Multiple Sclerosis MedDRA version: 14.1 Level: PT Classification code 10063400 Term: Secondary progressive multiple sclerosis System Organ Class: 10029205 - Nervous system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical definate multiple sclerosis Secondary progressive multiple sclerosis defines as no relaps within 1 year, and sustained progression more than 3 month Disease duration >15 years EDSS score 3-7 (both included) No contrast enhancement on MRI Presence of oligoclonal bands and increased intrathechal IgG index 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 15 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Pregnancy and lactation Positive anti-JC virus antibody Treatment with Natalizumab within 6 month Treatment with interferon-beta or glatiramer acetate within 3 month Prior treatment with immunosupressant Decreased leucocyte or platelet count Decreased liver or kidneyfunction B-cell deficiency (low IgA, IgG or IgM) Implanted metal or devices that contraindicates MRI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of this study is to investigate the safety of intrathecal administered Rituximab to patients with secondary progressive multiple sclerosis, based upon analysis of the intrathecal and periferal immune response.;Secondary Objective: The secondary objective is to investigate effects of intrathecal administered rituximab on clinical performance, cognition and MRI parameters.;Primary end point(s): Change in spinal fluid immune respons after 1 and 3 month;Timepoint(s) of evaluation of this end point: See E.5.1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Safety (Adverse events) Changes in the following: 1) Spinal fluid immune respons 6 month after first and second treatment 2) Systemic immune respons 1,3,6,9,12,15,18,21 and 24 month after treatment 3) MRI 2 years after treatment 4) Cognition 2 years after treatment 5) EDSS and MSIS 12 and 24 months after treatment;Timepoint(s) of evaluation of this end point: See E.5.2 | — |
Countries
Denmark
Contacts
Odense University Hospital