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Multiple SclerosisPROMISENCT05962177

Montpellier PROspective Cohort in Relapsing Remitting Multiple Sclerosis Using Imaging and Serologic

A study testing Magnetic Resonance Imaging, Blood withdrawal and Neuropsychological tests in people with Multiple Sclerosis, run by University Hospital, Montpellier at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Several prospective monocentric cohorts of between 250 and 1000 patients have been set up in order to characterize more precisely the evolution of the disease. Nevertheless, due to an initial recruitment carried out in the years 2000-2010, they do not constitute a faithful representation of the patients followed in… Read more about this study

Who is it for?
Ages 18 to 59 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
Magnetic Resonance Imaging, Blood withdrawal and Neuropsychological tests
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
1 siteFrance
Study dates
11 Sep 2023to Jun 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

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 18 to 59 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients over 18 and under 60 years of age
  • Patients with Relapsing-remitting MS without relapse for at least 6 months
  • EDSS<6 at time of inclusion

Who cannot join

  • Secondary progressive MS or Primary progressive MS at time of inclusion
  • Evidence of disease progression (clinical or radiological)
  • Change in treatment within 6 months prior to inclusion
  • Subject with a contraindication to MRI (claustrophobia, pacemaker, etc.)
  • Inability to follow the follow-up planned by the study
  • Pregnant or breastfeeding women
Show all 9Show fewer
  • Patient not affiliated to the social security system or not benefiting from such a system
  • Adult protected by law or patient under guardianship or curatorship
  • Failure to obtain written informed consent after a reflection period

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Xavier AYRIGNAC, Medical Doctor contact

0467337202

x-ayrignac@chu-montpellier.fr

France1 site, 1 recruiting
  • Neurology Department, Hopital Gui de Chauliac

    Montpellier

    Xavier Ayrignac, Medical Doctor, 0467337202, x-ayrignac@chu-montpellier.fr

    Recruiting

Other trials in France

About this study

Several prospective monocentric cohorts of between 250 and 1000 patients have been set up in order to characterize more precisely the evolution of the disease. Nevertheless, due to an initial recruitment carried out in the years 2000-2010, they do not constitute a faithful representation of the patients followed in clinical routine, in particular in terms of distribution of treatments. Indeed, the introduction, about 10 years ago, of high efficacy treatments (HET) has changed the management of the disease and a significant proportion of patients not controlled by medium efficacy treatments (MET) of the disease are now stable on HET. Nevertheless, if their short-term efficacy has been clearly demonstrated, it remains important to be able to confirm the superiority of HET over MET with the help of prospective cohorts (thus ensuring a retention of patients > 90% over the long term) analyzing all clinical and imaging biomarkers, imaging and biological data.

The measurement of cerebral atrophy and its progression is probably one of the most interesting and most easily used biomarkers that can be used clinically to assess this silent progression in these groups of patients.

Read more

The progression of brain atrophy is also dependent on many other non-modifiable but also modifiable factors outside of MS that need to be better evaluated and eventually managed.

Nevertheless, the existence of various neurological comorbidities (sleep disorders, headaches) on this atrophy has not been specifically analyzed to date. The functional assessments used in routine follow-up are most often performed in a care facility and have many limitations: lack of reproducibility, inter/intra operator variability, poor correlation with functional and quality of life scales, etc.

It is therefore extremely important to be able to identify new clinical biomarkers of disease progression of the disease by evaluating the physical capacities of the patients as precisely as possible.

This study is a single-center, prospective cohort study of a population of 400 patients with relapsing remitting MS (RRMS).

The main objective of this study is to compare, on morphological imaging criteria (T1 volumetry), the progression of brain atrophy (biomarker of disease progression) at 3 years in RRMS patients according to treatment line (MET vs HET).

Read the detailed description

Several prospective monocentric cohorts of between 250 and 1000 patients have been set up in order to characterize more precisely the evolution of the disease. Nevertheless, due to an initial recruitment carried out in the years 2000-2010, they do not constitute a faithful representation of the patients followed in clinical routine, in particular in terms of distribution of treatments. Indeed, the introduction, about 10 years ago, of high efficacy treatments (HET : Natalizumab, Fingolimod, Ocrelizumab, Rituximab, Ofatumumab, Cladribine) has changed the management of the disease and a significant proportion of patients not controlled by medium efficacy treatments (MET : Beta interferons, glatiramer acetate, teriflunomide, dimethyl fumarate, monomethyl fumarate) of the disease are now stable on HET. Nevertheless, if their short-term efficacy has been clearly demonstrated, it remains important to be able to confirm the superiority of HET over MET with the help of prospective cohorts (thus ensuring a retention of patients > 90% over the long term) analyzing all clinical and imaging biomarkers, imaging and biological data.

The measurement of cerebral atrophy and its progression is probably one of the most interesting and most easily used biomarkers that can be used clinically to assess this silent progression in these groups of patients.

The progression of brain atrophy is also dependent on many other non-modifiable but also modifiable factors outside of MS that need to be better evaluated and eventually managed.

Nevertheless, the existence of various neurological comorbidities (sleep disorders, headaches) on this atrophy has not been specifically analyzed to date. The functional assessments used in routine follow-up are most often performed in a care facility and have many limitations: lack of reproducibility, inter/intra operator variability, poor correlation with functional and quality of life scales, etc.

It is therefore extremely important to be able to identify new clinical biomarkers of disease progression of the disease by evaluating the physical capacities of the patients as precisely as possible.

This study is a single-center, prospective cohort study of a population of 400 patients with relapsing remitting MS (RRMS).

The main objective of this study is to compare, on morphological imaging criteria (T1 volumetry), the progression of brain atrophy (biomarker of disease progression) at 3 years in RRMS patients according to treatment line (MET vs HET).

3 groups of interest will be studied and included in the study:

  • Group 1: RRMS with medium efficacy treatment (interferon beta, glatiramer acetate, Teriflunomide, dimethyl fumarate, monomethyl fumarate) of the disease (n=175 patients)
  • Group 2: RRMS with high efficacy treatment (Natalizumab, Ocrelizumab, Rituximab, Ofatumumab, Fingolimod, Cladribine: n=175 patients)
  • Group 3: Untreated RRMS (n=50 patients)
Being tested
Magnetic Resonance Imaging, Blood withdrawal, Neuropsychological tests
Keywords
Multiple sclerosis, MRI, Longitudinal cohort, Real life, Biomarkers
Medical subject headings
Multiple Sclerosis

What participants receive

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

  • Magnetic Resonance ImagingOther

    Magnetic Resonance Imaging

  • Blood withdrawalOther

    Blood withdrawal

  • Neuropsychological testsOther

    Neuropsychological tests

Study groups in NCT05962177
Study groupRoleWhat they receive
Relapsing-remitting Multiple sclerosis benefiting from a moderately effective treatmentExperimentalModerately effective treatment includes interferon beta, glatiramer acetate, Teriflunomide, dimethyl Fumarate and monomethyl fumarate n= 175 patients
Receives: Other: Magnetic Resonance Imaging; Other: Blood withdrawal; Other: Neuropsychological tests
Relapsing-remitting Multiple sclerosis benefiting from a highly effective treatmentExperimentalHighly effective treatment includes Natalizumab, Ocrelizumab, Rituximab, Ofatumumab, Fingolimod and Cladribine n= 175 patients
Receives: Other: Magnetic Resonance Imaging; Other: Blood withdrawal; Other: Neuropsychological tests
Untreated relapsing-remitting Multiple sclerosisExperimentalPatients untreated for relapsing-remitting Multiple sclerosis n= 50 patients
Receives: Other: Magnetic Resonance Imaging; Other: Blood withdrawal; Other: Neuropsychological tests

What is being measured

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

  1. Total brain atrophy

    Total brain atrophy measured with T1 MRI scans

    Measured: 3 years after Day 1

Secondary outcomes (30)
  1. Quantitative analysis: analysis of FLAIR hypersignals number

    Analysis of FLAIR hypersignals numbers (lesion load)

    Measured: 3 years after Day 1

  2. Quantitative analysis: analysis of FLAIR hypersignals volume

    Analysis of FLAIR hypersignals volume

    Measured: 3 years after Day 1

  3. Qualitative analysis: analysis of central vein lesions

    Identification and quantification of central vein lesions on SWI

    Measured: 3 years after Day 1

  4. Qualitative analysis: analysis of peripheral rim lesion

    Identification and quantification of peripheral rim lesions on SWI

    Measured: 3 years after Day 1

  5. Quantitative analysis: measurement of mean diffusivity

    measurement of the mean diffusivity using diffusion tensor analysis

    Measured: 3 years after Day 1

  6. Quantitative analysis: measurement of anisotropy fraction

    measurement of anisotropy fraction using diffusion tensor analysis

    Measured: 3 years after Day 1

  7. Quantitative analysis: measurement of cerebral blood flow (CBF)

    cerebral blood flow analysis on 3DPCASL

    Measured: 3 years after Day 1

  8. Changes in serum light chain neurofilament values

    Changes in serum light chain neurofilament values in patients with RRMS patients according to the treatment line (high efficacy treatment vs. medium efficacy treatment)

    Measured: 3 years after Day 1

  9. Clinical assessment scale: relapses

    Clinical assessment scales (absolute changes and reaching threshold values): Relapses

    Measured: 3 years after Day 1

  10. Clinical assessment scale: Expanded Disability Status Scale (EDSS)

    The EDSS scale ranges from 0 to 10 in 0.5 unit increments that represent higher levels of disability. Scoring is based on an examination by a neurologist.

    Measured: 3 years after Day 1

  11. Clinical assessment scale: Computerized Speed Cognitive Test (CSCT)

    " Computerized Speed Cognitive Test " (CSCT) provides screening for cognitive impairment in MS patients

    Measured: 3 years after Day 1

  12. Clinical assessment scale: Six-Minute Walk Test (6MWT)

    Six-Minute Walk Test

    Measured: 3 years after Day 1

  13. Clinical assessment scale: 9-Hole Peg Test (9-HPT)

    The 9-HPT is a brief, standardized, quantitative test of upper extremity function.

    Measured: 3 years after Day 1

  14. Clinical assessment scale: Timed 25-Foot Walk (T25-FW)

    The T25-FW is a quantitative mobility and leg function performance test based on a timed 25-walk.

    Measured: 3 years after Day 1

  15. Quality of life scale: The 5-level EQ-5D questionnaire (EQ5D-5L)

    EQ5D5L comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. Lower score indicate better outcomes.

    The questionnaire also includes a visual analog scale in which the patient quantifies his or her perception of quality of life using a score ranging from the worst imaginable state of health (0) to the best imaginable state of health (100).

    Measured: 3 years after Day 1

  16. Quality of life scale: The Brief Pain Inventory (BPI)

    The Brief Pain Inventory (BPI) assesses the severity of pain and its impact on functioning.

    Measured: 3 years after Day 1

  17. Quality of life scale: DN4

    The "Douleur Neuropathique 4 questions" questionnaire is a 4 questions questionnaire on neuropathic pain rating from 0 to 10; If the patient's score is 4/10 or more, the test is positive When the practitioner suspects neuropathic pain, the DN4 questionnaire is useful as a diagnostic tool.

    Measured: 3 years after Day 1

  18. Fatigue scale: Chalder Fatigue Scale

    Chalder Fatigue Scale is a self-administered questionnaire for measuring the extent and severity of fatigue.

    Measured: 3 years after Day 1

  19. Fatigue scale: Modified Fatigue Impact Scale (MFIS)

    Modified Fatigue Impact Scale (MFIS) provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning.

    Measured: 3 years after Day 1

  20. Sleep scale: Epworth Sleepiness Scale (ESS)

    The Epworth Sleepiness Scale (ESS) is used to assess daytime sleepiness.The ESS is a self-administered questionnaire with 8 questions. ESS score can range from 0 to 24. A global score greater than ten is diagnostic of excessive daytime sleepiness .

    Measured: 3 years after Day 1

  21. Depression scale: Beck Depression Inventory (BID)

    The Beck Depression Inventory (BDI) contains 21 items and identifies symptoms and attitudes associated with depression.

    Measured: 3 years after Day 1

  22. Anxiety scale: Generalized Anxiety Disorder 7-Item Scale (GAD-7)

    Generalized Anxiety Disorder 7-Item Scale measures seven anxiety symptoms.

    Measured: 3 years after Day 1

  23. Headaches scale: ef-ID Migraine

    ef-ID Migraine guide towards the diagnosis of migraine

    Measured: 3 years after Day 1

  24. Exploratory criteria:Serum Glial Fibrillary Acidic Protein (GFAP)

    Serum GFAP

    Measured: 3 years after Day 1

  25. Exploratory criteria: Pittsburgh Sleep Quality Index (PSQI) questionnaire

    Evaluation of habitual sleep quality trough a validated questionnaire. 19 items where each item is weighted on a 0-3 interval scale. The global PSQI score is then calculated by totaling the seven component scores, providing an overall score ranging from 0 to 21, where lower scores denote a healthier sleep quality.

    Measured: 3 years after Day 1

  26. Exploratory criteria: Idiopathic Hypersomnia Severity Hypersomnia Scale (IHSS)

    Patient-reported questionnaire assessing the severity of excessive sleepiness, prolonged sleep duration, cognitive impairment and sleep inertia. The total score ranges from 0 to 50, with higher scores indicating more severe symptoms.

    Measured: 3 years after Day 1

  27. Exploratory criteria: RU SATED score

    The Regularity, Sleep Quality, Alertness, Timing, Efficiency, Duration scale for sleep (RU SATED) ranges from 0 to 30, with higher scores indicating better sleep health.

    Measured: 3 years after Day 1

  28. Exploratory criteria: Insomnia Severity Index (ISI)

    The Insomnia Severity Index is a seven item-scale scored on a five-point scale (from 0 to 4). The total score ranges from 0 to 28. Higher scores indicate more insomnia.

    Measured: 3 years after Day 1

  29. Exploratory criteria: Headaches Impact Test (HIT-6)

    HIT-6 addresses six main domains affected by headaches, including pain, social functioning, role functioning, cognitive functioning, vitality and psychological stress.

    Little or no impact: 49 or less ; some impact: 50-55 ; substantial impact: 56-59 ; severe impact: 60-78

    Measured: 3 years after Day 1

  30. Exploratory criteria: Godin Leisure-Time Exercise Questionnaire (GLTEQ)

    Godin Leisure-Time Exercise Questionnaire (GLTEQ)

    Measured: 3 years after Day 1

Timeline

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

  1. First posted27 Jul 2023
  2. Study start11 Sep 2023
  3. Primary completionJun 2030 (estimated)
  4. Study completionJun 2030 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05962177
Sponsor's protocol ID
RECHMPL20_0422
Acronym
PROMISE
Status last verified
Sep 2025
First submitted
15 Jun 2023
Last updated
16 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Magnetic Resonance Imaging, Blood withdrawal and Neuropsychological tests in people with Multiple Sclerosis, run by University Hospital, Montpellier at 1 site in France.

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 9 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: looking for participants now, as of the sponsor's last update on 16 Sep 2025. 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 France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Xavier AYRIGNAC, Medical Doctor (0467337202, x-ayrignac@chu-montpellier.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total brain atrophy (time frame: 3 years after Day 1). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 16 Sep 2025.

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PROMISE Clinical Trial NCT05962177 | AzTrials