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a randomized controlled trial of combined Mecasin and riluzole treatment in patients with amyotrophic lateral sclerosis

Efficacy and safety of Mecasin for treatment of Amyotrophic Lateral Sclerosis: a phase IIa multicenter randomized double-blinded placebo-controlled trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
CRIS
Registry ID
KCT0008385
Enrollment
50
Registered
2023-04-26
Start date
2018-12-11
Completion date
Unknown
Last updated
2023-05-02

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

Conditions

None listed

Interventions

Drug : To evaluate the efficacy of Mecasin to improve ALS symptoms in ALS patients, it was administered for 24 weeks in patients undergoing ALS, and the ALS symptom score (K-ALSFRS-R) at 24 weeks afte

Sponsors

Wonkwang University, Gwangju Medical Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: (1) men and women between the ages of 20 and 80; (2) diagnosis of ALS(Amyotrophic Lateral Sclerosis) based on EMG(Electromyography) findings after comprehensive examinations including EMG(Electromyography), MRI(magnetic resonance imageing), biopsy, CSF(cerebrospinal fluid) tests, blood tests, urine tests, and genetic tests at either a university or general hospital; (3) probable diagnosis of ALS(Amyotrophic Lateral Sclerosis); (4) ALSFRS(Amyotrophic Lateral Sclerosis Functional Rating Scale) score greater than 20; (5) ability to communicate in cases of ALS with frontal lobe dementia; (6) ability to walk in cases of ALS with Parkinson’s disease; (7) treatment with 100 mg riluzole up to 3 months prior to screening; (8) ability to visit the hospital alone or with the assistance of a caregiver; and (9) ability to provide voluntary, written informed consent.

Exclusion criteria

Exclusion criteria: (1) patients with ≤30% forced vital capacity; 2) patients with severe mental disorders or dementia with communication difficulties; (3) patients with cardiovascular disease including ischemic heart disease; (4) patients with hepatic diseases such as hepatic cirrhosis, hepatic cancer, and active hepatitis, or AST/ALT(aspartateaminotransferase/alanine aminotransaminase) greater than three times the upper normal limit; (5) patients with cholecystitis or biliary obstruction; (6) patients with renal failure or undergoing renal dialysis; (7) patients who have had liver or kidney transplants; (8) patients with interstitial lung disease as observed on chest x-ray; (9) patients who have experienced post-operative complications; (10) patients with a history of hypersensitivity to any component of the experimental medication or similar class of medication; (11) patients with genetic disorders (Kennedy’s disease, SMA4(Spinal muscular atrophy type IV)) or diagnosis of motor neuron disease due to heavy metal poisoning; (12) patients who have received other experimental medication/procedures within four weeks of participating in this trial; (13) pregnant women, lactating women, and women of childbearing age who plan on becoming pregnant (i.e., no hysterectomy, bilateral tubal ligation, or bilateral oophorectomy within 2 years of menopause) who do not agree to use medically appropriate contraceptives (oral medication, hormone implants, intrauterine devices, condoms, or spermicides) or men who do not agree to use appropriate contraceptives with female partners; (14) patients with PLS(primary lateral sclerosis) experiencing only upper motor neuron symptoms or PMA(progressive muscular atrophy) experiencing only lower motor neuron symptoms; (15) patients with bleeding diathesis; (16) patients with malignant tumors; (17) patients who have undergone mechanical ventilation or tracheostomy and PEG(percutaneous endoscopic gastrostomy); (18) patients with active viral infections (Hbs Ag, HCV(hepatitis C virus) Ab, HIV(human immunodeficiency virus) Ab, CMV(Cytomegalovirus) lgM, EBV(Epstein-Barr Virus) lgM, HSV(Herpes Simplex Virus) lgM, VDRL(Venereal Disease Research Laboratory)); and (19) patients who have been determined inappropriate to participate in clinical trials by a clinical examiner.

Design outcomes

Primary

MeasureTime frame
Changes in K-ALSFRS-R score after 24 weeks of treatment

Secondary

MeasureTime frame
Changes in scores of physical function and pain assessment (SF8, MRC, Pain VAS, etc.);Changes in Depression and Fatigue Test (HRSD, FS) scores;Changes in clinical subject satisfaction (PGIC);Weight;a lung capacity test;Creatine Kinase

Countries

Korea, Republic of

Contacts

Public ContactMyo Young Cho

Wonkwang University, Gwangju Medical Center

whaydud@hanmail.net+82-62-670-6718

Outcome results

None listed

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