Multiple Sclerosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be eligible to participate in this study, candidates must meet the following eligibility criteria: 1.aged > 18 years and =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Candidates will be excluded from study entry if any of the following exclusion criteria are met at the screening visit or at any time during the screening period: 1. Presence of gait or walking disability not attributed to MS 2. EDSS score > 6.0 3. Relapse or steroid treatment within the last 4 weeks before inclusion 4. Any history of seizure, epilepsy or other convulsive disorder with the exception of febrile seizures in childhood. 5. Mild, moderate or severe renal impairment 6. Contraindication to Motor Evoked Potentials 7. Incapacity to walk on a treadmill at a comfortable speed during at least 3 minutes 8. Concurrent treatment with other medicinal products containing 4-aminopyridine 9. Concomitant use of medicinal products that are inhibitors of Organic Cation Transporter 2 (OCT2) for example, cimetidine. 10. Breastfeeding or pregnant female subjects or subjects who are considering becoming pregnant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of the study is to assess the effect of treatment with prolonged-release fampridine 10 mg twice, on the quantified gait analysis parameters (kinematics, dynamics, mechanical work).;Secondary Objective: The secondary objectives of this study are the followings: -quantified gait analysis by electromyographic activity and energy cost -clinical efficacy on strength, spasticity, walking tests, subjective self assessed walking functional parameters, quality of life, and fatigue -amplitude and latency of motor evoked potentials;Primary end point(s): Change from baseline in the quantified gait analysis kinematic, dynamic and mechanical work parameters;Timepoint(s) of evaluation of this end point: Each patient will be randomized, after inclusion, in group 1 or 2. Group 1 will receive the treatment during 6 weeks, then have a period of 2 weeks of wash-out, and after this be treated with placebo for 6 weeks. Group 2 will receive the placebo first for 6 weeks, be washed-out for 2 weeks, and then have the IMP for 6 weeks. Each patient will thus be evaluated 4 times, before and at the end of each period of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: Each patient will thus be evaluated 4 times, before and at the end of each period of treatment. These evaluations will be coupled with the primary endpoint evaluations.;Secondary end point(s): -comparison of change after treatment, of quantified parameters of electromyography and energy cost an gait analysis -comparison of clinical parameters (spasticity, strength, muscular stiffness, walking tests) and subjectives scores (MSWS-12, Borg scale, quality of life, fatigue) -comparison of motor evoked potentials parameters | — |
Countries
Belgium
Contacts
Cliniques Universitaires Saint-Luc, Neurologie