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WithdrawnNCT00986960ACTHUpdated Jan 5, 2021

Effect of Adrenocorticotropin Injection With Weekly Interferon Beta in Patients With Relapsing Remitting Multiple Sclerosis (MS)

A Phase 2 interventional study of repository corticotropin injection and Saline in Multiple Sclerosis, sponsored by University at Buffalo. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-01-05.

Sponsored by University at Buffalo · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Difficult to recruit due to protocol requirements - participant burden.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate whether the use of ACTH in addition to Avonex is effective in the treatment of relapsing remitting multiple sclerosis.

Read the detailed description

Multiple sclerosis (MS) is a chronic, immune-mediated disease of the central nervous system (CNS). It is a complex, multi-factorial disease that includes inflammatory and neurodegenerative processes manifesting both focally in the form of lesions and diffusely in otherwise normal-appearing brain tissue. Recent data shows that ACTH can have beneficial effects on specific neurodegenerative diseases and it may have superior neuroprotective effects. Adding a regimen of ACTH to standard Avonex treatment may provide neuroprotection and promote remyelination.

02

Conditions studied

  • Multiple Sclerosis

Keywords

  • multiple sclerosis
  • relapsing remitting
  • RRMS
03

In context

Multiple Sclerosis

3,460 studies on the registry are indexed under Multiple Sclerosis; 660 are open to participants now.

Browse Multiple Sclerosis studies →

Lead sponsor

University at Buffalo is the lead sponsor of 73 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 5 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patient diagnosed with MS according to McDonald criteria
  • Age 18-65
  • Have a RR disease course
  • Have EDSS scores 0-5.5
  • Have a disease duration \<20 years
  • Sub-optimal response to Interferon beta-1a I.M. (Avonex®) while being on therapy for at least 6 months defined as:
  • presence of a documented relapse within the last 12 months
  • or the presence of at least one enhancing T1 Gd lesion on an MRI performed within previous 3 months
  • Signed informed consent
  • Normal kidney functioning (creatinine clearance >59)
  • None of the exclusion criteria

Exclusion criteria

Exclusion Criteria:

  • Presence of relapse or steroid treatment within 60 days prior to study enrollment
  • Presence of neutralizing antibodies to IFNβ-1a I.M. prior to study enrollment
  • Presence of optic neuritis within less than 6 months prior to study enrollment
  • Diagnosis of osteoporosis (T score ≥2.5 SD)
  • Women who are pregnant, lactating or of childbearing age who do not consent to approved contraceptive use during the study.
  • Abnormal blood tests, performed during the screening visit including: hepatitis B or hepatitis C, ALT or AST greater than two times the upper limit of normal, abnormal glucose fasting levels or already known diabetes
  • History of depression while on IFNβ-1a I.M.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Adrenocorticotropin hormone

    Patients receive the hormone

    Drug: repository corticotropin injection

  • Placebo comparator
    Placebo

    Patients receive placebo only

    Drug: Saline

Interventions

  • Drugrepository corticotropin injection

    IM ACTH: 80 units of Acthra gel I.M. once a day for 5 consecutive days at study time points 0, 3, 6, 9, and 12 months

    Also known as: H.P. Acthar gel

  • DrugSaline

    I.M. placebo - 1ml of saline I.M. once per day for 5 consecutive days at 0, 3, 6, 9, and 12 months.

06

What researchers measure

Primary outcomes

  1. To define the effect of add-on pulsed IM ACTH vs. placebo to IFNβ-1a I.M. on a voxel-wise MTR dynamic mapping of the lesions and NABT in patients with RRMS

    Effect of ACTH in MRI

    Time frame: 1 year

Secondary outcomes

  1. To define the effect of add-on pulsed IM ACTH vs. placebo to IFNβ-1a I.M. in RRMS on anterior optic pathway pathology, as measured by OCT and LCLA in patients with RRMS.

    Effect of ACTH on optic health

    Time frame: 1 year

07

Study locations

1 site
  • University at Buffalo, Buffalo General Hospital
    Buffalo, New York 14203, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00986960
Lead sponsor
University at Buffalo
Responsible party
Robert Zivadinov, MD, PhD (Director, Buffalo Neuroimaging Analysis Center, Professor, University at Buffalo) — Principal investigator
First posted
Sep 30, 2009
Start date
Dec 2009
Primary completion
Sep 2010
Completion
Dec 2010
Last update
Jan 5, 2021

Study contacts

Robert Zivadinov, MD, PhD
principal investigator · Buffalo Neuroimaging Analysis Center
Bianca Weinstock-Guttman, MD
principal investigator · Jacobs Neurological Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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