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Deuterium Metabolic Imaging in People with Multiple Sclerosis

Recruiting
Conditions
Multiple Sclerosis (MS) - Relapsing-remitting
Interventions
Other: No Interventions
Registration Number
NCT06611280
Lead Sponsor
University of Aarhus
Brief Summary

The goal of this case-control study is to investigate glucose brain metabolism in people with multiple sclerosis and age- and sex-matched healthy controls. The main questions it aims to answer are:

* How does brain glucose metabolism in people with multiple sclerosis compare to age- and sex-matched healthy controls?

* How is the brain glucose metabolism of people with multiple sclerosis associated with disease severity?

Participants will come in for testing lasting approximately three hours and undergo deuterium metabolic imaging, physical function test, cognitive function test, and answer survey.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Aged 18-60 years.
  • Definite Relapsing remitting multiple sclerosis diagnosis according to the most recent diagnostic criteria
Exclusion Criteria
  • Contraindications for MRI:

Pacemaker, neurostimulator or cholera implant. Metal foreign bodies such as fragments and irremovable piercings. Unsafe medical implants (safety of heart valves, hips and the like must be confirmed).

Claustrophobia. Largest circumference including arms > 160 cm

  • Pregnancy
  • Competing neurological, psychiatric, or systemic diseases including diabetes (except prior TIA, unspecific brain MRI findings, hypertension, atherosclerosis and hyperlipidemia/cholesterolemia which are allowed).
  • Participating in other clinical trials with investigational medical products or drugs.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
MS groupNo InterventionsPeople with relapse remitting multiple sclerosis
HC groupNo InterventionsHealthy control participant who are age- and sex-matched to the MS group
Primary Outcome Measures
NameTimeMethod
lactate to glx ratio2 hours from enrollment to end of assessment

Brain deuterium metabolic imaging determined lactate to glx ratio

Secondary Outcome Measures
NameTimeMethod
Six-minute walk test3 hours from enrollment to end of assessment

Measure of walking capacity as meters walking in six minutes

25 meter walk test3 hours from enrollment to end of assessment

Maximal and usual walking speed over 25 feet including a 3 m measurement

Six-spot-step-test3 hours from enrollment to end of assessment

Fastes time to kick six block away from six markings on the floor approximatly 1 meter from another in a zig-zag patteren.

Handgrip strength3 hours from enrollment to end of assessment

Handgrip dynamometry

5-sit-to-stand3 hours from enrollment to end of assessment

Time to perform five sit to stand.

Processing speed - Selective reminding test3 hours from enrollment to end of assessment

Symbol digit modality test, number of symbols translated in 90 s

Memory function - Symbol digit modality test3 hours from enrollment to end of assessment

Symbol digit modality test

* Short term memory

* consistence short term memory

* long-term memory

Glukose level3 hours from enrollment to end of assessment

From blood sample

Lactat level3 hours from enrollment to end of assessment

From blood sample

Glucose uptake2 hours from enrollment to end of assessment

Brain deuterium metabolic imaging demined glucose uptake measured by glucose to DHO + glucose ratio

glucose to glx ratio2 hours from enrollment to end of assessment

Brain deuterium metabolic imaging demined glucose to glx ratio

Clinical information on multiple sclerosis - Disease modifying treatment7 days from enrollment to end of assessment

Information on current disease modifying treatment are exacted from the hospital patient record

Clinical information on multiple sclerosis - Time since diagnosis7 days from enrollment to end of assessment

Information on time since diagnosis are exacted from the hospital patient record

Modified Fatigue Impact Scale7 days from enrollment to end of assessment

A 29-item questionnaire measuring the impact of multiple sclerosis on the patient. With a minimum score of 29 and a maximum of 116, a higher score indicates a worse outcome.

Clinical information on multiple sclerosis - Expanded disability status score7 days from enrollment to end of assessment

Information on expanded disability status score is exacted from the hospital patient record. The expanded disability status score is a physician rating of disease severity from 0-10 with a higher score indicating higher disability.

Multiple Sclerosis Impact Scale7 days from enrollment to end of assessment

A 21-item questionnaire measuring the impact of multiple sclerosis on the patient. With a minimum score of 0 and a maximum of 84, a higher score indicates a worse outcome.

Trial Locations

Locations (1)

Aarhus University

🇩🇰

Aarhus C, Denmark

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