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Department of Neurology (Drs. Kratz, Sirdofsky, and Hanson), Georgetown University Hospital, and the Neurology Service (Drs. Hawley, Goodman, and McCutchen), DC VA Medical Center, Washington, DC.
Thyrotropin-releasing hormone has been reported to increase strength in patients with amyotrophic lateral sclerosis (ALS). DN-1417 is an analog of thyrotropin-releasing hormone, which has less endocrinologic activity, but more anterior horn cell stimulating effect (with no "autorefractory state"). However, 2 mg DN-1417, IM twice a day for 1 month in an open-label trial, produced no objective improvement of strength in nine patients with ALS. No patient entered the double-blind, placebo-controlled phase of the trial.
Address correspondence and reprint requests to Dr. Hawley, 688/127, DC VA Medical Center. 50 Irving Street, NW, Washington, DC 20422.
Supported by the Veterans Administration.
Received April 4, 1986. Accepted for publication in final form August 5, 1986.
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