Multiple Sclerosis, Relapsing-Remitting
Conditions
Brief summary
The purpose of this study is to assess the impact of Natalizumab (Tysabri) therapy on sleep efficiency, total sleep time and sleep latency, in Multiple Sclerosis (MS) patients receiving Natalizumab for 6 months relative to baseline.
Detailed description
Natalizumab has been shown to positively impact fatigue and cognition. The mechanism by which this occurs is unknown. Change in quality of sleep is one possible etiology of these findings. This study will help to elucidate the mechanisms that lead to reduced fatigue/sleepiness and less cognitive dysfunction in MS patients who go on Natalizumab therapy. Understanding these factors may help neurologists better differentiate between the different therapeutic options for MS and how they may impact symptoms that negatively affect quality of life.
Interventions
300 mg IV every 4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Relapsing form of multiple sclerosis * Able to give informed consent and committed to follow the protocol * EDSS from 0 to 6.0 * Epworth Sleepiness Scale \> 9 or Modified Fatigue Impact Scale \> 30 or Fatigue Severity Scale \> 4 * Age range of 18 - 65 years of age * Naïve to Natalizumab * Enrolled in the TOUCH program
Exclusion criteria
* Severe cognitive impairment * Coexisting severe medical condition * Inability to speak English or read * Inability to give valid informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in parameters of sleep as measured by polysomnography and multi-sleep latency test over 6 months of Natalizumab treatment. | Baseline and 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Change in neurocognition parameters over 6 months of Natalizumab treatment and correlation with changes in sleep efficiency. | Baseline and 6 months |
| Change in subjective measures of fatigue, sleepiness and mood over 6 months of Natalizumab treatment and correlation with changes in sleep efficiency. | Baseline and 6 months |
Countries
United States