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Not yet recruitingNCT07125222Updated Aug 3, 2026

Use of Gocovri to Improve Disability Due to Radiation Encephalopathy

A Phase 2 interventional study of Gocovri (extended-release amantidine) in Encephalopathy and Radiation Effect, sponsored by Weill Medical College of Cornell University. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by Weill Medical College of Cornell University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A study to assess the effect of Gocovri (extended-release amantidine) to improve disability as assessed by the disability rating scale (DRS) and cognition as assessed by the Montreal Cognitive Assessment (MoCA) test in patients with radiation encephalopathy.

Read the detailed description

This is a prospective study to assess the effect of Gocovri (extended-release amantidine) on disability and cognition in patients with radiation encephalopathy. Patients with radiation encephalopathy will be seen in the office, and both clinical and short structured neuropsychological assessments will be collected longitudinally as medication adjustments are performed over time. The investigators will also measure functional glutamate activity in these subjects through use of F-FPEB PET/CT, which identifies mGluR5 expression in the brain. This imaging tracer serves as a surrogate for neurodegeneration in other conditions, such as Parkinson's Disease.

02

Conditions studied

  • Encephalopathy
  • Radiation Effect

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Keywords

  • Radiation encephalopathy
  • Amantadine
  • Gocovri
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In context

Brain Diseases

502 studies on the registry are indexed under Brain Diseases; 141 are open to participants now.

This study's planned enrollment of 24 is below the median of 66 across 339 interventional studies indexed under Brain Diseases.

Browse Brain Diseases studies →

Lead sponsor

Weill Medical College of Cornell University is the lead sponsor of 892 studies on the registry; 165 are open to participants now.

Of its 123 completed or terminated interventional studies of FDA-regulated products, 94 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals ≥ 18 years of age.
  • Individuals with caregivers who are able to complete survey assessments for this study.
  • Prior brain radiation treatment.
  • Evidence of moderate-severe confluent white matter hyperintensity on MRI brain scan as judged by neuroradiology impression 0-5 years prior to enrollment.
  • DRS > 6
  • The effects of Gocovri on the developing human fetus are unknown. For this reason, women of and men must agree to use adequate (e.g. hormonal or barrier method of birth control) prior to study entry and for the duration of study participation; female subjects will be required to demonstrate a negative urine pregnancy test prior to study entry and subjects who are lactating should be excluded.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding.
  • Patients with growing brain lesions or those requiring escalating doses of tumor-directed treatment..
  • Patients requiring doses of Dexamethasone higher than 4 mg or escalating doses of Dexamethasone
  • Patients taking Amantadine or with prior usage of Amantadine.
  • Patients taking other dopaminergic, GABAergic, glutamatergic, or noradrenergic drugs.
  • Patients with a history of suicidality and depression.
  • Patients with end stage renal disease ( less than 15 mL/min/1.73 m2).
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Gocovri (extended-release amantidine)

    Drug: Gocovri (extended-release amantidine)

Interventions

  • Gocovri is extended release formulation of amantidine. Starting on Day 1, patients will start Gocovri 137mg daily. If there is no dose-limited event after 28 days, the dose will be increased to 274mg daily which will become the new standard dose for the remaining 20 weeks of the patient's participation in the study.

06

What researchers measure

Primary outcomes

  1. Change in the level of disability as measured by the Disability Rating Scale(DRS)

    The Disability Rating Scale (DRS) is a tool used to evaluate impairment, disability and handicap caused by brain injury. Scores range from 0 (No disability) to a maximum of 29 (indicating an extreme vegetative state).

    Time frame: Baseline - 24 weeks.

Secondary outcomes

  1. Change in cognition based on the MoCA test.

    The Montreal Cognitive Assessment (MoCA) is a brief screening tool to assess cognitive function and identify potential cognitive impairment. A score of 26-30 is considered normal, 18-25 as mild cognitive impairment, 10-17 as moderate cognitive impairment and below 10 as severe cognitive impairment.

    Time frame: Baseline - 24 weeks.

  2. Change in 18F-FPEB avidity on PET/CT.

    Time frame: Baseline - 24 weeks.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07125222
Responsible party
Sponsor
First posted
Aug 15, 2025
Start date
Sep 2026 (estimated)
Primary completion
Aug 2028 (estimated)
Completion
Aug 2028 (estimated)
Last update
Aug 3, 2026

Study contacts

Rajiv S Magge, MD
Contact
ram9116@med.cornell.edu
646-962-2185
Rajiv S Magge, MD
principal investigator · Weill Medical College of Cornell University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Amantadine

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