Relapsing-Remitting Multiple Sclerosis
Conditions
Keywords
Multiple sclerosis, Mitoxantrone, Methylprednisolone, Interferon beta1b, Relapse, MRI, EDSS
Brief summary
The aim of the study is to determine whether a therapeutic strategy combining mitoxantrone and interferon beta1b can delay disease progression of at least one point on EDSS scale in patients with clinically very active relapsing-remitting multiple sclerosis.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* age : 18-45 years, * Clinical disease satisfying the Poser criteria (Amdmt n°4) * relapsing-remitting disease (Amdmt N°4) * at least 2 exacerbations within the preceding 12 months, having left sequelae, * MRI activity at inclusion expressed by at least one gadolinium-enhanced lesion (cranial MRI with 0.1mmol/kg gadolinium), * a significant disability at inclusion: EDSS score between 2.5 and 5.5 (Amdt N° 4) * written informed consent
Exclusion criteria
* pregnancy and breast-feeding * use of an insufficiency effective contraceptive method, * general immunosuppressive therapy using cyclophosphamide, mitoxantrone,or total lymphoid irradiation * treatment with azathioprine during the 3 months preceding the study * clinical relapse or intensive corticosteroid treatment within the 30 days preceding inclusion, * associated disease (psychiatric disorder, depressive statenot controlled by appropriate drug therapy, history of heart disease at inclusion examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to confirmed progression of at least one EDSS point during the 3 years of the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| - percentage of patients with confirmed progression of at least one point EDSS (confirmed at 3 and 6 months) during the 3 years of the study, | — |
| - annual rate of relapse; | — |
| - percentage of relapse-free patients during the study period, | — |
| - quality of life, | — |
| - percentage of patients without evidence of disease activity on serial MRIs at months 9, 24 and 36 (number of contrast-enhanced lesions on the annual MRIs, change in lesion burden). | — |
Countries
France, Italy