ClinicalTrials.gg
CompletedNCT04289909RETIMUSUpdated Apr 27, 2026

Identification of Retinal Perivascular Inflammation in Patients With Multiple Sclerosis Using Adaptive Optics (RETIMUS)

An interventional study of Adaptive Optics Ophthalmoscopy (AOO) in Relapsing Remitting Multiple Sclerosis, Progressive Multiple Sclerosis and Optic Neuritis, sponsored by Institut National de la Santé Et de la Recherche Médicale, France. Completed at 1 site in France. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-27.

Sponsored by Institut National de la Santé Et de la Recherche Médicale, France · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Using a technique called adaptive optics imaging applied on retina, investigators aim to gain access to vascular changes that could occur early in the course of Multiple Sclerosis (MS) and which could reflect vascular changes occurring along the optic nerve of the brain parenchyma. Indeed, our team has been able to develop a quantitative method to measure the perivascular infiltrate in the retina of patients with various inflammatory retinal disease. It has been observed in MS patients that this perivascular infiltrate can also be detected in the retina. However, its distribution across MS phenotypes (relapsing or progressive MS, with and without optic neuritis) is still unknown.

Read the detailed description

This is a monocentric pathophysiological, interventional, prospective, open label, non-randomized pilot study which aims to identify in patients with MS at different stages if the presence of retinal perivascular inflammation can be detected and quantified using adaptive optics, which is a non-invasive examination.

Investigators will recruit MS patients in 3 subgroups, depending on their phenotype (Relapsing Remitting Multiple Sclerosis (RRMS) without optic neuritis, RRMS with optic neuritis, progressive MS), with 15 patients in each group.

15 healthy volunteers (HV) will also be enrolled.

The comparison of these groups is necessary to determine if there are significant differences, allowing us to highlight biomarkers in MS patients in order to enable highly efficient and robust trials designs in the future.

To test the hypothesis, the study has 3 visits over 6 months (M0, M3 and M6). Neurological evaluation, blood sample, imaging, ophthalmologic evaluation and Adaptive optics ophthalmoscopy assessments will be performed.

02

Conditions studied

  • Relapsing Remitting Multiple Sclerosis
  • Progressive Multiple Sclerosis
  • Optic Neuritis
  • Eye Diseases
  • Optic Nerve Diseases
  • Nervous System Diseases
  • Multiple Sclerosis

Keywords

  • relapsing remitting Multiple sclerosis
  • Progressive Multiple Sclerosis
  • Optic neuritis
  • multiple sclerosis
  • adaptive optics
  • eye disease
  • peripheral nervous system disease
03

In context

Multiple Sclerosis, Relapsing-Remitting

618 studies on the registry are indexed under Multiple Sclerosis, Relapsing-Remitting; 82 are open to participants now.

This study's enrollment of 50 is below the median of 66 across 437 interventional studies indexed under Multiple Sclerosis, Relapsing-Remitting.

Browse Multiple Sclerosis, Relapsing-Remitting studies →

Lead sponsor

Institut National de la Santé Et de la Recherche Médicale, France is the lead sponsor of 378 studies on the registry; 81 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Group 1:

  • Age between 18 and 60 years old.
  • Relapsing remitting MS (criteria of McDonald 2017)
  • Less than 10 years of disease duration
  • Subject who has never presented a clinical episode of optic neuritis
  • Affiliation to a social security scheme or beneficiary of such a scheme

Group 2:

  • Age between 18 and 60 years old
  • Relapsing remitting MS (criteria of McDonald 2017)
  • Less than 10 years of disease duration
  • Subject presenting an acute episode of retrobulbar optic neuritis within 3 months from onset
  • After optimal treatment for the retrobulbar optic neuritis
  • Affiliation to a social security scheme or beneficiary of such a scheme

Group 3:

  • Age between 18 and 60 years old
  • Primary or Secondary progressive multiple sclerosis within 10 years of progressive phase;
  • Affiliation to a social security scheme or beneficiary of such a scheme

Group 4 (Healthy Subjects):

  • Age between 18 and 60 years old
  • Affiliation to a social security scheme or beneficiary of such a scheme

Exclusion criteria

Exclusion Criteria:

For all patients (Group 1; 2; 3):

  • treatment within one month from inclusion
  • Other neurological, ophthalmologic or systemic disease;
  • Severe symptoms of uncontrolled chronic disease (renal, hepatic, hematologic, gastro-intestinal, pulmonary or cardiac or any intercurrent uncontrolled disease at inclusion)
  • Severe renal dysfunction ( \< 30mL/min). This non-inclusion criteria will be verified by serum creatinine test within six months from inclusion;
  • for MRI;
  • Pregnancy or breast-feeding;
  • Unwillingness to be informed in case of abnormal MRI (with a significant medical anomaly)
  • Incapacity to understand or sign the consent form;
  • Adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty.

For healthy subjects (Group 4):

  • Neurological, ophthalmologic or systemic disease;
  • Severe symptoms of uncontrolled chronic disease (renal, hepatic, hematologic, gastro-intestinal, pulmonary or cardiac or any intercurrent uncontrolled disease at inclusion);
  • Contraindication for MRI;
  • Pregnancy or breast-feeding;
  • Unwillingness to be informed in case of abnormal MRI (with a significant medical anomaly)
  • Incapacity to understand or sign the consent form;
  • Adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Other
    MS patients

    RRMS Patients with optic neuritis, RRMS patients without optic neuritis or Progressive MS patients

    Other: Adaptive Optics Ophthalmoscopy (AOO)

  • Other
    Control group

    Healthy volunteers

    Other: Adaptive Optics Ophthalmoscopy (AOO)

Interventions

  • OtherAdaptive Optics Ophthalmoscopy (AOO)

    AOO will permit to detect and quantify retinal perivascular inflammation in patients with MS in comparison to Healthy volunteers (control group)

06

What researchers measure

Primary outcomes

  1. Quantification of retinal perivascular cuff width across MS phenotypes

    The primary endpoint is to quantify retinal perivascular cuff width across MS phenotypes, compared among a group of control at baseline.

    Time frame: Baseline

Secondary outcomes

  1. Variation of size of perivascular sheathing

    Variation of size of perivascular sheathing along retinal vessels in the posterior pole during follow up (at month 3 and month 6) in patients with MS and a group of control

    Time frame: month 3 and month 6

  2. Clinical disability measure with EDSS

    Evolution of Clinical disability: Expanded Disability Status Scale (EDSS: 0: normal neurological exam; 10 : death of the patient) at month 3 for MS patients with optic neuritis and at month 6 for all MS patients

    Time frame: month 3 and month 6

  3. Clinical disability measured with MSFC

    Evolution of Clinical disability: Multiple Sclerosis Functional Composite (MSFC) at month 3 for MS patients with optic neuritis and at month 6 for all MS patients

    Time frame: month 3 and month 6

  4. Number of relapses

    Evolution of Clinical disability: number of relapses at month 3 for MS patients with optic neuritis and at month 6 for all MS patients

    Time frame: month 3 and month 6

  5. Presence of disc oedema measured at Optical Coherence Tomography (OCT) measurements

    Evolution of OCT measurements (presence of disc oedema) at month 3 for MS patients with optic neuritis and at month 6 for all MS patients

    Time frame: month 3 and month 6

  6. RNLF thickness measured at Optical Coherence Tomography (OCT) measurements

    Evolution of OCT measurements : retinal nerve fiber layer thickness (RNFL, µm) at month 3 for MS patients with optic neuritis and at month 6 for all MS patients

    Time frame: month 3 and month 6

  7. parenchymal T2 lesion volume at MRI

    Evolution of MRI metrics: parenchymal T2 lesion volume

    Time frame: Baseline

  8. gadolinium enhanced T1 lesion at MRI

    Evolution of MRI metrics: gadolinium enhanced T1 lesion

    Time frame: Baseline

  9. optic nerve cross-sectional area at MRI

    Evolution of MRI metrics: optic nerve cross-sectional area

    Time frame: Baseline

  10. Hyperintensity on the optic nerve at MRI

    Evolution of MRI metrics: Hyperintensity on the optic nerve

    Time frame: Baseline

07

Study locations

1 site
  • Institut du Cerveau et de la Moelle epiniere - Hopital Pitie Salpetriere
    Paris, France
08

References and documents

Publications

  • Gofas-Salas E, Mossad M, Beigneux Y, Norberg N, Castro Farias D, Vignal C, Paques M, Louapre C, Grieve K. In vivo characterization of a retinal cellular biomarker of inflammation in multiple sclerosis. Brain Commun. 2025 Nov 28;8(1):fcaf471. doi: 10.1093/braincomms/fcaf471. eCollection 2026. PubMed 41788164 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04289909
Collaborators
Biogen
Responsible party
Sponsor
First posted
Feb 28, 2020
Start date
Dec 1, 2020
Primary completion
Jun 26, 2024
Completion
Jul 17, 2024
Last update
Apr 27, 2026

Study contacts

Celine Louapre, MD, PHD
principal investigator · Paris Brain Institute (ICM)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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