Page last updated: 2024-11-08

amifampridine and Multiple Sclerosis

amifampridine has been researched along with Multiple Sclerosis in 13 studies

Amifampridine: 4-Aminopyridine derivative that acts as a POTASSIUM CHANNEL blocker to increase release of ACETYLCHOLINE from nerve terminals. It is used in the treatment of CONGENITAL MYASTHENIC SYNDROMES.

Multiple Sclerosis: An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903)

Research Excerpts

ExcerptRelevanceReference
"To compare the efficacy and toxicity of 4-aminopyridine and 3,4-diaminopyridine in patients with multiple sclerosis."9.074-Aminopyridine is superior to 3,4-diaminopyridine in the treatment of patients with multiple sclerosis. ( Bertelsmann, FW; de Waal, R; Koetsier, JC; Polman, CH; Uitdehaag, BM; van Diemen, HA; van Loenen, AC, 1994)
"To compare the efficacy and toxicity of 4-aminopyridine and 3,4-diaminopyridine in patients with multiple sclerosis."5.074-Aminopyridine is superior to 3,4-diaminopyridine in the treatment of patients with multiple sclerosis. ( Bertelsmann, FW; de Waal, R; Koetsier, JC; Polman, CH; Uitdehaag, BM; van Diemen, HA; van Loenen, AC, 1994)
"The potassium channel blockers 4-aminopyridine (AP) and 3,4-diaminopyridine (DAP) increase nerve conduction in demyelinated nerve fibers, and have been proposed as a symptomatic therapy for people with multiple sclerosis (MS)."4.81Aminopyridines for symptomatic treatment in multiple sclerosis. ( Giuliani, G; Pucci, E; Solari, A; Taus, C; Uitdehaag, B, 2002)
"Because of their ability to increase nerve conduction in demyelinated nerve fibers, potassium channel blockers 4-aminopyridine (AP) and 3,4-diaminopyridine (DAP) have been proposed as a symptomatic therapy for people with multiple sclerosis (MS)."4.81Aminopyridines for symptomatic treatment in multiple sclerosis. ( Giuliani, G; Pucci, E; Solari, A; Taus, C; Uitdehaag, B, 2001)
"2% of patients presented adverse drug reactions (ADRs) while using moderate doses of 3,4-DAP (20-30 mg daily or up to 80 mg daily for patients with LEMS) for periods of up to 51 months."2.753,4-diaminopyridine safety in clinical practice: an observational, retrospective cohort study. ( Allain, H; Edan, G; Flet, L; Guillard, O; Javaudin, L; Leray, E; Polard, E, 2010)
"Because the symptomatic treatments for multiple sclerosis (MS) are limited, new approaches have been sought."2.39The current status of studies of aminopyridines in patients with multiple sclerosis. ( Bever, CT, 1994)
" The patients were treated with oral 3,4-diaminopyridine, first with increasing single doses up to 100 mg and then with divided dosage for up to 3 weeks."1.28Preliminary trial of 3,4-diaminopyridine in patients with multiple sclerosis. ( Bever, CT; Camenga, DL; Johnson, KP; Leslie, J; Panitch, HS, 1990)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-19901 (7.69)18.7374
1990's5 (38.46)18.2507
2000's5 (38.46)29.6817
2010's2 (15.38)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Flet, L1
Polard, E1
Guillard, O1
Leray, E1
Allain, H1
Javaudin, L1
Edan, G1
Jensen, HB1
Stenager, E1
Ravnborg, MH1
Solari, A2
Uitdehaag, B2
Giuliani, G2
Pucci, E2
Taus, C2
Judge, SI1
Bever, CT5
Debouverie, M1
Pittion, S1
Boërio, D1
Lefaucheur, JP1
Hogrel, JY1
Créange, A1
Polman, CH1
Bertelsmann, FW1
de Waal, R1
van Diemen, HA1
Uitdehaag, BM1
van Loenen, AC1
Koetsier, JC1
Anderson, PA1
Leslie, J3
Panitch, HS2
Dhib-Jalbut, S1
Khan, OA1
Milo, R1
Hebel, JR1
Conway, KL1
Katz, E1
Johnson, KP2
Sheean, GL1
Murray, NM1
Rothwell, JC1
Miller, DH1
Thompson, AJ1
Camenga, DL1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Fampyra Outcome Measures Study: a Study of Different Outcome Measures on the Effect of Fampyra[NCT01656148]Phase 4108 participants (Actual)Interventional2012-06-30Completed
Efficacy of Sustained-release Oral Dalfampridine on Upper Extremity Function in Patients With Multiple Sclerosis: a Pilot Study[NCT02259361]Phase 430 participants (Anticipated)Interventional2014-11-30Not yet recruiting
A Randomised, Double Blinded Cross-over Study Comparing the Efficacy of L-carnitine Versus Placebo in the Treatment of Fatigue in Multiple Sclerosis[NCT01149525]Phase 359 participants (Actual)Interventional2010-06-30Completed
Dalfampridine Treatment for Nonarteritic Anterior Ischemic Optic Neuropathy (NAION)[NCT01975324]Phase 420 participants (Actual)Interventional2013-07-31Completed
Muscle Strain in Multiple Sclerosis Patients Measured by Ultrasound Speckle Tracking[NCT03847545]48 participants (Actual)Interventional2018-12-12Completed
Intranasal Insulin for Improving Cognitive Function in Multiple Sclerosis[NCT02988401]Phase 1/Phase 2105 participants (Actual)Interventional2017-12-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Assess Depression Severity, as Measured by the Beck Depression Inventory-II (BDI-II)

The BDI-II is a 21-question multiple-choice self-report inventory test for measuring the severity of depression. Scores range from zero to 63; higher scores indicate greater depression. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the BDI-II scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the scores. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.022
Intranasal Insulin 10 International Units-0.019
Placebo-0.045

Change From Baseline in Cognitive Function as Assessed by the Brief Visuospatial Memory Test - Revised (BVMT-R) Delayed Recall

This is a visual, nonverbal test of learning and memory. Scores range from zero to 12; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the BVMT-R delayed recall scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.027
Intranasal Insulin 10 International Units0.059
Placebo0.030

Change From Baseline in Cognitive Function as Assessed by the California Verbal Learning Test, Second Edition (CVLT-II)

This is a verbal learning and memory test. Scores range from zero to 16; a higher number is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the CVLT-II scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.082
Intranasal Insulin 10 International Units0.021
Placebo0.020

Change From Baseline in Cognitive Function as Assessed by the Controlled Oral Word Association Test (COWAT)

This test measures phonemic fluency. The test scores the number of words a participant can provide that begin with a specified letter within one minute, such that scores range from zero (worst) to an infinite number (better). Total score is sum of three 60-second trials. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the COWAT scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.090
Intranasal Insulin 10 International Units0.070
Placebo0.021

Change From Baseline in Cognitive Function as Assessed by the Delis-Kaplan Executive Function System Sorting Test

This test measures executive functioning, concept formation, and cognitive flexibility. Scores range from zero to 16; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include DKEFS correct sort scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.001
Intranasal Insulin 10 International Units0.027
Placebo0.002

Change From Baseline in Cognitive Function as Assessed by the Judgement of Line Orientation Test (JLO)

Judgment of Line Orientation Test measures a person's ability to match the angle and orientation of lines in space. Scores range from zero to 30; higher is better. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include JLO data acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.031
Intranasal Insulin 10 International Units0.047
Placebo-0.005

Change in Cognitive Function as Assessed by the Rao-version of the Paced Auditory Serial Addition Test (PASAT)

"The Rao-version of the PASAT evaluates processing speed, working memory, and basic addition skills. Scores range from zero to 60; higher is better. Herein we present 3-second PASAT results (PASAT-3). In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include PASAT-3 scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the SDMT." (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.372
Intranasal Insulin 10 International Units0.363
Placebo0.212

Change in Cognitive Function as Assessed by the Symbol Digit Modalities Test (SDMT)

This task will be performed at five study visits. The SDMT is one of the most commonly used tests to assess processing speed in the MS population and is included in the Minimal Assessment of Cognitive Function in MS (MACFIMS). Higher scores reflect a better outcome (range 0 to 110). In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the primary analyses include the SDMTs acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the SDMT. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.145
Intranasal Insulin 10 International Units0.207
Placebo0.163

Evaluation of How Overall Sleep Quality Impacts People With MS Using a Sleep Questionnaire (Pittsburgh Sleep Quality Index)

The sleep questionnaire asks subjects to report various aspects related to their sleep routine. Scores range from zero to 21; higher score indicates worse sleep quality. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the PSQIs acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units-0.026
Intranasal Insulin 10 International Units0.035
Placebo-0.045

Evaluation of Impact of Study Products on Health Related Quality of Life Using the Functional Assessment of Multiple Sclerosis Questionnaire (FAMS)

FAMS is a self-reported health-related quality-of-life instrument for people with multiple sclerosis. Subjects rate six quality-of-life domains: Mobility, Symptoms, Emotional well-being, General contentment, Thinking/fatigue, and Family/social well-being. Scores range from zero to 176; higher scores indicate better health-related quality of life. In order to account for all contributed data (even for those who did not complete the study but contributed some post-randomization data in the active study phase), the analyses include the FAMS scores acquired within the active treatment phase (from baseline to week 24 visit). We then calculated and report the average change per week in the score. (NCT02988401)
Timeframe: Up to week 24 visit

Interventionscore on a scale (Mean)
Intranasal Insulin 20 International Units0.056
Intranasal Insulin 10 International Units0.051
Placebo0.240

Number of Participants With Adverse Events Leading to Study Discontinuation

An adverse event will be defined as any occurrence or worsening of an undesirable or unintended sign, symptom (or abnormal laboratory test), or disease temporally associated with the use of a medicinal product or intervention, whether or not it is considered related to the product/intervention. We report overall adverse events in the relevant section. Here, we report adverse events that led to study discontinuation. (NCT02988401)
Timeframe: Up to week 24 visit

InterventionParticipants (Count of Participants)
Intranasal Insulin 20 International Units3
Intranasal Insulin 10 International Units2
Placebo1

Fingerstick Blood Glucose (Subset)

Fingerstick blood glucose levels were monitored twice within the 90 minutes following the first dose administration of study drug for the first 15 participants. (NCT02988401)
Timeframe: At the baseline visit, monitored twice within the 90 minutes following the first dose administration of study drug

,,
Interventionmg/dL (Mean)
First timepointSecond timepoint
Intranasal Insulin 10 International Units95.892.2
Intranasal Insulin 20 International Units97.888.4
Placebo90.087.8

Reviews

5 reviews available for amifampridine and Multiple Sclerosis

ArticleYear
Aminopyridines for symptomatic treatment in multiple sclerosis.
    The Cochrane database of systematic reviews, 2002, Issue:4

    Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl

2002
Potassium channel blockers in multiple sclerosis: neuronal Kv channels and effects of symptomatic treatment.
    Pharmacology & therapeutics, 2006, Volume: 111, Issue:1

    Topics: 4-Aminopyridine; Amifampridine; Animals; Humans; Multiple Sclerosis; Neurons; Potassium Channel Bloc

2006
Potassium channel blockers in multiple sclerosis: neuronal Kv channels and effects of symptomatic treatment.
    Pharmacology & therapeutics, 2006, Volume: 111, Issue:1

    Topics: 4-Aminopyridine; Amifampridine; Animals; Humans; Multiple Sclerosis; Neurons; Potassium Channel Bloc

2006
Potassium channel blockers in multiple sclerosis: neuronal Kv channels and effects of symptomatic treatment.
    Pharmacology & therapeutics, 2006, Volume: 111, Issue:1

    Topics: 4-Aminopyridine; Amifampridine; Animals; Humans; Multiple Sclerosis; Neurons; Potassium Channel Bloc

2006
Potassium channel blockers in multiple sclerosis: neuronal Kv channels and effects of symptomatic treatment.
    Pharmacology & therapeutics, 2006, Volume: 111, Issue:1

    Topics: 4-Aminopyridine; Amifampridine; Animals; Humans; Multiple Sclerosis; Neurons; Potassium Channel Bloc

2006
[Pathophysiology and treatment of fatigue in multiple sclerosis].
    Revue neurologique, 2006, Volume: 162, Issue:3

    Topics: 4-Aminopyridine; Acute Disease; Amantadine; Amifampridine; Asthenia; Benzhydryl Compounds; Central N

2006
The current status of studies of aminopyridines in patients with multiple sclerosis.
    Annals of neurology, 1994, Volume: 36 Suppl

    Topics: 4-Aminopyridine; Amifampridine; Clinical Trials as Topic; Double-Blind Method; Humans; Multiple Scle

1994
Aminopyridines for symptomatic treatment in multiple sclerosis.
    The Cochrane database of systematic reviews, 2001, Issue:4

    Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl

2001
Aminopyridines for symptomatic treatment in multiple sclerosis.
    The Cochrane database of systematic reviews, 2001, Issue:4

    Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl

2001
Aminopyridines for symptomatic treatment in multiple sclerosis.
    The Cochrane database of systematic reviews, 2001, Issue:4

    Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl

2001
Aminopyridines for symptomatic treatment in multiple sclerosis.
    The Cochrane database of systematic reviews, 2001, Issue:4

    Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl

2001

Trials

3 trials available for amifampridine and Multiple Sclerosis

ArticleYear
3,4-diaminopyridine safety in clinical practice: an observational, retrospective cohort study.
    Journal of neurology, 2010, Volume: 257, Issue:6

    Topics: 4-Aminopyridine; Adolescent; Adult; Aged; Amifampridine; Child; Cohort Studies; Dyskinesias; Fatigue

2010
4-Aminopyridine is superior to 3,4-diaminopyridine in the treatment of patients with multiple sclerosis.
    Archives of neurology, 1994, Volume: 51, Issue:11

    Topics: 4-Aminopyridine; Adult; Aged; Amifampridine; Double-Blind Method; Female; Humans; Male; Middle Aged;

1994
Treatment with oral 3,4 diaminopyridine improves leg strength in multiple sclerosis patients: results of a randomized, double-blind, placebo-controlled, crossover trial.
    Neurology, 1996, Volume: 47, Issue:6

    Topics: 4-Aminopyridine; Administration, Oral; Adult; Aged; Amifampridine; Double-Blind Method; Female; Huma

1996

Other Studies

5 other studies available for amifampridine and Multiple Sclerosis

ArticleYear
[Aminopyridines for symptomatic treatment of multiple sclerosis].
    Ugeskrift for laeger, 2011, Dec-12, Volume: 173, Issue:50

    Topics: 4-Aminopyridine; Action Potentials; Amifampridine; Evidence-Based Medicine; Humans; Lower Extremity;

2011
[Fatigue and episodic exhaustion as a feature of multiple sclerosis].
    Revue neurologique, 2006, Volume: 162, Issue:3

    Topics: 4-Aminopyridine; Amantadine; Amifampridine; Benzhydryl Compounds; Fatigue; Humans; Hypnotics and Sed

2006
An open-labelled clinical and electrophysiological study of 3,4 diaminopyridine in the treatment of fatigue in multiple sclerosis.
    Brain : a journal of neurology, 1998, Volume: 121 ( Pt 5)

    Topics: 4-Aminopyridine; Adult; Amifampridine; Analysis of Variance; Case-Control Studies; Electromyography;

1998
Preliminary trial of 3,4-diaminopyridine in patients with multiple sclerosis.
    Annals of neurology, 1990, Volume: 27, Issue:4

    Topics: 4-Aminopyridine; Adult; Amifampridine; Dose-Response Relationship, Drug; Humans; Male; Middle Aged;

1990
Analysis of 3,4-diaminopyridine in human serum by solid-phase extraction and high-performance liquid chromatography with ultraviolet detection.
    Journal of chromatography, 1989, Nov-10, Volume: 496, Issue:1

    Topics: 4-Aminopyridine; Adult; Amifampridine; Chromatography, High Pressure Liquid; Humans; Male; Middle Ag

1989