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Active, not recruitingPhase 4

Treating Leg Symptoms in Women With X-linked Adrenoleukodystrophy

Key facts

Who runs it
Massachusetts General Hospital
Where
Boston, United StatesSee the siteAlso in 1 other country, 1 site
Trial code
Status
Active, not recruiting
Phase
Phase 4
People taking part
24 people, planned
Started
1 Apr 2023
Ended
1 Sept 2026
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Pramipexole
  • Placebo
Record updated
1 July 2026

Who can take part

Age
18 years to 75 years
Sex
Women only
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 19 criteriaShow less

Who can take part

  • Women of any ethnic origin
  • Ability to provide verbal consent
  • A willingness and ability to comply with study procedures
  • Age 18-75 years
  • Metabolically or genetically confirmed diagnosis of ALD
  • Participation in Phase 1
  • Ability to provide written informed consent
  • Women with ALD who have Restless Leg Syndrome (IRLS > 15)

Who cannot take part

  • Participants with active or unstable major psychiatric disorder other than ALD, who, in the investigators' judgement, require further treatment
  • Alcohol use disorder within the last 30 days
  • History of being treated for restless legs syndrome, specifically with dopamine agonist medications
  • Neurological disorder or cardiovascular disease raising safety concerns about use of pramipexole and/or judged to interfere with ability to assess efficacy of the treatment
  • Renal disease judged to interfere with drug metabolism and excretion
  • Inflammatory brain demyelination; PHASE 2 (CROSS-OVER STUDY)
  • Pregnant. Research staff perform pregnancy tests upon visit to center
  • Use of dopaminergic agonists or antagonists within the last 30 days
  • Methamphetamine or benzodiazepine dependence in the last 30 days
  • Medical instability considered to interfere with study procedures

Other criteria

  • PHASE 1 (PREVALENCE STUDY)

Where in United States

Also in 1 other country, 1 site

  • Massachusetts General HospitalBoston, United StatesNo longer taking part

About the trial

What the trial wants to find out

The investigators recently observed that up to 25% of women with X-linked adrenoleukodystrophy (ALD) have moderate to severe Restless Leg Syndrome (RLS). In this study, the investigators aim to estimate the prevalence of RLS among women with ALD and to assess whether pramipexole improves RLS symptoms as well as sleep and gait measures in women with ALD.

The 2 groups in the trial

  • PlaceboPlacebo, for comparison

    Participants will be on the placebo arm for 2 months and will then cross over to the pramipexole arm for 2 months

  • PramipexoleExisting treatment, for comparison

    Participants will be on the pramipexole arm for 2 months and will then cross over to the placebo arm for 2 months

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Treating Leg Symptoms in Women With X-linked Adrenoleukodystrophy: A Key to Improving Sleep and Gait Performance
Record updated
1 July 2026