NCT00355095

Brief Summary

The purpose of this study is to determine the safety and efficacy of erythropoietin as an add-on therapy to methylprednisolone in subjects with acute autoimmune optic neuritis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Aug 2006

Longer than P75 for phase_2

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 20, 2006

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 21, 2006

Completed
11 days until next milestone

Study Start

First participant enrolled

August 1, 2006

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2011

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2011

Completed
Last Updated

September 13, 2012

Status Verified

September 1, 2012

Enrollment Period

4.5 years

First QC Date

July 20, 2006

Last Update Submit

September 12, 2012

Conditions

Keywords

multiple sclerosisadd-on Therapyerythropoietinmethylprednisoloneautoimmune optic neuritis

Outcome Measures

Primary Outcomes (1)

  • nerve fiber loss in the optical nerve head determined by optical coherence tomography at weeks 4,8 and 16 compared to baseline. Measurements at baseline and week 16 are used to calculate estimates for changes and differences between the groups.

    4 months

Secondary Outcomes (1)

  • Visual acuity and visual field perception determined at weeks 1, 4, 8, 16 compared to baseline (week 0). MRI measurements of optic nerve atrophy performed at weeks 4, 8 and 16 compared to baseline (week 0)

    4 months

Study Arms (2)

1

ACTIVE COMPARATOR

erythropoietin

Drug: Erythropoietin

2

NO INTERVENTION

Placebo

Interventions

intravenous daily 3.3 \*10\^4 Units, duration 3 days

Also known as: Erypo®
1

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • To be eligible to participate in this study, candidates must meet the following eligibility criteria at the time of randomization:
  • Must give written informed consent and authorize the release and use of protected health information (PHI).
  • Must be 18 to 50 years old, inclusive, at the time of informed consent.
  • Must have acute unilateral optic neuritis with or without prior diagnosis of MS (according to McDonald criteria).
  • Must have had normal visual acuity on both eyes before and no history of optic neuritis.
  • Must have a decreased visual acuity on the affected eye to 0.5 or less at screening.

You may not qualify if:

  • Medical history:
  • Abnormal laboratory results or clinical signs indicative of any significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, gastrointestinal, dermatologic, psychiatric, renal, neurological (other than MS), and/or other major disease.
  • History of prior optic neuritis on the affected or non-affected eye.
  • History of squint or amblyopia on either side.
  • Hyperopia \> 3dptr on either side.
  • Myopia \< -5dptr on either side.
  • Astigmatism \> 2dptr on either side.
  • Horizontal cup disc ratio \> 0.5 on either side.
  • Retinal nerve fiber layer thickness outside normal values (with respect to the OCT data base).
  • Ocular diseases effecting visual acuity or visual fields (cataract, glaucoma, maculadegeneration, diabetic retinopathy, retinal heredodegeneration or others).
  • History of elevated blood pressure.
  • Systolic blood pressure of \> 159 mmHg, diastolic blood pressure \> 99 mmHg at screening examination.
  • History of thromboembolic events.
  • Frequent thromboembolic events in 1st grade family members.
  • Significant surgery within the 4 weeks prior to randomization.
  • +22 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

University Hospital of Hamburg-Eppendorf (Institut of Neuroimmunology and Clinical MS Research (INIMS))

Hamburg, Hamburg, 20246, Germany

Location

Department of Neurology University Hospital Goettingen

Göttingen, Lower Saxony, 37075, Germany

Location

Department of Neurology University Homborg Hospital of the Saarland, Germany

Homburg, Saarland, 66421, Germany

Location

Related Publications (3)

  • Maier K, Rau CR, Storch MK, Sattler MB, Demmer I, Weissert R, Taheri N, Kuhnert AV, Bahr M, Diem R. Ciliary neurotrophic factor protects retinal ganglion cells from secondary cell death during acute autoimmune optic neuritis in rats. Brain Pathol. 2004 Oct;14(4):378-87. doi: 10.1111/j.1750-3639.2004.tb00081.x.

    PMID: 15605985BACKGROUND
  • Suhs KW, Papanagiotou P, Hein K, Pul R, Scholz K, Heesen C, Diem R. Disease Activity and Conversion into Multiple Sclerosis after Optic Neuritis Is Treated with Erythropoietin. Int J Mol Sci. 2016 Sep 30;17(10):1666. doi: 10.3390/ijms17101666.

  • Suhs KW, Hein K, Sattler MB, Gorlitz A, Ciupka C, Scholz K, Kasmann-Kellner B, Papanagiotou P, Schaffler N, Restemeyer C, Bittersohl D, Hassenstein A, Seitz B, Reith W, Fassbender K, Hilgers R, Heesen C, Bahr M, Diem R. A randomized, double-blind, phase 2 study of erythropoietin in optic neuritis. Ann Neurol. 2012 Aug;72(2):199-210. doi: 10.1002/ana.23573.

MeSH Terms

Conditions

Optic NeuritisMultiple Sclerosis

Interventions

Erythropoietin

Condition Hierarchy (Ancestors)

Optic Nerve DiseasesCranial Nerve DiseasesNervous System DiseasesEye DiseasesDemyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Colony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors

Study Officials

  • Ricarda Diem, MD Prof.

    Department of Neurology University Homborg Hospital of the Saarland, Germany

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

July 20, 2006

First Posted

July 21, 2006

Study Start

August 1, 2006

Primary Completion

February 1, 2011

Study Completion

July 1, 2011

Last Updated

September 13, 2012

Record last verified: 2012-09

Locations