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Cross-over comparison of gabapentin and memantine as treatment for acquired nystagmus

Comparison of gabapentin and memantine as treatment for acquired nystagmus: a double-blind cross-over study with each patient serving as their own control

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN57618066
Enrollment
10
Registered
2009-09-01
Start date
2004-06-22
Completion date
Unknown
Last updated
2019-09-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nystagmus Eye Diseases Nystagmus and other irregular eye movements

Interventions

Gabapentin will be given at a starting dose of 1 capsule (300 mg) per day for 3 days
then 1 capsule twice per day for 3 days
then 1 capsule three times per day for 3 days, and finally 1 capsule four times per day (total = 1200 mg/day) for the final remaining 5 days. The final evaluation of vision and eye movements will be m
then 1 capsule three times per day for 3 days, and finally 1 capsule four times per day (total = 40 mg/day) for the final remaining 5 days. The final evaluation of vision and eye movements will be mad

Sponsors

National Eye Institute/National Institutes of Health (USA)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with acquired nystagmus due to multiple sclerosis, stroke (brain stem) or cerebellar disease (such as Chiari malformation) 2. Medically stable 3. Able to give informed consent 4. Can understand and cooperate with the testing 5. Aged 18 years or older, both sexes

Exclusion criteria

Exclusion criteria: 1. Not able to understand or follow the instructions of each protocol 2. Too frail to sit in the vestibular chair during testing for the required period 3. Judged to be at risk for falls (many patients with poor balance adjust to this, and are not at risk of falls) 4. History of mental illness or confusion 5. Known to have an allergy to gabapentin or memantine 6. Pregnant, since the safety of memantine in pregnancy is unknown

Design outcomes

Primary

MeasureTime frame
1. Visual acuity of each eye, measured at far or near prior to, and on the final day of, treatment with each drug 2. Median eye speed, measured with the magnetic search coil technique, prior to, and on the final day of, treatment with each drug Measured at the end of 14 days on each medicine.

Secondary

MeasureTime frame
The patient's overall assessment of whether either drug improves their vision and is generally well tolerated, measured at the end of 14 days on each medicine.

Countries

United States of America

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026