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Effect of additional single or repeated dosage of Kappaproct® to corticosteroid treated patients with brain oedema caused by brain tumour
ISRCTN ISRCTN84460768
ClinicalTrials.gov identifier
Public title Effect of additional single or repeated dosage of Kappaproct® to corticosteroid treated patients with brain oedema caused by brain tumour
Scientific title Effect of additional single or repeated dosage of Kappaproct® to corticosteroid treated patients with brain oedema caused by brain tumour: a multicentre open one-arm non-randomised trial
Acronym Kappaproct® study
Serial number at source InDex-CSBTE-01-09
Study hypothesis To evaluate the effect of an additional single dose of Kappaproct® to corticosteroid treated patients with brain oedema caused by brain tumour, measured as reduction of the volume of the oedema by magnetic resonance imaging (MRI).
Ethics approval Local Ethical Committee in Umeå approved on the 1st April 2009 (ref: 09-054M)
Study design Open one armed non-randomised multicentre trial
Countries of recruitment Sweden
Disease/condition/study domain Brain oedema due to brain tumour
Participants - inclusion criteria 1. Adult men and women (greater than 18 year) with malignant brain oedema confirmed by MRI/computed tomography (CT), caused by malignant glioma, menigioma or metastatic disease (histological and/or cytological verified)
2. World Health Organization (WHO)/Eastern Cooperative Oncology Group (ECOG) performance 0 - 3
3. Betapred® (betamethasone) dose 8 mg x 2 for more than 24 hours
4. Clinical need for increase of corticosteroid dosage
5. Possibility to perform repeated MRI examinations
Participants - exclusion criteria 1. History and precence of a clinical significant cardiovascular, hepatic, haematological, endocrine, neurological and psychiatric disease or immune compromised state as judged by the investigator
2. Chemotherapy that has been administrated within 4 weeks prior to inclusion
3. Positive urine pregnancy test in women at enrolment
4. Intake of drug under investigation
Anticipated start date 01/11/2009
Anticipated end date 31/10/2011
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants Total = 30 patients. An evaluation will be done after 10 patients.
Interventions A single dose of 30 mg Kappaproct® (DIMS0150) given as a rectal enema. The patients are followed for 20 days after treatment.
Primary outcome measure(s) Efficacy assessment: measurement of the volume of the brain oedema with MRI, measured at 10 days after treatment.
Secondary outcome measure(s) Assessed at 10 and 20 days after treatment:
1. Efficacy assessment: Clinical assessment of symptoms of brain edema, dose of steroids, in an explorative manner immune response in blood will be followed.
2. Safety and tolerability after one dose of Kappaproct® treatment

In an explorative manner, immune response in blood will be studied. This samples are collected before treatment and at 24 hours and 10 days after treatment.
Sources of funding InDex Pharmaceutials AB (Sweden)
Trial website
Publications
Contact name Dr  Thomas  Asklund
  Address Department of Oncology
Norrlands University Hospital
  City/town Umeå
  Zip/Postcode SE-90185
  Country Sweden
Sponsor InDex Pharmaceutials AB (Sweden)
  Address Scheeles väg 2
  City/town Stockholm
  Zip/Postcode SE-171 77
  Country Sweden
  Email svante.rasmuson@indexpharmab.com
  Sponsor website: http://www.indexpharmab.com/
Date applied 22/10/2009
Last edited 02/12/2009
Date ISRCTN assigned 02/12/2009
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