Page last updated: 2024-10-19

niacinamide and Pseudotumor Cerebri

niacinamide has been researched along with Pseudotumor Cerebri in 1 studies

nicotinamide : A pyridinecarboxamide that is pyridine in which the hydrogen at position 3 is replaced by a carboxamide group.

Pseudotumor Cerebri: A condition marked by raised intracranial pressure and characterized clinically by HEADACHES; NAUSEA; PAPILLEDEMA, peripheral constriction of the visual fields, transient visual obscurations, and pulsatile TINNITUS. OBESITY is frequently associated with this condition, which primarily affects women between 20 and 44 years of age. Chronic PAPILLEDEMA may lead to optic nerve injury (see OPTIC NERVE DISEASES) and visual loss (see BLINDNESS).

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's1 (100.00)2.80

Authors

AuthorsStudies
Hardy, RS1
Botfield, H1
Markey, K1
Mitchell, JL1
Alimajstorovic, Z1
Westgate, CSJ1
Sagmeister, M1
Fairclough, RJ1
Ottridge, RS1
Yiangou, A1
Storbeck, KH1
Taylor, AE1
Gilligan, LC1
Arlt, W1
Stewart, PM1
Tomlinson, JW1
Mollan, SP1
Lavery, GG1
Sinclair, AJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Lowering Intracranial Pressure in Idiopathic Intracranial Hypertension: Assessing the Therapeutic Efficacy and Safety of an 11β-hydroxysteroid Dehydrogenase Type 1 Inhibitor (AZD4017). Phase II Study.[NCT02017444]Phase 231 participants (Actual)Interventional2014-04-25Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adverse Events

The safety and tolerability profile of AZD4017 in female patients with IIH through adverse event reporting and safety bloods. (NCT02017444)
Timeframe: 16 weeks

InterventionAEs related to intervention (Number)
Placebo0
AZD4017 (11b-HSD1 Inhibitor)9

Anthropometric Measurements (BMI)

The temporal change in Body Mass Index (in kg/m^2) over 12 weeks of treatment, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

Interventionkg/m^2 (Mean)
Placebo37.4
AZD4017 (11b-HSD1 Inhibitor)37.5

Headache-associated Disability

The change in headache associated disability through the headache impact test-6 score (HIT 6), measured at baseline and week 12. This is scored 11-66 with higher scores indicating worse headache. (NCT02017444)
Timeframe: 12 weeks

InterventionScore on HIT-6 scale (Mean)
Placebo59.8
AZD4017 (11b-HSD1 Inhibitor)60.1

Intracranial Pressure

ICP measured by lumbar puncture in cmCSF as the change from week 0 and week 12 of treatment, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

InterventioncmCSF (Mean)
Placebo-0.3
AZD4017 (11b-HSD1 Inhibitor)-4.3

Serious Adverse Events

The safety and tolerability profile of AZD4017 in female patients with IIH through adverse event reporting and safety bloods. (NCT02017444)
Timeframe: 16 weeks

InterventionSerious adverse events (Number)
Placebo1
AZD4017 (11b-HSD1 Inhibitor)0

Diplopia

The temporal change in IIH symptoms (presence or absence of diplopia, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
PresenceAbsence
AZD4017 (11b-HSD1 Inhibitor)215
Placebo111

Headache

The temporal change in IIH symptoms (presence or absence of headache, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
PresenceAbsence
AZD4017 (11b-HSD1 Inhibitor)134
Placebo102

Log Contrast Sensitivity

The temporal change in IIH visual function in both eyes using a Pelli-Robson chart to evaluate log contrast sensitivity between the baseline to week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionLog contrast senstivity (Mean)
Baseline LCS worst eyeWeek 12 LCS worst eye
AZD4017 (11b-HSD1 Inhibitor)1.631.65
Placebo1.631.66

OCT Total Average Retinal Nerve Fibre Layer Thickness (μm)

The temporal change in OCT Total average retinal nerve fibre layer thickness (μm), measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
Interventionμm (Mean)
Total average retinal nerve fibre layer baseline worst eteTotal average retinal nerve fibre layer week 12 worst eye
AZD4017 (11b-HSD1 Inhibitor)152139.7
Placebo158.4143.2

Papilloedema

"The temporal change in papilloedema (evaluated at the end of trial follow up using stereoscopic fundus photographs by masked neuro-ophthalmologists to grade the images according to Frisen classification) measured at baseline and week 12. There are 6 grades, 0-5, 5 being the worst.~The modified Frisén scale for grading papilledema using fundus photography is as follows:~Grade 1 - C-Shaped halo with a temporal gap~Grade 2 - The halo becomes circumferential~Grade 3 - Loss of major vessels as they leave the disc~Grade 4 - Loss of major vessels on the disc~Grade 5 - Criteria of Grade IV + partial or total obscuration of all vessels on the disc~For further details see e.g. Scott, C.J., et al., Diagnosis and grading of papilledema in patients with raised intracranial pressure using optical coherence tomography vs clinical expert assessment using a clinical staging scale. Arch. Ophthalmol, 2010. 128(6): p. 705-711." (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
Frisen grade 0 baselineFrisen grade 0 week 12Frisen grade 1 baselineFrisen grade 1 week 12Frisen grade 2 baselineFrisen grade 2 week 12Frisen grade 3 baselineFrisen grade 3 week 12Frisen grade 4 baselineFrisen grade 4 week 12Frisen grade 5 baselineFrisen grade 5 week 12
AZD4017 (11b-HSD1 Inhibitor)024598002110
Placebo002256331100

Tinnitus

The temporal change in IIH symptoms (presence or absence of tinnitus), measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
PresenceAbsence
AZD4017 (11b-HSD1 Inhibitor)98
Placebo75

Visual Acuity

The temporal change in IIH visual function in both eyes (measured by LogMAR (log of the minimum angle of resolution) chart to assess visual acuity, between the baseline to week 12, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionLogMAR (log of the minimum angle of reso (Mean)
Baseline LVA worst eyeWeek 12 LVA worst eye
AZD4017 (11b-HSD1 Inhibitor)0.080.06
Placebo0.130.09

Visual Field Mean Deviation

The temporal change in IIH visual function in both eyes using automated perimetry (Humphrey 24-2 central threshold) to measure the visual field mean deviation between the baseline to week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionVisual field mean deviation (Mean)
Baseline MD worst eyeWeek 12 MD worst eye
AZD4017 (11b-HSD1 Inhibitor)-6.1-3.4
Placebo-3.4-2.2

Visual Loss

The temporal change in IIH symptoms (presence or absence of visual loss, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
PresenceAbsence
AZD4017 (11b-HSD1 Inhibitor)611
Placebo74

Visual Obscuration

The temporal change in IIH symptoms (presence or absence of visual obscuration, measured at baseline and week 12 (NCT02017444)
Timeframe: 12 weeks

,
InterventionParticipants (Count of Participants)
PresenceAbsence
AZD4017 (11b-HSD1 Inhibitor)215
Placebo29

Trials

1 trial available for niacinamide and Pseudotumor Cerebri

ArticleYear
11βHSD1 Inhibition with AZD4017 Improves Lipid Profiles and Lean Muscle Mass in Idiopathic Intracranial Hypertension.
    The Journal of clinical endocrinology and metabolism, 2021, 01-01, Volume: 106, Issue:1

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 1; Adolescent; Adult; Body Composition; Double-Blind Metho

2021