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CompletedNCT00353665Updated Apr 1, 2009

Memantine for Disability in Amyotrophic Lateral Sclerosis (MEDALS)

A Phase 2/3 interventional study of Memantine (Ebixa) and riluzole in Amyotrophic Lateral Sclerosis, sponsored by University of Lisbon. Completed at 1 site in Portugal. Open to participants aged 20 Years to 75 Years. Per ClinicalTrials.gov, last updated 2009-04-01.

Sponsored by University of Lisbon · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
20 Years to 75 Years
Sex
All
01

Study summary

The purpose of this trial is to study the effect of Memantine (uncompetitive, moderate affinity, NMDA receptor antagonist that binds to the NMDA receptor channel, and regulates the calcium influx into the neurons), a drug used to treat Alzheimer´s disease, on the progression of Amyotrophic Lateral Sclerosis (ALS). Memantine is added to riluzole (the single drug approved to treat ALS).

Read the detailed description

Phase 2/3 trial in ALS patients Double-blinded, parallel, randomized (2 blocs, bulbar/spinal onset)

Memantine + riluzole x Placebo + Memantine

Inclusion criteria:

  • \< 75 years at disease onset
  • \< 3 years of disease progression
  • ALS-FRS > 24
  • FVC > 60
  • Probable or definite disease (revised El Escorial criteria)
  • No other medical condition
  • Normal blood tests
  • Regular medication on riluzole > 1 month
  • Nerve conduction studies ruling out conduction block
  • EMG with widespread loss of motor units (revised El Escorial criteria)
  • At least one hand with ADM strength > 2 on MRC scale

Duration - 2 years

Evaluation - every 3 months

Primary outcome - ALS-FRS Secondary -SF36, Hamilton depression scale, motor unit number estimation, neurophysiological index, strength (clinical evaluation); side-effects

Intention to treat analysis

60 patients

number estimated for 50% change in decline rate of ALS-FRS

02

Conditions studied

  • Amyotrophic Lateral Sclerosis

Keywords

  • amyotrophic lateral sclerosis
  • motor neuron disease
  • memantine
  • clinical trial
03

In context

Motor Neuron Disease

717 studies on the registry are indexed under Motor Neuron Disease; 137 are open to participants now.

This study's enrollment of 63 is above the median of 35 across 461 interventional studies indexed under Motor Neuron Disease.

Browse Motor Neuron Disease studies →

Lead sponsor

University of Lisbon is the lead sponsor of 38 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Definite or probable disease - revise El Escorial criteria
  • Normal blood tests
  • Riluzole treatment during 1 month or more
  • EMG in accordance with El Escorial criteria

Exclusion criteria

Exclusion Criteria:

  • Other diseases (such as PNP)
  • Both ADM muscles \< 3 on MRC scale
  • Conduction block on nerve conduction tests
  • Disease duration > 3 years
  • ALS-FRS \< 25
  • Forced vital capacity - \<60%
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
63 participants (actual)

Study arms

  • Experimental
    1 - active

    memantine + riluzole

    Drug: Memantine (Ebixa) · Drug: riluzole

  • Placebo comparator
    2

    riluzole + placebo

    Drug: riluzole · Drug: Placebo

Interventions

  • DrugMemantine (Ebixa)

    10 mg bid

    Also known as: Ebixa

  • Drugriluzole

    riluzole 50 mg bid

    Also known as: rilutek

  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. ALS-FRS

    Time frame: 12 months

Secondary outcomes

  1. QoL, depression scale, strength (clinical evaluation), forced vital capacity

    Time frame: 12 months

  2. neurophysiology (motor unit counting, neurophysiological index)

    Time frame: 12 months

07

Study locations

1 site
  • Department of Neurology - Hospital de Santa Maria
    Lisbon, 1649-028, Portugal
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00353665
Lead sponsor
University of Lisbon
Collaborators
H. Lundbeck A/S
First posted
Jul 19, 2006
Start date
Jul 2005
Primary completion
Jun 2008
Completion
Jan 2009
Last update
Apr 1, 2009

Study contacts

Mamede de Carvalho, MD
principal investigator · Department of Neurology- Hospital de Santa Maria

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2009. You cannot join it, but the record below documents what was studied.

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