Autonomic Dysfunction in Neuromyelitis Optica Spectrum Disorder and Multiple Sclerosis : A Comparative Study

NCT ID: NCT07273292

Last Updated: 2025-12-09

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

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-20

Study Completion Date

2028-10-31

Brief Summary

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To compare the frequency and patterns of autonomic dysfunction in patients with NMOSD and MS, and to investigate its correlations with clinical disability, radiological findings, fatigue, and quality of life parameters

Detailed Description

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Conditions

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NMO and MS

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Interventions

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Bedside cardiovascular reflex tests

These tests evaluate both parasympathetic and sympathetic components of cardiovascular regulation.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adult patients (≥18 years , both sexes.
* Confirmed diagnosis of NMOSD according to the 2015 International Consensus Criteria.
* Confirmed diagnosis of RRMS according to the 2024 McDonald diagnostic criteria.

Exclusion Criteria

* Comorbidities affecting autonomic function (e.g., diabetes, Parkinsonism).
* Medications known to interfere with autonomic testing.
* Cognitive impairment precluding questionnaire completion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mohamed Moshref abd alsattar

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Moshref abd alsattar

Resident doctor at neurology and psychiatry department

Responsibility Role SPONSOR_INVESTIGATOR

Central Contacts

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Mohamed Moshref Abd alsattar, Master

Role: CONTACT

0201068960922

References

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Pigg S, Cautley D, Francisco PW. Impacts of weatherization on indoor air quality: A field study of 514 homes. Indoor Air. 2018 Mar;28(2):307-317. doi: 10.1111/ina.12438. Epub 2017 Nov 27.

Reference Type RESULT
PMID: 29108089 (View on PubMed)

Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52. doi: 10.1212/wnl.33.11.1444.

Reference Type RESULT
PMID: 6685237 (View on PubMed)

Sletten DM, Suarez GA, Low PA, Mandrekar J, Singer W. COMPASS 31: a refined and abbreviated Composite Autonomic Symptom Score. Mayo Clin Proc. 2012 Dec;87(12):1196-201. doi: 10.1016/j.mayocp.2012.10.013.

Reference Type RESULT
PMID: 23218087 (View on PubMed)

Cohen JA. 2024 revision of the McDonald diagnostic criteria for MS: Substantial and substantive changes. Mult Scler. 2025 Oct;31(11):1269-1275. doi: 10.1177/13524585251351860. Epub 2025 Jul 13. No abstract available.

Reference Type RESULT
PMID: 40652383 (View on PubMed)

Pentland B, Ewing DJ. Cardiovascular reflexes in multiple sclerosis. Eur Neurol. 1987;26(1):46-50. doi: 10.1159/000116311.

Reference Type RESULT
PMID: 3816885 (View on PubMed)

HAMILTON JE, HALL WM, HARBRECHT PJ. Carcinoma of the tongue: its behavior and management. Surgery. 1960 Aug;48:385-90. No abstract available.

Reference Type RESULT
PMID: 14399265 (View on PubMed)

BLEWETT J. Manifestations of yaws in Great Britain. Br J Radiol. 1959 Mar;32(375):198-201. doi: 10.1259/0007-1285-32-375-198. No abstract available.

Reference Type RESULT
PMID: 13638541 (View on PubMed)

Wingerchuk DM, Banwell B, Bennett JL, Cabre P, Carroll W, Chitnis T, de Seze J, Fujihara K, Greenberg B, Jacob A, Jarius S, Lana-Peixoto M, Levy M, Simon JH, Tenembaum S, Traboulsee AL, Waters P, Wellik KE, Weinshenker BG; International Panel for NMO Diagnosis. International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 2015 Jul 14;85(2):177-89. doi: 10.1212/WNL.0000000000001729. Epub 2015 Jun 19.

Reference Type RESULT
PMID: 26092914 (View on PubMed)

Frileck S. The work. Plast Reconstr Surg. 2003 Aug;112(2):681-3. doi: 10.1097/01.PRS.0000070942.73903.FD. No abstract available.

Reference Type RESULT
PMID: 12900633 (View on PubMed)

Crnosija L, Krbot Skoric M, Andabaka M, Junakovic A, Martinovic V, Ivanovic J, Mesaros S, Pekmezovic T, Drulovic J, Habek M. Autonomic dysfunction in people with neuromyelitis optica spectrum disorders. Mult Scler. 2020 May;26(6):688-695. doi: 10.1177/1352458519837703. Epub 2019 Mar 19.

Reference Type RESULT
PMID: 30887872 (View on PubMed)

Racosta JM, Kimpinski K. Autonomic dysfunction, immune regulation, and multiple sclerosis. Clin Auton Res. 2016 Feb;26(1):23-31. doi: 10.1007/s10286-015-0325-7. Epub 2015 Dec 21.

Reference Type RESULT
PMID: 26691635 (View on PubMed)

Cortez MM, Nagi Reddy SK, Goodman B, Carter JL, Wingerchuk DM. Autonomic symptom burden is associated with MS-related fatigue and quality of life. Mult Scler Relat Disord. 2015 May;4(3):258-63. doi: 10.1016/j.msard.2015.03.007. Epub 2015 Apr 8.

Reference Type RESULT
PMID: 26008943 (View on PubMed)

Habek M, Crnosija L, Lovric M, Junakovic A, Krbot Skoric M, Adamec I. Sympathetic cardiovascular and sudomotor functions are frequently affected in early multiple sclerosis. Clin Auton Res. 2016 Dec;26(6):385-393. doi: 10.1007/s10286-016-0370-x. Epub 2016 Jul 22.

Reference Type RESULT
PMID: 27448576 (View on PubMed)

Jarius S, Wildemann B. The history of neuromyelitis optica. J Neuroinflammation. 2013 Jan 15;10:8. doi: 10.1186/1742-2094-10-8.

Reference Type RESULT
PMID: 23320783 (View on PubMed)

Noyes K, Weinstock-Guttman B. Impact of diagnosis and early treatment on the course of multiple sclerosis. Am J Manag Care. 2013 Nov;19(17 Suppl):s321-31.

Reference Type RESULT
PMID: 24494633 (View on PubMed)

Other Identifiers

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Autonomics in NMO and MS

Identifier Type: -

Identifier Source: org_study_id

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