Anti-Inflammatory Type II Monocyte Induction by Glatiramer Acetate (Copaxone) Treatment of Multiple Sclerosis

NCT ID: NCT00819195

Last Updated: 2013-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

17 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-12-31

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this study is to determine whether glatiramer acetate (Copaxone) will induce anti-inflammatory type II monocyte development during treatment of MS, and if these antigen presenting cells (APC) will promote Th2 and Treg differentiation of naïve T cells.

Detailed Description

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Conditions

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Multiple Sclerosis

Keywords

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relapsing-remitting multiple sclerosis Copaxone glatiramer acetate MS

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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RRMS

Relapsing-remitting multiple sclerosis patients who have not yet received glatiramer acetate (Copaxone) therapy recommended as part of clinical care

Glatiramer acetate

Intervention Type DRUG

20 mg daily subcutaneous injection. Six-month duration.

HC

Healthy control volunteers

No interventions assigned to this group

Interventions

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Glatiramer acetate

20 mg daily subcutaneous injection. Six-month duration.

Intervention Type DRUG

Other Intervention Names

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Copaxone

Eligibility Criteria

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Inclusion Criteria

* Relapsing-remitting (RR) MS patients (McDonald criteria)
* Ages 18-55
* Males and females
* EDSS score ≤5
* No prior treatment with Copaxone
* Prior treatment with corticosteroids or interferon-beta (-1a or -1b) is acceptable, provided there is a washout period of at least one month

Exclusion Criteria

* Treatment with Tysabri, Novantrone or cyclophosphamide
* Treatment with other immunomodulatory therapies (e.g. imuran, mycophenolate or methotrexate)
* Primary-progressive (PP) and secondary-progressive (SP) multiple sclerosis
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Multiple Sclerosis Society

OTHER

Sponsor Role collaborator

Teva Neuroscience, Inc.

INDUSTRY

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Scott S. Zamvil, M.D. Ph.D.

Role: PRINCIPAL_INVESTIGATOR

UCSF Department of Neurology

Locations

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UCSF Multiple Sclerosis Center

San Francisco, California, United States

Site Status

Countries

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United States

References

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Weber MS, Prod'homme T, Youssef S, Dunn SE, Rundle CD, Lee L, Patarroyo JC, Stuve O, Sobel RA, Steinman L, Zamvil SS. Type II monocytes modulate T cell-mediated central nervous system autoimmune disease. Nat Med. 2007 Aug;13(8):935-43. doi: 10.1038/nm1620. Epub 2007 Aug 5.

Reference Type BACKGROUND
PMID: 17676050 (View on PubMed)

Neuhaus O, Farina C, Wekerle H, Hohlfeld R. Mechanisms of action of glatiramer acetate in multiple sclerosis. Neurology. 2001 Mar 27;56(6):702-8. doi: 10.1212/wnl.56.6.702. No abstract available.

Reference Type BACKGROUND
PMID: 11288751 (View on PubMed)

Farina C, Weber MS, Meinl E, Wekerle H, Hohlfeld R. Glatiramer acetate in multiple sclerosis: update on potential mechanisms of action. Lancet Neurol. 2005 Sep;4(9):567-75. doi: 10.1016/S1474-4422(05)70167-8.

Reference Type BACKGROUND
PMID: 16109363 (View on PubMed)

Kim HJ, Ifergan I, Antel JP, Seguin R, Duddy M, Lapierre Y, Jalili F, Bar-Or A. Type 2 monocyte and microglia differentiation mediated by glatiramer acetate therapy in patients with multiple sclerosis. J Immunol. 2004 Jun 1;172(11):7144-53. doi: 10.4049/jimmunol.172.11.7144.

Reference Type BACKGROUND
PMID: 15153538 (View on PubMed)

Weber MS, Starck M, Wagenpfeil S, Meinl E, Hohlfeld R, Farina C. Multiple sclerosis: glatiramer acetate inhibits monocyte reactivity in vitro and in vivo. Brain. 2004 Jun;127(Pt 6):1370-8. doi: 10.1093/brain/awh163. Epub 2004 Apr 16.

Reference Type BACKGROUND
PMID: 15090474 (View on PubMed)

Other Identifiers

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10-03877

Identifier Type: -

Identifier Source: org_study_id