RELAPSING-REMITING MULTIPLE SCLEROSIS MedDRA version: 14.1 Level: PT Classification code 10063399 Term: Relapsing-remitting multiple sclerosis System Organ Class: 10029205 - Nervous system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Written informed consent must be optained before any assessment is performed. 2.Male or female patients aged 18 to 65 years (inclusive), at the time of informed consent. 3.A documented diagnosis of relapsing-remiting MS (RRMS), according to the Poser, McDonald o MAGNIMS criteria, according to disease evolution time. (appendix 5) 4.Treatment with interferon-beta , glatimer acetate for a minimum 6 month prior to randomizacion. 5.EDSS score at baseline ? 5.5 6.Subjects of childbearing potential must practice effective contraception during the study. 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 100 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -History of allergy to vitamin D. -Pacient in treatment with immunosuppressive medication for EM or second-line immunomodulators (fingolimod, human monoclonal anti-body) -Known history of hypercalcemia -Known history of hyperparathyroidism -Known history of hyperthyroidism, hypothyroidism -Known history of hepatitis or renal disease (ALS or AST > 2.5 of the upper limit ) -Femele subject who are pregnant or currently breastfeeding -In treatment with digitals, diuretics (Hydrochlorothiazide (Microzide) Chlorothiazide, Indapamide, Metolazone (Zaroxolyn) ), antiepileptic therapy, cholestyramine, colestipol -Known history of major depressión -Significant cardiac disease, cardiac dysrhythmia (arrhythmia) -Active epilepsy in treatment with antiepileptic therapy. -History of drug or alcohol abuse.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To study the effect of vitamin D3 versus placebo as an add-on treatment to the first-line disease modifying therapies for relapsing-remitting multiple sclerosis on the clinical activity, measured as the proportion of patients experiencing a relapse within the study period.;Secondary Objective: 1. To study the effect of vitamin D treatment on the relapse rate 2. Evaluate the impact of vitamin D on the disability progression, measured by the EDSS. 3. To study whether vitamin D reduces the number of gadolinium-enhancing lesions on brain MRI scans. 4. To analyze whether vitamin D can prevent the appearance of new T2 hyperintense lesions on brain MRI scans. 5. To study the safety and tolerability of vitamin D as adjuvant treatment, evaluating the presence of adverse events en this population.;Primary end point(s): Main outcome: proportion of patients experiencing at least one relapse during the study period.;Timepoint(s) of evaluation of this end point: EVERY VISIT | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - La tasa de brotes (número de brotes por unidad de tiempo) - EDSS. El EDSS (Expanded Disability Status Scale) se trata de una escala de valoración de la discapacidad del paciente. Se basa en la evaluación de sistemas funcionales (visual, piramidal, sensitivo, tronco-encéfalo, vejiga/intestino, mental, cerebelo y la capacidad de deambular) en conjunto y puntúa de 0 a 10, siendo 0 el paciente totalmente ambulante sin discapacidad y 10 el fallecimiento producido por EM (Anexo 2). - Número de lesiones captantes de gadolinio en la resonancia craneal - Número de lesiones nuevas hiperintensas en T2 en la resonancia craneal - Incidencia de efectos secundarios en pacientes tratados con vitamina D y placebo. Se registrarán los efectos secundarios más frecuentemente asociados con vitamina D (mareos, cefalea, vómitos, anorexia, diarrea, dolor abdominal, litiasis renal, más arriba sección de riesgos) y cualquier otra enfermedad intercurrente durante el estudio. Se considerarán efectos adversos graves los que requieran hospitalización, moderados los que requieran suspensión del tratamiento en estudio, y leves los que sean transitorios o no obliguen a suspender la medicación.;Timepoint(s) of evaluation of this end point: EVERY VISIT | — |
Countries
Spain
Contacts
Hospital Donostia - Instituto Biodonostia