Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Claudio Gobbi
With
Bayer
Age
18–70
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Female or male patients with relapsing-remitting forms of multiple sclerosis (according to McDonald's criteria);
Age between 18 and 70 years;
Natalizumab-treatment for at least 12 months following the current Swiss guidelines for treatment initiation;
Treated with a disease-modifying therapy other than interferon beta-1b for at least 12 months before natalizumab was initiated;
Never treated with interferon beta-1b;
Eligible patients are clinically stable (free from relapses and 6-month confirmed disability progression for at least 6 months) while on natalizumab-treatment and do not show any Gd-enhancement on their last MRI performed while on Tysabri;
In eligible patients MRI were performed in the past as following
* 6-18 months prior to natalizumab-treatment
* at natalizumab start
* 12 months after natalizumab initiation;
Good records with regard to clinical disease activity (relapse rate, EDSS progression) in the year prior to natalizumab and during natalizumab;
Patients who decide to stop natalizumab treatment after a careful benefit/risk assessment. Risk for PML increases with duration of natalizumab exposure, pre-treatment with an immunosuppressant agent or serological status of anti-JC-virus positivity;
Patients, who in context with cessation of natalizumab have decided, after a careful benefit/risk assessment, to continue treatment of their MS with Interferon beta-1b;
Women of potential childbearing with active contraceptive methods;
Patients who are willing to undergo study procedures;
Patients who are willing to undergo MRI;
Patients who are willing and able to sign informed consent.
You may not be if
Patients who have previously entered this study;
Natalizumab-treatment for less than 12 months following the current Swiss guidelines for treatment initiation;
Prior treatment with interferon beta-1b (ever interferon beta-1b);
Sign of clinical disease activity within the 6 months;
One or more relapses and/or 6-month confirmed disability progression during the 6 months prior to the study;
Secondary progressive MS;
Primary progressive MS;
Pregnancy - Serum pregnancy test at screening visit positive- or breast feeding;
Uncontrolled, clinically significant heart diseases, such as arrhythmias, angina, or uncompensated congestive heart failure;
History of severe depression or attempted suicide or current suicidal ideation;
Medical or psychiatric conditions that compromise the ability to give informed consent, to comply with the protocol, or to complete the study;
Uncontrolled seizure disorder;
Myopathy or clinically significant liver disease;
Inability, in the opinion of the principal investigator or staff, to comply with protocol requirements for the duration of the study;
Known hypersensitivity to interferon-beta or other human proteins including albumin;
Any contraindication for MRI or contrast administration;
A history of drug abuse in the 6 months prior to screening;
Treatment with any of the following in the 30 days before day 1: systemic corticosteroids, ACTH, or other investigational drugs;
Participation in any other study involving investigational or marketed products, concomitantly or within 30 days prior to entry in the study;
Current participation on other clinical trials;
Treatment with drugs which might interfere with the evaluation of study drugs during the study protocol such as immunomodulants, immunosuppressives other than interferon beta-1b;
Likelihood of requiring treatment during the study period with drugs not permitted by the study protocol such as immunomodulants, immunosuppressives other than interferon beta-1b.
Clareo Health | Natalizumab De-escalation to Interferon-beta-1b in Patients With Relapsing-remitting Multiple Sclerosis
