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Completed

NCT Number: NCT02615847

Clinical Trial to Study the Safety and Tolerability of Memantin Mepha® in Sickle Cell Disease Patients

Symptomatic sickle cell disease is worldwide the most frequent cause for hereditary hemolytic anemia with recurrent pain crisis. Hemolysis, vaso- occlusive and pain crises are hallmarks of this disease and are causative for an important socio-economic burden worldwide, especially in Africa.

Aside from allogenic stem cell transplantation, which is rarely available and very expensive, at present there is no curative treatment for patients with sickle cell disease (SCD). The current standard of care includes treatment with hydroxycarbamide and symptomatic care such as transfusions, antibiotic/analgesic treatment.

This study has the aim to study the safety and tolerability of Memantin in patients with sickle cell disease.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

University Hospital Zürich

Zurich, 8091, Switzerland

About this study

During the study participants will be asked if medical occurrences (AEs) happened and laboratory analysis (haematology, coagulation, chemistry) and urine samples will be taken. In addition at each visit a physical examination and measurement of vital signs will be performed.

In addition the number of hospital days and emergency consultations, the impact on working ability (the number of days with inability to work, changes in iv%), the amount and type of analgesic medication, the amount of RBC transfusions, the number of days that antibiotics prescribed and haematology (at local and external laboratory) and chemistry laboratory parameters will be assessed. For the impact on work and social life a questionnaire of quality of life will be filled out monthly by the patient.

At screening and at the end of the study SCD specific assessments will be performed, which include cardiologic examination (ECG, ECHO), abdominal sonography, ophthalmological examination, lung function testing and neuroangiologic examination.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Documented symptomatic sickle cell disease (HbSS or HbS/beta thalassemia)
  • Age 18 years or older
  • Able and willing to provide written informed consent and to comply with the study protocol procedures
  • Willing to use two effective methods of contraception during study treatment until 6 months after stop of study treatment. Effective contraception methods are considered oral, injectable, implantative contraceptives or intrauterine contraceptive devices combined with the use of condom.

Exclusion criteria

  • History of transfusion during last three months before Screening
  • Patients with active bacterial, viral or fungal infection requiring systemic treatment
  • Patients with known infection with human immunodeficiency virus (HIV) of human T cell leukaemia virus 1 (HTLV-1)
  • Inadequate renal function: creatinine clearance < 30ml/min
  • Inadequate liver function: NCICTC Grade 3 liver function tests (AST, ALT > 5x upper limit of normal (ULN))
  • History of malignancy
  • Women who are pregnant or breast feeding
  • Previous known mental disorder or known family history of psychiatric diseases
  • Known epileptic disease
  • The receipt of any investigational product within 30 days prior to this trial

Treatment and study plan

Memantinhydrochlorid

Drug

Memantin Mepha® Lactabs (memantinehydrochlorid) will be provided as 5 mg, 10 mg, 15 mg and 20 mg tablets, packed in blister.

The study drug will be taken once a day per os, during 12 month.

Other names: Memantin Mepha

Primary outcomes

  1. Number of participants with treatment related adverse events as assessed by CTCAE version 4.0

    Time frame: 14 month

Secondary outcomes

  1. Haemoglobin in g/l

    Time frame: 38 month

    2 years before screening until end of study.

  2. Erythrocytes in T/l

    Time frame: 38 month

    2 years before screening until end of study.

  3. Reticulocytes in G/l

    Time frame: 38 month

    2 years before screening until end of study.

  4. Haptoglobin in g/l

    Time frame: 38 month

    2 years before screening until end of study.

  5. Billirubin in micmol/l

    Time frame: 38 month

    2 years before screening until end of study.

  6. LDH (Lactat dehydrogenase) in U/l

    Time frame: 38 month

    2 years before screening until end of study.

  7. Ferritin in micg/l

    Time frame: 38 month

    2 years before screening until end of study.

  8. Transferrin saturation in %

    Time frame: 38 month

    2 years before screening until end of study.

  9. Number of days in hospital

    Time frame: 38 month

    2 years before screening until end of study.

  10. Number of days with inability to work

    Time frame: 38 month

    2 years before screening until end of study.

  11. Number of transfusions

    Time frame: 38 month

    2 years before screening until end of study.

  12. Number of days taken antibiotics

    Time frame: 38 month

    2 years before screening until end of study.

  13. Amount of pain medication in mg or ml

    Time frame: 38 month

    2 years before screening until end of study.

  14. Pain scale

    Time frame: 38 month

    Scores range from 0 (no pain) to 10 (worst possible pain).

Sponsors and collaborators

Lead sponsor

University of Zurich

Other

Registry information

Official study title

A Phase II, Open Label, Single Center Trial to Study the Safety and Tolerability of Memantin Mepha® as Supportive Long Term Treatment in Symptomatic Sickle Cell Disease

Acronym: MemSID

Important dates

Study start
2015
Primary completion
2017
Study completion
2017
First posted
Nov 26, 2015
Registry last updated
Aug 7, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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