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Multiple SclerosisNCT06282081

Serum Neurofilament Light in Multiple Sclerosis

An observational study of Multiple Sclerosis and Relapsing Remitting Multiple Sclerosis, run by Dent Neuroscience Research Center at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This prospective cohort study is designed to characterize the utility of sNfL as a biomarker in clinical practice. This study also aims to understand how access to sNfL measures affects patient and clinician knowledge of their disease status and capture how this may have the potential to influence clinical… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Serum Neurofilament Light
How many people
42 participants
Where
1 siteUnited States
Study dates
9 Apr 2024to 1 Mar 2027
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients diagnosed with relapsing remitting multiple sclerosis.

Who may be able to join

  • Patients diagnosed with RRMS
  • Adults aged 18+ at time of screening
  • Patients who are able to consent
  • Patients who agree to be reasonably compliant with study protocol for the duration of the study
  • Any subject who is currently being treated with an MS DMT or any subject initiating a new MS DMT throughout the duration of their participation in the study will be initiated and/or treated according to local label

Who cannot join

  • Patients with current diagnosis of a neurodegenerative or autoimmune disease other than MS that may impact sNfL levels, in the opinion of the investigator (including but not limited to: Alzheimer's disease, Huntington's disease, Amyotrophic Lateral Sclerosis, or Parkinson's disease, systemic lupus erythematosus, rheumatoid arthritis)
  • Inability to complete blood draws
  • Pregnant or breastfeeding, or planning to become pregnant or breastfeed for the duration of the study
  • Patients who have taken an investigational medication within five half-lives prior to screening or who plan to take an investigational medication during the study
  • Patients with a medical condition or taking a medication that may interfere with study endpoints in the opinion of the investigator

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Dent Neurologic Institute

    Amherst, New York, 14226

Other trials in United States

About this study

Official title: Serum Neurofilament Light As a Clinical Tool in Relapsing Remitting Multiple Sclerosis

This prospective cohort study is designed to characterize the utility of sNfL as a biomarker in clinical practice. This study also aims to understand how access to sNfL measures affects patient and clinician knowledge of their disease status and capture how this may have the potential to influence clinical decision-making. Level of disability, cognitive changes, fatigue, depression, and quality of life to detect clinical and subclinical worsening will be measured. While there is strong evidence in support of sNfL as a potential biomarker, literature regarding the application of sNfL in a real-world clinical practice setting is lacking. Understanding the utility of this test to clinicians and patients as a biomarker of MS disease activity is essential. Additionally, the optimum sampling frequency in clinical practice should be investigated to further elucidate its practicality. Given recent advances in the treatment of MS, there is increasing need for convenient and accessible measures of treatment efficacy.

Being tested
Serum Neurofilament Light
Medical subject headings
Multiple Sclerosis, Multiple Sclerosis, Relapsing-Remitting

What participants receive

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

  • Serum Neurofilament LightDiagnostic test

    The purpose of this research is to investigate a biomarker, called serum neurofilament light (sNfL), which is measured in blood. This study will attempt to investigate whether or not sNfL is a useful tool for clinicians in patients diagnosed with relapsing remitting multiple sclerosis.

What is being measured

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

  1. Evaluate the utility of sNfL levels to aid with clinical decision-making by examining clinicians' understanding of patient's clinical status before sNfL results are received vs. after sNfL results are received

    This outcome is based on structured clinician questionnaires developed for this study. Prior to receiving patient sNfL results, clinicians will answer the question "My current clinical impression of this patient's disease status is (circle one): a. Stable, b. Suspected disease activity, c. Confirmed disease activity, d. At risk for relapse, e. Relapse, f. Other (please specify)." After receiving patient sNfL results, clinicians will answer the question "After reviewing this patient's sNfL results along with other diagnostic testing at this time, my opinion of the patient's disease status is (circle one): a. Stable, b. Suspected disease activity, c. Confirmed disease activity, d. At risk for relapse, e. Relapse, f. Other (please specify)" and these answers will be reported.

    Measured: 1 year

  2. Evaluate the utility of sNfL levels to aid with clinical decision-making by examining clinicians' opinion as to how sNfL results could guide clinical practice

    This outcome is based on a structured clinician questionnaire developed for this study. Clinicians will answer the question: "This patient's sNfL results have had the following impact on my opinions or confidence in this patient's care plan, or have potential to guide my clinical practice in the following way (please list specifics, e.g., increased confidence in assessment of disease status; decision to order additional testing; change in mediation therapy; change in frequency of follow-up, etc)" and these answers will be reported.

    Measured: 1 year

  3. Describe the optimal sNfL sampling frequency by capturing frequency of unscheduled clinician-ordered sNfL measurements.

    Measured: 1 year

  4. Describe the optimal sNfL sampling frequency by capturing reason for unscheduled clinician-ordered sNfL measurements.

    This outcome is based on a structured clinician questionnaire developed for this study. Prior to receiving patient's sNfL results, clinicians will answer the question, "Is this an unscheduled sNfL measurement? Yes No; If yes, please specify reason why this sNfL measurement was scheduled" and these answers will be reported.

    Measured: 1 year

  5. Describe the optimal sNfL sampling frequency by capturing usefulness of scheduled and unscheduled sNfL measurements based on a visual analog scale.

    After receiving sNfL results, clinicians will answer the following prompt on a visual analog scale: "Knowledge of sNfL level has the potential to be useful in my clinical practice for this patient" and these answers will be reported. The scale is measured from "Not at all" to "extremely."

    Measured: 1 year

  6. Describe the optimal sNfL sampling frequency by capturing usefulness of scheduled and unscheduled sNfL measurements based on a visual analog scale.

    After receiving sNfL results, clinicians will answer the following prompt on a visual analog scale: "sNfL results has the potential to be a useful/suitable alternative to MRI for this patient" and these answers will be reported. The scale is measured from "Not at all" to "extremely."

    Measured: 1 year

Secondary outcomes (41)
  1. Describe patient demographics

    Measured: 1 year

  2. Describe patient comorbidities

    Measured: 1 year

  3. Describe patient concomitant medications

    Measured: 1 year

  4. Describe patient MS medications

    Measured: 1 year

  5. Describe patient reasons for MS medication changes

    Measured: 1 year

  6. Describe patient MS relapses including date of relapse

    Measured: 1 year

  7. Describe patient MS relapses including clinical findings

    Measured: 1 year

  8. Describe patient MS relapses including radiologic findings

    Measured: 1 year

  9. Describe patient MS relapses including severity

    Severity of MS relapses will be described by change in EDSS score from non-relapsing EDSS measurement.

    Measured: 1 year

  10. Explore patient attitudes towards sNfL measurements by capturing patients' perceptions of undergoing sNfL measurements vs. receiving an MRI based on a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? Compared to MRI, sNfL draws were more accessible: ____________ " and these answers will be reported.

    Measured: 1 year

  11. Explore patient attitudes towards sNfL measurements by capturing patients' perceptions of undergoing sNfL measurements vs. receiving an MRI based on a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? Compared to MRI, sNfL draws were more burdensome: ___________" and these answers will be reported.

    Measured: 1 year

  12. Explore patient attitudes towards sNfL measurements by capturing patients' perceptions of undergoing sNfL measurements vs. receiving an MRI based on a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? Compared to MRI, sNfL draws were more uncomfortable: ___________" and these answers will be reported.

    Measured: 1 year

  13. Explore patient attitudes towards sNfL measurements by capturing patients' perceptions of undergoing sNfL measurements vs. receiving an MRI based on a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? Compared to MRI, sNfL draws were easier to fit into my schedule: ____________" and these answers will be reported.

    Measured: 1 year

  14. Explore patient attitudes towards sNfL measurements by capturing patients' perceptions of undergoing sNfL measurements vs. receiving an MRI based on a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? Compared to MRI, sNfL results were more difficult to understand: ____________" and these answers will be reported.

    Measured: 1 year

  15. Explore patient attitudes towards sNfL measurements by capturing patients' understanding of their disease before sNfL results are received vs. after sNfL results are received via a structured questionnaire.

    This outcome is based on structured patient questionnaires developed for this study. Patients will answer the following question before and after receiving sNfL results: "My current understanding of my MS disease is that I am (circle one): a. Stable, b. Experiencing increased disease activity, c. At risk for relapse, d. Experiencing a relapse, e. Unknown" and these answers will be reported.

    Measured: 1 year

  16. Explore patient attitudes towards sNfL measurements by capturing patient attitudes towards sNfL sampling via a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? sNfL results were easy to understand: _______" and these results will be reported.

    Measured: 1 year

  17. Explore patient attitudes towards sNfL measurements by capturing patient attitudes towards sNfL sampling via a structured questionnaire.

    This outcome is based on a structured patient questionnaire developed for this study. Patients will answer the following question after receiving sNfL results: "How much do you agree with the following statements on a scale of 0 to 10, where 0 is "completely disagree" and 10 is "completely agree"? sNfL results increased my knowledge of my MS disease status: ____________" and these results will be reported.

    Measured: 1 year

  18. Compare sNfL levels after initiation of a new MS disease-modifying therapy (DMT; when patient is treated with a DMT) vs. prior to MS DMT initiation (when patient is not treated with any DMT) where available.

    Measured: 1 year

  19. Compare sNfL levels at scheduled sampling time points between patients initiating any new MS DMT vs. patients who do not change MS DMT where available.

    Measured: 1 year

  20. Compare sNfL levels in patients who have a clinical or radiologic relapse during the study vs. patients who do not.

    Measured: 1 year

  21. Describe changes in sNfL levels with Expanded Disability Status Scale (EDSS) where available.

    EDSS scale is from 0 to 10, where 0 indicates normal neurologic exam and 10 indicates death due to MS.

    Measured: 1 year

  22. Describe changes in sNfL levels with Symbol Digit Modalities Test (SDMT) where available.

    SDMT scale is from 0 to 110, where 0 indicates none correct and 110 indicates all correct.

    Measured: 1 year

  23. Describe changes in sNfL levels with Patient Health Questionnaire-9 (PHQ-9) where available.

    PHQ-9 scores from 0 to 27, where 1-4 indicates minimal depression and 20-27 indicates severe depression.

    Measured: 1 year

  24. Describe changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) physical health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  25. Describe changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) mental health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  26. Describe changes in sNfL levels with magnetic resonance imaging disease activity where available.

    Measured: 1 year

  27. Describe changes in sNfL levels with changes to multiple sclerosis disease-modifying therapy where available.

    Measured: 1 year

  28. Compare changes in sNfL levels with Expanded Disability Status Scale (EDSS) where available.

    EDSS scale is from 0 to 10, where 0 indicates normal neurologic exam and 10 indicates death due to MS.

    Measured: 1 year

  29. Compare changes in sNfL levels with Symbol Digit Modalities Test (SDMT) where available.

    SDMT scale is from 0 to 110, where 0 indicates none correct and 110 indicates all correct.

    Measured: 1 year

  30. Compare changes in sNfL levels with Patient Health Questionnaire-9 (PHQ-9) where available.

    PHQ-9 scores from 0 to 27, where 1-4 indicates minimal depression and 20-27 indicates severe depression.

    Measured: 1 year

  31. Compare changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) physical health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  32. Compare changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) mental health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  33. Compare changes in sNfL levels with magnetic resonance imaging disease activity where available.

    Measured: 1 year

  34. Compare changes in sNfL levels with changes to multiple sclerosis disease-modifying therapy where available.

    Measured: 1 year

  35. Correlate changes in sNfL levels with Expanded Disability Status Scale (EDSS) where available.

    Measured: 1 year

  36. Correlate changes in sNfL levels with Symbol Digit Modalities Test (SDMT) where available.

    SDMT scale is from 0 to 110, where 0 indicates none correct and 110 indicates all correct.

    Measured: 1 year

  37. Correlate changes in sNfL levels with Patient Health Questionnaire-9 (PHQ-9) where available.

    PHQ-9 scores from 0 to 27, where 1-4 indicates minimal depression and 20-27 indicates severe depression.

    Measured: 1 year

  38. Correlate changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) physical health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  39. Correlate changes in sNfL levels with Multiple Sclerosis Quality of Life - 54 (MSQOL-54) mental health summary score where available.

    MSQOL-54 scale scores range from 0 to 100 and a higher scale score indicates improved quality of life.

    Measured: 1 year

  40. Correlate changes in sNfL levels with magnetic resonance imaging disease activity where available.

    Measured: 1 year

  41. Correlate changes in sNfL levels with changes to multiple sclerosis disease-modifying therapy where available.

    Measured: 1 year

Timeline

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

  1. First posted28 Feb 2024
  2. Study start9 Apr 2024
  3. Primary completion1 Mar 2026 (estimated)
  4. Study completion1 Mar 2027 (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
42 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06282081
Sponsor's protocol ID
ML 45098
Status last verified
Feb 2025
First submitted
2 Feb 2024
Last updated
14 Feb 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?

An observational study of Multiple Sclerosis and Relapsing Remitting Multiple Sclerosis, run by Dent Neuroscience Research Center at 1 site in United States.

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 5 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 14 Feb 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 United States. 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?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Evaluate the utility of sNfL levels to aid with clinical decision-making by examining clinicians' understanding of patient's clinical status before sNfL results are received vs. after sNfL results are received (time frame: 1 year). The study lists 6 primary outcomes in all. 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 14 Feb 2025.

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