Multiple Sclerosis Clinical Trial
Official title:
A Randomized, Open-label, Parallel-Group Multicenter Study to Determine the Safety/Efficacy of Mycophenolate Mofetil in Mono & Combination Therapy With Interferon Beta 1a in Patients With Relapsing Remitting Multiple Sclerosis
The primary objective of this safety/mechanistic study is to determine the safety and tolerability of oral Cellcept when compared with weekly intramuscular Avonex in relapsing multiple sclerosis. Safety will be assessed by virtue of changes in size and number of lesions on MRI scans.
Sixty patients (20 patients at each recruiting center) with RR MS who satisfy both inclusion
and exclusion criteria will be treated with CellCept® or Avonex® for the first 6 months of
the study. Those patients will have a fifty-fifty chance of receiving either Avonex or
Cellcept. Baseline data will be collected before treatment begins including MRIs, chest
x-ray, EKG, and standard labwork, along with a blood test for HIV and Hepatitis B. Once
enrolled, study visits include periodic MRI scans, a neurological exam by the examining
neurologist every three months, frequent bloodwork, questionnaires, and eye-testing at month
zero, six, and twelve months. Eye testing takes about one hour and requires dilation of
pupils. All assessments are standard of care for ophthalmology with the exception of optical
coherence tomography (OCT)-- a non-invasive procedural device that records graphical and
numerical measurements of the optic nerve and macula.
All patients will begin active combination therapy on both CellCept® and Avonex® during the
second 6 months of the study. During this second phase, MRI and clinical examinations will be
performed.
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