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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.
First Received: February 24, 2000   Last Updated: June 23, 2005   History of Changes
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
Ohio State University
Investigators
Study Chair: Jerry R. Mendell Ohio State University
  More Information

No publications provided

Study ID Numbers: 199/11958, OSU-92H0173
Study First Received: February 24, 2000
Last Updated: June 23, 2005
ClinicalTrials.gov Identifier: NCT00004802     History of Changes
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
Myotonic Disorders
Paralysis
Signs and Symptoms
Metabolism, Inborn Errors
Carbonic Anhydrase Inhibitors
Paralysis, Hyperkalemic Periodic
Paralyses, Familial Periodic
Muscular Diseases
Musculoskeletal Diseases
Neuromuscular Diseases
Genetic Diseases, Inborn
Mental Disorders
Neurologic Manifestations
Paramyotonia Congenita
Metabolic Disorder

Additional relevant MeSH terms:
Metabolic Diseases
Molecular Mechanisms of Pharmacological Action
Dichlorphenamide
Nervous System Diseases
Hypokalemic Periodic Paralysis
Enzyme Inhibitors
Myotonic Disorders
Metal Metabolism, Inborn Errors
Pharmacologic Actions
Paralysis
Signs and Symptoms
Metabolism, Inborn Errors
Carbonic Anhydrase Inhibitors
Paralyses, Familial Periodic
Paralysis, Hyperkalemic Periodic
Muscular Diseases
Musculoskeletal Diseases
Neuromuscular Diseases
Genetic Diseases, Inborn
Neurologic Manifestations

ClinicalTrials.gov processed this record on May 07, 2009