Coagulation/Complement Activation and Cerebral Hypoperfusion in Relapsing-remitting Multiple Sclerosis

NCT ID: NCT04380220

Last Updated: 2020-05-21

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

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-07

Study Completion Date

2020-12-31

Brief Summary

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This is a multi-center, prospective, controlled study. MS patients (1° group: 30 patients in relapse; 2° group: 30 patients in remission) and age/sex-matched healthy controls (3° group: 30 subjects) will be enrolled in the study. Patients' disability level will be evaluated by EDSS and MSFC.

Patients and controls will be tested for either coagulation/complement (C3, C4, C4a, C9, fibrinogen, factor VIII and X, D-dimer, protein C, protein S, antithrombin, factor II, aPTT, von-Willebrand factor), soluble markers of endothelial damage (thrombomodulin, Endothelial Protein C Receptor), antiphospholipid antibodies, lupus anticoagulant, complete blood count, viral serological assays or microRNA microarray.

Patients will undergo dynamic susceptibility contrast-enhanced MRI using a 3.0-T scanner to evaluate CBF, CBV, MTT, lesion number and volume.

Detailed Description

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Conditions

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Multiple Sclerosis Relapse

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Relapsing MS patients

Patients diagnosed with relapsing-remitting multiple sclerosis and in relapse, untreated or treated with only immunomodulatory therapy.

Blood samples and processing

Intervention Type DIAGNOSTIC_TEST

DSC perfusion technique at 3.0-T MRI only in MS patients

Remitting MS patients

Patients diagnosed with relapsing-remitting multiple sclerosis and in remission, untreated or treated with only immunomodulatory therapy.

Blood samples and processing

Intervention Type DIAGNOSTIC_TEST

DSC perfusion technique at 3.0-T MRI only in MS patients

Healthy controls

Age- and sex-matched healthy control subjects.

Blood samples and processing

Intervention Type DIAGNOSTIC_TEST

DSC perfusion technique at 3.0-T MRI only in MS patients

Interventions

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Blood samples and processing

DSC perfusion technique at 3.0-T MRI only in MS patients

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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complement C3, C4, C4a, C9, fibrinogen, factor VIII and X, D-dimer, protein C, protein S, antithrombin, aPTT, factor II, v-Willebrand factor, thrombomodulin, Endothelial Protein C Receptor

Eligibility Criteria

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Inclusion Criteria

* patients diagnosed with relapsing-remitting multiple sclerosis, untreated or treated with only immunomodulatory therapy, in relapse o in remission

Exclusion Criteria

* pregnant, with any neoplastic, hematologic, thyroid, metabolic, thrombotic or autoimmune disease, drug or alcohol addicted, treated with immunosuppressive drugs, steroids o any medication interfering with coagulation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Roma La Sapienza

OTHER

Sponsor Role collaborator

Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role collaborator

Regina Elena Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Tatiana Koudriavtseva

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

IRCCS Regina Elena National Cancer Institute

Rome, , Italy

Site Status

University of Rome Sapienza

Rome, , Italy

Site Status

Countries

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United States Italy

References

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Koudriavtseva T, Lorenzano S, Cellerino M, Truglio M, Fiorelli M, Lapucci C, D'Agosto G, Conti L, Stefanile A, Zannino S, Filippi MM, Cortese A, Piantadosi C, Maschio M, Maialetti A, Galie E, Salvetti M, Inglese M. Tissue factor as a potential coagulative/vascular marker in relapsing-remitting multiple sclerosis. Front Immunol. 2023 Jul 31;14:1226616. doi: 10.3389/fimmu.2023.1226616. eCollection 2023.

Reference Type DERIVED
PMID: 37583699 (View on PubMed)

Koudriavtseva T, Stefanile A, Fiorelli M, Lapucci C, Lorenzano S, Zannino S, Conti L, D'Agosto G, Pimpinelli F, Di Domenico EG, Mandoj C, Giannarelli D, Donzelli S, Blandino G, Salvetti M, Inglese M. Coagulation/Complement Activation and Cerebral Hypoperfusion in Relapsing-Remitting Multiple Sclerosis. Front Immunol. 2020 Oct 27;11:548604. doi: 10.3389/fimmu.2020.548604. eCollection 2020.

Reference Type DERIVED
PMID: 33193314 (View on PubMed)

Other Identifiers

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PE-2013-02357745

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

972/17

Identifier Type: -

Identifier Source: org_study_id

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