Status:

COMPLETED

Randomized Placebo-Controlled Crossover Trial With THC (Delta 9-Tetrahydrocannabinol) for the Treatment of Cramps in Amyotrophic Lateral Sclerosis (ALS)

Lead Sponsor:

Cantonal Hospital of St. Gallen

Collaborating Sponsors:

ALS Association

Conditions:

Cramps

Amyotrophic Lateral Sclerosis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Many patients with ALS experience cramps during the course of the disease. Frequently, cramps occur as the first symptom of the disease, months before the patients notice weakness and wasting. Cramp s...

Eligibility Criteria

Inclusion

  • Patients must be at least 18 years of age and have full legal capacity
  • Patients must voluntarily give written informed consent
  • Patients diagnosed with possible, probable laboratory supported, probable or definite ALS according to the revised El Escorial criteria (Brooks 2000)
  • Patients must score severity of cramps on the VAS 5 or more
  • Patients must be able to communicate and report adverse events by phone
  • Patients must have laboratory parameters within the following limits: Creatinine, Bilirubin,Transaminases less than 3x upper limit of normal
  • Patients may take any medication for the treatment of ALS (ALS -specific and -symptomatic) but may not change this medication during the study period
  • Patients must not have cannabis or cannabinoids for at least one month prior to the study and agree not to use it at all during the study. They have to have a negative urinary test for cannabinoids at baseline
  • Pre-menopausal females must provide negative pregnancy test within fourteen days before beginning of study participation and have to apply adequate (barrier) birth-control methods
  • Patients must agree not to drive a vehicle or use dangerous machines during the entire study period

Exclusion

  • Patients who are not willing or able to sign the consent form. Doubt of investigator concerning compliance of the patient
  • Patients who have a history of failure to respond to, or had significant adverse effects from or hypersensitivity to THC or any cannabinoid
  • Patients who have significant concomitant illness(-es), or acute, uncontrolled infections, which might make evaluation of treatment and side effects difficult
  • Patients with a history of significant psychiatric disorder, explicitly of schizophrenia
  • Patients who are current drug abusers, including alcohol abusers
  • Patients with severe coronary artery disease or hemodynamically relevant ECG-documented arrhythmia
  • Pregnancy or breast feeding

Key Trial Info

Start Date :

April 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2008

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT00812851

Start Date

April 1 2005

End Date

April 1 2008

Last Update

February 19 2009

Active Locations (1)

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Kantonsspital St.Gallen

Sankt Gallen, Switzerland, 9007

Randomized Placebo-Controlled Crossover Trial With THC (Delta 9-Tetrahydrocannabinol) for the Treatment of Cramps in Amyotrophic Lateral Sclerosis (ALS) | DecenTrialz