About this trial
The hypothesis tested here is that a lower dose of intermittent oral corticosteroids (5mg/kg/week) will be equally effective to the 10mg/kg/week dose.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects ages 1 month through 30 months
Weakness consistent with Duchenne on exam, creatine kinase ≥ 20 times the upper limit of normal, and genetic mutation known to be causative for DMD.
Disqualifiers
Prior treatment with Glucocorticosteroids
Trial design
Single group
Treatments tested in this trial
Prednisolone
DrugLiquid, 5mg/kg per week, for one year
Treatment groups
Trial outcomes
Primary outcomes
The change from baseline to 24 months for the Gross Motor Scaled Score.
Neuromuscular Gross Motor Outcome (GRO): The Neuromuscular GRO is a gross motor outcome measure developed to assess whole body strength, motor development, and function for all levels of ability across the lifespan in those diagnosed with neuromuscular disease. Items are administered following the developmental sequence, as appropriate for age and ability. Maximum score is 100 points.
Secondary outcomes
Language (expressive and receptive), Social and Fine Motor skills at 24 months as assessed by the Bayley-4 Scales of Infant and Toddler Development
The Bayley Scales of Infant and Toddler Development (Bayley-4) are recognized internationally as a comprehensive tool to assess children from as young as 15 days old. With Bayley-4, it is possible to obtain detailed information from non-verbal children as to their functioning. Children are assessed in the five key developmental domains of cognition, language (receptive and expressive), \& motor (fine and gross).
Linear growth
We have previously shown that all infants and young children treated with 10mg/kg/week did maintain their linear growth. This protocol is designed to determine also if the lower dose will still maintain benefit.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Anne M. Connolly
Lead sponsor
Nationwide Children's Hospital
Sponsor institution
Children's Hospital Medical Center, Cincinnati
Collaborator
Muscular Dystrophy Association
Collaborator
University of Texas
Collaborator
Virginia Commonwealth University
Collaborator
Ann & Robert H Lurie Children's Hospital of Chicago
Collaborator