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临床试验/JPRN-jRCTs031180346
JPRN-jRCTs031180346已完成未知

The efficacy and safety of an anti-interluekin-6 receptor antibody in multiple sclerosis

Yamamura Takashi0 个研究点目标入组 6 人开始时间: 2019年3月18日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
发起方
入组人数
6

研究概览

简要总结

This is an exploratory clinical study investigating the safety profiles and efficacy of tocilizumab for plasmablast-high reflactory multiple sclerosis patients. Among six patients enrolled, 3 patients showed clinical benefit by the treatment. The safety profiles revealed there were no severe or unexpected adverse events.

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 <= 65age old(—)
性别
All

入选标准

  • A)Diagnosis as relapsing-remitting multiple sclerosis (RRMS) according to 2010 revised McDonald criteria (Ann Neurol 2011; 69: 292-302).
  • B)Intractable patients with RRMS resistant to standard therapies other than tocilizumab with more than two relapses or disability progression during the 1 year prior to initiation to this study.
  • C)With a higher plasmablast frequency in peripheral blood than the mean frequency + 2SD in healthy donors by flow cytometry.
  • Since a relapsing-remitting phase could turn out to be a secondary-progressive phase after the entry, the patients with secondary-progressive MS (SPMS) could be included in this study.

排除标准

  • 1) Patients with severe infection such as tuberculosis, pneumocystis carinii pneumonia, nontuberculous mycobacterial infection, hepatitis B, hepatitis C, or chronic active EB virus infection.
  • 2) Patients with a history of tuberculosis infection or patients with pleural thickness or old tuberculin in chest X-ray.
  • 3) Patients with a history of hypersensitivity to this drug.
  • 4) Patients with a history of intestinal diverticulum.
  • 5) Patients with interstitial pneumonitis.
  • 6) Patients with leukopenia (white blood cell number < 3500/mm3), lymphopenia (lymphocyte number < 500/mm3) or seropositivity for beta-D-glucan in peripheral blood.
  • 7) Patients with positivity for anti- aquaporin 4 antibody.
  • 8) Pregnant women or patients with possible pregnancy.
  • 9) Patients with a history of allergy to this drug
  • 10) Patients who can not provide consent to participate in this study by themselves.

研究者

发起方
Yamamura Takashi

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