Neurofilament Heavy and Light Chain Testing for NEDA (No Evidence of Disease Activity) Assessing in Multiple Sclerosis: a Longitudinal Biomarker Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Blood and CSF neurofilaments in Alemtuzumab patients over 24months
Study Overview
Brief Summary
Goal is to evaluate the achievement of biological NEDA as demonstrated by a drop in neurofilament levels in MS patients commencing Alemtuzumab therapy as part of their MS management.
Detailed Description
Primary
- To evaluate the achievement of NEDA using blood and CSF neurofilaments in Alemtuzumab treated patients.
Secondary 2. To assess prognosis at the end of the study based on neurofilament status. 3. To correlate neurofilament levels with clinical and MRI markers of disease activity. 4. To evaluate the effect of Alemtuzumab on the profile of other CSF, blood, urine, faeces biomarkers of inflammation, neurodegeneration, neuronal sprouting and synaptogenesis, treatment activity and metabolic activity.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosis of Relapsing Remitting Multiple Sclerosis (RRMS).
- •Age 18-55 years.
- •EDSS score between 0-5.
- •Commencing Alemtuzumab therapy at Neurology Infusion and Planned Investigation Unit, The Royal London Hospital, Ward 11D
Exclusion Criteria
- •A diagnosis of Secondary Progressive MS (SPMS) or other forms of progressive MS.
- •Those unable to comply with study requirement
Outcomes
Primary Outcomes
Blood and CSF neurofilaments in Alemtuzumab patients over 24months
Time Frame: 2 years
Neurofilaments
Secondary Outcomes
- Overall clinical response based on neurofilament response(2 years)
- Longitudinal assessment of other biomarkers of inflammation & plasticity(2 years)
- Neurofilament status and association with clinical and MRI markers of disease activity.(2 years)
