Idebenone for Primary Progressive Multiple Sclerosis

Sponsor
National Institute of Allergy and Infectious Diseases (NIAID) (NIH)
Overall Status
Completed
CT.gov ID
NCT01854359
Collaborator
(none)
61
1
1
67.6
0.9

Study Details

Study Description

Brief Summary

Background:
  • The Idebenone in Patients With Primary Progressive Multiple Sclerosis (IPPoMS) trial tested a new drug for multiple sclerosis. In the IPPoMS trial, participants took either idebenone or placebo. Researchers want to give idebenone to all participants for 1 year. It is still not certain whether idebenone can slow the progression of multiple sclerosis, but this study may help answer that question.
Objectives:
  • To provide idebenone to all participants on the IPPoMS trial.

  • To collect data on the safety and effectiveness of idebenone for primary progressive multiple sclerosis.

Eligibility:
  • Individuals at least 18 years of age who have completed 3 years in the IPPoMS trial.
Design:
  • The first study visit for this trial will happen on the same day as the last visit for the IPPoMS trial.

  • Participants will provide a blood samples and will have a lumbar puncture. They will also receive a new supply of idebenone to take three times a day with food. They will keep a diary to report on any side effects.

  • After this first treatment visit, participants will have two follow-up visits to the NIH 6 months apart. These visits may be scheduled over multiple days. Participants will provide blood and urine samples. They will also have imaging studies of the brain and spine.

  • Participants will have phone calls with the study researchers to provide updates on their condition and any side effects.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

OBJECTIVE:

A Phase I/II clinical trial is being conducted to investigate the safety, therapeutic efficacy and mechanism of action of idebenone in primary-progressive multiple sclerosis (PP-MS) patients (IPPoMS (Protocol Number 09-N-0197). Patients who have completed the 2-year treatment period of IPPoMS, may enter into this open-label extension study (IPPoMS-E) if they are found to be eligible by the Investigator and desire treatment with idebenone despite remaining blinded as to their allocation to active treatment versus placebo during the IPPoMS trial. The aim of this open-label extension study is gather additional data on safety, efficacy and effects of idebenone on cerebrospinal fluid (CSF) biomarkers in these patients over a period of 1 year. This study will provide open-label idebenone for patients with PP-MS, previously randomized to idebenone or to placebo in the blinded phase of IPPoMS.

STUDY POPULATION:

Patients who were previously enrolled in the IPPoMS (Protocol Number 09-N-0197) will be invited to participate in the trial. The same idebenone dose used in the randomized clinical trial (2250 mg/day) will be used in this study.

DESIGN:

This is a single group, open-label safety and efficacy extension trial with a one year treatment period. Patient-specific biomarkers of disease progression, CSF biomarkers of oxidative stress, longitudinal neuroimaging including quantitative measures of CNS tissue destruction and clinical data will be collected as in the randomized study.

OUTCOME MEASURES:

The measurement and collection of data will be performed as in the randomized trial. Quantitative neuroimaging measures of central nervous system (CNS: i.e. brain and spinal cord) tissue destruction and clinical and functional measures of neurological disability will be collected every 6-12 months. Additionally, biomarkers focusing on analysis of reactive oxygen species (ROS) and oxidative stress will be collected every 12 months. The primary outcome measure defined in the IPPoMS trial will be also utilized in IPPoMS-E. For patients originally randomized to placebo, patient-specific slopes of disease progression during 2 years of placebo therapy (as measured by primary and secondary outcomes) will be compared to patient-specific slopes of disease progression during 1 year of open label idebenone therapy. Combination of IPPoMS and IPPoMS-E trials will significantly expand paired no therapy vs. idebenone therapy CSF samples for biomarker studies. It will also provide (for the subgroup of subjects who were originally randomized to idebenone) longitudinal CSF samples on idebenone therapy (collected 2 years apart). This will allow calculations of intra-individual changes in CSF biomarkers on and off idebenone therapy, which may provide important insight into the mechanism of action of idebenone in PP-MS.

Study Design

Study Type:
Interventional
Actual Enrollment :
61 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open Label Extension Trial of Idebenone for Primary Progressive Multiple Sclerosis
Actual Study Start Date :
Mar 12, 2013
Actual Primary Completion Date :
Oct 31, 2018
Actual Study Completion Date :
Oct 31, 2018

Arms and Interventions

Arm Intervention/Treatment
Other: Active treatment

Idebenone (150mg tablets) administered orally as five tablets, three times per day with food.

Drug: Idebenone

Outcome Measures

Primary Outcome Measures

  1. Area Under the Curve (AUC) of the Combinatorial Weight-Adjusted Disability Score (CombiWISE) [1-year pre-treatment baseline vs 2-year randomized double-blind phased vs 1-year treatment period]

    CombiWISE is a composite scale derived from Expanded Disability Status Scale (EDSS) , Scripps Neurological Disability Scale (SNRS), times 25 foot walk (25FW), and non-dominant hand of 9 hole peg test (9HPT) with a minimum value of 0 (no disability) and maximum value of 100 (maximum disability). The AUC values were calculated for both study groups (Active treatment group in the 09-I-0197 trial and Placebo group in the 09-I-0197) as follows: pre-treatment baseline during the 09-I-0197 trial (from Months -12, -6, and 0) double-blind phase during the 09-I-0197 trial (from Months 0, 6, 12, 18, and 24) extension phase during the 13-I-0088 trial (from Months 24, 30, and 36) Because the follow-up times varied from patient to patient, the AUC values were made comparable by scaling them by dividing the AUC value by the square of the actual duration (in years) of each of the phases.

Secondary Outcome Measures

  1. Slopes of 25 Foot Walk (25FW) Time [3-years double-blind phase and 1-year extension phase]

    slopes of measured times of 25FW during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. Lower extremity disability was measured by an average of two trials of timed 25 foot walk assessed every 6 month. The maximum time assigned for a trial is 180s. Patients unable to complete the 25 foot trial within this time limit are coded as "179.9"

  2. Slopes of 9 Hole Peg Test (9HPT) Time [3-years double-blind phase and 1-year extension phase]

    Slopes of measured times of 9HPT during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. Upper extremity/fine motor movements disability was measured as an average of left and right hand time, with each hand assessed as an average of two trials with upper limit of 5 (300s) per trial. Patients unable to complete the task within this time are coded as "777" The outcome was assessed every 6 months.

  3. Slopes of Expanded Disability Status Scale (EDSS) Score [3-years double-blind phase and 1-year extension phase]

    Slopes of measured EDSS scores during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. EDSS scale combines various elements of neurological exam. EDSS is a discrete scale ranging from 0 to 10 with 0.5 point increments. EDSS of 0 means no neurological disability, while EDSS of 10 marks death due to Multiple Sclerosis (MS). EDSS was assessed every 6 months.

  4. Change in Slopes of Scripps Neurological Rating Scale (SNRS) Score [3-years double-blind phase and 1-year extension phase]

    Slopes of measured SNRS scores during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. SNRS scale combines various elements of a neurological exam into a single number. The scale ranges from 100 to 0, where 100 marks no disability and 0 marks maximum disability. SNRS was assessed every 6 months.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
  • INCLUSION CRITERIA:

  • Completion of 3 years in study IPPoMS (Protocol Number 09-N-0197)

  • Able to provide informed consent

  • Adults, at least 18 years of age

  • Willing to participate in all aspects of trial design and follow-up

  • If able to become pregnant or to father a child, agreeing to commit to the use of a reliable/accepted method of birth control (i.e. hormonal contraception (birth control pills, injected hormones, vaginal ring), intrauterine device, barrier methods with spermicide (diaphragm with spermicide, condom with spermicide) or surgical sterilization (hysterectomy, tubal ligation, or vasectomy)) for the duration of treatment arm of the study

EXCLUSION CRITERIA:
  • Pregnant or lactating women. All women of child-bearing potential must have a negative pregnancy test

  • Patients dropping out of IPPoMS due to adverse events (AE) considered related to study medication

Contacts and Locations

Locations

Site City State Country Postal Code
1 National Institutes of Health Clinical Center, 9000 Rockville Pike Bethesda Maryland United States 20892

Sponsors and Collaborators

  • National Institute of Allergy and Infectious Diseases (NIAID)

Investigators

  • Principal Investigator: Bibiana Bielekova, M.D., National Institute of Allergy and Infectious Diseases (NIAID)

Study Documents (Full-Text)

More Information

Additional Information:

Publications

Responsible Party:
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT01854359
Other Study ID Numbers:
  • 130088
  • 13-I-0088
First Posted:
May 15, 2013
Last Update Posted:
May 19, 2021
Last Verified:
Oct 1, 2018
Studies a U.S. FDA-regulated Drug Product:
Yes
Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID)
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Active Treatment in 09-I-0197 Placebo in 09-I-0197
Arm/Group Description Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. This group completed a total of 3 years of Idebenone treatment Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. This group completed a total of 1 year of Idebenone treatment (following 2 years of placebo treatment in the 09-I-0198 trial).
Period Title: Overall Study
STARTED 31 30
COMPLETED 26 22
NOT COMPLETED 5 8

Baseline Characteristics

Arm/Group Title Active Treatment in 09-I-0197 Placebo in 09-I-0197 Total
Arm/Group Description Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. This group completed a total of 3 years of Idebenone treatment. Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. This group completed a total of 1 year of Idebenone treatment (following 2 years of placebo treatment in the 09-I-0197 trial) Total of all reporting groups
Overall Participants 31 30 61
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
60.0
(6.7)
59.2
(7.2)
59.6
(6.9)
Sex: Female, Male (Count of Participants)
Female
14
45.2%
17
56.7%
31
50.8%
Male
17
54.8%
13
43.3%
30
49.2%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
3
9.7%
3
10%
6
9.8%
White
28
90.3%
27
90%
55
90.2%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
0
0%

Outcome Measures

1. Primary Outcome
Title Area Under the Curve (AUC) of the Combinatorial Weight-Adjusted Disability Score (CombiWISE)
Description CombiWISE is a composite scale derived from Expanded Disability Status Scale (EDSS) , Scripps Neurological Disability Scale (SNRS), times 25 foot walk (25FW), and non-dominant hand of 9 hole peg test (9HPT) with a minimum value of 0 (no disability) and maximum value of 100 (maximum disability). The AUC values were calculated for both study groups (Active treatment group in the 09-I-0197 trial and Placebo group in the 09-I-0197) as follows: pre-treatment baseline during the 09-I-0197 trial (from Months -12, -6, and 0) double-blind phase during the 09-I-0197 trial (from Months 0, 6, 12, 18, and 24) extension phase during the 13-I-0088 trial (from Months 24, 30, and 36) Because the follow-up times varied from patient to patient, the AUC values were made comparable by scaling them by dividing the AUC value by the square of the actual duration (in years) of each of the phases.
Time Frame 1-year pre-treatment baseline vs 2-year randomized double-blind phased vs 1-year treatment period

Outcome Measure Data

Analysis Population Description
61 subjects that completed three year 09-I-0197 trial enrolled into the one year open-label extension phase of the 13-I-0088. Out of the 61 subjects, 31 were assigned to the active treatment group in the 09-I-0197 trial and 30 received placebo. The 09-I-1097 consisted of one-year pre-treatment baseline and 2 years of double-blind treatment phase.
Arm/Group Title Pre-treatment Baseline (Placebo Group) Double-blind Phase (Placebo Group) Extension Phase (Placebo Group) Pre-treatment Baseline (Active Treatment Group) Double-blind Phase (Active Treatment Group) Extension Phase (Active Treatment Group)
Arm/Group Description One Year Pre-treatment baseline of the 09-I-0197 trial for placebo group Two-Year Double-blind Phase of 09-I-0197 (placebo group) One-year open label active treatment group that received placebo in the 09-I-0197 trial One Year Pre-treatment baseline of the 09-I-0197 trial for active treatment group Two-Year Double-blind Phase of 09-I-0197 (active treatment group) One-year open label active treatment group that received active treatment in the 09-I-0197 trial
Measure Participants 30 30 22 31 31 26
Mean (Standard Deviation) [units on a scale * year]
1.55
(2.02)
0.80
(1.96)
0.46
(1.93)
0.89
(1.81)
0.75
(1.82)
1.30
(2.30)
2. Secondary Outcome
Title Slopes of 25 Foot Walk (25FW) Time
Description slopes of measured times of 25FW during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. Lower extremity disability was measured by an average of two trials of timed 25 foot walk assessed every 6 month. The maximum time assigned for a trial is 180s. Patients unable to complete the 25 foot trial within this time limit are coded as "179.9"
Time Frame 3-years double-blind phase and 1-year extension phase

Outcome Measure Data

Analysis Population Description
61 subjects that completed three year 09-I-0197 trial enrolled into the one year open-label extension phase of the 13-I-0088. Out of the 61 subjects, 31 were assigned to the active treatment group in the 09-I-0197 trial and 30 received placebo. The 09-I-1097 consisted of one-year pre-treatment baseline and 2 years of double-blind treatment phase.
Arm/Group Title Placebo Arm of the 09-I-0197 Extension Phase (Placebo Arm) Active Treatment Arm of the 09-I-0197 Extension Phase (Active Treatment Arm)
Arm/Group Description placebo arm of the 09-I-0197 - one year pre-treatment baseline plus two years of placebo during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 placebo arm active treatment arm of the 09-I-0197 - one year pre-treatment baseline plus two years of Idebenone treatment during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 active treatment arm
Measure Participants 30 22 31 26
Mean (Standard Error) [seconds per year]
0.04322
(0.009617)
-0.00531
(0.01599)
0.04031
(0.0106)
0.03401
(0.01286)
3. Secondary Outcome
Title Slopes of 9 Hole Peg Test (9HPT) Time
Description Slopes of measured times of 9HPT during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. Upper extremity/fine motor movements disability was measured as an average of left and right hand time, with each hand assessed as an average of two trials with upper limit of 5 (300s) per trial. Patients unable to complete the task within this time are coded as "777" The outcome was assessed every 6 months.
Time Frame 3-years double-blind phase and 1-year extension phase

Outcome Measure Data

Analysis Population Description
61 subjects that completed three year 09-I-0197 trial enrolled into the one year open-label extension phase of the 13-I-0088. Out of the 61 subjects, 31 were assigned to the active treatment group in the 09-I-0197 trial and 30 received placebo. The 09-I-1097 consisted of one-year pre-treatment baseline and 2 years of double-blind treatment phase.
Arm/Group Title Placebo Arm of the 09-I-0197 Extension Phase (Placebo Arm) Active Treatment Arm of the 09-I-0197 Extension Phase (Active Treatment Arm)
Arm/Group Description placebo arm of the 09-I-0197 - one year pre-treatment baseline plus two years of placebo during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 placebo arm active treatment arm of the 09-I-0197 - one year pre-treatment baseline plus two years of Idebenone treatment during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 active treatment arm
Measure Participants 30 22 31 26
Mean (Standard Error) [seconds per year]
0.000665
(0.000491)
0.000947
(0.001189)
0.000718
(0.000462)
0.001086
(0.000614)
4. Secondary Outcome
Title Slopes of Expanded Disability Status Scale (EDSS) Score
Description Slopes of measured EDSS scores during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. EDSS scale combines various elements of neurological exam. EDSS is a discrete scale ranging from 0 to 10 with 0.5 point increments. EDSS of 0 means no neurological disability, while EDSS of 10 marks death due to Multiple Sclerosis (MS). EDSS was assessed every 6 months.
Time Frame 3-years double-blind phase and 1-year extension phase

Outcome Measure Data

Analysis Population Description
61 subjects that completed three year 09-I-0197 trial enrolled into the one year open-label extension phase of the 13-I-0088. Out of the 61 subjects, 31 were assigned to the active treatment group in the 09-I-0197 trial and 30 received placebo. The 09-I-1097 consisted of one-year pre-treatment baseline and 2 years of double-blind treatment phase.
Arm/Group Title Placebo Arm of the 09-I-0197 Extension Phase (Placebo Arm) Active Treatment Arm of the 09-I-0197 Extension Phase (Active Treatment Arm)
Arm/Group Description placebo arm of the 09-I-0197 - one year pre-treatment baseline plus two years of placebo during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 placebo arm active treatment arm of the 09-I-0197 - one year pre-treatment baseline plus two years of Idebenone treatment during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 active treatment arm
Measure Participants 30 22 31 26
Mean (Standard Error) [score on a scale per year]
0.1447
(0.05778)
0.1435
(0.07625)
0.1107
(0.03651)
0.1584
(0.09479)
5. Secondary Outcome
Title Change in Slopes of Scripps Neurological Rating Scale (SNRS) Score
Description Slopes of measured SNRS scores during the 3-year 09-I-0197 trial (one year of pre-treatment baseline and two years of double-blind randomized treatment) and during one year extension phase of the 13-I-0088 trial. The slopes were measured separately for placebo and active treatment arm as randomized in the the 09-I-0197 trial. SNRS scale combines various elements of a neurological exam into a single number. The scale ranges from 100 to 0, where 100 marks no disability and 0 marks maximum disability. SNRS was assessed every 6 months.
Time Frame 3-years double-blind phase and 1-year extension phase

Outcome Measure Data

Analysis Population Description
61 subjects that completed three year 09-I-0197 trial enrolled into the one year open-label extension phase of the 13-I-0088. Out of the 61 subjects, 31 were assigned to the active treatment group in the 09-I-0197 trial and 30 received placebo. The 09-I-1097 consisted of one-year pre-treatment baseline and 2 years of double-blind treatment phase.
Arm/Group Title Placebo Arm of the 09-I-0197 Extension Phase (Placebo Arm) Active Treatment Arm of the 09-I-0197 Extension Phase (Active Treatment Arm)
Arm/Group Description placebo arm of the 09-I-0197 - one year pre-treatment baseline plus two years of placebo during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 placebo arm active treatment arm of the 09-I-0197 - one year pre-treatment baseline plus two years of Idebenone treatment during the double-blind phase of 09-I-0197 One-year open label extension phase of the 09-I-0917 active treatment arm
Measure Participants 30 22 31 26
Mean (Standard Error) [score on a scale per year]
-1.8838
(0.4829)
-2.1655
(1.0735)
-2.009
(0.3789)
-2.7263
(1.0073)

Adverse Events

Time Frame 1 year
Adverse Event Reporting Description Adverse events are collected on 61 patients enrolled in the 1-year open-label phase
Arm/Group Title Active Treatment in 09-I-0197 Placebo in 09-I-0197
Arm/Group Description Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. Two years of Idebenone treatment during the 09-I-0197 double-blind phase Idebenone (150mg tablets) administered orally as five tablets, three times per day with food. Two years of placebo during the 09-I-0197 double-blind phase
All Cause Mortality
Active Treatment in 09-I-0197 Placebo in 09-I-0197
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/31 (0%) 0/30 (0%)
Serious Adverse Events
Active Treatment in 09-I-0197 Placebo in 09-I-0197
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 4/31 (12.9%) 4/30 (13.3%)
Blood and lymphatic system disorders
Elevated liver enzynes 0/31 (0%) 0 1/30 (3.3%) 1
Cardiac disorders
Myocardial infarction 1/31 (3.2%) 1 0/30 (0%) 0
decreased ejection fraction 1/31 (3.2%) 1 0/30 (0%) 0
chest tightness 1/31 (3.2%) 1 0/30 (0%) 0
Gastrointestinal disorders
stomach cancer 0/31 (0%) 0 1/30 (3.3%) 1
severe constipation 0/31 (0%) 0 1/30 (3.3%) 1
Hepatobiliary disorders
gallstones 1/31 (3.2%) 1 0/30 (0%) 0
Infections and infestations
ruptured apendix 0/31 (0%) 0 1/30 (3.3%) 1
Injury, poisoning and procedural complications
broken ribs 1/31 (3.2%) 1 0/30 (0%) 0
broken femur 1/31 (3.2%) 1 0/30 (0%) 0
Other (Not Including Serious) Adverse Events
Active Treatment in 09-I-0197 Placebo in 09-I-0197
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/31 (32.3%) 14/30 (46.7%)
Cardiac disorders
chest pain 1/31 (3.2%) 2 0/30 (0%) 0
hypertension 1/31 (3.2%) 1 0/30 (0%) 0
Endocrine disorders
benign thyroid nodule 0/31 (0%) 0 1/30 (3.3%) 1
Eye disorders
retinal detachment 0/31 (0%) 0 1/30 (3.3%) 1
transient graying of vision 1/31 (3.2%) 1 0/30 (0%) 0
Gastrointestinal disorders
diarrhea 0/31 (0%) 0 2/30 (6.7%) 2
nausea 0/31 (0%) 0 1/30 (3.3%) 1
General disorders
increased mobility problems 0/31 (0%) 0 1/30 (3.3%) 1
Infections and infestations
H1N1 influenza 0/31 (0%) 0 1/30 (3.3%) 1
penumonia 1/31 (3.2%) 1 0/30 (0%) 0
urinary tract infection 2/31 (6.5%) 2 3/30 (10%) 3
Injury, poisoning and procedural complications
fall 1/31 (3.2%) 2 6/30 (20%) 7
fractured bone 3/31 (9.7%) 3 0/30 (0%) 0
injured meniscus 0/31 (0%) 0 2/30 (6.7%) 2
Metabolism and nutrition disorders
dehydration 1/31 (3.2%) 1 0/30 (0%) 0
Musculoskeletal and connective tissue disorders
back pain 2/31 (6.5%) 2 0/30 (0%) 0
edema 0/31 (0%) 0 1/30 (3.3%) 1
radiculopathy 0/31 (0%) 0 1/30 (3.3%) 1
Skin and subcutaneous tissue disorders
basal cell carcinoma 0/31 (0%) 0 1/30 (3.3%) 1
cellulitis 1/31 (3.2%) 1 0/30 (0%) 0
hair loss 1/31 (3.2%) 1 0/30 (0%) 0
skin rash 0/31 (0%) 0 2/30 (6.7%) 2

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Dr. Peter Kosa (Staff Scientist)
Organization National Institutes of Allergy and Infectious Diseases
Phone (301) 731-6444
Email peter.kosa@nih.gov
Responsible Party:
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT01854359
Other Study ID Numbers:
  • 130088
  • 13-I-0088
First Posted:
May 15, 2013
Last Update Posted:
May 19, 2021
Last Verified:
Oct 1, 2018