Pharmacogenomics of Drug Safety in Multiple Sclerosis
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Purpose
To investigate whether genotypic differences can be identified between MS patients developing 'liver injury' (defined as ALT levels five times the upper normal limit and above) compared to those not developing liver injury after exposure to beta-interferon for MS.
| Condition |
|---|
|
Multiple Sclerosis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Retrospective |
| Official Title: | Canadian Pharmacogenomics Network for Drug Safety: Genetic Factors Associated With Multiple Sclerosis Treatment |
- Experienced an adverse drug reaction or not? [ Time Frame: No specified time frame ] [ Designated as safety issue: Yes ]
Biospecimen Retention: Samples With DNA
Saliva
| Estimated Enrollment: | 300 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Case
MS patients experiencing an adverse drug reaction to an MS immunomodulatory therapy
|
|
Control
MS patients not experiencing an adverse drug reaction to an MS immunomodulatory therapy
|
Detailed Description:
PURPOSE: To investigate whether genotypic differences can be identified between MS patients who develop liver injury compared to those who do not develop injury in response to beta-interferon therapy.
OBJECTIVE: To determine whether elevated liver enzyme tests (ALT > 5 times the upper limit of normal) in response to beta-interferon therapy in MS patients is associated with genetic polymorphisms.
METHOD OF RECRUITMENT:
Patients will be identified through a clinic database and chart reviews. An introductory letter will be mailed to potential participants, inviting them to volunteer. A follow-up phone call will be made to determine interest and consent into study.
PROCEDURES:
Saliva will be collected for genetic analyses and a questionnaire will be administered
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Multiple sclerosis (MS) patients attending MS clinics located at the University of British Columbia Hospital, Winnipeg Health Sciences Centre, Dalhousie (Halifax, Nova Scotia) MS clinic, London Health Sciences Centre (London, ON) and Hôpital Notre-Dame (Montréal). Participants must have definite MS (Poser or McDonald criteria), with a relapsing-remitting or secondary-progressive disease course, registered at one of the above MS Clinics and prescribed a beta-interferon as an immunomodulatory drug for MS.
Inclusion Criteria: Cases and controls must have
- definite MS (Poser or McDonald criteria)
- relapsing-remitting or secondary-progressive disease course
- Prescribed a beta-interferon as their immunomodulatory drug for MS
Exclusion Criteria:
- primary-progressive MS
- an elevated liver test result within 6 months of starting beta-interferon treatment
- presence of a co-morbidity that is a known risk-factor for liver injury
Contacts and Locations| Contact: Anne Smith | asmith@popi.ubc.ca |
| Canada, British Columbia | |
| MS Clinic UBC Hospital | Recruiting |
| Vancouver, British Columbia, Canada, V6T 2B5 | |
| Canada, Manitoba | |
| Winnipeg Health Sciences Centre | Completed |
| Winnipeg, Manitoba, Canada | |
| Canada, Nova Scotia | |
| Dalhousie MS Research Unit | Enrolling by invitation |
| Halifax, Nova Scotia, Canada | |
| Canada, Ontario | |
| London Health Sciences Centre MS clinic | Enrolling by invitation |
| London, Ontario, Canada | |
| Canada, Quebec | |
| Hôpital Notre-Dame MS clinic | Enrolling by invitation |
| Montréal, Quebec, Canada | |
| Principal Investigator: | Bruce Carleton | University of British Columbia |
| Study Director: | Michael Hayden | University of British Columbia |
| Study Director: | Helen Tremlett | University of British Columbia |
| Study Director: | Anthony Traboulsee | University of British Columbia |
More Information
No publications provided
| Responsible Party: | University of British Columbia |
| ClinicalTrials.gov Identifier: | NCT01118130 History of Changes |
| Other Study ID Numbers: | H10-00494 |
| Study First Received: | May 4, 2010 |
| Last Updated: | April 15, 2013 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of British Columbia:
|
Genetics genomics Multiple Sclerosis beta-interferons |
Additional relevant MeSH terms:
|
Multiple Sclerosis Sclerosis Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System Nervous System Diseases |
Demyelinating Diseases Autoimmune Diseases Immune System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 21, 2013