MultiPLEX: Maintenance Plasma Exchange for Neuromyelitis Optica
Study Details
Study Description
Brief Summary
Neuromyelitis optica (NMO) is an inflammatory disease of the central nervous system that is associated with autoantibodies to aquaporin-4. Treatment options for prevention of clinical relapses of NMO include immunosuppressive medications. Plasma exchange (PLEX) is commonly used as a rescue therapy for NMO relapses but ongoing, regular PLEX procedures (maintenance PLEX) is sometimes used to prevent relapses. This observational registry will record feasibility, tolerability, safety, and preliminary efficacy data regarding maintenance PLEX for NMO.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Neuromyelitis optica (NMO) is an inflammatory disease of the central nervous system that is associated with autoantibodies to aquaporin-4. Treatment options for prevention of clinical relapses of NMO include immunosuppressive medications. Plasma exchange (PLEX) is commonly used as a rescue therapy for NMO relapses but ongoing, regular PLEX procedures (maintenance PLEX) is sometimes used to prevent relapses. This observational registry will record feasibility, tolerability, safety, and preliminary efficacy data regarding maintenance PLEX for participants with NMO, NMO spectrum disorders, and recurrent idiopathic longitudinally extensive transverse myelitis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Maintenance PLEX
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Procedure: Plasma exchange (PLEX)
Regular maintenance PLEX courses, typically 3 procedures monthly
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Outcome Measures
Primary Outcome Measures
- Number of participants who complete planned maintenance PLEX regimen [One year]
- Number of participants with adverse events [One year]
- Annualized clinical relapse rate [One year]
Secondary Outcome Measures
- Median Expanded Disability Status Score (EDSS) [One year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Neuromyelitis optica
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Neuromyelitis optica spectrum disorder
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Recurrent idiopathic longitudinally extensive myelitis
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Age 18 years or greater
Exclusion Criteria:
- Any condition that in the opinion of the investigator could increase a participant's risk by participating in the observational study or confound the outcome of the study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Mayo Clinic | Scottsdale | Arizona | United States | 85259 |
2 | Mayo Clinic | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
- Terumo BCT
Investigators
- Principal Investigator: Dean M Wingerchuk, MD, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 10-007339
- MultiPLEX-2012