Amyotrophic Lateral Sclerosis
Conditions
Keywords
lipid lowering therapy, survival, ALSFRS, age, BMI, weight
Brief summary
The role of hyperlipidemia and lipid lowering therapy (LLT) in Amyotrophic Lateral Sclerosis (ALS) pathophysiology and its impact on disease progression and survival is unclear. The investigators analyzed the correlation between lipid levels with disease progression and survival in ALS patients and the association of LLT with these outcomes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* A clinical diagnosis of laboratory-supported probable, probable, or definite familial, sporadic ALS, according to a modified El Escorial criteria (ref), by the study investigators * Time from disease onset is less than three years * 18 years of age * Subjects with diagnosis of hyperlipidemia and/or taking lipid lowering medications will not be excluded from study.
Exclusion criteria
* Requirement for tracheotomy ventilation or non-invasive ventilation for \> 23 hours per day * Diagnosis of other neurodegenerative diseases (Parkinson disease, Alzheimer disease, etc) * A clinically significant history of significant medical illness (advanced cancer, chronic inflammatory/infectious conditions, etc) within six months of baseline * Use of progestins, anabolic steroids, and corticosteroids within 45 days of baseline visit. Therapy is allowed as medically indicated after baseline visit.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| survial(tracheostomy free,<23 hours on NIPPV, from enrollment) | 3years | Death was confirmed from Social Security Death Index or newspaper obituaries. Tracheostomy- ventilation was also considered as an end of the life time point. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ALSFRS(measure of disability) | at first evaluation(time 0-T0) to six months (T6) | DeltaFS = (48-ALSFRS at first evaluation )/duration from onset to diagnosis (month) changeFS=(ALSFRS at six months-ALSFRS at first evaluation)/6 |
Countries
United States