Multiple Sclerosis. Demyelinating diseases of the central nervous system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: Age 18-45 years; EDSS score between 0 and 5.5; At least one relapse in the previous year despite treatment with a variety of first-line DMT; At least two relapses in the past two years despite treatment with a variety of first-line DMT; No relapse in the 30 days before starting treatment with fingolimod; Negative pregnancy test for women of childbearing age. Exclusion criteria: macular edema at baseline; acute or chronic active bacterial infection, fungal or Viral; Treatment with intravenous corticosteroids within 30 days prior to the start fingolimod; History of treatment with cyclophosphamide or mitoxantrone at any time; Breastfeeding and pregnancy;AST and ALT more than double upper limit of normal; Full or direct bilirubin greater than the upper limit of normal; Creatinine more than 1.7 mg per deciliter; White blood cells below 3500 per cubic millimeter; Lymphocyte count below 800 per cubic millimeter; The presence of uveitis
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood pressure. Timepoint: Baseline, every three months for two years. Method of measurement: Blood pressure meter.;White blood cells. Timepoint: Baseline, every three months for two years. Method of measurement: By blood tests in the laboratory.;Progressive multifocal leukoencephalophaty. Timepoint: Baseline, every three months for two years. Method of measurement: Using MRI.;Liver enzymes. Timepoint: Baseline, every three months for two years. Method of measurement: By blood tests in the laboratory. | — |
Countries
Iran (Islamic Republic of)
Contacts
Kermanshah University of Medical Sciences