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临床试验/EUCTR2012-004040-30-AT
EUCTR2012-004040-30-AT进行中(未招募)不适用

atalizumab de-escalation to interferon-beta-1b in patients withrelapsing-remitting multiple sclerosis: A multicenter study

Ospedale Regionale di Lugano0 个研究点目标入组 72 人开始时间: 2013年3月12日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
72

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • · Female or male patients with relapsing-remitting forms of multiple
  • sclerosis (according to McDonald's criteria);
  • · Age between 18 and 70 years;
  • · Natalizumab-treatment for at least 12 months following the current Swiss guidelines for treatment initiation;
  • · Treated with a disease-modifying therapy other than interferon beta-1b for at least 12 months before natalizumab was initiated;
  • · Never treated with interferon beta-1b;
  • · Eligible patients are clinically stable (free from relapses and 6-month confirmed disability progression for at least 6 months) while on natalizumab-treatment and do not show any Gd-enhancement on their last MRI performed while on Tysabri;
  • · In eligible patients MRI were performed in the past as following
  • a) 6-18 months prior to natalizumab-treatment
  • b) at natalizumab start
  • c) 12 months after natalizumab initiation;
  • · Good records with regard to clinical disease activity (relapse rate,
  • EDSS progression) in the year prior to natalizumab and during
  • natalizumab;
  • · Patients who decide to stop natalizumab treatment after a careful
  • benefit/risk assessment. Risk for PML increases with duration of
  • natalizumab exposure, pretreatment with an immunosuppressant
  • agent or serological status of anti-JC-virus positivity;
  • · Patients, who in context with cessation of natalizumab have decided, after a careful benefit/risk assessment, to continue treatment of their MS with Interferon beta-1b;
  • · Women of potential childbearing with active contraceptive methods;
  • · Patients who are willing to undergo study procedures;
  • · Patients who are willing to undergo MRI;
  • · Patients who are willing and able to sign informed consent.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 36
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 36

排除标准

  • · Patients who have previously entered this study;
  • · Natalizumab-treatment for less than 12 months following the current Swiss guidelines for treatment initiation;
  • · Prior treatment with interferon beta-1b (ever interferon beta-1b);
  • · Sign of clinical disease activity within the 6 months;
  • · One or more relapses and/or 6-month confirmed disability
  • progression during the 6 months prior to the study;
  • · Secondary progressive MS;
  • · Primary progressive MS;
  • · Pregnancy - Serum pregnancy test at screening visit positive- or
  • breast feeding;
  • · Uncontrolled, clinically significant heart diseases, such as
  • arrhythmias, angina, or uncompensated congestive heart failure;
  • · History of severe depression or attempted suicide or current suicidal
  • · Medical or psychiatric conditions that compromise the ability to give informed consent, to comply with the protocol, or to complete the study;
  • · Uncontrolled seizure disorder;
  • · Myopathy or clinically significant liver disease;
  • · Inability, in the opinion of the principal investigator or staff, to comply with protocol requirements for the duration of the study;
  • · Known hypersensitivity to interferon-beta or other human proteins including albumin;
  • · Any contraindication for MRI or contrast administration;
  • · A history of drug abuse in the 6 months prior to screening;
  • · Treatment with any of the following in the 30 days before day 1:
  • systemic corticosteroids, ACTH, or other investigational drugs;
  • · Participation in any other study involving investigational or marketed products, concomitantly or within 30 days prior to entry in the study;
  • · Current participation on other clinical trials;
  • · Treatment with drugs which might interfere with the evaluation of
  • study drugs during the study protocol such as immunomodulants,
  • immunosuppressives other than interferon beta-1b;
  • · Likelihood of requiring treatment during the study period with drugs not permitted by the study protocol such as immunomodulants, immunosuppressives other than interferon beta-1b.

研究者

发起方
Ospedale Regionale di Lugano

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