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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT01828203




Registration number
NCT01828203
Ethics application status
Date submitted
5/04/2013
Date registered
10/04/2013
Date last updated
30/10/2014

Titles & IDs
Public title
Minocycline in Acute Spinal Cord Injury (MASC)
Scientific title
Phase III Study of Minocycline in Acute Spinal Cord Injury
Secondary ID [1] 0 0
RHI-1005
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Spinal Cord Injuries 0 0
Condition category
Condition code
Injuries and Accidents 0 0 0 0
Fractures
Injuries and Accidents 0 0 0 0
Other injuries and accidents
Neurological 0 0 0 0
Other neurological disorders
Skin 0 0 0 0
Other skin conditions

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Minocycline
Treatment: Drugs - Placebo
Treatment: Surgery - Surgical spinal cord decompression
Treatment: Surgery - Maintenance of minimum mean arterial pressure (MAP)

Experimental: Minocycline - Minocycline twice daily infused over 30 minutes through central venous access as follows 800 mg + 700 mg on Day 1, 600 mg + 500 mg on Day 2, and 400 mg thereafter from Day 3 thru Day 7

Placebo Comparator: Placebo - 250 ml normal saline and infused over 30 minutes through central venous access twice daily for 7 days


Treatment: Drugs: Minocycline


Treatment: Drugs: Placebo


Treatment: Surgery: Surgical spinal cord decompression
Surgical decompression by means at the discretion of the clinical management team will occur within 24 hours of injury in all subjects. Stabilization will occur at that time but may also include further interventions at a later time.

Treatment: Surgery: Maintenance of minimum mean arterial pressure (MAP)
Standardized hemodynamic management protocol aimed at maintaining MAP = 85 mm Hg for 7 days using volume augmentation with isotonic crystalloid followed by inotropic support if needed will be applied to all subjects.

Intervention code [1] 0 0
Treatment: Drugs
Intervention code [2] 0 0
Treatment: Surgery
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
ASIA Motor Recovery - Motor recovery (improvement from baseline examination) as assessed by the International Standards for Neurologic Classification of Spinal Cord Injury - ISNCSCI (a.k.a. ASIA) neurological examination measured between 3 months and 1 year post-injury, compared to placebo.
Timepoint [1] 0 0
assessed at time points: day 1,3,7, week 3,6, month 3,6,12
Secondary outcome [1] 0 0
ASIA sensory recovery - Sensory recovery (improvement from baseline) as assessed by the International Standards for Neurologic Classification of Spinal Cord Injury - ISNCSCI (a.k.a. ASIA) neurological examination measured between 3 months and 1 year post-injury, compared to placebo
Timepoint [1] 0 0
assessed at time points: day 1,3,7 week 3,6, months 3,6,12
Secondary outcome [2] 0 0
Spinal cord Independence measure (SCIM) - Functional outcome as assessed by the Spinal cord independence Measure assessment at specified time points.
Timepoint [2] 0 0
assessed at time points: week 6, month 3,6,12
Secondary outcome [3] 0 0
Short Form 36 (SF-36) - functional outcome as assessed by the short form 36 (SF-36) quality of Life assessment at specified time points.
Timepoint [3] 0 0
assessed at time points: week 6, month 3,6,12
Secondary outcome [4] 0 0
ASIA impairment grade - change in ASIA impairment grade at specified time points
Timepoint [4] 0 0
assessed at time points: day 1,3,7 week 3,6 month 3,6,12

Eligibility
Key inclusion criteria
- Age 16 or over

- Acute traumatic non-penetrating cervical SCI involving neurological levels as defined
by the ASIA neurological examination between C0 and C8 and resulting in a detectable
change in the ASIA motor assessment

- Patient English speaking and able to provide informed consent

- Randomization and administration of first dose (drug or placebo) within 12 hours of
injury.
Minimum age
16 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- History of systemic lupus erythematosus (SLE)

- Pre-existing hepatic or renal disease

- Tetracycline hypersensitivity

- Pregnancy or breast feeding

- Isolated radicular motor deficit

- Significant leucopenia (white blood cell count < 1/2 times the lower limit of normal)
at screening

- Elevated liver function tests (AST, ALT, alkaline phosphatase, or total bilirubin > 2
times the upper limit of normal) at screening

- Presence of systemic disease that might interfere with patient safety, compliance or
evaluation of the condition under study (e.g. insulin-dependent diabetes, Lyme
disease, clinically significant cardiac disease, HIV, HTLV-1)

- Associated traumatic conditions interfering with informed consent or outcome
assessment (e.g. closed head injury, liver contusion)

- Known uncorrected severe coronary artery disease or evidence of active coronary
ischemia (ECG changes, positive Troponin) will be excluded, as they may not tolerate
the standardized protocol for hemodynamic management

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Unknown status
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD
Recruitment hospital [1] 0 0
Princess Alexandra Hospital - Brisbane
Recruitment postcode(s) [1] 0 0
- Brisbane
Recruitment outside Australia
Country [1] 0 0
Canada
State/province [1] 0 0
Alberta
Country [2] 0 0
Canada
State/province [2] 0 0
Nova Scotia
Country [3] 0 0
Canada
State/province [3] 0 0
Ontario
Country [4] 0 0
Canada
State/province [4] 0 0
Quebec

Funding & Sponsors
Primary sponsor type
Other
Name
Rick Hansen Institute
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
University of Calgary
Address [1] 0 0
Country [1] 0 0
Other collaborator category [2] 0 0
Other
Name [2] 0 0
Alberta Paraplegic foundation
Address [2] 0 0
Country [2] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
The objective of this study is to assess the efficacy of IV minocycline in improving
neurological and functional outcome after acute non-penetrating traumatic spinal cord injury
(SCI).

The primary hypothesis is that intravenous minocycline twice daily (800 mg initial dose
tapered to 400 mg by 100 mg at each dose then administered to the end of day 7) administered
to subjects with acute traumatic non-penetrating cervical SCI starting within 12 hours of
injury will improve motor recovery as assessed by the International Standards for Neurologic
Classification of Spinal Cord Injury - ISNCSCI (a.k.a. ASIA) neurological examination
measured between 3 months and 1 year post-injury, compared to placebo.

The secondary hypotheses are that the above minocycline treatment will also results in
improvement in ASIA sensory improvement, in ASIA grade and in functional outcome as assessed
by Spinal Cord Independence Measure (SCIM) and Short Form 36 (SF-36), compared to placebo. In
addition the effect of minocycline on neurological and functional outcome after SCI is
expected to be more pronounced in those subjects with motor incomplete SCI compared to those
with motor compete SCI. A subgroup analysis will be undertaken to examine this hypothesis.
Trial website
https://clinicaltrials.gov/show/NCT01828203
Trial related presentations / publications
Casha S, Zygun D, McGowan MD, Bains I, Yong VW, Hurlbert RJ. Results of a phase II placebo-controlled randomized trial of minocycline in acute spinal cord injury. Brain. 2012 Apr;135(Pt 4):1224-36. doi: 10.1093/brain/aws072.
Public notes

Contacts
Principal investigator
Name 0 0
Steve Casha, MD PhD FRCSC
Address 0 0
University of Calgary
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Steve Casha, MD PhD FRCSC
Address 0 0
Country 0 0
Phone 0 0
1-403-944-3405
Fax 0 0
Email 0 0
scasha@ucalgary.ca
Contact person for scientific queries

Summary results
For IPD and results data, please see https://clinicaltrials.gov/show/NCT01828203