Stadtroda

Researchers are evaluating various approved injectable and oral disease-modifying treatments (DMTs) in patients with relapsing multiple sclerosis (RMS) in Germany. This observational, non-interventional, multicenter, open-label study collects primary data prospectively over up to four years, alongside retrospective data. The study captures medical history, disease duration, laboratory values, disability scores (EDSS), MRI results, and relapse information to provide real-world insights into treatment use and outcomes. Patients receiving routine medical treatment with any approved injectable or selected oral DMTs—including ofatumumab, glatiramer acetate, interferon 21, teriflunomide, dimethyl fumarate, and diroximel fumarate—are enrolled without treatment allocation by the study. Two cohorts are observed: one treated primarily with injectable DMTs and another with injectable or oral DMTs. The core study period lasts about two years, with an optional extension providing an additional two years of observation, totaling up to four years. Follow-up visits and monitoring happen at the investigator's discretion and may include telemedicine. During the study, participants provide data through questionnaires and electronic case report forms. Routine clinical care procedures, such as diagnostic tests and monitoring, continue as usual. Researchers measure the proportion of patients continuing their baseline treatment at 24 months and collect ongoing clinical and imaging data. The study emphasizes real-world treatment patterns, safety, and disease activity over the extended follow-up period.

Researchers are evaluating the clinical utility of serum neurofilament light (sNfL) as a prognostic marker for disease activity in patients with relapsing multiple sclerosis (MS). This prospective, multicenter, observational, non-interventional study in Germany aims to understand how sNfL values can influence patient management and treatment decisions. The study focuses on patients treated with category 1 disease-modifying therapies (DMTs) who have incorporated sNfL testing into their care. Participants will either continue their current category 1 DMT, which includes therapies such as dimethylfumarate, glatiramer acetate, interferon beta, and teriflunomide, or switch to ofatumumab based on their physician’s clinical judgment. There is no treatment allocation by the study itself. Data collection will cover up to 24 months, and the frequency of visits and assessments will follow routine clinical practice without a fixed protocol. During the study, baseline and follow-up data will be gathered according to standard care recommendations, including clinical evaluations and sNfL measurements. Researchers will monitor the proportion of patients with high sNfL levels over time to assess disease activity. The observational period is flexible and guided by the treating physician, with no additional diagnostic or monitoring procedures beyond standard care. Participants will be followed for up to two years to better understand how sNfL influences treatment management in relapsing MS.

Parkinson's disease (PD) is a neurological disorder that worsens over time, with symptoms like tremors, stiffness, and slow movement. The speed of progression varies among individuals. This research studies how well foscarbidopa/foslevodopa works for adults in Germany who are at the early advanced stages of Parkinson's disease under normal medical care. Participants will receive foscarbidopa/foslevodopa through a subcutaneous infusion as prescribed by their doctors. Around 125 adult participants will be enrolled across about 20 sites in Germany. The study follows participants for up to 12 months with no expected extra burden beyond usual clinical visits. During the study, participants will attend routine hospital or clinic visits as part of their regular care. Researchers will measure changes in the time participants experience "OFF" periods, when symptoms return, over up to 12 months. This will help assess the drug's real-world effectiveness on motor symptoms, quality of life, psychosocial functioning, and work ability.

Researchers are studying patients with neurodegenerative diseases such as multiple system atrophy (MSA), Parkinson's disease, progressive supranuclear palsy (PSP), and motor neuron disease to better understand swallowing difficulties and laryngeal function. These disorders often cause neurogenic dysphagia, which can lead to serious complications like dehydration, malnutrition, and pneumonia, affecting patient survival and quality of life. The study aims to systematically record characteristics of dysphagia and laryngeal movement disorders using standardized assessments to improve diagnosis and care. Participants undergo a structured fiberoptic endoscopic evaluation of swallowing (FEES) with a specific task protocol to observe laryngeal function. When available, laryngeal electromyography (EMG) results are also collected. In addition to these examinations, demographic and disease-specific information is gathered, and participants complete two questionnaires: the Swallowing Disturbance Questionnaire for Parkinson's Disease (SDQ-PD) and the swallowing-specific Quality of Life Questionnaire (SWALQOL). During the study, researchers systematically document laryngeal movement abnormalities and swallowing difficulties in relation to disease subtype and severity. The primary outcomes focus on laryngeal movement disorders and dysphagia measured on the day of assessment. This observational study helps categorize dysphagia patterns across neurodegenerative diseases and correlates findings with clinical subtypes to support earlier and more accurate diagnosis and treatment planning.