Multiple Sclerosis Clinical Trial
Official title:
Phase III A Prospective, Longitudinal, Rater-blinded Single-arm Study to Evaluate Alemtuzumab as an Effective Treatment in Stabilizing Overall Neurocognitive Function in RRMS Subjects at Specified Timepoints
The main purpose of this research study is to investigate how well a medicine (alemtuzumab)
works in treating MS-related cognitive problems (e.g., attention, memory, speed of
thinking). This study will include 30 subjects from six research sites.
Alemtuzumab is approved and sold under the brand names Campath and MabCampath to treat some
types of leukemia. As a leukemia treatment, it is given more often and at much higher doses
than in this study.
The current proposal is to conduct a study using a battery of neuropsychological tests
capable of detecting the broad range of cognitive difficulties associated with relapsing
remitting multiple sclerosis. This study will compare cognitive functioning over time of
patients receiving alemtuzumab. The study will also compare the change in cognitive
functioning over time to that of relapsing remitting multiple sclerosis patients receiving
interferon beta-1a and normal controls enrolled in a parallel study conducted by Wilken et
al.To evaluate cognitive effects of alemtuzumab, the investigators will perform neurological
exams and brain scans and will administer questionnaires to measure the severity of multiple
sclerosis, how well subjects are functioning, how they are feeling, and to find out about
what other medical visits subjects may have had during the study. Neurological testing in
this study will require the subject to perform relatively simple tasks to evaluate their
multiple sclerosis. These tasks include a five hundred meter walk, a timed twenty five foot
walk, a nine hole peg test, an eye exam, and a test requiring you to add small numbers in
your head quickly. The brain scans will involve Magnetic Resonance Imaging and are painless,
except for injection of a contrast agent called gadolinium, which is necessary to detect
areas in the brain where their MS may be currently active. Magnetic Resonance Imaging is
widely used to diagnose and assess patients with multiple sclerosis. All patients will be
required to return to their study site every 3 months for assessments and testing. In
addition, safety-related blood tests will be performed at least monthly. If their blood test
results become abnormal, they may have to have blood tests taken more frequently, in some
cases weekly, until test results improve. Monthly blood tests should be performed at your
study site, but if subjects are unable to return to the study site for the blood testing,
they may be able to use a local laboratory.
Participation in this study should last at least 4 years and possibly longer.
Subjects receiving alemtuzumab, will need to have blood tests every month for at least 3
years after your last dose of alemtuzumab. Therefore, you will need to undergo monthly blood
tests for a total of about 4 years. If your test results become abnormal, you may have to
have blood tests more frequently, in some cases weekly, until your test results improve.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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