Home
Search
Study Topics
Glossary
|
|
|
|
|
|
Sponsored by: |
Stony Brook University |
---|---|
Information provided by: | Stony Brook University |
ClinicalTrials.gov Identifier: | NCT00296205 |
The purpose of this study is to determine what percentage of patients receiving high-dose Cyclophosphamide may experience a halt in the worsening of their disease or experience improvement of their disease and for how long the benefit may last.
Condition | Intervention | Phase |
---|---|---|
Multiple Sclerosis |
Drug: Cyclophosphamide |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study |
Official Title: | Phase II Trial of High-Dose Cyclophosphamide for Moderate to Severe Refractory Multiple Sclerosis |
Estimated Enrollment: | 25 |
Study Start Date: | October 2003 |
Estimated Study Completion Date: | February 2006 |
Multiple sclerosis (MS) is the major disabling neurologic disease of young adults,and represents the most common immune-mediated inflammatory and demyelinating disorder of the central nervous system (CNS). Active inflammatory lesions contain components that include T cells, macrophages, and activated microglia. Within these lesions myelin is removed, axons are damaged and oligodendrocytes may be lost. In lesions undergoing inflammatory demyelination axonal injury also occurs. The disability MS produces is underscored by the nearly fifty percent of patients who will require ambulatory aids within 15 years after disease onset.
Currently, there is no cure for MS. Therapy is targeted at changing the short-term natural history of MS: to decrease attack rates and to postpone long-term disability. At present, interferon beta and glatiramer acetate form the foundation of therapy for relapsing MS. Mitoxantrone is approved for more severe cases of relapsing MS, such as those with rapidly accumulating neurologic impairments.
High-dose cyclophosphamide (HDC) is a non-bone marrow transplant treatment option for those afflicted by severe, refractory immune-mediated illnesses by pathologic autoreactive lymphocytes. The goal of this therapy is to induce immunoablation without myeloablation: that is, to eradicate offending B and T cells responsible for the illness while sparing the pluripotent blood stem cell of any ill effect. Since 1966, multiple publications on numerous immune-mediated illnesses have shown HDC without stem-cell rescue to decrease disease activity and improve quality of life
In this protocol we study HDC for severe, refractory MS. The primary goal is to assess the safety of HDC in this population, where no data exists regarding the tolerability of high-dose chemotherapy without stem-cell rescue. The treatment goal is not to induce disease regression (resolution of fixed neurologic deficits), but rather to stop disease progression without further remittive therapy.
Ages Eligible for Study: | 18 Years to 75 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Emily Locher, BSN | 631-444-3810 | elocher@notes.cc.sunysb.edu |
Contact: Michelle Stevens, MSN | 631-444-1723 | mmstevens@notes.cc.sunysb.edu |
United States, New York | |
Stony Brook University Hospital | Recruiting |
Stony Brook, New York, United States, 11794-8174 | |
Principal Investigator: Douglas E Gladstone, MD |
Principal Investigator: | Douglas E Gladstone, MD | Stony Brook University |
Study ID Numbers: | 20055203 |
Study First Received: | February 23, 2006 |
Last Updated: | October 5, 2006 |
ClinicalTrials.gov Identifier: | NCT00296205 |
Health Authority: | United States: Food and Drug Administration |
Multiple Sclerosis Cyclophosphamide autoimmune |
Autoimmune Diseases Multiple Sclerosis Demyelinating Diseases Demyelinating Autoimmune Diseases, CNS |
Demyelinating diseases Sclerosis Cyclophosphamide Autoimmune Diseases of the Nervous System |
Immune System Diseases Immunologic Factors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Nervous System Diseases Physiological Effects of Drugs Immunosuppressive Agents |
Pharmacologic Actions Pathologic Processes Therapeutic Uses Myeloablative Agonists Antineoplastic Agents, Alkylating Antirheumatic Agents Alkylating Agents |