Evaluating patients with HTLV-I infection and tropical spastic paraparesis

Immuno-Virological Evaluation of Human T Cell Leukemia Virus Type-1 Associated Myelopathy (HAM/TSP)

Observational National Institutes of Health Clinical Center (CC) · NCT00001778

This study is trying to understand how HTLV-I infection affects people with tropical spastic paraparesis over time by tracking their symptoms and health changes.

Quick facts

Study typeObservational
Enrollment750 (estimated)
Ages18 Years to 120 Years
SexAll
SponsorNational Institutes of Health Clinical Center (CC) NIH
Locations1 site (Bethesda, Maryland)
Trial IDNCT00001778 on ClinicalTrials.gov

What this trial studies

This study aims to investigate the natural history of human T-lymphotropic virus type-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) by conducting longitudinal assessments of patients diagnosed with the condition. It will monitor clinical progression and analyze virological and immunological changes over time. Eligible participants include those with confirmed HTLV-I infection, seroindeterminate individuals, and healthy volunteers. The study will involve periodic testing and evaluations to gather comprehensive data on the disease's progression.

Who should consider this trial

Good fit: Ideal candidates include individuals diagnosed with HAM/TSP, asymptomatic seropositive individuals, and those with indeterminate HTLV-1 serology.

Not a fit: Patients under the age of 18 or those with medical conditions that may affect their safety or compliance with the study will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance understanding of HAM/TSP and lead to improved management strategies for affected patients.

How similar studies have performed: While there is existing literature on HTLV-1, this study's longitudinal approach to understanding HAM/TSP is relatively novel and may provide new insights.

Eligibility criteria

Show full inclusion / exclusion criteria
* INCLUSION CRITERIA:

Participants that meet one of the following criteria:

* Test positive for HTLV infection (positive HTLV-1 ELISA followed by a positive Western blot)
* Positive HTLV ELISA but a Western Blot that only partially fulfills the above criteria (seroindeterminate)
* Have a family member/significant other who is HTLV positive, and may have been exposed to the virus
* Healthy volunteer AND
* Willingness to participate in the protocol evaluations and procedures.

EXCLUSION CRITERIA:

* Unwillingness or inability to participate in the protocol evaluations and procedures.
* The presence of any medical, social, or psychiatric conditions that in the opinion of the investigator may affect the safety of the patients or compliance with the protocol.
* Patients/healthy volunteers under the age of 18 are excluded.

Where this trial is running

Bethesda, Maryland

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions HTLV-I InfectionTropical Spastic ParaparesisImmune ResponseSero-IndeterminantTransmissionHTLV-1HTLV-1 Associated MyelopathyNatural History
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.