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Trial registered on ANZCTR
Registration number
ACTRN12625000401459
Ethics application status
Approved
Date submitted
15/04/2025
Date registered
2/05/2025
Date last updated
2/05/2025
Date data sharing statement initially provided
2/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Pilot study of medication repurposing for idiopathic intracranial hypertension
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Scientific title
A phase 2 randomised, placebo-controlled, double-blind pilot trial of drug repurposing in idiopathic intracranial hypertension in adult women.
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Secondary ID [1]
314280
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IIH Repurposing
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic intracranial hypertension
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Condition category
Condition code
Neurological
333522
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Empagliflozin 25mg daily for 12 weeks administered as an oral tablet.
Adherence will be monitored based on drug tablet return.
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Intervention code [1]
330809
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Treatment: Drugs
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Comparator / control treatment
The control group will receive a placebo tablet composed of prosolv (silicified microcrystalline cellulose)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Intracranial pressure measured by lumbar puncture opening pressure
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Assessment method [1]
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Lumbar puncture opening pressure
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Timepoint [1]
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At 12 weeks post intervention commencement
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Secondary outcome [1]
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Feasibility
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Assessment method [1]
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Time to reach recruitment using study recruitment log Adherence to study medication based on pill return/count
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Timepoint [1]
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At study completion
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Secondary outcome [2]
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Neurological symptoms - headache and vision
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Assessment method [2]
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Visual assessment Headache assessment
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Timepoint [2]
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Every 4 weeks during 12 week intervention period
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Secondary outcome [3]
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Quality of life
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Assessment method [3]
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EQ-5D-5L questionnaire
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Timepoint [3]
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At randomisation and at 12 weeks post intervention commencement
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Secondary outcome [4]
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Metabolic parameters
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Assessment method [4]
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Measured body weight Measured blood pressure Laboratory measurements - e.g. fasting glucose
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Timepoint [4]
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Pre-intervention and 12 weeks post-intervention
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Secondary outcome [5]
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Safety endpoint - blood tests
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Assessment method [5]
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Safety bloods including biochemistry and serum ketone level during intervention
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Timepoint [5]
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4-weekly during intervention
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Secondary outcome [6]
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Safety endpoint
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Assessment method [6]
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Adverse effects of medication (participant self-reported) - e.g. urinary frequency, urinary infection
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Timepoint [6]
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4-weekly during intervention
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Eligibility
Key inclusion criteria
Women aged 18 years or older
Diagnosis of IIH by consensus criteria
Bilateral papilloedema
Lumbar puncture opening greater than or equal to 25cm cerebrospinal fluid (CSF) at diagnosis
New diagnosis of IIH (screening commenced no more than 8 weeks after diagnostic LP)
Body mass index 27-58 kg/m2
Women of childbearing potential must have a negative pregnancy test and must agree to use a highly effective contraception method for the duration of the study
Able to provide written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Medical treatment to lower ICP within 1 week prior to screening
Prior surgical treatment to lower ICP
Use of drugs known to affect ICP
Bariatric surgery
Contraindication to SGLT2i use (e.g. Type 1 diabetes)
Pregnancy or positive urine dipstick pregnancy test
Breastfeeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
6/05/2025
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Actual
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Date of last participant enrolment
Anticipated
12/05/2026
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Actual
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Date of last data collection
Anticipated
31/12/2026
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
321155
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Country [1]
321155
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317331
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/09/2024
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Approval date [1]
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13/12/2024
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Ethics approval number [1]
317331
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Summary
Brief summary
Idiopathic intracranial hypertension (IIH) is a rare condition that predominantly affects women aged 16 to 45 years where high pressure inside the skull, known as intracranial pressure (ICP), which causes headaches, and in some cases, can lead to permanent vision loss. Medications to lower ICP are recommended as part of treatment, but currently there are no medication approved for this condition. This pilot study will test whether sodium glucose transport protein 2 inhibitors could lower ICP in women with IIH.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Priya Sumithran
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Address
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Monash University, Level 6, 99 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 0399038939
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Damien Qi
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Address
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Monash University, Level 6, 99 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+610399030555
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Priya Sumithran
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Address
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Monash University, Level 6, 99 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 0399038939
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
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Researchers
Conditions for requesting access:
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Yes, conditions apply:
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Requires review on a case-by-case basis by the trial custodian, sponsor or data sharing committee
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Requires a scientifically sound proposal or protocol
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Requires approval by an ethics committee
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Requires a data sharing agreement between data requester and trial custodian or sponsor
What individual participant data might be shared?
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All de-identified individual participant data
What types of analyses could be done with individual participant data?
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Systematic reviews and meta-analyses
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Studies exploring new research questions
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Studies testing whether findings can be repeated or confirmed
When can requests for individual participant data be made (start and end dates)?
From:
After publication of main results
To:
Not yet decided
Where can requests to access individual participant data be made, or data be obtained directly?
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TBC - email to principal investigator (
[email protected]
)
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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