High Dose Ascorbic Acid Treatment of CMT1A

Last updated: March 4, 2013
Sponsor: Wayne State University
Overall Status: Completed

Phase

2/3

Condition

Neuropathy

Peripheral Neuropathy

Treatment

N/A

Clinical Study ID

NCT00484510
HIC074406MP2F
MDA4193
  • Ages 13-70
  • All Genders

Study Summary

This study will look at the impact of ascorbic acid (Vitamin C) on the progression of disease in people with CMT1A as compared to volunteers receiving a placebo. This study will assess whether is it futile to proceed with a larger, longer-term, placebo-controlled study.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • The subject has CMT1A, defined by the duplication on chromosome 17p11.2 performed byeither Pulse Field Gel Electrophoresis or Fluorescence In Situ Hybridization (FISH) bya CLIA certified laboratory, OR the subject has a first or second degree relative witha documented duplication performed by the above methods AND the subject has uniformmotor conduction slowing of the median or ulnar nerve between 16 and 30 m/s.

  • The subject is between 13 and 70 years of age.

  • The subject, if 18 years or older, has signed the Informed Consent Form and agrees tofollow the stipulations of the protocol.

  • If the subject is less than 18, his or her parents or guardians have signed theInformed Consent Form and agree to follow the stipulations of the protocol. Thesubject has also signed a written assent form.

Exclusion

Exclusion Criteria:

  • A known neuropathy from another source (For example, diabetes, drug induced, alcohol,etc.)

  • The subject has ever received Vincristine.

  • The subject has a known allergy to ascorbic acid.

  • The subject has ever had kidney stones.

  • The subject has a known history of G6PD deficit.

  • The subject has a history of hemochromatosis.

  • The subject suffers from a serious illness or medical condition that is not stabilizedor that could require hospitalization.

  • The subject has a high ascorbic acid level at screening.

  • The subject is pregnant or nursing.

  • The subject, in the opinion of the investigator, is unlikely to comply with the studyprotocol or is unsuitable for any other reason.

  • The subject participates to another clinical trial or is still within a washout periodof a previous clinical trial.

  • The subject is taking neurotoxic medications.

Study Design

Total Participants: 110
Study Start date:
April 01, 2007
Estimated Completion Date:
December 31, 2012

Study Description

Charcot Marie Tooth disease (CMT), or inherited peripheral neuropathies, are among the most frequent heritable disorders, affecting approximately 1 in 2500 people. The most frequent genetic form of CMT is CMT1A. CMT1A is caused by a 1.4 Mb duplication within chromosome 17p11.2 in the region containing the PMP22 gene. Most subjects with CMT1A have a "typical" phenotype characterized by onset in childhood or early adulthood, distal weakness, sensory loss, foot deformities and absent reflexes. How increased expression of PMP22 causes these disabilities is unknown but is currently being investigated in both animal and tissue culture systems. In this study, researchers will evaluate whether ascorbic acid (Vitamin C), administered orally, slows clinical progression of CMT1A and affects the PMP22 mRNA levels of myelinated peripheral nerve fibers obtained from biopsies of glabrous skin.

Connect with a study center

  • Johns Hopkins University, Dept of Neurology

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Wayne State University, Dept of Neurology

    Detroit, Michigan 48201
    United States

    Site Not Available

  • University of Rochester Medical Center, Dept of Neurology

    Rochester, New York 14642
    United States

    Site Not Available

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