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)
Excerpt | Relevance | Reference |
---|---|---|
"To compare the efficacy and toxicity of 4-aminopyridine and 3,4-diaminopyridine in patients with multiple sclerosis." | 9.07 | 4-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." | 5.07 | 4-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)." | 4.81 | Aminopyridines 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)." | 4.81 | Aminopyridines 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." | 2.75 | 3,4-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." | 2.39 | The 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." | 1.28 | Preliminary trial of 3,4-diaminopyridine in patients with multiple sclerosis. ( Bever, CT; Camenga, DL; Johnson, KP; Leslie, J; Panitch, HS, 1990) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 1 (7.69) | 18.7374 |
1990's | 5 (38.46) | 18.2507 |
2000's | 5 (38.46) | 29.6817 |
2010's | 2 (15.38) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Flet, L | 1 |
Polard, E | 1 |
Guillard, O | 1 |
Leray, E | 1 |
Allain, H | 1 |
Javaudin, L | 1 |
Edan, G | 1 |
Jensen, HB | 1 |
Stenager, E | 1 |
Ravnborg, MH | 1 |
Solari, A | 2 |
Uitdehaag, B | 2 |
Giuliani, G | 2 |
Pucci, E | 2 |
Taus, C | 2 |
Judge, SI | 1 |
Bever, CT | 5 |
Debouverie, M | 1 |
Pittion, S | 1 |
Boërio, D | 1 |
Lefaucheur, JP | 1 |
Hogrel, JY | 1 |
Créange, A | 1 |
Polman, CH | 1 |
Bertelsmann, FW | 1 |
de Waal, R | 1 |
van Diemen, HA | 1 |
Uitdehaag, BM | 1 |
van Loenen, AC | 1 |
Koetsier, JC | 1 |
Anderson, PA | 1 |
Leslie, J | 3 |
Panitch, HS | 2 |
Dhib-Jalbut, S | 1 |
Khan, OA | 1 |
Milo, R | 1 |
Hebel, JR | 1 |
Conway, KL | 1 |
Katz, E | 1 |
Johnson, KP | 2 |
Sheean, GL | 1 |
Murray, NM | 1 |
Rothwell, JC | 1 |
Miller, DH | 1 |
Thompson, AJ | 1 |
Camenga, DL | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Fampyra Outcome Measures Study: a Study of Different Outcome Measures on the Effect of Fampyra[NCT01656148] | Phase 4 | 108 participants (Actual) | Interventional | 2012-06-30 | Completed | ||
Efficacy of Sustained-release Oral Dalfampridine on Upper Extremity Function in Patients With Multiple Sclerosis: a Pilot Study[NCT02259361] | Phase 4 | 30 participants (Anticipated) | Interventional | 2014-11-30 | Not 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 3 | 59 participants (Actual) | Interventional | 2010-06-30 | Completed | ||
Dalfampridine Treatment for Nonarteritic Anterior Ischemic Optic Neuropathy (NAION)[NCT01975324] | Phase 4 | 20 participants (Actual) | Interventional | 2013-07-31 | Completed | ||
Muscle Strain in Multiple Sclerosis Patients Measured by Ultrasound Speckle Tracking[NCT03847545] | 48 participants (Actual) | Interventional | 2018-12-12 | Completed | |||
Intranasal Insulin for Improving Cognitive Function in Multiple Sclerosis[NCT02988401] | Phase 1/Phase 2 | 105 participants (Actual) | Interventional | 2017-12-01 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | -0.022 |
Intranasal Insulin 10 International Units | -0.019 |
Placebo | -0.045 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.027 |
Intranasal Insulin 10 International Units | 0.059 |
Placebo | 0.030 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.082 |
Intranasal Insulin 10 International Units | 0.021 |
Placebo | 0.020 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.090 |
Intranasal Insulin 10 International Units | 0.070 |
Placebo | 0.021 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | -0.001 |
Intranasal Insulin 10 International Units | 0.027 |
Placebo | 0.002 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | -0.031 |
Intranasal Insulin 10 International Units | 0.047 |
Placebo | -0.005 |
"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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.372 |
Intranasal Insulin 10 International Units | 0.363 |
Placebo | 0.212 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.145 |
Intranasal Insulin 10 International Units | 0.207 |
Placebo | 0.163 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | -0.026 |
Intranasal Insulin 10 International Units | 0.035 |
Placebo | -0.045 |
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
Intervention | score on a scale (Mean) |
---|---|
Intranasal Insulin 20 International Units | 0.056 |
Intranasal Insulin 10 International Units | 0.051 |
Placebo | 0.240 |
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
Intervention | Participants (Count of Participants) |
---|---|
Intranasal Insulin 20 International Units | 3 |
Intranasal Insulin 10 International Units | 2 |
Placebo | 1 |
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
Intervention | mg/dL (Mean) | |
---|---|---|
First timepoint | Second timepoint | |
Intranasal Insulin 10 International Units | 95.8 | 92.2 |
Intranasal Insulin 20 International Units | 97.8 | 88.4 |
Placebo | 90.0 | 87.8 |
5 reviews available for amifampridine and Multiple Sclerosis
Article | Year |
---|---|
Aminopyridines for symptomatic treatment in multiple sclerosis.
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.
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.
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.
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.
Topics: 4-Aminopyridine; Amifampridine; Animals; Humans; Multiple Sclerosis; Neurons; Potassium Channel Bloc | 2006 |
[Pathophysiology and treatment of fatigue in multiple sclerosis].
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.
Topics: 4-Aminopyridine; Amifampridine; Clinical Trials as Topic; Double-Blind Method; Humans; Multiple Scle | 1994 |
Aminopyridines for symptomatic treatment in multiple sclerosis.
Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl | 2001 |
Aminopyridines for symptomatic treatment in multiple sclerosis.
Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl | 2001 |
Aminopyridines for symptomatic treatment in multiple sclerosis.
Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl | 2001 |
Aminopyridines for symptomatic treatment in multiple sclerosis.
Topics: 4-Aminopyridine; Amifampridine; Cross-Over Studies; Humans; Multiple Sclerosis; Potassium Channel Bl | 2001 |
3 trials available for amifampridine and Multiple Sclerosis
Article | Year |
---|---|
3,4-diaminopyridine safety in clinical practice: an observational, retrospective cohort study.
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.
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.
Topics: 4-Aminopyridine; Administration, Oral; Adult; Aged; Amifampridine; Double-Blind Method; Female; Huma | 1996 |
5 other studies available for amifampridine and Multiple Sclerosis
Article | Year |
---|---|
[Aminopyridines for symptomatic treatment of multiple sclerosis].
Topics: 4-Aminopyridine; Action Potentials; Amifampridine; Evidence-Based Medicine; Humans; Lower Extremity; | 2011 |
[Fatigue and episodic exhaustion as a feature of multiple sclerosis].
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.
Topics: 4-Aminopyridine; Adult; Amifampridine; Analysis of Variance; Case-Control Studies; Electromyography; | 1998 |
Preliminary trial of 3,4-diaminopyridine in patients with multiple sclerosis.
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.
Topics: 4-Aminopyridine; Adult; Amifampridine; Chromatography, High Pressure Liquid; Humans; Male; Middle Ag | 1989 |