DMT) Exclusion Criteria for Healthy Volunteers: 1. Adults unable to give informed consent due to cognitive impairment or mental disorders. 2. Children below the age of consent 3. Pregnant women 4. Prisoners 5. History of chronic disorders like hypertension, diabetes, hyperlipidemia, depression, hypothyroidism etc. that require chronic treatment 6. Known chronic fatigue syndrome 7. Blood disorders or coagulopathy 8. Chronic allergies or history of asthma. 9. Using antihistamines, bronchodilators or H2 blockers for hyperacidity 10. Using medications for sleep, or known sleep disorders 11. Any medication or condition deemed unsuitable by the PI Exclusion Criteria for Patients with Multiple Sclerosis (MS): 1. Adults unable to give informed consent due to cognitive impairment or mental disorders. 2. Children below the age of consent 3. Pregnant women 4. Prisoners 5. Systemic disorders known to cause fatigue such as severe anemia, infections, chronic systemic infectious or inflammatory disorders, including known autoimmune disorders. 6. Chronic fatigue syndrome 7. Hypothyroidism 8. Systemic malignancy 9. Undergoing chemotherapy 10. Depression 11. Sleep disorders including narcolepsy, excessive day-time sleep. 12. History of substance abuse 13. Excessive consumption of coffee or over-the-counter stimulants 14. Concomitant medications of amantadine, methylphenidate, amphetamines, pemoline, barbiturates, tizanidine, Monoamine oxidase inhibitor (MAO) inhibitors, benzodiazepines, barbiturates, tricyclic antidepressants, antihistamines, H2 blockers for gastro-esophageal reflux disease (GERD), selective serotonin reuptake inhibitors (SSRIs) and any other medication that in the opinion of the PI should be excluded. 15. Patients who were using modafinil for treatment of fatigues prior to the study may participate but will be required to undergo a washout of 2 weeks prior to entry into the trial.

Exclusion criteria

Not separately supplied in the registry.

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

The histaminergic system is phylogenetically one of the oldest parts of the nervous system but it is a relatively recent discovery. It is involved with several vegetative functions like sleep, attention and learning, feeding and satiety, working memory, cognition, depression, and most of all arousal and energy

Papers

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    History

      1. Started

        Mar 2018

      2. Main results due

        Aug 2020

      3. Finished

        Aug 2020

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