The Therapeutic Effect of Betaine in Syringomyelia

ConditionSyringomyelia
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-80
SponsorXuanwu Hospital, Beijing

About this trial

Purpose: This clinical trial aims to evaluate the indications, therapeutic effects and side effects of betaine in refractory syringomyelia.

Primary outcome measure: The primary endpoint is the change of ASIA at week 12. The clinical efficacy is defined as ASIA increase ≥ 1 at week 12, as compared with that before betaine usage.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Contraindication to duraplasty and shunting treatment due to history or high risk of severe adverse effects,

non-effective response to duraplasty and shunting treatment in 12 months prior to study entry.

Estimated life expectancy must be greater than 12 months.

Ability to understand and willingness to sign a written informed consent document, or constant caregivers who well understand and willingness to sign a written informed consent document.

Disqualifiers

Participants have a cardiometabolic disease for which they take prescribed medications

Evidence of tumor metastasis, recurrence, or invasion;

History of psychiatric diseases ;

History of seizures;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Betaine

    Drug

    50mg/kg for 12 weeks

  • Placebo

    Drug

    Placebo

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: betaineExperimental treatment 1 intervention
Group B: placeboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

ASIA Score

American Spinal Injury Association(ASIA) Score for evaluating the spinal cord function, degree of the spinal cord function, motor1-100, sensory 1-224, higher scores mean a better outcome

Time frame
1 day before and 3 days, 3 months, after drug treatment

Secondary outcomes

1

syringomyelia remission

syringomyelia remission is defined as ≥ 25% reduction in syringomyelia volume on T2 images at week 12, as compared with that before thalidomide usage

Time frame
1 day before and 3 days, 3 months, after drug treatment
2

Electrophysiology results

electromyography and evoked potential; Change of N9-13 From Baseline in Electrophysiology at postoperation

Time frame
1 day before and 3 days, 3 months, after drug treatment
3

Visual Analog Scale (VAS)

degree of the pain, 1-10, higher scores mean a worse outcome

Time frame
1 day before and 3 days, 3 months, after drug treatment
4

Klekamp and Sammi syringomyelia scale

for evaluating the spinal cord function, higher scores mean a better outcome

Time frame
1 day before and 3 days, 3 months, after drug treatment

Other outcomes

Sponsors and contacts

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