Study of Induction Therapy With Mitoxantrone and Plasmapheresis to Treat Aggressive Multiple Sclerosis

NCT ID: NCT01214317

Last Updated: 2020-09-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-02-29

Brief Summary

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The purpose of this study is to compare the effect of combinative induction therapy with mitoxantrone and plasmapheresis versus induction therapy with mitoxantrone alone in cases of aggressive multiple sclerosis

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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mitoxantrone and plasmapheresis

Monthly Plasmapheresis (plasma exchange machine: Haemonetics, model TCS2, USA) 25 ml/kg for 5 cycles, with replacement of 0.9% saline and 5% human serum albumin followed by monthly IV infusion of 12 mg/m2 mitoxantrone (EBEWE Pharma, Amsterdam, The Netherlands) at the end of each Plasmapheresis course for three successive months. Then, treatment is continued by adding two more 6 mg/m2 doses of mitoxantrone in 3-month intervals.

Group Type ACTIVE_COMPARATOR

plasmapheresis

Intervention Type PROCEDURE

3 courses of plasmapheresis are performed before mitoxantrone injection in first 3 months to investigate the efficacy of plasmapheresis in comparison with the other arm that are only treated with mitoxantrone

mitoxantrone

Monthly IV infusion of 12 mg/m2 mitoxantrone (EBEWE Pharma, Amsterdam, The Netherlands) for three successive months. Then, treatment is continued by adding two more 6 mg/m2 doses of mitoxantrone in 3-month intervals.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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plasmapheresis

3 courses of plasmapheresis are performed before mitoxantrone injection in first 3 months to investigate the efficacy of plasmapheresis in comparison with the other arm that are only treated with mitoxantrone

Intervention Type PROCEDURE

Other Intervention Names

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novantrone plasma exchange

Eligibility Criteria

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Inclusion Criteria

* Aggressive multiple sclerosis in attack phase
* EDSS: 1-5
* No contraindication for mitoxantrone prescription
* No past history of mitoxantrone injection
* No history of corticosteroid and immunosuppressive therapy in last 3 months

Exclusion Criteria

* Patient's incompliance
* Severe drug induced side effects
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Isfahan University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Masoud Etemadifar

Professor of neurology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Masoud Etemadifar

Role: PRINCIPAL_INVESTIGATOR

Alzahra Hospital

Locations

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Alahra hospital

Isfahan, , Iran

Site Status

Countries

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Iran

Other Identifiers

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389050

Identifier Type: -

Identifier Source: org_study_id

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