Status:

COMPLETED

Safety/Effectiveness of Adding Monthly Dexamethasone to Weekly Avonex for MS

Lead Sponsor:

Providence Multiple Sclerosis Center

Collaborating Sponsors:

Biogen

Conditions:

Relapsing-remitting Multiple Sclerosis

Clinically Isolated Syndrome

Eligibility:

All Genders

18-55 years

Brief Summary

The purpose of the study is to determine whether giving intravenous dexamethasone every 4 weeks during the first 12 months of weekly Avonex dosing will reduce the progression of functional impairment,...

Detailed Description

Beta Interferon-1a (Avonex)was approved by the FDA in 1996 to treat relapsing-remitting multiple sclerosis. Clinical trials have shown evidence in the reduction of relapses and progression of neurolog...

Eligibility Criteria

Inclusion

  • male and female patients between the ages of 18-55 years inclusive
  • have provided informed consent to be screened for the study
  • have been diagnoses as having MS
  • meet the McDonald diagnostic criteria for RRMS or CHAMPS criteria for CIS
  • have an EDSS score of 0.0-3.5
  • have had no immunomodulator or cytoxic agents and have had no steroids or other immunosuppressants within 30 days prior to Baseline Visit
  • must have had a brain MRI scan demonstrating lesions consistent with MS on T2-weighted or FLAIR images
  • subjects must be willing and able to participate in all aspects of the study, including use of study medications as prescribed, and screening and follow-up clinical and MRI assessments

Exclusion

  • type I of type II diabetes
  • uncontrolled hypertension (systolic \>160 or diastolic \>100 despite medication therapy)
  • history of suicidal ideation
  • history of psychosis
  • history of alcoholism or other substance abuse
  • clinically significant coronary artery disease
  • history of hepatic failure and chronic renal failure
  • history of cancer other than basal or squamous cell carcinoma of the skin
  • pregnancy or unwillingness to use adequate precautions to prevent pregnancy during the duration of this study
  • nursing mothers
  • history of stroke, dementia, seizure disorder, peripheral neuropathy, Parkinsonism, myasthenia, myelopathy or other primary degenerative disease of the central or peripheral nervous system
  • history of peptic ulcer disease
  • history of intolerance to corticosteroids or allergy to albumin
  • history of osteoporosis
  • history of Lupus, Sjogrens syndrome, Lyme disease or syphilis
  • abnormal laboratory results indicative of significant hepatic, renal, hematopoetic, or coagulation dysfunction
  • the entity of any disease entity, which in the opinion of the investigators would potentially prevent the patient from successfully completing 2 years participation in this trial or confound the observations made during this trial
  • prior use of Avonex, Betaseron, Rebif, mitoxantrone, cyclophosphamide, azothioprine, methotrexate, cladribine, cyclosporin, CellCept, IVIG, natalizumab, anti T-cell or anti B-cell antibodies, plasmapheresis or other systemic immunosuppressant or cancer chemotherapeutic agents
  • unwillingness or inability to comply with all the requirements of the protocol
  • known diagnosis of osteoporosis

Key Trial Info

Start Date :

December 1 2003

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 1 2010

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT00232193

Start Date

December 1 2003

End Date

August 1 2010

Last Update

July 22 2011

Active Locations (1)

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Providence MS Center

Portland, Oregon, United States, 97225