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Trial · NCT01287221

Study of Rifampicin in Multiple System Atrophy

NCT01287221, Phase 3, Terminated, Phillip Low; results first posted 2014-03-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Rifampicin in Multiple System Atrophy. Trials, record NCT01287221. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01287221

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Rifampicin in Multiple System Atrophy
NCT number
NCT01287221
Status
Terminated
Phases
Phase 3
Enrollment
100 participants, actual
Lead sponsor
Phillip Low
Conditions
Multiple System Atrophy
Interventions
Rifampicin, placebo
First posted
2011-02-01
Last updated
2014-03-28
Results first posted
2014-03-28
Limitations and caveats
The study was terminated early; the Data Safety and Monitoring Board recommended stopping the study after an interim analysis of the primary endpoint revealed that futility criteria were met.

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRate of Change From Baseline to 12 Months in the Total Unified Multiple System Atrophy Rating Scale (UMSARS) Part I Score (Minus Question 11)baseline, 12 months
UMSARS is a scale measuring disease progression that comprises 4 parts; only Parts I and II were used in this study. Part I scores symptoms of neurological and autonomic dysfunction. Part II is a motor examination. Part I has 12 questions with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Therefore the total score for Part I could range from 0 (normal) to 48 (extreme dysfunction). Participant-specific rate of change in points per month was estimated using slope estimate from least square regression where for each participant, their UMSARS I scores were plotted over time measured in months.
SecondaryChange From Baseline to 12 Months in UMSARS Part I Score (Minus Question 11)baseline, 12 months
UMSARS is a scale measuring disease progression that comprises 4 parts, only Parts I and II were used in this study. Part I scores symptoms of neurological and autonomic dysfunction. Part II is a motor examination. Part I has 12 questions with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Therefore the total score for Part I could range from 0 (normal) to 48 (extreme dysfunction).
SecondaryChange From Baseline to 12 Months in UMSARS Part IIbaseline, 12 months
UMSARS is a scale measuring disease progression that comprises 4 parts; only Parts I and II were used in this study. Part I scores symptoms of neurological and autonomic dysfunction. Part II is a motor examination. Part II has 14 items with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Therefore the total score for Part II could range from 0 (normal) to 56 (extreme dysfunction).
SecondaryChange From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II)baseline, 12 months
UMSARS is a scale measuring disease progression that comprises 4 parts; only Parts I and II were used in this study. Part I scores symptoms of neurological and autonomic dysfunction. Part II is a motor examination. Part I has 12 questions with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Part II has 14 items with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Therefore the total score for total UMSARS Parts I minus Question 11 + Part II could range from 0 (normal) to 104 (extreme dysfunction).
SecondaryRate of Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II) Using Slope Estimatebaseline, 12 months
UMSARS is a scale measuring disease progression that comprises 4 parts; only Parts I and II were used in this study. Part I scores symptoms of neurological and autonomic dysfunction. Part II is a motor examination. Part I has 12 questions with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Part II has 14 items with a rating scale ranging from 0 (normal) to 4 (extreme dysfunction). Therefore the total score for total UMSARS Parts I minus Question 11 + Part II could range from 0 (normal) to 104 (extreme dysfunction). Participant-specific rate of change in points per month was estimated using slope estimate from least square regression where for each participant, their total UMSARS scores were plotted over time measured in months.
SecondaryChange From Baseline to 12 Months in the COMPASS-Select Scalebaseline, 12 months
The composite autonomic symptoms score (COMPASS) provides a score of autonomic symptom severity with appropriate weighting. In the COMPASS\_select, symptoms are confined to 6 select domains of symptoms. The version of the COMPASS-Select used (06-09-2009 v1) has 46 questions, with multiple parts, scores ranging from "much worse" to "no such symptoms." Scores could range from 0 (no such symptoms) to 85 (much worse).
SecondaryChange in the COMPASS-Select-Change Scale From Baseline to 12 Monthsbaseline, 12 months
The change in COMPASS is a derivative of COMPASS and evaluates the change in symptoms over time on selected domains of symptoms as a function of natural history or intervention therapy. The focus is on 7 selected domains. The version of the COMPASS-Change -Select Scale used (06-09-2009 Ver. 1) has 16 questions, with multiple parts, scores ranging from "much worse" to "no such symptoms." The score could range from 0 (no such symptoms) to 94 (much worse).

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRate of Change From Baseline to 12 Months in the Total Unified Multiple System Atrophy Rating Scale (UMSARS) Part I Score (Minus Question 11)baseline, 12 months
Analysis was done using intention to treat principles and no imputations were done for any missing values or slope estimates. All randomized participants who took at least two doses of the study drug were included in the principal efficacy analysis. One subject on the Rifampicin arm did not return after the baseline visit.
units on a scale per monthMEAN
SECONDARYChange From Baseline to 12 Months in UMSARS Part I Score (Minus Question 11)baseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scaleMEAN
SECONDARYChange From Baseline to 12 Months in UMSARS Part IIbaseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scaleMEAN
SECONDARYChange From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II)baseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scaleMEAN
SECONDARYRate of Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II) Using Slope Estimatebaseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scale per monthMEAN
SECONDARYChange From Baseline to 12 Months in the COMPASS-Select Scalebaseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scaleMEAN
SECONDARYChange in the COMPASS-Select-Change Scale From Baseline to 12 Monthsbaseline, 12 monthsAnalysis was done using intention to treat principles. Not all patients reached the 12 month time point due to missed visits or the early termination of the study.units on a scaleMEAN

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Rate of Change From Baseline to 12 Months in the Total Unified Multiple System Atrophy Rating Scale (UMSARS) Part I Score (Minus Question 11)Rifampicin0.5Standard Deviation 0.7units on a scale per month
Rate of Change From Baseline to 12 Months in the Total Unified Multiple System Atrophy Rating Scale (UMSARS) Part I Score (Minus Question 11)Placebo0.5Standard Deviation 0.5units on a scale per month
Change From Baseline to 12 Months in UMSARS Part I Score (Minus Question 11)Rifampicin6.2Standard Deviation 5.6units on a scale
Change From Baseline to 12 Months in UMSARS Part I Score (Minus Question 11)Placebo5.6Standard Deviation 5.0units on a scale
Change From Baseline to 12 Months in UMSARS Part IIRifampicin7.0Standard Deviation 6.3units on a scale
Change From Baseline to 12 Months in UMSARS Part IIPlacebo5.4Standard Deviation 6.6units on a scale
Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II)Rifampicin12.9Standard Deviation 10.6units on a scale
Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II)Placebo10.8Standard Deviation 10.7units on a scale
Rate of Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II) Using Slope EstimateRifampicin1.1Standard Deviation 1.0units on a scale per month
Rate of Change From Baseline to 12 Months in Total UMSARS (i.e., UMSARS Part I Minus Question 11 + UMSARS Part II) Using Slope EstimatePlacebo1.2Standard Deviation 1.2units on a scale per month

Participant flow14

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRifampicin50
Overall StudySTARTEDPlacebo50
Overall StudyCompleted 3 Months Follow-upRifampicin49
Overall StudyCompleted 3 Months Follow-upPlacebo50
Overall StudyCompleted 6 Months Follow-upRifampicin47
Overall StudyCompleted 6 Months Follow-upPlacebo43
Overall StudyCompleted 9 Months Follow-upRifampicin42
Overall StudyCompleted 9 Months Follow-upPlacebo40
Overall StudyCompleted 12 Months Follow-upRifampicin40
Overall StudyCompleted 12 Months Follow-upPlacebo39

Adverse events178

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSpeech impairmentGeneral disordersRifampicin0500
otherSpeech impairmentGeneral disordersPlacebo1501
otherProlonged QTc IntervalCardiac disordersRifampicin0500
otherProlonged QTc IntervalCardiac disordersPlacebo1501
otherLeukocytesImmune system disordersRifampicin1501
otherLeukocytesImmune system disordersPlacebo0500
otherNauseaGastrointestinal disordersRifampicin6506
otherNauseaGastrointestinal disordersPlacebo1501
otherNeutrophils/granulocytesImmune system disordersRifampicin1501
otherNeutrophils/granulocytesImmune system disordersPlacebo0500

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRifampicin
Total, all-cause mortalityPlacebo
Total, other adverse eventsRifampicin3150
Total, other adverse eventsPlacebo2650
Total, serious adverse eventsRifampicin350
Total, serious adverse eventsPlacebo1250

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
24507091RESULT

Source PubMed

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U54NS065736Autonomic Rare Diseases Clinical Research ConsortiumBIAGGIONI, ITALOVANDERBILT UNIVERSITY MEDICAL CENTERNATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE2009 to 2018NIH RePORTER
P01NS044233Pathogenesis and Diagnosis of Multiple System Atrophy (P01)LOW, PHILLIP AMAYO CLINIC ROCHESTERNATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE2003 to 2014NIH RePORTER

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Rifampicin vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01287221

GET https://conductscience.org/api/trials/v1/NCT01287221/events?page=2