Clinically Isolated Syndrome, Multiple Sclerosis
Conditions
Brief summary
The purpose of this study is to develop tools to detect, measure, monitor and predict axonal damage in the course of CIS and during Multiple sclerosis (MS), in order to be able to consider as early as possible an adaptation of the background treatment in patients with MS. patients with radiological criteria of poor long-term clinical course.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Any patient who has had a CIS of less than 4 months (+/- 15 days), with at least 1 inflammatory lesion on his initial brain MRI or with normal brain MRI associated with the presence of oligoclonal bands in the CSF,
Exclusion criteria
* Atypical CIS for a first relapse of multiple sclerosis (extensive myelitis, bilateral retrobulbar optic neuritis immediately) * CIS dating more than 4 months (+/- 15 days) * Corticotherapy in the last 4 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| severity of the disease defined by Expanded Disability Status Scale (EDSS) ≥ 2.0 | At 5 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of a second push | At 5 years | — |
| Occurrence of progression of the EDSS (Expanded Disability Status Scale) score | At 5 years | The scale evaluated the pyramidal, cerebellar, sensory, visual and mental functions . These make it possible to obtain a quotation between 0 and 10. The walk is called normal from 0 to 3.5. The walk is hampered from 4 and impossible from 7.5. The coast of 10 corresponds to the death of the patient. This measure differentiates two groups: severe EDSS and non-severe EDSS group, |
| Occurrence of a handicap objectified by the Multiple Sclerosis Functional Composite(MSFC) | At 5 years | — |
| variation of parameters measuring axonal pain / degeneration in MRI | At 5 years | — |
| variation of parameters measuring axonal pain / degeneration in OCT | At 5 years | — |
Countries
France