G35.1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Female patients with a diagnosis of relapsing-remitting multiple sclerosis (McDonald criteria 2010) - Planned conversion of MS - Therapy - Patients with an age between 18 and 50 - No MS - relapse in the last 4 weeks - Written documented consent
Exclusion criteria
Exclusion criteria: - Signs of opportunistic infection - Signs of a tumor disease - (Pre-) treatment with immunsuppressive drugs (azathioprine, methotrexate, mitoxantrone, cyclophosphamide) - Pregnancy - Severe Depression (CES-D in Screnning> 30) - Alcohol or drug abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Systematic investigation of genomic activity in 15 genomic loci (which have shown some association with MS) with next generation Sequencing (NGS) in patient with RR - MS after changing of the immunmodulatory therapy (TxA (original immunmodulatory therapy) vs. no treatment (8 - 10 weeks wash out) vs. TxB (3 month after change of the immunmodulatory therapy) | — |
Secondary
| Measure | Time frame |
|---|---|
| • changes in gene expression in the whole exome (NGS initially, after 3 months, after 6 months) • Progression on MRI (T1/T2LL, new gadolinium lesions) (initial, after 3 months, after 6 months) • progression of clinical parameters (EDSS) (initial, after 3 months, after 6 months) • Progression in neuropsychological functions (initial, after 6 months): - SDMT (Symbol Digit Modalities Test = attention and concentration testing) - MSFC (multiple-sclerosis-functional-composite-scale performance scale = to assess the severity of the disability) - QoL (SF-36) (quality of life = quality of life questionnaire) | — |
Countries
Germany
Contacts
Fachkrankenhaus Hubertusburg Klinik für Neurologie/Neurologische Intensivmedizin