Title
Intravenous Immunoglobulin for Unverricht-Lundborg Disease.
Intravenous Immunoglobulin for Unverricht-Lundborg Disease: Single-patient Trial.
Phase
Phase 3Lead Sponsor
Azienda Socio Sanitaria Territoriale di MantovaStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Unverricht-Lundborg DiseaseIntervention/Treatment
Intravenous immunoglobulinStudy Participants
1Single patient randomized double blind trial to assess whether intravenous immunoglobulin can improve the clinical outcome of a case suffering from Unverricht-Lundborg disease.
Single patient randomized double blind trial to assess whether intravenous immunoglobulin can improve the clinical outcome of a case suffering from Unverricht-Lundborg disease (clinical and genetic diagnosis).
The patient was randomized to be treated with intravenous immunoglobulin or placebo 1:1 (crossover) once a month for at least one year.
Main objective: improvement of the action myoclonus. Secondary objectives: Improvement in the overall score and in individual sections of the Unified Myoclonus Rating Scale at one year; patient preferences based on results at the end of the trial.
The first analyst was scheduled at one year from the start of the trial. The program was to discuss the patient's analysis data and to let the patient decide in three possible ways: to continue the trial, to continue treatment with immunoglobulins, to suspend the treatment. Depending on the decision, it was planned to follow the patient throughout the year after the analysis, at least for one year.
Intravenous immunoglobulin 25 grams (five 100 ml bottles, 5g/100ml), in 3 hours, once a month for one year.
Intravenous saline solution 500 ml (five 100 ml bottles), in 3 hours, once a month for one year.
Inclusion Criteria: Malattia di Unverricht-Lundborg (genetic diagnosis) Exclusion Criteria: Contraindications to intravenous immunoglobulin