ISRCTN ISRCTN08774933
DOI https://doi.org/10.1186/ISRCTN08774933
EudraCT/CTIS number 2008-001185-91
Secondary identifying numbers EUDRA-CT: 2008-001185-91
Submission date
28/10/2008
Registration date
20/11/2008
Last edited
30/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Raffaella Zannolli
Scientific

Department of Paediatrics
Policlinico le Scotte
Viale Bracci 8
Siena
I-53100
Italy

Study information

Study designPhase II, central randomised, double-blind, crossover, multicentre clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleCentral randomised, double-blind, crossover, multicentre clinical trial of betamethasone and placebo in children with ataxia teleangectasia
Study acronymBETA-AT clinical trial
Study objectives1. Betamethasone determines a larger decrease of neurological symptoms than placebo
2. Betamethasone determines a larger increase of health-related quality of life than placebo

2006 case study results in http://www.ncbi.nlm.nih.gov/pubmed/17030666.

As of 29/09/2009 this record was updated to include amended anticipated start and end dates; the initial dates at the time of registration were as follows:
Initial anticipated start date: 15/07/2008
Initial anticipated end date: 30/04/2009
Ethics approval(s)The local ethics committee (Azienda Ospedaliera Universitaria Senese Comitato Etico Locale - Sperimentazione Clinica Medicinali) gave approval on the 4th June 2008.
Health condition(s) or problem(s) studiedAtaxia telangiectasia (AT)
InterventionCentral randomised, double-blind, crossover study of betamethasone versus placebo, at the dose of 0.05 mg/kg every 12 hours. The substances (betamethasone or placebo) will be administered orally for 30 days (each branch). Between the day 11 and 20, they will slightly tapered for 10 days; then again administered at a full dosage for 10 days. Each branch of the trial will be followed by a washout period of 30 days. Between the day 1 and 10 of each wash out period, the substances will be slightly tapered.

Added 01/10/2009:
Plasma levels of betamethasone were tested 1 day before entrance into the study and at the 31st day of each arm of the trial.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Betamethasone
Primary outcome measureCheck of the neurological symptoms (Ataxia International Cooperative Ataxia Rating Scale) before and after the drug or placebo. Test schedule: 1 day before the entrance and at the 31st day within each branch of the trial.
Secondary outcome measuresCheck of the general health status and quality of life before and after the drug or placebo. Test schedule: 1 day before the entrance and at the 31st day within each branch of the trial.
Overall study start date11/11/2008
Completion date01/07/2009

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit3 Years
SexBoth
Target number of participants25
Total final enrolment13
Key inclusion criteria1. Proven molecular diagnosis of A-T (alpha-fetoprotein [AFP] level more than twice the upper limit of normal and demonstration of ATM protein deficiency by Western blot)
2. Evident neurological signs of ataxia (uncoordination of head and eyes in lateral gaze deflection, gait ataxia associated with an inappropriately narrow base)
3. Aged greater than or equal to 3 years, either sex
4. Plasma CD4+ lymphocytes/mm^3 greater than or equal to 500 (3 - 6 years) or greater than or equal to 200 (greater than 6 years)
5. Written informed consent to participate from the parents and verbal consent to participate from the patient, if able to understand the main concepts and aims of the study
Key exclusion criteria1. Confinement to a wheelchair (i.e. inability to walk)
2. Current or previous neoplastic disease
3. History of severe impairment of the immunological system (i.e. history of serious infectious disease)
4. Presence of other chronic conditions (i.e. diabetes, mental delay, osteoporosis, etc) representing a contraindication to the use of a steroid drug
5. Noncompliance with the aims and methods of the study
Date of first enrolment11/11/2008
Date of final enrolment01/07/2009

Locations

Countries of recruitment

  • Italy

Study participating centre

Department of Paediatrics
Siena
I-53100
Italy

Sponsor information

Fondazione Monte Paschi di Siena (Italy)
Research organisation

Via Banchi di Sotto, 34
Siena
I-53100
Italy

Website http://www.fondazionemps.it
ROR logo "ROR" https://ror.org/022pga911

Funders

Funder type

Research organisation

Fondazione Monte Paschi di Siena (Italy)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2012 30/12/2020 Yes No

Editorial Notes

30/12/2020: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.