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Does Long-Term Natalizumab (NTZ) Therapy Normalize Brain Atrophy Rates and Quality of Life (QOL) in Relapsing Remitting Multiple Sclerosis (RRMS)?

Completed
Conditions
Multiple Sclerosis
Registration Number
NCT02588053
Lead Sponsor
University of Colorado, Denver
Brief Summary

Primary Aims: To determine how effective long term Natalizumab (NTZ) therapy is in slowing the progression of whole brain atrophy. Whole brain atrophy rates will be measured through magnetic resonance imaging (MRI) scans and compared between patients with Multiple Sclerosis (MS) who have been using NTZ for at least 2 years versus age and gender-matched healthy controls. The primary outcome will be whole brain atrophy rate measured as the percent change in brain volume (PBVC) over a two-year period.

Primary hypothesis:

The investigators hypothesize that long term (\>2 years) NTZ therapy will slow the rate of whole brain atrophy in patients with Multiple Sclerosis (MS) (as measured by percent change in brain volume), reaching a whole brain atrophy rate similar to that of non-MS controls (a true "disease activity free" state).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
85
Inclusion Criteria
  • 18-55 inclusive years of age at the time of informed consent
  • Diagnosis of relapsing multiple sclerosis as defined by the 2010 revised McDonald criteria
  • Currently taking Tysabri
Exclusion Criteria
  • Systemic steroid users
  • comorbidities that could confound MRI outcomes

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in Brain Atrophy RateBaseline, Year 1, and Year 2
Secondary Outcome Measures
NameTimeMethod
Change in Mean Cortical ThicknessBaseline, Year 1, and Year 2
Change in Neocortical Gray Matter VolumeBaseline, Year 1, and Year 2
Change in Subcortical Gray Matter VolumeBaseline, Year 1, and Year 2

Trial Locations

Locations (1)

University of Colorado Anschutz

🇺🇸

Aurora, Colorado, United States

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