UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057016
Receipt number R000065156
Scientific Title A study of combination therapy with Chlorpromazine and L-DOPA in dystonia
Date of disclosure of the study information 2025/03/01
Last modified on 2025/11/28 16:15:29

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Basic information

Public title

A study of combination therapy with
Chlorpromazine and L-DOPA in dystonia

Acronym

A study of combination therapy with
Chlorpromazine and L-DOPA in dystonia

Scientific Title

A study of combination therapy with
Chlorpromazine and L-DOPA in dystonia

Scientific Title:Acronym

A study of combination therapy with
Chlorpromazine and L-DOPA in dystonia

Region

Japan


Condition

Condition

Dystonia as defined by Fahn in 1988, diagnosed as primary oromandibular, eyelid,
cervical, upper limb, unilateral, or generalized dystonia as classified by Bressman et al. in
2006

Classification by specialty

Neurology Neurosurgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the safety and efficacy of the combination therapy using Chlorpromazine
and L-DOPA for treating dystonia

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Prescribe CPZ 5mg and LDOPA 50mg per day and schedule a checkup in two weeks.
Two weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 5mg of CPZ and 100mg of LDOPA will be prescribed. The patient will then be
asked to return for a follow-up visit two weeks later.
Four weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 115mg of CPZ and 150mg of LDOPA will be prescribed. The patient will then
be asked to return for a follow-up visit two weeks later.
After eight weeks from the start of the clinical trial, symptoms and side effects will be
evaluated, and the trial will be terminated. Patients will then transition to standard
treatment.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Pseudo-randomization


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Prescribe CPZ 5mg and LDOPA 50 mg per day and schedule a checkup in two weeks.
Two weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 5mg of CPZ and 100 mg of LDOPA will be prescribed. The patient will then be
asked to return for a follow-up visit two weeks later.
Four weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 115mg of CPZ and 150 mg of LDOPA will be prescribed. The patient will then
be asked to return for a follow-up visit two weeks later.
After eight weeks from the start of the clinical trial, symptoms and side effects will be
evaluated, and the trial will be terminated. Patients will then transition to standard
treatment.

Interventions/Control_2

Chlorpromazine (CPZ) monotherapy
Prescribe CPZ 5 mg per day and schedule a checkup in two weeks.
Two weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 10 mg of CPZ will be prescribed. The patient will then be asked to return for a
follow-up visit two weeks later.
Four weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 15 mg of CPZ will be prescribed. The patient will then be asked to return for a
follow-up visit two weeks later.
After eight weeks from the start of the clinical trial, symptoms and side effects will be
evaluated, and the trial will be terminated. Patients will then transition to standard
treatment.

Interventions/Control_3

L-DOPA monotherapy
Prescribe LDOPA 50 mg per day and schedule a checkup in two weeks.
Two weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 100 mg of LDOPA will be prescribed. The patient will then be asked to return for
a follow-up visit two weeks later.
Four weeks after the clinical trial begins, we will evaluate the symptoms and side effects. At
that time, 150 mg of LDOPA will be prescribed. The patient will then be asked to return for
a follow-up visit two weeks later.
After eight weeks from the start of the clinical trial, symptoms and side effects will be
evaluated, and the trial will be terminated. Patients will then transition to standard
treatment.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Dystonia as defined by Fahn in 1988, diagnosed as primary oromandibular, eyelid,
cervical, upper limb, unilateral, or generalized dystonia as classified by Bressman et al. in
2006
2) Patients who have given written informed consent to participate in the study
3) Individuals who have not received botulinum treatment in the past three months.
4) Individuals who have not altered their oral medication in over three months.
5) Patients aged 50 years or older. For women, this includes postmenopausal patients,
defined as those who have not menstruated for at least 12 consecutive months or those
who have had both ovaries removed.

Key exclusion criteria

1) Under 15 years of age
2) Those with other diseases
3) Those with serious renal or hepatic impairment
4) Pregnant women and women of childbearing age who have not taken effective measures
for contraception
5) Other materials that are judged to be unsuitable for this research

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Nobuhiro
Middle name
Last name Inoue

Organization

Kumamoto Neurosurgical Hospital

Division name

Neurosurgery

Zip code

860081

Address

6-1-21 Honjyo Kumamoto 8600811 Japan

TEL

0963723911

Email

ninoue@knh.co.jp


Public contact

Name of contact person

1st name Nobuhiro
Middle name
Last name Inoue

Organization

Kumamoto Neurosurgical Hospital

Division name

Neurosurgery

Zip code

8600811

Address

6-1-21 Honjyo Kumamoto 860-0811 Japan

TEL

0963723911

Homepage URL


Email

ninoue@knh.co.jp


Sponsor or person

Institute

Kumamoto Neurosurgical Hospital

Institute

Department

Personal name



Funding Source

Organization

Kumamoto Neurosurgical Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kumamoto Neurosurgical Hospital

Address

6-1-21 Honjyo Kumamoto 860-0811 Japan

Tel

00963723911

Email

ninoue@knh.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications

https://doi.org/10.14802/jmd.25177

Number of participants that the trial has enrolled

1

Results

writers cramp, a task-specific focal hand dystonia, is treatable with dopaminergic modulation targeting atriatal striosomes: a case report

Results date posted

2025 Year 11 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 09 Month 11 Day

Baseline Characteristics

writers cramp, a task-specific focal hand dystonia, is treatable with dopaminergic modulation targeting atriatal striosomes: a case report

Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 02 Month 13 Day

Date of IRB


Anticipated trial start date

2025 Year 02 Month 13 Day

Last follow-up date

2025 Year 08 Month 14 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 02 Month 13 Day

Last modified on

2025 Year 11 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065156