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| Name | Class |
|---|---|
| Mallinckrodt ARD Inc. | UNKNOWN |
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Acthar Gel was first approved by the Food and Drug Administration in 1952.
It has been used to treat many different illnesses, including multiple sclerosis.
This study will observe how treatment with Acthar affected the daily lives of patients who suffer with relapsing/remitting MS.
It will collect information on symptoms, recovery, treatment patterns and safety outcomes.
Acthar Gel (repository corticotropin injection) contains a non-bovine analogue of adrenocorticotropic hormone (ACTH) for intramuscular or subcutaneous use.
It was initially approved by the FDA in 1952 and is used for multiple indications.
This registry will evaluate the use of Acthar Gel for the treatment of MS exacerbations in the United States.
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| Measure | Description | Time Frame |
|---|---|---|
| Physical subscale score of the Multiple Sclerosis Impact Scale, v.1 (MSIS-29v1) | Participants rate 20 physical symptoms of multiple sclerosis (MS) on a scale from 1=not at all to 5=extremely. The highest possible score is 100. Higher scores mean physical symptoms of MS have a higher impact on day-to-day life. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | at 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Physical subscale score of the MSIS-29v1 within 6 months | Participants rate 20 physical symptoms of MS on a scale from 1=not at all to 5=extremely. The highest possible score is 100. Higher scores mean physical symptoms of MS have a higher impact on day-to-day life. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 2 weeks, at 1 Month, at 3 Months, at 4 Months, at 5 Months, at 6 Months |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients with a relapsing form of MS who initiate treatment with Acthar Gel for an MS exacerbation
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| Name | Affiliation | Role |
|---|---|---|
| Study Directo | Mallinckrodt | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alabama Neurology Associates | Homewood | Alabama | 35209 | United States | ||
| Territory Neurology & Research Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34860120 | Derived | Kaplan J, Miller T, Baker M, Due B, Zhao E. Repository corticotropin injection improves quality metrics in an observational study of multiple sclerosis relapse. Neurodegener Dis Manag. 2021 Dec;11(6):469-476. doi: 10.2217/nmt-2021-0030. Epub 2021 Dec 3. | |
| 33414758 | Derived | Kaplan J, Miller T, Baker M, Due B, Zhao E. A Prospective Observational Registry of Repository Corticotropin Injection (Acthar(R) Gel) for the Treatment of Multiple Sclerosis Relapse. Front Neurol. 2020 Dec 22;11:598496. doi: 10.3389/fneur.2020.598496. eCollection 2020. |
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| within 6 months |
| Psychological subscale score of the MSIS-29v1 within 6 months | Participants rate 9 psychological symptoms of MS on a scale from 1=not at all to 5=extremely. The highest possible score is 45. Higher scores mean psychological symptoms of MS have a higher impact on day-to-day life. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 2 weeks, at 1 Month, at 2 months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Score on the Expanded Disability Status Scale/Functional System Score (EDSS/FSS) | Treating clinicians trained in completing the EDSS/FSS (neurologist or other healthcare professional such as a nurse practitioner or physician assistant) complete the EDSS/FSS to evaluate patient neurologic impairment. The EDSS is based on the standard neurological examination and is used by the clinician in conjunction with the Functional System Score (FSS) to produce a disability score. The FSS is a companion scale that is part of the EDSS Expanded Disability Status Scale (EDSS) is a well validated 10 point ordinal clinical rating scale with scores ranging from 0 (normal neurological examination) to 10 (death due to MS) in 0.5 point increments. The highest possible score is 100. A higher score means more neurological disability. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at Baseline, at 2 Months, at 6 Months | within 6 months |
| Clinical Global Impression of Improvement Scale (CGI-I) | Treating clinicians complete the CGI-I. It is a scale that compares the overall condition of the patient to baseline. Scores range from 1 (very much improved) to 7 (very much worse). The highest possible score is 7. Lower scores mean improvement. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at Baseline, at 2 Months, at 6 Months | within 6 months |
| Total score of the MSIS-29v1 within 6 months | Participants rate 29 psychological symptoms of MS on a scale from 1=not at all to 5=extremely. The highest possible score is 145. Higher scores mean total symptoms of MS have a higher impact on day-to-day life. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 2 weeks, at 1 Month, at 2 months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Number of participants with treatment response based on the MSIS-29v1 physical subscale score | Treatment response is defined as an 8-point improvement on the MSIS-29v1 physical subscale score at 2 weeks and 1, 2, 3, 4, 5 and 6 months. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of participants with treatment response based on the EDSS | Treatment response is defined as a 0.5 point improvement on the EDSS at 2 and 6 months. For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 2 Months, at 6 Months | within 6 months |
| Percent of normal work hours missed (absenteeism) due to MS exacerbation | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 2 weeks, at 1 Month, at 2 Months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Number of participants with impairment at work and/or reduced on-the-job effectiveness (presenteeism) due to MS exacerbation | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 1 Week, at 2 Weeks, at 3 Weeks, at 4 Weeks, at 6 Weeks, at 2 Months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Number of participants with overall Impairment at Work (absenteeism + presenteeism) due to MS exacerbation | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 1 Week, at 2 Weeks, at 3 Weeks, at 4 Weeks, at 6 Weeks, at 2 Months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Number of participants with Impairment in activities other than work due to MS exacerbation | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). Rows: at 1 Week, at 2 Weeks, at 3 Weeks, at 4 Weeks, at 6 Weeks, at 2 Months, at 3 Months, at 4 Months, at 5 Months, at 6 Months | within 6 months |
| Number of days per month an unpaid caregiver missed work due to the patient's MS | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of MS-related off-site clinical/office visits with a specialist or a general practitioner | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of MS-related healthcare professional visits at home | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of MS-related emergency department visits | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of MS-related hospitalizations | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of MS-related MRIs | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Number of days per month of MS-related paid and unpaid caregiver assistance | For patients having a relapse during the study period, the schedule of assessments restarts at the time of relapse(s). | within 6 months |
| Tucson |
| Arizona |
| 85704 |
| United States |
| Colorado Springs Neurological Associates | Colorado Springs | Colorado | 80907 | United States |
| Advanced Neurosciences Research | Fort Collins | Colorado | 80528 | United States |
| Associated Neurologists of Southern Connecticut | Fairfield | Connecticut | 06824 | United States |
| MedStar Health | Washington D.C. | District of Columbia | 20007 | United States |
| Emery Neuroscience Center | Lighthouse PT | Florida | 33064 | United States |
| Neurology Associates | Maitland | Florida | 32751 | United States |
| Cordova Research Institute | Miami | Florida | 33155 | United States |
| Collier Neurologic Specialists | Naples | Florida | 34102 | United States |
| Florida Neurological Center | Ocala | Florida | 34471 | United States |
| Neurological Services of Orlando | Orlando | Florida | 32806 | United States |
| Neurology Associates of Ormond Beach | Ormond Beach | Florida | 32174 | United States |
| Negroski, Sutherland and Hanes Neurology | Sarasota | Florida | 34239 | United States |
| Infinity Clinical Research | Sunrise | Florida | 33351 | United States |
| Columbus Research & Wellness Institute | Columbus | Georgia | 31904 | United States |
| Neurology of Central Georgia | Macon | Georgia | 31210 | United States |
| Meridian Clinical Research | Savannah | Georgia | 31406 | United States |
| College Park Family Care Center | Overland Park | Kansas | 66212 | United States |
| University System of Maryland | Baltimore | Maryland | 21201 | United States |
| International Neurorehabilitation Institute | Lutherville | Maryland | 21093 | United States |
| Neurology Center of New England | Foxborough | Massachusetts | 02035 | United States |
| Milford Regional Medical Center | Hopedale | Massachusetts | 01747 | United States |
| Detroit Clinical Research Center | Farmington Hills | Michigan | 48334 | United States |
| CentraState Medical Center | Freehold | New Jersey | 07728 | United States |
| Strotira, Inc. | New York | New York | 11714 | United States |
| Alpha Neurology | Staten Island | New York | 10306 | United States |
| Five Towns Neurology | Woodmere | New York | 11598 | United States |
| Braunstein Neurology | Mooresville | North Carolina | 28117 | United States |
| The Toledo Clinic | Toledo | Ohio | 43623 | United States |
| Oak Clinic for Multiple Sclerosis | Uniontown | Ohio | 44685 | United States |
| Optimum Neurology | Bala-Cynwyd | Pennsylvania | 19004 | United States |
| Irene Greenhouse MD | Jamison | Pennsylvania | 18929 | United States |
| Neurology and Stroke Associates | Lititz | Pennsylvania | 17543 | United States |
| D. Gary Kolva, MD, Neurology | West Reading | Pennsylvania | 19610 | United States |
| Colonial Healthcare | Sumter | South Carolina | 29150 | United States |
| Ogden Clinic | Ogden | Utah | 84403 | United States |
| Dominion Neurological Services | Richmond | Virginia | 23226 | United States |
| ID | Term |
|---|---|
| D020529 | Multiple Sclerosis, Relapsing-Remitting |
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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