Efficacy and Safety of Methylprednisolone Per os Versus IV for the Treatment of Multiple Sclerosis (MS) Relapses

NCT ID: NCT00984984

Last Updated: 2012-12-05

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-31

Study Completion Date

2014-06-30

Brief Summary

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The efficacy of oral corticosteroids for the treatment of relapses of multiple sclerosis has not been proved. French neurologists treat such patients with intravenous corticosteroids. The aim of the study is to check if the efficacy of high dose oral methylprednisolone is similar to the efficacy intravenous (IV) prednisolone. The main criteria of efficacy is symptom recovery within 28 days after inclusion.

Detailed Description

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Conditions

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Multiple Sclerosis, Relapsing-Remitting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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methylprednisolone PO

Group Type EXPERIMENTAL

methylprednisolone PO

Intervention Type DRUG

10 capsules Methylprednisolone 100 mg and 50 ml IV NaCl 0,9% (syringe pump 30 mn to 2 h, every day during 3 days

methylprednisolone IV

Group Type ACTIVE_COMPARATOR

methylprednisolone IV

Intervention Type DRUG

IV Methylprednisolone 1 g in 50 ml NaCl 0,9% (syringe pump 30 mn to 2 h) and 10 capsules of placebo, every day during 3 days

Interventions

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methylprednisolone PO

10 capsules Methylprednisolone 100 mg and 50 ml IV NaCl 0,9% (syringe pump 30 mn to 2 h, every day during 3 days

Intervention Type DRUG

methylprednisolone IV

IV Methylprednisolone 1 g in 50 ml NaCl 0,9% (syringe pump 30 mn to 2 h) and 10 capsules of placebo, every day during 3 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age 18 to 55
* informed written consent
* multiple sclerosis (Mc Donald criteria, relapsing-remitting
* EDSS before relapse : 0 to 5
* relapse : increase of 1 point or more for 1 or more functional systems of Kurtzke, with SF score most affected \> 1 for all functions except for sensory (\> 2); duration of symptoms \> 24 h

Exclusion Criteria

* fever
* previous relapse, and/or corticosteroid treatment \< 1 month before present relapse
* first symptoms of the present relapse appeared \> 15 days before inclusion
* under mitoxantrone of cyclophosphamid or natalizumab treatment
* diabetes
* infection not under control
* liver or kidney failure
* psychiatric symptoms not under control
* pregnancy
* hypersensibility to methylprednisolone
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emmanuelle Le Page, MD

Role: PRINCIPAL_INVESTIGATOR

Rennes University Hospital

Locations

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Hôpital des Armées

Brest, , France

Site Status RECRUITING

CHU Cavale Blanche

Brest, , France

Site Status RECRUITING

Centre Hospitalier de Vendée

La Roche-sur-Yon, , France

Site Status RECRUITING

Centre Hospitalier de Lannion

Lannion, , France

Site Status RECRUITING

Centre hospitalier Bretagne Sud

Lorient, , France

Site Status RECRUITING

CHU Laennec

Nantes, , France

Site Status RECRUITING

Hôpital La pitié Salpétriere

Paris, , France

Site Status RECRUITING

Centre Hospitalier de Pontivy

Pontivy, , France

Site Status RECRUITING

CH de Cornouaille

Quimper, , France

Site Status RECRUITING

Hôpital de Cornouaille

Quimper, , France

Site Status RECRUITING

Rennes University Hospital

Rennes, , France

Site Status RECRUITING

Hopital Yves Le Foll

Saint-Brieuc, , France

Site Status RECRUITING

CH Saint Malo

St-Malo, , France

Site Status RECRUITING

Centre Hospitalier Bretagne Atlantique

Vannes, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Emmanuelle LE PAGE, MD

Role: CONTACT

Phone: 33-2-9928-5296

Email: [email protected]

Veronique DEBURGHGRAEVE, MD

Role: CONTACT

Phone: 33-2-9928-89038

Email: [email protected]

Facility Contacts

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zagnoli

Role: primary

Rouhart

Role: primary

de marco

Role: primary

Massengo

Role: primary

Sartori

Role: primary

Laplaud

Role: primary

Wiertlewski

Role: backup

Papeix

Role: primary

Anani

Role: primary

coustans

Role: primary

Coustans

Role: primary

Le Page

Role: primary

Lallement

Role: primary

taurin

Role: primary

Kassiotis

Role: primary

References

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Le Page E, Veillard D, Laplaud DA, Hamonic S, Wardi R, Lebrun C, Zagnoli F, Wiertlewski S, Deburghgraeve V, Coustans M, Edan G; COPOUSEP investigators; West Network for Excellence in Neuroscience. Oral versus intravenous high-dose methylprednisolone for treatment of relapses in patients with multiple sclerosis (COPOUSEP): a randomised, controlled, double-blind, non-inferiority trial. Lancet. 2015 Sep 5;386(9997):974-81. doi: 10.1016/S0140-6736(15)61137-0. Epub 2015 Jun 28.

Reference Type DERIVED
PMID: 26135706 (View on PubMed)

Other Identifiers

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ESP/07-09

Identifier Type: -

Identifier Source: secondary_id

2007-000590-37

Identifier Type: -

Identifier Source: org_study_id