Amphetamine for stroke recovery: a clinical and magnetic resonance imaging study

ISRCTN ISRCTN12247669
DOI https://doi.org/10.1186/ISRCTN12247669
Secondary identifying numbers MCT-38134
Submission date
30/03/2007
Registration date
30/03/2007
Last edited
19/11/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Sandra Elizabeth Black
Scientific

Sunnybrook Health Sciences Centre
Cognitive Neurology, Room A421
2075 Bayview Avenue
Toronto
Ontario
M4N 3M5
Canada

Phone +1 416 480 4551
Email sandra.black@sunnybrook.ca

Study information

Study designMulticentre, two-arm, randomised parallel group placebo trial with participant, investigator, caregiver, outcome assessor, and data analyst blinding.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesHypothesis:
Clinical recovery, assessed by validated scales of neurologic impairment and disability at standardised times, will be significantly enhanced in patients recovering from hemiparetic stroke, receiving Amphetamine (AMPH) coupled with rehabilitation versus placebo coupled with rehabilitation.

Objective:
This project aims to determine whether AMPH paired with rehabilitative training can promote adaptive neuroplasticity and improve clinically-meaningful outcomes in patients recovering from hemiparetic stroke.
Ethics approval(s)Approval received from the Research Ethics Board of Sunnybrook & Women's College Health Science Centre (Canada) on the 9th November 1999 (ref: 214-1999).
Health condition(s) or problem(s) studiedStroke
Intervention10 mg amphetamine followed 90 minutes later by one hour physiotherapies, starting five to ten days post stroke, every three to four days for ten drug therapy sessions, versus a matched placebo.

Please note that this trial is now completed.

Contact for public queries:
Dr. David Gladstone
Sunnybrook Health Sciences Centre (Canada)
A442-2075 Bayview Avenue
Toronto, ON
M4N 3M5
Canada
Tel: +1 416 480 4866
Fax: +1 416 480 5753
Email: david.gladstone@sunnybrook.ca
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Amphetamine
Primary outcome measureRecovery of hemiparesis measured by the Fugl Meyer Motor Assessment at 13 time points up to three months.
Secondary outcome measuresAll secondary outcomes are measured at baseline, six weeks, and at three months:
1. National Institute of Health Stroke Scale (NIHSS)
2. Western Aphasia Battery (WAB)
3. Sunnybrook Neglect Assessment Procedure (SNAP)
4. Montgomery/Ashberg Depression Rating Scale
5. Apathy Scale
6. Structured Clinical Interview for Diagnostic and Statistical Manual of mental disorders fourth edition (SCID-DSM-IV)
7. Ideomotor Praxis
8. Chedoke-McMaster Stroke Assessment
9. Clinical Outcomes Variable Scale (COVS)
10. Stroke Rehabilitation Assessment of Movement (STREAM)
11. Barthel Index Scale
12. Functional Independence Measure (FIM)
13. Modified Rankin Scale (MRS)
14. Stroke Impact Scale (SIS)
15. Chedoke Arm and Hand Activity Inventory
16. Mini Mental State Examination (MMSE)
Overall study start date01/02/2000
Completion date31/12/2002

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants71
Key inclusion criteria1. Female or male, 30 to 65 year old
2. Ischaemic hemispheric stroke patients with moderate to severe hemiparesis
3. Medically able to participate in a rehabilitation program and expected to survive three months post-stroke
4. Pre-morbid modified Rankin score zero or one
5. Informed consent from patient or substitute decision maker
Key exclusion criteria1. Brainstem or cerebellar stroke
2. Primary intracerebral haemorrhage
3. Pre-existing neurologic deficit (e.g. from prior stroke) that could interfere with assessments
4. Pregnancy and lactation
5. Prior history of dementia
6. Known hypersensitivity to sympathomimetic amines
7. Unstable cardiac arrhythmia or hypertension not controlled by medication (greater than 170/105 mmHg)
18. History of psychosis or tic disorder
19. Untreated hyperthyroidism
20. Concomitant use of alpha-adrenergic antagonists or agonists
21. Concomitant use of monoamine oxidase inhibitors or use within the preceding 14 days
Date of first enrolment01/02/2000
Date of final enrolment31/12/2002

Locations

Countries of recruitment

  • Canada

Study participating centre

Sunnybrook Health Sciences Centre
Ontario
M4N 3M5
Canada

Sponsor information

Sunnybrook Health Sciences Centre (Canada)
Hospital/treatment centre

Research Administration
S123- 2075 Bayview Avenue
Toronto
Ontario
M4N 3M5
Canada

Phone +1 416 480 6100 ext 5721
Email judy.tong@sunnybrook.ca
Website http://www.sunnybrook.ca/
ROR logo "ROR" https://ror.org/03wefcv03

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca/ (ref: MCT-38134)

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