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Evaluation of efficacy, safety and tolerability of an ADd-on therapy with Cianocabalamine Vitamin B12 plus Calcium levofolinate in relapsing-remitting multiple sclerosis patients Already in treatment with Nterferon beta over a period of 24 months for a better lonterm outComE - ADVANCE

Evaluation of efficacy, safety and tolerability of an ADd-on therapy with Cianocabalamine Vitamin B12 plus Calcium levofolinate in relapsing-remitting multiple sclerosis patients Already in treatment with Nterferon beta over a period of 24 months for a better lonterm outComE - ADVANCE

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2005-006071-12-IT
Enrollment
276
Registered
2006-05-09
Start date
2005-08-31
Completion date
Unknown
Last updated
2012-03-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

MULTIPLE SCLEROSIS MedDRA version: 6.1 Level: PT Classification code 10028245

Interventions

Trade Name: EPARMEFOLIN 30 CPR 0,1/0,5MG Pharmaceutical Form: Coated tablet INN or Proposed INN: CALCIO FOLINATO DC.IT CAS Number: 1492-18-8 Concentration unit: mg milligram(s) Concentration type: e

Sponsors

AZIENDA OSPEDALIERA SAN CAMILLO FORLANINI
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with RRMS according McDonald Criteria23 2. EDSS score between 0.0 and 5.5 3. Currently and for the first time treated with, and tolerating, Interferon beta subcutaneously, and having received this treatment for more than 3 but not more than 6 months. 4. Age between 18 and 50 years, included 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 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 2. Primary or secondary progressive MS 3. Pregnancy, a positive serum pregnancy test beta HCG at screen visit, a positive urine pregnancy test at baseline visit, or breast feeding 4. Uncontrolled, clinically significant heart diseases, such as dysrhythmias, angina, or uncompensated congestive heart failure 5. Uncontrolled Seizure disorder 6. Infections or any internal medical conditions that could threaten the general health of the patient in the short term. 7. Gastroresection 8. Prior diagnosis of neoplasia or mieloproliferative diseases. 9. Medical or psychiatric conditions that compromise the patient s ability to give informed consent

Design outcomes

Primary

MeasureTime frame
Main Objective: Efficacy of the association Cianocobalamine plus Calcium levofolinate and INFBvs. Placebo1 plus Placebo2 and INFBin patients with Relapsing-Remitting Multiple Sclerosis, evaluated by the increase of brain atrophy, measured as rate of volumetric changes of the whole-brain parenchyma on MRI scans after a treatment period of 24 months.;Secondary Objective: 1. Time to first relapse; 2. Relapse rate after 12 and 24 months of treatment versus baseline; 3. Number of patients relapse-free after 12 and 24 months of treatment; 4. Number of patients with confirmed increase of 1 point to EDSS for patients with range EDSS. 0.0 - 5.0; of 0.5 point for patients with EDSS at baseline 5.0 after 24 months of treatment; 5. Disability status evaluated by means of EDSS at baseline, 6, 12, 18 and 24 months versus screening; 6. Disability status evaluated by means of MSFC at 6, 12, 18, and 24 months versus screening; 7. Neuropsychological evaluation at screening, 12 and 24 months a. Attention digit span; Trail Making A B Stroop test ; b. Memory Rey auditory and Verbal lerning Test, Rey-Osterrieth complex figure c. Language phonemic categories d. Logic Thinking Raven Colored Progressive Matrices, e. Evaluation of Depression by means of Beck s Depression Inventory 8. Fatigue by means of the Multiple Sclerosis fatigue impact scal;Primary end point(s): Efficacy of the association Cianocobalamine plus Calcium levofolinate and INFBvs. Placebo1 plus Placebo2 and INFBin patients with Relapsing-Remitting Multiple Sclerosis, evaluated by the increase of brain atrophy, measured as rate of volumetric changes of the whole-brain parenchyma on MRI scans after a treatment period of 24 months.

Countries

Italy

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026