Skip to content

Treatment of Optic Neuritis With Erythropoietin: a Randomised, Double-blind, Placebo-controlled Trial

Treatment of Optic Neuritis With Erythropoietin: a Randomised, Double-blind, Placebo-controlled Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01962571
Acronym
TONE
Enrollment
108
Registered
2013-10-14
Start date
2014-11-25
Completion date
2019-11-26
Last updated
2019-12-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Optic Neuritis

Keywords

Optic neuritis, Multiple Sclerosis, Clinically isolated syndrome, Erythropoietin

Brief summary

This clinical trial aims at preventing visual dysfunction and optic nerve degeneration associated with autoimmune optic neuritis by systemic i.v. administration of 33.000 IU erythropoietin over 3 days. The primary objective is to determine the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone as assessed by measurements of retinal nerve fibre layer thickness and low contrast visual acuity 6 months after acute optic neuritis.

Interventions

DRUGPlacebo

Sponsors

German Federal Ministry of Education and Research
CollaboratorOTHER_GOV
University Eye Hospital, Freiburg
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No

Inclusion criteria

Patients eligible for inclusion in this trial must meet all of the following criteria: 1. Written informed consent obtained according to international guidelines and local laws 2. Male and female patients aged ≥ 18 to ≤ 50 years 3. Patients with ON 4. First symptoms of ON ≤ 10 days prior to the first administration of investigational product 5. High contrast visual acuity (HCVA) of ≤ 0.5 (decimal system) 6. Adequate OCT measurements available Patients eligible for this trial must not meet any of the following criteria: 1. Patient without legal capacity who is unable to understand the nature, significance and consequences of the trial 2. Simultaneous participation in another interventional trial which could interfere with this trial and/or participation in a clinical trial within the last 3 months before enrolment in this trial 3. Refractive anomalies: Hyperopia \> 5 dpt, myopia \< -7 dpt, astigmatism \> 3 dpt 4. Media opacity 5. Severe papillitis 6. Previous ON 7. Any other optic nerve and retinal disease 8. Pre-existing MS or any other neurological disease 9. Congenital diseases: * thrombophilia * phenylketonuria 10. Acquired diseases: * autoimmune diseases, * cardiovascular diseases, * diabetes mellitus, * uncontrolled hypertension (with blood pressure \> 140 / 90 mm Hg (cf. chapter 7.7.5)), * any malignancy, * epilepsy, * known tuberculosis with ongoing or unknown activity, * acute gastrointestinal ulceration within the last 3 months prior to randomisation, * acute viral, bacterial or fungal infection, * known infection with Human Immunodeficiency Virus (HIV), Hepatitis B Virus, or Hepatitis C Virus, * history of colitis ulcerosa, diverticulitis, or acute enteroanastomosis, * known osteoporosis, * history of thromboembolic events, * elevated haemoglobin level (\>17 g/dl in men or \>15 g/dl in women) * polycythaemia * any other significant illness potentially interfering with any trial assessment or trial treatment 11. Performing semi-professional or professional sporting activities or physical training 12. Pre-treatment with corticosteroids in the last 30 days prior to the onset of optic neuritis 13. Pre-treatment with EPO 14. Known or persistent abuse of medication, drugs or alcohol 15. Active immunization within 2 weeks prior to randomisation 16. Significant surgery within 4 weeks prior to randomisation 17. Blood donation or bloodletting within 4 weeks prior to screening 18. Pre-treatment with immunosuppressive or immunomodulatory agents 19. Persons who are in a relationship of dependence/employment with the sponsor or the investigator This section concerns only female patients who are able to have a child: 20. Current or planned pregnancy; nursing period within 3 months from investigational product administration 21. Unwillingness to use one of the following safe combination methods of contraception within 3 months from investigational product administration to achieve a PEARL index of \<1: female condom, diaphragm or coil, each used in combination with a spermicide; hormonal intra-uterine device or hormonal contraception in combination with a mechanical method of contraception

Design outcomes

Primary

MeasureTime frameDescription
Global retinal nerve fibre layer thickness (RNFLT-G)6 monthsDetermination of the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone (standard of care) as assessed by measurement of global retinal nerve fibre layer thickness (RNFLT-G) in the affected eye 6 months after randomisation.
Low contrast visual acuity (LCVA)6 monthsDetermination of the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone (standard of care) as assessed by measurement of low contrast visual acuity (LCVA) in the affected eye 6 months after randomisation.

Secondary

MeasureTime frameDescription
Retinal nerve fibre layer thickness in the temporal quadrant6 months
Total macular volume6 months
Visual acuity6 months
Contrast sensitivity6 months
Absolute values of the global retinal nerve fibre layer thickness6 months
Latency [ms] and amplitude [µV] of visual evoked potentials (VEP)6 months
Expanded Disability Status Scale (EDSS) score6 months
Quality of life6 monthsDetermined by NEI-VFQ-25
SafetyScreening until end of studyAssessment of AEs / SAEs
Mean visual field defect6 months
Retinal nerve fibre layer thickness in the papillomacular bundle6 months

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026