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. 2015 Aug 7;2015(8):CD003434. doi: 10.1002/14651858.CD003434.pub3

NCT02017444.

Trial name or title Lowering Intracranial Pressure in Idiopathic Intracranial Hypertension: Assessing the Therapeutic Efficacy and Safety of an 11β‐hydroxysteroid Dehydrogenase Type 1 Inhibitor (AZD4017). Phase II Study.
Methods Double‐blind, parallel assignment RCT
Participants
  • Female participants between 18 and 55 years.

  • Diagnosis of IIH by the Modified Dandy criteria with:

    • acute (< six months)

    • active disease (papilloedema)

    • raised ICP > 25 cmH2O)

    • normal brain imaging (either magnetic resonance venography or computerised tomography with venography).

Interventions AZD4017 (11b‐HSD1 inhibitor) 400 mg tablet twice daily for 12 weeks versus matched placebo tablet twice‐daily for 12 weeks
Outcomes Primary outcome measures:
  • ICP measured by lumbar puncture.


Secondary outcome measures:
  • IIH symptoms (presence or absence of tinnitus, visual loss, diplopia, visual obscurations, and headache).

  • Visual function (visual acuity, visual fields and contrast sensitivity).

  • Papilloedema.

  • Anthropological measurements (blood pressure, body mass index, waist/hip ratio, DXA scan).

  • Adverse events.


Other outcome measures:
  • AZD4017 assay levels in blood and CSF.

  • Glucocorticoid metabolites.

  • HPA‐associated hormone levels.

  • Fat mass distribution.

  • Fat/skin 11β‐HSD1 activity.

  • Systemic 11β‐HSD1 activity (1st pass metabolism).

  • Adipocyte gene expression.

  • CSF inflammatory markers.

Starting date January 2014
Contact information Alexandra Sinclair; a.b.sinclair@bham.ac.uk
Notes NCT02017444