About this trial
The goal of this observational study is to study the long-term effects of autologous hematopoietic stem cell transplantation (aHSCT) in people with highly active relapsing-remitting multiple sclerosis. The study will evaluate the following items:
1. Disease activity 2. Safety and tolerability of aHSCT 3. Changes in the immune system
Participants will be subjected to frequent visits for five years after treatment with aHSCT. During these visits, clinical testing, evaluation by questionnaires, MRI scans and blood sampling will be performed.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients approved for treatment with aHSCT in the Netherlands in accordance with the Dutch criteria for aHSCT treatment for RRMS
Disqualifiers
Contra-indications for treatment with aHSCT such as known hypersensitivity to the medication used for aHSCT
Clinically relevant comorbidities preventing safe use of medication used for aHSCT
Severe clinical depression
Active addiction to drugs or alcohol
Trial population
Patients with highly active relapsing-remitting multiple sclerosis are eligible for treatment with aHSCT in the Netherlands if they meet the criteria as defined by the Dutch National Health Care Institute.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Treatment efficacy
The proportion of patients with ne evidence of disease activity-3 (NEDA-3) as defined by: no clinical relapse, no disability progression, no radiological disease activity.
Secondary outcomes
Annual relapse rate
Time to first relapse
Confirmed disability progression (CDP)
Measured by the Expanded Disability Status Scale (EDSS) CDP-EDSS is defined as an increase of one point in the EDSS score from baseline to month 24.
Confirmed disability improvement (CDI)
Measured by the Expanded Disability Status Scale (EDSS) CDI-EDSS is defined as a decrease of one point in the EDSS score from baseline to month 24, with an absence of relapse at the point of assessment.
Sponsors and contacts
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Amsterdam UMC, location VUmc
Lead sponsor
St. Antonius Hospital
Collaborator