A double-blind placebo-controlled clinical trial of subcutaneous recombinant human ciliary neurotrophic factor (rHCNTF) in amyotrophic lateral sclerosis. ALS CNTF Treatment Study Group.

Abstract:

:Ciliary neurotrophic factor (CNTF) is a neuroactive cytokine found in Schwann cells, which appears to be released in response to nerve injury. The ALS CNTF Treatment Study (ACTS) clinical trial was a phase II-III randomized, placebo-controlled, double-blind study designed to evaluate the safety, tolerability, and efficacy of subcutaneous administration of recombinantly produced human CNTF (rHCNTF) in slowing disease progression in 730 patients with amyotrophic lateral sclerosis (ALS). Patients were randomized to receive 30 micrograms/kg or 15 micrograms/kg rHCNTF or placebo subcutaneously three times a week for 9 months. The primary endpoint of the study, the slope of decline of isometric muscle strength in treated versus placebo patients, showed no statistically significant difference between rHCNTF and placebo-treated patients, and was complicated by an initial statistically significant decrease in strength early in rHCNTF-treated patients. Mortality was similar in all three study arms. There were no statistically significant treatment effects among the secondary measures. Side effects of rHCNTF included anorexia, weight loss, and cough and were sufficient to limit dosing in many patients.

journal_name

Neurology

journal_title

Neurology

authors

doi

10.1212/wnl.46.5.1244

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

1244-9

issue

5

eissn

0028-3878

issn

1526-632X

journal_volume

46

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    更新日期:2010-03-23 00:00:00

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    authors: Religa D,Strozyk D,Cherny RA,Volitakis I,Haroutunian V,Winblad B,Naslund J,Bush AI

    更新日期:2006-07-11 00:00:00

  • Regional hypometabolism in Alzheimer's disease as measured by positron emission tomography after correction for effects of partial volume averaging.

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    doi:10.1212/wnl.47.2.454

    authors: Meltzer CC,Zubieta JK,Brandt J,Tune LE,Mayberg HS,Frost JJ

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    doi:10.1212/wnl.54.1.242

    authors: McCarron MO,Nicoll JA,Stewart J,Ironside JW,Mann DM,Love S,Graham DI,Grubb A

    更新日期:2000-01-11 00:00:00

  • The neurologic complications of B-cell chronic lymphocytic leukemia.

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    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.2.407

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    更新日期:1997-02-01 00:00:00

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    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000145836.72059.3b

    authors: Pearce DA,Atkinson M,Tagle DA

    更新日期:2004-12-14 00:00:00

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    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:2004-01-27 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1212/wnl.42.4.903

    authors: Ionasescu VV,Trofatter J,Haines JL,Ionasescu R,Searby C

    更新日期:1992-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1212/wnl.32.6.592

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    更新日期:1982-06-01 00:00:00

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    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.7.1326

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    更新日期:2001-10-09 00:00:00

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    pub_type: 杂志文章

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    更新日期:1993-06-01 00:00:00

  • New and reliable MRI diagnosis for progressive supranuclear palsy.

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    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000165960.04422.D0

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    更新日期:2005-06-28 00:00:00

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    pub_type: 指南,杂志文章,实务指引,评审

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    pub_type: 杂志文章

    doi:10.1212/wnl.36.1.27

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    pub_type: 杂志文章,随机对照试验

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    doi:10.1212/wnl.44.5.872

    authors: McKeith IG,Fairbairn AF,Bothwell RA,Moore PB,Ferrier IN,Thompson P,Perry RH

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    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010028

    authors: Yang Q,George MG,Chang A,Tong X,Merritt R,Hong Y

    更新日期:2020-08-11 00:00:00

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    更新日期:2017-07-11 00:00:00