PMID- 38011420 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231129 IS - 2717-011X (Electronic) IS - 2717-011X (Linking) VI - 20 IP - 1 DP - 2021 Jan 4 TI - Safety and efficacy of edaravone in well-defined Iranian patients with amyotrophic lateral sclerosis: A parallel-group single-blind trial. PG - 1-7 LID - 10.18502/cjn.v20i1.6373 [doi] AB - Background: This parallel-group single-blind trial evaluates the safety and efficacy of Edaravone, as a free radical scavenger, in a highly selective subgroup of Iranian patients with amyotrophic lateral sclerosis (ALS). Methods: The study was registered in ClinicalTrials.gov (registration number: NCT03272802) and Iranian Registry of Clinical Trials (registration number: IRCT20190324043105N). Patients were included into the study, who were diagnosed as probable or definite ALS (according to revised El Escorial criteria), mildly to moderately affected by the disease [according to Amyotrophic Lateral Sclerosis Health State Scale (ALS/HSS)], scored >/= 2 points on all items of the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R), and had forced vital capacity (FVC) of at least 80%. 20 patients (10 cases, 10 controls) were observed for 12 cycles (each cycle lasted four weeks). Cases received Edaravone for the first 14 days in the first cycle and for the first 10 days in the next cycles. In addition, all patients received Riluzole. The 40-item Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40), ALSFRS-R, and Manual Muscle Testing (MMT) scores were measured every 3 cycles to evaluate the physical and functional status of the patients. Besides, injection reactions, adverse events (AEs), and serious adverse events (SAEs) were measured during the study. Results: ALSAQ-40, ALSFRS-R, and MMT scores were not significantly different between cases and controls in 5 different time points. During the study, no injection reactions were observed. AEs and SAEs were not significantly different between cases and controls. Conclusion: Our data did not demonstrate efficacy of Edaravone in ALS treatment, but showed its safety for use in patients with ALS. Further studies are necessary to investigate Edaravone efficacy in patients with ALS before prescribing this new drug outside Japan. CI - Copyright (c) 2021 Iranian Neurological Association, and Tehran University of Medical Sciences Published by Tehran University of Medical Sciences. FAU - Eishi-Oskouei, Alireza AU - Eishi-Oskouei A AD - Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Medical Student Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. FAU - Basiri, Keivan AU - Basiri K AD - Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. AD - Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. LA - eng SI - ClinicalTrials.gov/NCT03272802 PT - Journal Article PL - Iran TA - Curr J Neurol JT - Current journal of neurology JID - 101769679 PMC - PMC8511600 OTO - NOTNLM OT - Amyotrophic Lateral Sclerosis OT - Radicava; Clinical Trial OT - Single-Blind Method EDAT- 2021/01/04 00:00 MHDA- 2021/01/04 00:01 PMCR- 2021/01/04 CRDT- 2023/11/27 14:57 PHST- 2020/09/10 00:00 [received] PHST- 2020/11/05 00:00 [accepted] PHST- 2021/01/04 00:01 [medline] PHST- 2021/01/04 00:00 [pubmed] PHST- 2023/11/27 14:57 [entrez] PHST- 2021/01/04 00:00 [pmc-release] AID - CJN-20-1 [pii] AID - 10.18502/cjn.v20i1.6373 [doi] PST - ppublish SO - Curr J Neurol. 2021 Jan 4;20(1):1-7. doi: 10.18502/cjn.v20i1.6373.