학술논문

A Randomized Controlled Trial of Local Delivery of a Rho Inhibitor (VX-210) in Patients with Acute Traumatic Cervical Spinal Cord Injury
Document Type
article
Source
Journal of Neurotrauma. 38(15)
Subject
Spinal Cord Injury
Neurodegenerative
Clinical Research
Clinical Trials and Supportive Activities
Neurosciences
Traumatic Head and Spine Injury
Physical Injury - Accidents and Adverse Effects
6.1 Pharmaceuticals
Evaluation of treatments and therapeutic interventions
Neurological
ADP Ribose Transferases
Adolescent
Adult
Aged
Botulinum Toxins
Cervical Cord
Cervical Vertebrae
Double-Blind Method
Enzyme Inhibitors
Female
Humans
Male
Middle Aged
Recovery of Function
Spinal Cord Injuries
Treatment Outcome
Young Adult
rho-Associated Kinases
motor recovery
randomized clinical trial
Rho inhibition
spinal cord injury
VX-210
Clinical Sciences
Neurology & Neurosurgery
Language
Abstract
Acute traumatic spinal cord injury (SCI) can result in severe, lifelong neurological deficits. After SCI, Rho activation contributes to collapse of axonal growth cones, failure of axonal regeneration, and neuronal loss. This randomized, double-blind, placebo-controlled phase 2b/3 study evaluated the efficacy and safety of Rho inhibitor VX-210 (9 mg) in patients after acute traumatic cervical SCI. The study enrolled patients 14-75 years of age with acute traumatic cervical SCIs, C4-C7 (motor level) on each side, and American Spinal Injury Association Impairment Scale (AIS) Grade A or B who had spinal decompression/stabilization surgery commencing within 72 h after injury. Patients were randomized 1:1 with stratification by age (