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Neuroprotection and Repair in Optic Neuritis (Mino in ON)

Primary Purpose

Multiple Sclerosis, Optic Neuritis

Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Minocycline
Sponsored by
University of Calgary
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring Minocycline, Retinal nerve fibre layer thickness, Macular volume, Visual outcomes

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age between 18 and 60 years, the lower age limit has been set for safety purposes to avoid exposing children and adolescents to unproven therapies at least early in their development, the upper limit is set because the specificity of the diagnosis of ON is likely reduced in older individuals
  • onset of ON within the previous 30 days
  • intention to continue current multiple sclerosis (MS) disease modifying therapy (if any) for at least 6 months (glatiramer acetate, interferon beta) and not start, or switch to, a new therapy
  • sexually active participants of child-bearing potential must agree to use adequate contraception
  • willingness to provide written informed consent

Exclusion Criteria:

  • Coexistence of any disease other than MS that could be responsible for ON or better explains their signs and symptoms. This would include patients with other suspected or established causes of vision loss including glaucoma, maculopathies, amblyopia, neuro-myelitis optica (NMO), and other optic neuropathies
  • clinically significant liver, renal, or bone marrow dysfunction
  • any condition that could interfere with any evaluation in the study including patients who are unable to undergo reliable OCT testing due to dense media opacities or severe nystagmus in whom appropriate fixation cannot be attained
  • concurrent or prior use of corticosteroids during this episode of optic neuritis
  • concurrent participation in any clinical therapeutic trial
  • use within the previous 12 months of any of the following: natalizumab, mitoxantrone, cyclophosphamide, azathioprine, cyclosporine, methotrexate, or any other immunomodulating or immunosuppressive drug including other recombinant or non-recombinant cytokine or any experimental therapy known to effect immune function
  • use within the previous 6 months of minocycline or another tetracycline or use of either for MS at any time
  • any other condition or situation that in the opinion of the investigator would either put the patient at risk of worsening health if enrolled in the trial or would prevent completion of the trial with complete follow-up.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    No Intervention

    Arm Label

    Minocycline 100mg

    No treatment

    Arm Description

    Patients are in one of three strata (currently on Glatiramer acetate (GA), Interferon beta (IFN), or neither disease modifying therapy (DMT). There will be a minimum of 12 patients per strata. Patients will be randomized within each strata in a 2:1 fashion to receive either Minocycline 100mg twice daily or no treatment.

    Patients are in one of three strata (currently on Glatiramer acetate (GA), Interferon beta (IFN), or neither disease modifying therapy (DMT). There will be a minimum of 12 patients per strata. Patients will be randomized within each strata in a 2:1 fashion to receive either Minocycline 100mg twice daily or no treatment.

    Outcomes

    Primary Outcome Measures

    Retinal nerve fibre layer
    The primary aim of this open-label pilot trial is to estimate the treatment effect of 100 mg of oral minocycline twice daily for 90 days, initiated within 30 days of onset of ON, on functional and structural optic nerve recovery compared to no treatment. The primary outcome measure that will be used to measure optic nerve recovery is RNFL thickness.

    Secondary Outcome Measures

    Other functional and structural optic nerve recovery measures
    Secondary outcomes are temporal RNFL thickness, macular volume, and visual outcomes.

    Full Information

    First Posted
    February 22, 2010
    Last Updated
    January 21, 2013
    Sponsor
    University of Calgary
    Collaborators
    Neuroscience Canada
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01073813
    Brief Title
    Neuroprotection and Repair in Optic Neuritis
    Acronym
    Mino in ON
    Official Title
    Developing Neuroprotection and Repair Strategies in MS: Phase IIa Randomized, Controlled Trial of Minocycline in Acute Optic Neuritis (ON)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2013
    Overall Recruitment Status
    Terminated
    Why Stopped
    Lack of recruitment
    Study Start Date
    February 2010 (undefined)
    Primary Completion Date
    December 2011 (Actual)
    Study Completion Date
    January 2013 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Calgary
    Collaborators
    Neuroscience Canada

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary aim of this open-label pilot trial is to estimate the treatment effect of 100 mg of oral minocycline twice daily for 90 days, initiated within 30 days of onset of ON, on functional and structural optic nerve recovery compared to no treatment. The primary outcome measure that will be used to measure optic nerve recovery is retinal nerve fibre layer (RNFL) thickness. Other objectives: Secondary outcomes are temporal RNFL thickness, macular volume, and visual outcomes.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Multiple Sclerosis, Optic Neuritis
    Keywords
    Minocycline, Retinal nerve fibre layer thickness, Macular volume, Visual outcomes

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    6 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Minocycline 100mg
    Arm Type
    Active Comparator
    Arm Description
    Patients are in one of three strata (currently on Glatiramer acetate (GA), Interferon beta (IFN), or neither disease modifying therapy (DMT). There will be a minimum of 12 patients per strata. Patients will be randomized within each strata in a 2:1 fashion to receive either Minocycline 100mg twice daily or no treatment.
    Arm Title
    No treatment
    Arm Type
    No Intervention
    Arm Description
    Patients are in one of three strata (currently on Glatiramer acetate (GA), Interferon beta (IFN), or neither disease modifying therapy (DMT). There will be a minimum of 12 patients per strata. Patients will be randomized within each strata in a 2:1 fashion to receive either Minocycline 100mg twice daily or no treatment.
    Intervention Type
    Drug
    Intervention Name(s)
    Minocycline
    Intervention Description
    100mg twice daily
    Primary Outcome Measure Information:
    Title
    Retinal nerve fibre layer
    Description
    The primary aim of this open-label pilot trial is to estimate the treatment effect of 100 mg of oral minocycline twice daily for 90 days, initiated within 30 days of onset of ON, on functional and structural optic nerve recovery compared to no treatment. The primary outcome measure that will be used to measure optic nerve recovery is RNFL thickness.
    Time Frame
    At baseline and every three months for nine months
    Secondary Outcome Measure Information:
    Title
    Other functional and structural optic nerve recovery measures
    Description
    Secondary outcomes are temporal RNFL thickness, macular volume, and visual outcomes.
    Time Frame
    At baseline and every three months for nine months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age between 18 and 60 years, the lower age limit has been set for safety purposes to avoid exposing children and adolescents to unproven therapies at least early in their development, the upper limit is set because the specificity of the diagnosis of ON is likely reduced in older individuals onset of ON within the previous 30 days intention to continue current multiple sclerosis (MS) disease modifying therapy (if any) for at least 6 months (glatiramer acetate, interferon beta) and not start, or switch to, a new therapy sexually active participants of child-bearing potential must agree to use adequate contraception willingness to provide written informed consent Exclusion Criteria: Coexistence of any disease other than MS that could be responsible for ON or better explains their signs and symptoms. This would include patients with other suspected or established causes of vision loss including glaucoma, maculopathies, amblyopia, neuro-myelitis optica (NMO), and other optic neuropathies clinically significant liver, renal, or bone marrow dysfunction any condition that could interfere with any evaluation in the study including patients who are unable to undergo reliable OCT testing due to dense media opacities or severe nystagmus in whom appropriate fixation cannot be attained concurrent or prior use of corticosteroids during this episode of optic neuritis concurrent participation in any clinical therapeutic trial use within the previous 12 months of any of the following: natalizumab, mitoxantrone, cyclophosphamide, azathioprine, cyclosporine, methotrexate, or any other immunomodulating or immunosuppressive drug including other recombinant or non-recombinant cytokine or any experimental therapy known to effect immune function use within the previous 6 months of minocycline or another tetracycline or use of either for MS at any time any other condition or situation that in the opinion of the investigator would either put the patient at risk of worsening health if enrolled in the trial or would prevent completion of the trial with complete follow-up.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Luanne Metz, Dr.
    Organizational Affiliation
    University of Calgary
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Fiona Costello, Dr.
    Organizational Affiliation
    University of Calgary
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Neuroprotection and Repair in Optic Neuritis

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