Restoring Glutathione Synthesis With Tecfidera: An in Vivo H-MRS Single-Arm Study at 7T in Patients With RR MS

NCT ID: NCT02218879

Last Updated: 2016-09-05

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

TERMINATED

Total Enrollment

7 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2016-04-30

Brief Summary

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The primary objective is to directly estimate brain glutathione concentrations in vivo using H-MRS at 7T before and after initiation of Tecfidera in established multiple sclerosis (MS) patients considering switching therapy or being treatment-naive (first line).

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with relapsing MS

Tecfidera

Intervention Type DRUG

Oral Tecfidera 240 mg bid

Interventions

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Tecfidera

Oral Tecfidera 240 mg bid

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female adult patients
* 18-60 years of age
* Diagnosis of multiple sclerosis, in accordance with the revised McDonald criteria (2010)
* Patients naive to MS therapy or patients switching from an FDA-approved MS therapy, including IFN-B formulations, Cop-1, Teriflunomide, and Fingolimod to BG-12
* Expanded Disability Status Scale (EDSS) score 0 to 5.5 inclusive

Exclusion Criteria

* Primary progressive multiple sclerosis patients
* Patients with previous exposure or known allergies to fumarates
* MS patients switching from natalizumab, cyclophosphamide, or mitoxantrone to BG-12
* Contraindications for MRI/MRS
* Known presence of other neurological disorders that may mimic multiple sclerosis
* Pregnancy or lactation
* Requirement for chronic treatment with systemic corticosteroids or immunosuppressants during the course of the study
* History of or currently active primary or secondary immunodeficiency
* Active infection, or history of or known presence of recurrent or chronic infection (e.g. hepatitis B or C, HIV, syphilis, tuberculosis\_
* History of progressive multifocal leukoencephalopathy
* Contraindications to or intolerance of oral or intravenous (IV) corticosteroids
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yale University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Pelletier, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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Yale University

New Haven, Connecticut, United States

Site Status

Countries

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United States

References

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Juchem C, Swanberg KM, Prinsen H, Pelletier D. In vivo cortical glutathione response to oral fumarate therapy in relapsing-remitting multiple sclerosis: A single-arm open-label phase IV trial using 7-Tesla 1H MRS. Neuroimage Clin. 2023;39:103495. doi: 10.1016/j.nicl.2023.103495. Epub 2023 Aug 15.

Reference Type DERIVED
PMID: 37651844 (View on PubMed)

Other Identifiers

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1403013581

Identifier Type: -

Identifier Source: org_study_id

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