At a glance
ClinicalIndex Comparison Record- ✓Diagnosis of relapsing-remitting or progressive-relapsing multiple sclerosis for less than 15 years using McDonald Criteria
- ✓EDSS score between 3.0 and 5.5
- ✓T2 abnormalities on brain MRI consistent with MS
- ✓Two or more relapses in 18 months despite interferon, glatiramer acetate, natalizumab, or cytotoxic therapy with specified EDSS increase; OR one relapse with EDSS increase of ≥1.5 (or ≥1.0 for EDSS 5.5) sustained ≥4 weeks with MRI changes consistent with poor prognosis
- ✕Primary progressive MS
- ✕Secondary progressive MS without relapses for ≥12 months
- ✕Neuromyelitis optica or other MS-like disease
- ✕New immunosuppressant treatment initiated after eligibility or continuation of immunosuppressants after screening (except IFN, GA, or corticosteroids)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Study of High-Dose Immunosuppressive Therapy Using Carmustine, Etoposide, Cytarabine, Melphalan, Thymoglobulin and Autologous CD34+ Hematopoietic Stem Cell Transplant for the Treatment of Poor Prognosis Multiple Sclerosis
In Brief
A Phase 2 clinical trial evaluating Granulocyte-colony stimulating factor (G-CSF) and prednisone, Carmustine, etoposide, cytarabine, and melphalan (BEAM), and 1 other intervention for Relapsing-Remitting Multiple Sclerosis. Completed, enrolled 25 participants across 4 sites.
Detailed Summary
The purpose of this study is to determine the effectiveness of a new treatment for multiple sclerosis (MS), a serious disease in which the immune system attacks the brain and spinal cord. MS can be progressive and severe and lead to significant disability. The study treatment involves the use of high-dose chemotherapeutic drugs to suppress the immune system. The participant's own (autologous) blood-forming (hematopoietic, CD34+) stem cells are collected before the chemotherapy is given, and then transplanted back into the body following treatment. Transplantation of autologous hematopoietic stem cells is required to prevent very prolonged periods of low blood cell counts after the high-dose chemotherapy.
Study Details
Timeline
Interventions
Growth factor regimen; occurs at study entry
High-dose chemotherapy; occurs seven or more days following collection of autologous graft
Occurs after growth factor regimen and collection of autologous graft