Dalfampridine in hereditary spastic paraplegia: a prospective, open study

被引:17
作者
Bereau, Matthieu [1 ]
Anheim, Mathieu [2 ,3 ,4 ]
Chanson, Jean-Baptiste [2 ]
Tio, Gregory [5 ]
Echaniz-Laguna, Andoni [2 ]
Depienne, Christel [6 ]
Collongues, Nicolas [2 ,7 ]
de Seze, Jerome [2 ,7 ]
机构
[1] CHRU Besancon, Dept Neurol, Besancon, France
[2] Hospices Civils Strasbourg, Dept Neurol, F-67091 Strasbourg, France
[3] Univ Strasbourg, FMTS, Strasbourg, France
[4] Univ Strasbourg, IGBMC, INSERM, U964,CNRS,UMR7104, F-67404 Illkirch Graffenstaden, France
[5] CHRU Besancon, Dept Stat, Ctr Invest Clin & Innovat Technol, INSERM,CIT 808, Besancon, France
[6] Grp Hosp Pitie Salpetriere, Dept Genet Cytogenet & Embryol, F-75634 Paris, France
[7] Hospices Civils Strasbourg, Ctr Invest Clin Plurithemat, INSERM, CIC P1002, Strasbourg, France
关键词
Hereditary spastic paraplegia; Genetics; Pharmacology; Gait; Walking ability; Clinical trial; SPINAL-CORD-INJURY; MULTIPLE-SCLEROSIS; DOUBLE-BLIND; TRIAL; 4-AMINOPYRIDINE; PARAPARESIS; FAMPRIDINE;
D O I
10.1007/s00415-015-7707-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Our aim was to support the use of dalfampridine as a treatment for patients affected with hereditary spastic paraplegia (HSP). We performed a prospective, uncontrolled, proof of concept, open trial. We included 12 HSP patients defining the total group (TG) who received dalfampridine 10 mg twice daily for 2 weeks. Efficacy assessment was based on walking ability improvement. The Timed-25-Foot Walk Test, the Spastic Paraplegia Rating Scale (SPRS), and the 12-item Multiple Sclerosis Walking Scale (MSWS-12) were performed before and after treatment. Safety assessment was based on adverse events occurrence. A significant improvement in SPRS (p = 0.0195) and MSWS-12 (p = 0.0429) was noted after treatment in the TG. No serious adverse events were noted. This interventional study provides encouraging results supporting the use of dalfampridine in HSP.
引用
收藏
页码:1285 / 1288
页数:4
相关论文
共 13 条
[1]   Hereditary spastic paraplegias: membrane traffic and the motor pathway [J].
Blackstone, Craig ;
O'Kane, Cahir J. ;
Reid, Evan .
NATURE REVIEWS NEUROSCIENCE, 2011, 12 (01) :31-42
[2]   EFFECT OF 4-AMINOPYRIDINE ON AXONAL CONDUCTION-BLOCK IN CHRONIC SPINAL-CORD INJURY [J].
BLIGHT, AR .
BRAIN RESEARCH BULLETIN, 1989, 22 (01) :47-52
[3]  
BRUYN RPM, 1992, CLIN NEUROL NEUROSUR, V94, pS16
[4]  
Fischer J.S., 2001, Multiple sclerosis functional composite: Administration and scoring manual
[5]   A Phase 3 Trial of Extended Release Oral Dalfampridine in Multiple Sclerosis [J].
Goodman, Andrew D. ;
Brown, Theodore R. ;
Edwards, Keith R. ;
Krupp, Lauren B. ;
Schapiro, Randall T. ;
Cohen, Ron ;
Marinucci, Lawrence N. ;
Blight, Andrew R. .
ANNALS OF NEUROLOGY, 2010, 68 (04) :494-502
[6]   Sustained-release oral fampridine in multiple sclerosis: a randomised, double-blind, controlled trial [J].
Goodman, Andrew D. ;
Brown, Theodore R. ;
Krupp, Lauren B. ;
Schapiro, Randall T. ;
Schwid, Steven R. ;
Cohen, Ron ;
Marinucci, Lawrence N. ;
Blight, Andrew R. .
LANCET, 2009, 373 (9665) :732-738
[7]  
Hansebout RR, 1993, J NEUROTRAUM, V110, P1
[8]   PRECLINICAL TRIAL OF 4-AMINOPYRIDINE IN PATIENTS WITH CHRONIC SPINAL-CORD INJURY [J].
HAYES, KC ;
BLIGHT, AR ;
POTTER, PJ ;
ALLATT, RD ;
HSIEH, JTC ;
WOLFE, DL ;
LAM, S ;
HAMILTON, JT .
PARAPLEGIA, 1993, 31 (04) :216-224
[9]   Measuring the impact of MS on walking ability - The 12-Item MS Walking Scale (MSWS-12) [J].
Hobart, JC ;
Riazi, A ;
Lamping, DL ;
Fitzpatrick, R ;
Thompson, AJ .
NEUROLOGY, 2003, 60 (01) :31-36
[10]   Potassium channel blockers in multiple sclerosis:: Neuronal KV channels and effects of symptomatic treatment [J].
Judge, Susan I. V. ;
Bever, Christopher T., Jr. .
PHARMACOLOGY & THERAPEUTICS, 2006, 111 (01) :224-259