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RecruitingNCT06478238CFT-SPG56Updated Jun 27, 2024

Calcium Folinate Treatment of Spastic Paraplegia 56

An Early Phase 1 interventional study of calcium folinate in Hereditary Spastic Paraplegia, sponsored by Shanghai 6th People's Hospital. Recruiting at 1 site in China. Per ClinicalTrials.gov, last updated 2024-06-27.

Sponsored by Shanghai 6th People's Hospital · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Sex
All
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Study summary

SPG56 is one of the complicated and early-onset HSP subtypes caused by genetic mutations in CYP2U1. So far, there is no standardized and specific clinical therapy for SPG56. The goal of this clinical trial is to explore the efficacy and safety of calcium folinate in the treatment of SPG56 patients.

This study is prospective, open-label and single arm and this trial will last for 6 years. A total of 10 patients will participate and they will receive calcium folinate treatment and professional clinical evaluation regularly.

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Conditions studied

  • Hereditary Spastic Paraplegia
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In context

Muscle Spasticity

704 studies on the registry are indexed under Muscle Spasticity; 149 are open to participants now.

This study's planned enrollment of 10 is below the median of 36 across 525 interventional studies indexed under Muscle Spasticity.

Browse Muscle Spasticity studies →

Lead sponsor

Shanghai 6th People's Hospital is the lead sponsor of 69 studies on the registry; 40 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients meet the clinical diagnostic standard of hereditary spastic paraplegia (HSP);
  2. Spastic paraplegia type 56 (SPG56) was diagnosed by CYP2U1 pathogenic mutation;
  3. Patients are willing to participate in clinical trials and able to understand and comply with the research program.

Exclusion criteria

Exclusion Criteria:

  1. Patients are allergic to the drugs involved in the study;
  2. Other neurological diseases likely affecting the evaluation of study treatment;
  3. Other medical conditions such as: heart disease, tumor, blood disease, liver disease, kidney disease, etc. in the past 1 year;
  4. Pregnancy or lactating women or subjects who are unable to use appropriate contraception during the trial;
  5. Participating in another study drug trial and used the investigational drug in the past 30 days;
  6. Subjects have poor compliance or other factors that are not suitable for participating in the clinical trial.
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    calcium folinate treatment group

    Drug: calcium folinate Phase I: calcium folinate infusion intravenously for 5 consecutive days at a dose of 1mg/kg/day in two divided doses per day. Then it was changed to oral administration at a dose of 2mg/kg/day during hospitalization. Phase II: long-term oral medication at a dose of 2mg/ kg/day in two daily doses.

    Drug: calcium folinate

Interventions

  • Drugcalcium folinate

    Intravenous infusion and/or oral therapy

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What researchers measure

Primary outcomes

  1. GMFM-88

    The change in the Gross Motor Function Measure-88 (GMFM-88) score from baseline (range: 0-264, higher scores mean a better outcome).

    Time frame: At the end of the 5-year follow-up period

Secondary outcomes

  1. SPRS score

    The change in the Spastic Paraplegia Rating Scale (SPRS) score from baseline (range: 0-52, higher scores mean a worse outcome).

    Time frame: At the end of the 5-year follow-up period

  2. MMSE score

    The change in the Mini-Mental State Examination (MMSE) score from baseline (range: 0-30, higher scores mean a better outcome).

    Time frame: At the end of the 5-year follow-up period

  3. Laboratory indicators

    The change in the Laboratory indicators (blood biochemistry, lipid metabolism, folate, etc) and the number of participants with abnormal laboratory indicators.

    Time frame: At the end of the 5-year follow-up period

  4. Cranial CT/MRI

    The change in the cranial CT/MRI from baseline.

    Time frame: At the end of the 5-year follow-up period

  5. Gait examination

    The change in the gait examination from baseline.

    Time frame: At the end of the 5-year follow-up period

  6. MoCA score

    The change in the Montreal Cognitive Assessment (MoCA) score from baseline (range: 0-30, higher scores mean a better outcome).

    Time frame: At the end of the 5-year follow-up period

  7. High density electroencephalogram

    The change in the high density electroencephalogram from baseline.

    Time frame: At the end of the 5-year follow-up period

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Study locations

1 of 1 sites recruiting
  • Shanghai 6th People's Hospita
    Shanghai, Shanghai, China
    Recruiting
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06478238
Lead sponsor
Shanghai 6th People's Hospital
Responsible party
Li Cao (Head of the Department of Neurology, Shanghai 6th People's Hospital) — Principal investigator
First posted
Jun 27, 2024
Start date
Jul 1, 2024 (estimated)
Primary completion
May 31, 2030 (estimated)
Completion
May 31, 2030 (estimated)
Last update
Jun 27, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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