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Trial Title: Prevention of Imminent Paralysis Following Spinal Cord Trauma or Ischemia by Minocycline: A Multi-center Study in Israel With IDF Primary Care Involvement

NCT ID: NCT01813240

Condition: Spinal Tumors, Trauma Patients, Minocycline.

Conditions: Official terms:
Spinal Cord Neoplasms
Spinal Neoplasms
Minocycline

Study type: Interventional

Study phase: Phase 2/Phase 3

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Double (Participant, Investigator)

Intervention:

Intervention type: Drug
Intervention name: Minocycline
Arm group label: Minocycline, Spinal Tumor patients, quality of life
Arm group label: Minocycline, Trauma patuents, quality of life

Intervention type: Drug
Intervention name: placebo
Arm group label: Placebo, Spinal cord tumors, quality of life
Arm group label: Placebo, Trauma patients, quality of life

Summary: Spinal cord trauma and the consequent paraplegia are possibly among the most devastating injuries in soldiers and during spine surgery, and are significant in the medical, social and financial aspects. Limited mobility, the need for assistance in all human activities, shame, and many medical complications related directly to the neural deficits make paraplegia an important target for prevention. Our study will evaluate the efficacy of Minocycline in two different groups: 1. Minimizing the neurological damage among trauma patients. 2. Preventing neurological damage through operation in spinal tumors patients. 2.OBJECTIVES The primary objectives of the trial are to determine: 1. Efficacy of administrating minocycline in minimizing the neurological damage among acute spinal cord injury patients and spinal cord tumors (primary and metastases) patients? 2. Efficacy of administrating minocycline at changing the natural history and rehabilitation of spinal cord trauma patients. 3. Safety of applying minocycline in spinal cord injuries patients and spinal cord tumors?

Criteria for eligibility:
Criteria:
Inclusion Criteria: Trauma patients with incomplete spinal cord syndromes related to fractures, dislocations, blunt trauma (central cord syndrome). 1. Inclusion Criteria: 2. Patients with incomplete spinal cord syndromes related to fractures, dislocations, blunt trauma (central cord syndrome). 3. Ages: 18 to 65 4. Males - including those involved in active military duty. 5. Females - of child-bearing potential who have a negative pregnancy test (hCG urine) within 72 hours of informed consent. Pregnant women will be excluded from the study. Exclusion Criteria: 1. Complete cord transection, severe head injury, coma, or other disease of the CNS, and spinal injury diagnosed later than 24 hours. 2. Pregnant women (minocycline can cause fetal harm) and children. 3. Lower extremity fractures, mildly reduced consciousness and frail cognitive status will not be considered for exclusion. 4. Patients who will not be enrolled will be listed and reason for non inclusion will be recorded. Spinal tumors: Inclusion Criteria: 1. Intrathecal extramedullary tumors, vertebral metastases or primary vertebral tumors causing cord compression with or without incomplete cord syndrome. Exclusion criteria: 1.Intramedullary tumors or tumors causing complete cord syndrome -

Gender: All

Minimum age: 18 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Hadassah Medical Organization

Address:
City: Jerusalem
Country: Israel

Start date: May 2013

Lead sponsor:
Agency: Hadassah Medical Organization
Agency class: Other

Source: Hadassah Medical Organization

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01813240

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