Document Detail


Double-blind crossover study with dolasetron mesilate, a 5-HT3 receptor antagonist in cerebellar syndrome secondary to multiple sclerosis.
MedLine Citation:
PMID:  14586600     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cerebellar syndrome is one of the most disabling developments in multiple sclerosis (MS). In neurodegenerative disorders, cerebellar syndrome is thought to be related to a neurochemical deficit of 5-hydroxytryptamine (5-HT). Previous studies found that a levorotatory form of 5-hydroxytryptophan, a 5-HT precursor, and ondansetron, a 5-HT(3) receptor antagonist, decreased cerebellar symptoms in Friedreich's ataxia and MS. We studied the effect of another 5-HT(3) receptor antagonist, dolasetron mesilate, on cerebellar syndrome in MS patients.Thirty-four MS patients were included in a placebo-controlled double-blind crossover study. They received a single dose of intravenous dolasetron mesilate or placebo. A quantitative evaluation of cerebellar syndrome using the nine-hole peg test and an ataxia score comprising static and kinetic parameters were performed before and after each treatment. No statistical difference was observed in the dolasetron mesilate group, compared with the placebo group. There was, however, inter-individual variability in the treatment response. This double-blind study on cerebellar syndrome in MS patients did not confirm the positive effect of dolasetron mesilate suggested by previous studies.
Authors:
C Monaca-Charley; T Stojkovic; A Duhamel; J De Seze; D Ferriby; P Vermersch
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of neurology     Volume:  250     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-30     Completed Date:  2003-12-12     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1190-4     Citation Subset:  IM    
Affiliation:
Clinique neurologique, Hôpital Roger Salengro, CHRU de Lille, 59037 Lille Cedex, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cerebellar Diseases / drug therapy*,  etiology*
Cross-Over Studies
Double-Blind Method
Female
Humans
Indoles / administration & dosage,  therapeutic use*
Infusions, Intravenous
Male
Middle Aged
Multiple Sclerosis / complications*
Quinolizines / administration & dosage,  therapeutic use*
Reproducibility of Results
Serotonin Antagonists / administration & dosage,  therapeutic use*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Indoles; 0/Quinolizines; 0/Serotonin Antagonists; 115956-13-3/dolasetron mesylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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