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Research

Current Research

Novel Approach Studies

Pregnancy in MS - OPEN

Study purpose: The purpose of this study is to track changes that occur to the immune system of women with MS, NMOSD and those that do not have these conditions during pregnancy and to determine how these changes might protect against long-term disease progression.

Who is eligible?

  • Are >18 years old
  • Diagnosed with MS or NMOSD
  • Have never been pregnant and are planning a pregnancy in the next two years
  • Willing to provide a blood sample before pregnancy, in the first trimester, third trimester and 1 month post partum
  • Willing to complete surveys (can be done at home) in the first trimester, third trimester and 1 month post partum
  • Other criteria required to be reviewed

Recruitment: Open!

Study contact: Vicky Maltby

TAURUS - CLOSED

Study purpose: To determine if magnetic brain stimulation can help repair myelin in MS.

Who is eligible?

  • Aged 18 – 65 years
  • Diagnosed with MS
  • Willing to travel to site every weekday for 4 consecutive weeks
  • Stable disease for 24 weeks
  • Not previously received any form of rTMS
  • Able to tolerate MRI
  • No history of seizures, epilepsy, stroke, brain surgery, bipolar, mania, claustrophobia, or serious head trauma*, substance abuse*, migraines*
  • Not currently taking tricyclic antidepressants, neuroleptics, antipsychotics or antiseizure medication for the treatment of any indications listed above
  • Not pregnant
  • Not currently involved in another interventional clinical trial
  • Other criteria required to be reviewed

Recruitment: Closed

Study contact: Nicole Lingard

More information: here

RELIEF - CLOSED

Study purpose: to determine whether dietary supplements (like vitamins and antioxidants) can help relieve fatigue in MS.

Who is eligible?

  • Aged 18 – 65 years
  • Diagnosis of relapsing MS
  • Stable MS treatment for (>2 months) or untreated
  • Experiencing fatigue
  • Able to tolerate MRI
  • Stable MS for 90 days
  • Not pregnant or breast feeding
  • No thyroid disorder, or recent gastrointestinal ulcers or renal stones
  • On stable antidepressants for 4 weeks
  • Able to take large tablets for 4 consecutive months
  • Other criteria required to be reviewed

Recruitment: Closed

Study contact: Kira Groen

More Information: here

Pharmaceutical Trials

METEOROID MOGAD - OPEN

Study purpose: MOGAD is a rare condition that affects the central nervous system. The aim of this study is to test how effective and safe satralizumab is for treating adults and teenagers with MOGAD. The METEOROID study will look to see if satralizumab is safe and whether it works as treatment for MOGAD – for both preventing attacks and improving symptoms.

Who is eligible?

  • Aged >12 years
  • Diagnosis of MOG antibody disease
  • Documented history of ≥2 MOGAD attacks
  • Stable disease for 12 weeks before first dose
  • No present or recurrent bacterial, viral, fungal, or other infection (excluding fungal infection of nail beds or dental caries)
  • Able to tolerate MRI
  • No history of cancer or other significant medical conditions
  • Not pregnant or breast feeding
  • Other criteria required to be reviewed

Recruitment: Open for enrollment!

Study contact: Nicole Lingard

More information: here

FENTREPID - CLOSED

Study purpose: Primary progressive multiple sclerosis (PPMS) affects approximately 10-15% of people with MS. At present, ocrelizumab is the only approved treatment for the condition. The aim of the FENtrepid study is to see if the new trial medication could offer a safe and effective treatment option for PPMS.

Who is eligible?

  • Aged 18 – 65 years
  • Diagnosis of primary progressive MS
  • Disability progression in the last 12 months
  • Stable medications for at least 4 weeks prior to starting the study
  • Able to tolerate MRI
  • Stable MS for 30 days
  • Not pregnant or breast feeding
  • Able to walk (with bilateral assistance is required) for 8 metres
  • No infection (viral, fungal, bacterial) within 8 weeks
  • No history of cancer or other significant medical conditions
  • Other criteria required to be reviewed

Recruitment: Closed

Study contact: Bente Saugbjerg / Nicole Lingard

More information: here

Observational Studies

Floodlight MoreActive MS - CLOSED

Study purpose: to test whether a smartphone app can characterise and predict disability in MS which may help your neurologist better manage your MS in the future

Who is eligible?

  • >18 years old
  • Diagnosis of MS
  • Stable MS treatment for (>3 months) or untreated
  • Able and willing to use a Smartphone
  • Able to tolerate MRI
  • Stable MS for 30 days
  • Other criteria required to be reviewed

Recruitment: Closed

Study contact: Nicole Lingard/Kira Groen

Pregnancy in MS survey (ARTiMS) - OPEN

Study purpose: The purpose of this study is to improve the quality of care that women with Multiple Sclerosis (MS) or Neuromyelitis Optica Spectrum Disorder (NMOSD) receive while using Assisted Reproductive Technology (ART). The survey is open to all women who have been pregnant while they have MS or MNOSD. We are trying to determine if women with MS or NMOSD are more likely to use ART than women without.

Who is eligible?

  • Have been diagnosed with MS/NMOSD prior to attempting pregnancy through ART
  • Were aged 18 or older at the time of ART attempt
  • Are willing to discuss their pregnancy journey (including miscarriages and failed cycles) with a nurse
  • Other criteria required to be reviewed

Recruitment: Open for enrollment!

Survey Link: Pregnancy survey

Study contact: Vicky Maltby/Susan Agland

Publications

2024

Disease-modifying therapies in managing disability worsening in paediatric-onset multiple sclerosis: a longitudinal analysis of global and national registries.
Sharmin S, Roos I, Malpas CB, Iaffaldano P, Simone M, Filippi M, Kubala Havrdova E, Ozakbas S, Brescia Morra V, Alroughani R, Zaffaroni M, Patti F, Eichau S, Salemi G, Di Sapio A, Inglese M, Portaccio E, Trojano M, Amato MP, Kalincik T; Writing Group; Italian Multiple Sclerosis and Related Disorders Register and MSBase Study Group.
Lancet Child Adolesc Health. 2024 May;8(5):348-357. doi: 10.1016/S2352-4642(24)00047-6. Epub 2024 Mar 25.
PMID: 38547883
No evidence for association between rs10191329 severity locus and longitudinal disease severity in 1813 relapse-onset multiple sclerosis patients from the MSBase registry.
Campagna MP, Havrdova EK, Horakova D, Izquierdo G, Matesanz F, Eichau S, Lechner-Scott J, Taylor BV, García-Sanchéz MI, Alcina A, van der Walt A, Butzkueven H, Jokubaitis VG.
Mult Scler. 2024 Mar 21:13524585241240406. doi: 10.1177/13524585241240406. Online ahead of print.
PMID: 38511853
OCT-Angiography in AQP4-positive NMOSD: finding subclinical disease using a new tool.
Yeh EA, Giovannoni G, Hawkes C, Sergott RC, Levy M, Lechner-Scott J.
Mult Scler Relat Disord. 2024 Apr;84:105542. doi: 10.1016/j.msard.2024.105542. Epub 2024 Mar 8.
PMID: 38503246 No abstract available.
Comparing ocrelizumab to interferon/glatiramer acetate in people with multiple sclerosis over age 60.
Foong YC, Merlo D, Gresle M, Buzzard K, Zhong M, Yeh WZ, Jokubaitis V, Monif M, Skibina O, Ozakbas S, Patti F, Grammond P, Amato MP, Kalincik T, Horakova D, Kubala Havrdova E, Weinstock-Guttman B, Lechner Scott J, Boz C, Sa MJ, Butzkueven H, van der Walt A, Zhu C; MSBASE study group.
J Neurol Neurosurg Psychiatry. 2024 Mar 7:jnnp-2023-332883. doi: 10.1136/jnnp-2023-332883. Online ahead of print.
PMID: 38453478
Improvement of the thalamocortical white matter network in people with stable treated relapsing-remitting multiple sclerosis over time.
Alshehri A, Koussis N, Al-Iedani O, Khormi I, Lea R, Ramadan S, Lechner-Scott J.
NMR Biomed. 2024 Feb 21:e5119. doi: 10.1002/nbm.5119. Online ahead of print.
PMID: 38383137
Liyanage G, Trewin BP, Lopez JA, Andersen J, Tea F, Merheb V, Nguyen K, Lee FXZ, Fabis-Pedrini MJ, Zou A, Buckland A, Fok A, Barnett MH, Reddel SW, Marignier R, El Hajj A, Monif M, van der Walt A, Lechner-Scott J, Kermode AG, Kalincik T, Broadley SA, Dale RC, Ramanathan S, Brilot F; on behalf the Australasian MOGAD Study Group.
J Neurol Neurosurg Psychiatry. 2024 Jan 30:jnnp-2023-332851. doi: 10.1136/jnnp-2023-332851. Online ahead of print.
PMID: 38290838
In the era of antiviral trials for MS, the answer lies in the details.
Drosu N, Bjornevik K, Bilodeau PA, Yeh A, Lechner-Scott J, Hawkes CH, Giovannoni G, Levy M.
Mult Scler Relat Disord. 2024 Feb;82:105444. doi: 10.1016/j.msard.2024.105444. Epub 2024 Jan 12.
PMID: 38241758 No abstract available.
HLA-DRB1*15:01 and the MERTK Gene Interact to Selectively Influence the Profile of MERTK-Expressing Monocytes in Both Health and MS.
Binder MD, Nwoke EC, Morwitch E, Dwyer C, Li V, Xavier A, Lea RA, Lechner-Scott J, Taylor BV, Ponsonby AL, Kilpatrick TJ; Ausimmune Investigator Group.
Neurol Neuroimmunol Neuroinflamm. 2024 Mar;11(2):e200190. doi: 10.1212/NXI.0000000000200190. Epub 2023 Dec 27.
PMID: 38150649 Free PMC article.
Emboldened or not: The potential fall-out of a failed anti-EBV trial in multiple sclerosis.
Giovannoni G, Hawkes CH, Lechner-Scott J, Levy M, Yeh EA.
Mult Scler Relat Disord. 2024 Jan;81:105364. doi: 10.1016/j.msard.2023.105364. Epub 2023 Dec 10.
PMID: 38104476 No abstract available.
Multi-modal neuroimaging signatures predict cognitive decline in multiple sclerosis: A 5-year longitudinal study.
Al-Iedani O, Lea S, Alshehri A, Maltby VE, Saugbjerg B, Ramadan S, Lea R, Lechner-Scott J.
Mult Scler Relat Disord. 2024 Jan;81:105379. doi: 10.1016/j.msard.2023.105379. Epub 2023 Dec 12.
PMID: 38103511
Vitamin D did not reduce multiple sclerosis disease activity after a clinically isolated syndrome.
Butzkueven H, Ponsonby AL, Stein MS, Lucas RM, Mason D, Broadley S, Kilpatrick T, Lechner-Scott J, Barnett M, Carroll W, Mitchell P, Hardy TA, Macdonell R, McCombe P, Lee A, Kalincik T, van der Walt A, Lynch C, Abernethy D, Willoughby E, Barkhof F, MacManus D, Clarke M, Andrew J, Morahan J, Zhu C, Dear K, Taylor BV; PREVANZ Investigators.
Brain. 2024 Apr 4;147(4):1206-1215. doi: 10.1093/brain/awad409.
PMID: 38085047 Free PMC article. Clinical Trial.
A longitudinal analysis of brain volume changes in myelin oligodendrocyte glycoprotein antibody-associated disease.
Amin M, Al-Iedani O, Lea RA, Brilot F, Maltby VE, Lechner-Scott J.
J Neuroimaging. 2024 Jan-Feb;34(1):78-85. doi: 10.1111/jon.13175. Epub 2023 Nov 29.
PMID: 38018386
Diffusion tensor imaging changes of the cortico-thalamic-striatal tracts correlate with fatigue and disability in people with relapsing-remitting MS.
Alshehri A, Koussis N, Al-Iedani O, Arm J, Khormi I, Lea S, Lea R, Ramadan S, Lechner-Scott J.
Eur J Radiol. 2024 Jan;170:111207. doi: 10.1016/j.ejrad.2023.111207. Epub 2023 Nov 18.
PMID: 37988961
Examining the environmental risk factors of progressive-onset and relapsing-onset multiple sclerosis: recruitment challenges, potential bias, and statistical strategies.
Li Y, Saul A, Taylor B, Ponsonby AL, Simpson-Yap S, Blizzard L, Broadley S, Lechner-Scott J; Ausimmune/AusLong Investigators Group; Karabudak R, Patti F, Eichau S, Onofrj M, Ozakbas S, Horakova D, Kubala Havrdova E, Grand'Maison F, Alroughani R, Gerlach O, Amato MP, Altintas A, Girard M, Duquette P, Blanco Y, Ramo-Tello C, Laureys G, Kalincik T, Khoury SJ, Shaygannejad V, Etemadifar M, Singhal B, Mrabet S, Foschi M, Habek M, John N, Hughes S, McCombe P, Ampapa R, van der Walt A, Butzkueven H, de Gans K, McGuigan C, Oreja-Guevara C, Sa MJ, Petersen T, Al-Harbi T, Sempere AP, Van Wijmeersch B, Grigoriadis N, Prevost J, Gray O, Castillo-Triviño T, Macdonell R, Lugaresi A, Sajedi SA; MSBase; van der Mei I.
J Neurol. 2024 Jan;271(1):472-485. doi: 10.1007/s00415-023-11980-z. Epub 2023 Sep 28.
PMID: 37768389 Free PMC article.
The Patient-Determined Disease Steps scale is not interchangeable with the Expanded Disease Status Scale in mild to moderate multiple sclerosis.
Foong YC, Merlo D, Gresle M, Zhu C, Buzzard K, Lechner-Scott J, Barnett M, Taylor B, Kalincik T, Kilpatrick T, Darby D, Dobay P, van Beek J, Hyde R, Butzkueven H, van der Walt A.
Eur J Neurol. 2024 Jan;31(1):e16046. doi: 10.1111/ene.16046. Epub 2023 Aug 24.
PMID: 37584176
Changes in employment status over time in multiple sclerosis following a first episode of central nervous system demyelination, a Markov multistate model study.
Zarghami A, Fuh-Ngwa V, Claflin SB, van der Mei I, Ponsonby AL, Broadley S, Simpson-Yap S; Ausimmune/AusLong Investigator Group; Taylor BV.
Eur J Neurol. 2024 Jan;31(1):e16016. doi: 10.1111/ene.16016. Epub 2023 Aug 13.
PMID: 37525323

Research Newsletters

Periodical updates on the research projects undertaken by the MS Clinic.