CClinicalTrials.gg
Status unknownNCT00910598OCTIMSUpdated Feb 10, 2010

Optical Coherence Tomography: Glatiramer in Clinically Isolated Syndrome or Early Relapsing Remitting Multiple Sclerosis (MS)

A Phase 4 interventional study of glatiramer acetate in Multiple Sclerosis, sponsored by Amphia Hospital. Status unknown at 2 sites in Netherlands. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2010-02-10.

Sponsored by Amphia Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2010), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This is a study in patients with clinically isolated syndrome (CIS) and early relapsing remitting multiple sclerosis (RRMS) to assess the effects of glatiramer acetate (GA) subcutaneously on the condition of the optical nerve in comparison to no medicinal therapy during 12 months and to assess the use of Optical Coherence tomography (OCT), a non-invasive ophthalmological technique, in daily practice as an alternative to magnetic resonance imaging (MRI) scanning for follow-up of these patients.

Read the detailed description

Multiple sclerosis (MS) is a progressive and demyelinating disease of the central nervous system characterized by inflammation and neurodegeneration. It is characterized by an ongoing process of demyelination and axonal loss, even at the beginning of the disease course, which will result in brain atrophy. A first manifestation of clinical definite MS, is called a clinically isolated syndrome (CIS). Brain atrophy occurs even in patients with a CIS. Optic neuritis (ON) is a common feature of a CIS. The axons in the retina represent the most proximal part of the optic nerve which is devoid of myelin. Because the retina is part of the central nervous system (CNS), measurement of the Retinal Nerve Fiber Layer (RFLN) by Optical Coherence Tomography (OCT) offers the opportunity to visualize the unmyelinated axons of the CNS directly. OCT is a non-invasive method to measure the thickness of the optical layer. The thickness of the RNFL is reduced in MS patients with or without ON history.

Glatiramer acetate (GA), an immunomodulatory drug for RRMS and CIS, reduces brain atrophy and stimulates the production of brain-derived neurotrophic factor, which in turn could stimulate neuroregeneration.

In this pilot study we would like to assess the feasibility of OCT measurement in patient with CIS other than ON in the Dutch clinical setting and to assess the effect of GA on the RNFL and visual function in patients with CIS or in early relapsing remitting MS patients.

02

Conditions studied

  • Multiple Sclerosis

Keywords

  • clinically isolated syndrome
  • relapsing remitting multiple sclerosis
  • glatiramer acetate
  • Optical Coherence Tomography
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 661 are open to participants now.

This study's planned enrollment of 60 is above the median of 50 across 2,342 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Amphia Hospital is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age: 18 - 55 years
  • Early relapsing remitting MS, defined as a disease course less than 3 years
  • clinically isolated syndrome , defined as optic neuritis (ON) or other than ON
  • Currently treated with glatiramer (GA) or currently not treated for MS
  • Expanded disability status scale (EDSS) score 0-5
  • Able and willing to provide written informed consent prior to enrolment
  • Willing and able to comply with the protocol requirements for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Clinical definite multiple sclerosis with a disease course more than 3 years
  • Primary progressive multiple sclerosis
  • Secondary progressive multiple sclerosis
  • Current use of any approved or investigational disease modifying agents for the treatment of MS other than GA.
  • Neuromyelitis Optica (Devic's disease)
  • Any condition that may interfere with the quality of the OCT scan: clouding of the media, i.e. cataract, pupil which are hard to dilate.
  • Contra-indications for Copaxone ® as defined in the Summary of Product Characteristics (SPC) text
  • Hypersensitivity to GA or mannitol
  • Subject's inability to complete the study or if the subject is considered by the investigator to be for any reason, an unsuitable candidate for this study.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    glatiramer acetate

    glatiramer acetate 20 mg s.c. daily for 1 year

    Drug: glatiramer acetate

  • No intervention
    no treatment

    No disease modifying treatment allowed

Interventions

  • Drugglatiramer acetate

    20 mg daily s.c. for 1 year

    Also known as: Copaxone

06

What researchers measure

Primary outcomes

  1. Feasibility of OCT measurement in patient with CIS with or without optic neuritis or with early RRMS in the Dutch clinical setting

    Time frame: 1 year

Secondary outcomes

  1. Mean change in RNFL in both eyes determined by OCT at baseline, month 3, month 6, month 9, month 12

    Time frame: 1 year

  2. Other ophthalmological parameters

    Time frame: 1 year

07

Study locations

2 of 2 sites recruiting
  • Amphia Ziekenhuis
    Breda, 4818 CK, Netherlands
    • E.C.A.M. Sanders, MD · Contact · +31 76 5258246
    • E.C.A.M. Sanders, MD · Principal investigator
    Recruiting
  • Maasland Ziekenhuis
    Sittard, Netherlands
    • R.M.M. Hupperts, MD PhD · Contact · +31 88 4597811
    • R.M.M. Hupperts, MD PhD · Principal investigator
    • S.A.M. Knippenberg, MD · Sub investigator
    Recruiting
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 10, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00910598
Lead sponsor
Amphia Hospital
Collaborators
Sanofi, TEVA Pharmachemie
First posted
Jun 1, 2009
Start date
Sep 2009
Primary completion
Jun 2012 (estimated)
Completion
Jun 2012 (estimated)
Last update
Feb 10, 2010

Study contacts

E.C.A.M. Sanders, MD
Contact
rsc@rsconsultancy.nl
+31 76 5258246
Raymond J. Schmidt, MD
Contact
rsc@rsconsultancy.nl
+31 575 441001
E.C.A.M. Sanders, MD
study chair · Amphia ziekenhuis

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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