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Multiple SclerosisCNRIDNCT05154370

China National Registry of Neuro-Inflammatory Diseases

An observational study of Multiple Sclerosis and NMO Spectrum Disorder, run by Beijing Tiantan Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Central nervous system (CNS) idiopathic inflammatory demyelinating diseases (IDD) are mainly diseases caused by autoimmune factors that result in CNS demyelination damage and loss. It tends to accumulate in the brain, spinal cord and optic nerves. Read more about this study

Who is it for?
Any age
What is being tested?
Intravenous steroid
Type of treatment
Injection or infusion
How many people
10,000 participants
Where
1 siteChina
Study dates
15 Dec 2021to 1 Nov 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: 10000 IDD patients are planned to be recruited from many sites throughout the country.

Who may be able to join

  • 1. No requirement for age and sex
  • 2. Need to meet the diagnosis of at least one IDD (clinically isolated syndrome (CIS)/multiple sclerosis (MS)/neuromyelitis optica spectrum disorder (NMOSD)/MOG antibody-associated disease (MOGAD)/acute disseminated encephalomyelitis (ADEM).
  • 3. Signed informed consent form.

Who cannot join

  • Those with severe mental disease unable to cooperate with the examination and/or follow-up.
  • Any patient (or the patient's legal representative) who is unable or refuses to sign informed consent.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Beijing Tiantan Hospital

    Beijing, Beijing Municipality, 100069

    Fu-Dong Shi, 15202282795, fshi@tmu.edu.cn

    De-cai Tian, +18519703162, decaitian@163.com

    Recruiting

Other trials in China

About this study

Official title: China National Registry of Neuro-Inflammatory Diseases: a Prospective Cohort Study

Central nervous system (CNS) idiopathic inflammatory demyelinating diseases (IDD) are mainly diseases caused by autoimmune factors that result in CNS demyelination damage and loss. It tends to accumulate in the brain, spinal cord and optic nerves. Multiple sclerosis (MS), clinically isolated syndrome (CIS), neuromyelitis optica spectrum disorder (NMOSD), myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) and acute disseminated encephalomyelitis (ADEM) are all common IDDs of the CNS. Besides, primary angiitis of the central nervous system (PACNS), autoimmune glial fibrillary acidic protein astrocytopathy (GFAP-A), etc. may also be included because they are important differential diagnoses. This study will establish a large prospective cohort study database of Chinese IDD, which will record detailed electronic information on IDD patients, including demographic and socioeconomic data, medical history, clinical information, medication, and relevant examination results. The long-term observational study will be used to understand the natural history of disease, disability progression rates, imaging and biological indicators, long-term treatment approaches and prognosis of Chinese patients with IDD, to find predictive markers for IDD progression and prognosis, and to identify factors that influence the treatment and prognosis of patients with IDD.

Read the detailed description

Large prospective cohort studies allow long-term observation and analysis of the clinical status and disease activity of IDD patient population, and are the best way to understand IDD's natural course, clinical outcome, and drug efficacy in specific populations. Globally, several large prospective follow-up cohort studies have been conducted, providing important information on the disease characteristics of IDD patients. However, there is no large nationwide registry study of CNS IDD in China, and therefore there is a relative lack of data on the natural course of disease and drug efficacy in the Chinese IDD patient population, as well as a lack of standardized follow-up management of Chinese IDD patients. This study will establish a large prospective cohort study database of Chinese IDD, which will record detailed electronic information on IDD patients. We aim to establish a national (multicenter) disease registry for central nervous system idiopathic inflammatory demyelinating diseases in China, and to establish a unified standardized follow-up management process and treatment guidelines for patients with IDD in China; To provide real world data on the disease status of Chinese IDD patients; To understand the disease progression characteristics of IDD in China; To search for biological and imaging markers that predict the relapse, progression, and prognosis of IDD; to investigate the efficacy, safety, compliance and switch of different disease-modifying drugs (DMDs) in the long-term treatment of Chinese patients with IDD.

The study is a prospective observational (non-interventional) national multicenter cohort study to collect clinical data from IDD patients who have signed informed consent, to routinely and regularly follow up IDD patients on multiple clinical indicators, and to assess clinical outcomes. All information is to be completed prospectively from the time point the patient visited the hospital (except for Basic patient information and information about previous disease that are required at enrollment follow-up).Once the project started, the study sites are not allowed to discontinue the study on their own until the end of study is announced. In addition, to ensure the continuity of the data, each site needs to appoint designated clinical data collectors to collect data from qualified inpatient clinical cases consecutively, so as to ensure the consecutive registration of each inpatient case who meets the inclusion and exclusion criteria.

As the purpose of this study is to establish a national multicenter disease registry to provide disease-related information on patients with IDD in China, and the primary and secondary endpoints of the study being descriptive endpoints, therefore no formal calculation of sample size is needed. 10000 IDD patients are planned to be recruited.

Being tested
Intravenous steroid
Medical subject headings
Multiple Sclerosis, Neuromyelitis Optica, Demyelinating Autoimmune Diseases, CNS, Encephalomyelitis, Acute Disseminated

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intravenous steroidDrug

    Also called Immunoglobulin, Immunosuppressive Drugs, Disease-Modifying Drugs

    This study does not limit treatment methods. Patients commonly use high-dose intravenous steroid therapy (HD-S) during acute stage. Immunomodulatory therapies are necessary for the remission stage. All drugs are used in accordance with relevant guidelines.

Study groups in NCT05154370
Study groupRoleWhat they receive
MS/CISDiagnosis of MS and CIS based on the 2017 McDonald MS diagnostic criteria.
Receives: Drug: Intravenous steroid
ADEMDiagnosis of ADEM based on the 2012 IPMSSG diagnostic criteria for ADEM
Receives: Drug: Intravenous steroid
MOGADDiagnosis of MOGAD based on the 2020 Chinese Expert Consensus.
Receives: Drug: Intravenous steroid
NMOSDdiagnosis of NMOSD according to 2015 International Panel for Neuromyelitis Optica Diagnosis criteria.
Receives: Drug: Intravenous steroid

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annual relapse rate (ARR) between baseline and follow-up in patients with IDD

    a new neurological worsening lasting for at least 24 hours and occurring more than 30 days after the previous attack.

    Measured: baseline up to 5 years

  2. Change in EDSS scores of patients with IDD between baseline and follow-up over time

    The Expanded Disability Status Scale (EDSS) is a rating system that is frequently used for classifying and standardizing the severity and progression. EDSS ranges from 0 to 10. The higher the score, the worse the clinical symptoms.

    Measured: baseline, Month 6, Month12, Month18, Month24, Month30, Month36, Month42, Month48, Month54, Month60

Secondary outcomes (12)
  1. The brain structural change over time between the baseline MRI and the follow-up MRIs

    To describe changes of lesions, grey matter and white matter in patients with neuroinflammatory and demyelination disease measured by Brain Magnetic Resonance Imaging (MRI). The MRI sequence includes T2W_TRA、DWI、3DT1W_TFE_SAG、fMRI_EPI_TRA、mb2DKI_iso48_b1k2k_TRA、3DFLAIR_TSE_SAG、3DpCASL_GRASE_TRA、3DDIR_SAG、3DT2W_TSE、SWI_QSM_TRA. The secondary endpoint is the change over time between the baseline MRI and the follow-up MRIs, of the lesions and brain volumes.

    Measured: baseline, year1, year2, year3, year4, year5.

  2. The spinal cord change over time between the baseline MRI and the follow-up MRIs.

    To describe changes of lesions and integrity of fiber bundle in spinal cord in neuroinflammatory and demyelination disease patients measured by MRI. The primary endpoint is the change over time between the baseline MRI and the follow-up MRIs, of structural change in spinal cord.

    Measured: baseline, year1, year2, year3, year4, year5.

  3. Change of the central vein sign at 7T MRI.

    The central vein sign has been proposed as a specific imaging biomarker for distinguishing between multiple sclerosis (MS) and not MS.

    Measured: baseline, year1, year2, year3, year4, year5.

  4. Change of rim of iron at 7T MRI.

    multiple sclerosis white matter lesions surrounded by a rim of iron containing microglia, termed iron rim lesions, signify patients with more severe disease course and a propensity to develop progressive multiple sclerosis.

    Measured: baseline, year1, year2, year3, year4, year5.

  5. Change in High-contrast Letter Acuity (HCLA) over time at baseline and during follow-up in patients with IDD

    Adjusted mean change in HCLA every year from baseline as determined by 100% high contrast Sloan letter charts, adjusted for the baseline HCLA value.

    Measured: baseline, year1, year2, year3, year4, year5.

  6. Change in Low-contrast Letter Acuity (LCLA) over time at baseline and during follow-up in patients with IDD

    Adjusted mean change in LCLA at baseline and every year as determined by 2.5% low contrast Sloan letter charts,adjusted for the baseline LCLA value.

    Measured: baseline, year1, year2, year3, year4, year5.

  7. Percentage Change in Spectral-domain Optical Coherence Tomography (SD-OCT) Average Retinal Nerve Fiber Layer (RNFL) Thickness at baseline and every year.

    Adjusted mean percentage change in thickness of the RNFL every year for the affected eye from the baseline as determined by SD-OCT.

    Measured: baseline, year1, year2, year3, year4, year5.

  8. Percentage change in SD-OCT Average Retinal Ganglion Cell Layer/Inner Plexiform Retinal Layer (RGCL/IPL) every year.

    Adjusted mean change in thicknesses of the RGCL/IPL every year for the affected eye from the baseline as determined by segmentation of SD-OCT.

    Measured: baseline, year1, year2, year3, year4, year5.

  9. Changes in cognitive function of patients with IDD at baseline and over time during follow-up

    Scale assessment mainly rely on SDMT(Symbol Digit Modalities Test), MoCA( Montreal Cognitive Assessment), MMSE(Mini-mental State Examination) and so on. The Symbol Digit Modalities Test (SDMT) is widely used because it is easy to administer, reliable and also evaluates information processing speed. The Montreal Cognitive Assessment (MoCA) is a brief, 30-question test that helps healthcare professionals detect cognitive impairments very early on, allowing for faster diagnosis and patient care. The Mini-Mental State Exam (MMSE) is a widely used test of cognitive function among the elderly; it includes tests of orientation, attention, memory, language and visual-spatial skills.

    Measured: baseline, year1, year2, year3, year4, year5.

  10. Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    Treatment-emergent adverse events, treatment-emergent serious adverse events (TESAEs), including laboratory measurements as well as their changes or shift from baseline over time

    Measured: From baseline to 5 years

  11. NF-L level in serum.

    Neurofilament light (NF-L) is a 68 kDa cytoskeletal intermediate filament protein that is expressed in neurons. Elevated blood concentrations of neurofilament light chain (NfL) were found to correlate with an increase in the number of relapses, disability worsening, MRI disease activity, and brain volume loss in MS.

    Measured: baseline, year1, year2, year3, year4, year5.

  12. Determination of serum autoimmune antibodies

    Compare serum AQP4(Aquaporin 4)-ab titers, MOG(Myelin Oligodendrocyte Glycoprotein)-ab titers, MBP(myelin basic protein)-ab titers at baseline and every year.

    Measured: baseline, year1, year2, year3, year4, year5.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Dec 2021
  2. Study start15 Dec 2021
  3. Primary completion1 Nov 2026 (estimated)
  4. Study completion1 Nov 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05154370
Sponsor's protocol ID
KY2021-150-01
Acronym
CNRID
Status last verified
Jul 2023
First submitted
8 Nov 2021
Last updated
21 Jul 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes

Publications

  • Xu Y, Meng H, Fan M, Yin L, Sun J, Yao Y, Wei Y, Cong H, Wang H, Song T, Yang CS, Feng J, Shi FD, Zhang X, Tian DC. A Simple Score (MOG-AR) to Identify Individuals at High Risk of Relapse After MOGAD Attack. Neurol Neuroimmunol Neuroinflamm. 2024 Nov;11(6):e200309. doi: 10.1212/NXI.0000000000200309. Epub 2024 Sep 9.

    PubMed 39250723
  • Jing J, Zhang Z, Su L, Gao C, Guo A, Liu X, Wang H, Zhang X, Liu Y, Comi G, Waubant E, Shi FD, Tian DC. Central vein sign and trigeminal lesions of multiple sclerosis visualised by 7T MRI. J Neurol Neurosurg Psychiatry. 2024 Jul 15;95(8):761-766. doi: 10.1136/jnnp-2023-332566.

    PubMed 38453475

Questions about this trial

What is this clinical trial studying?

An observational study of Multiple Sclerosis and NMO Spectrum Disorder, run by Beijing Tiantan Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Fu-Dong Shi (8610-59976585, fshi@tmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annual relapse rate (ARR) between baseline and follow-up in patients with IDD (time frame: baseline up to 5 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05154370, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2023.

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