Effect of Lithium Carbonate in Patients With Amyotrophic Lateral Sclerosis

Assistance Publique - Hôpitaux de Paris23 enrolled

Overview

The purpose of the study is to determine whether lithium is safe and effective in the treatment of ALS

Daily doses of lithium, have been found to delay progression of amyotrophic lateral sclerosis (ALS) in a 15-month study of 44 patients with ALS. At the end of the trial, about 30 percent of the patients that took riluzole had died, while all those receiving riluzole plus lithium had survived. the lithium group had slower progression as measure by a test of breathing (FVC) and strength. This study will determine whether lithium in combination with riluzole delay progression of patients with amyotrophic lateral sclerosis disease in comparison of an historical cohort of ALS patients treated with riluzole alone.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Amyotrophic Lateral Sclerosis

Interventions

lithiumDRUG

lithium LP 400mg daily po (doses were adjusted during the study to maintain targeted blood levels.)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of clinically possible, clinically probable laboratory-supported, clinically probable or clinically definite ALS (according to WNF EL Escorial diagnostic criteria, revised according to the AIRLIE House Conference 1998) * Concomitant standard Riluzole therapy (50mg twice daily) * patients included in ALS reference center * women of childbearing age be non-lactating and surgically sterile or using a highly effective method of birth control and have a negative pregnancy test * capable of thoroughly understanding all information given and giving full informed consent according to GCP * Patients with gastrostomy Exclusion Criteria: * evidence of major psychiatric disorder or clinically evident dementia precluding evaluation of symptoms * any medical condition known to contre-indicate lithium treatment (dysthyroid, cardiopathy, renal insufficiency) * presence of any concomitant life-threatening disease or impairment likely to interfere with functional assessment * known hypersensitivity to any component of the study drugs

Locations (1)

Pitié-Salpêtrière Hospital

Paris, France

Outcomes

Primary Outcomes

Survival in patients with ALS treated with lithium and riluzole compared to historical cohort (patients treated with riluzole alone )

Time frame: 15 months

Secondary Outcomes

Functional Assessment Change in ALS Functional Rating Score (ALSFRS-R slope)

Time frame: 15 months

Muscle Strength Change in MMT score (MMT slope)

Time frame: 15 months

Rate of decline of respiratory function determined as SVC over the 15 month treatment period

Time frame: 15 months

Data from ClinicalTrials.gov

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