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By combining clinical, morphological and biochemical markers a better understanding of the formation and progression of multiple sclerosis (MS) should be obtained
The current study aims to comprehensively investigate the individual clinical, morphological and biochemical aspects of MS in order to elucidate underlying mechanisms leading to disease progression. This shall ultimately serve to identify imaging and biochemical markers, which may support clinical management of persons with MS (pwMS). The following markers will be assessed: demographics (age, sex), clinical (EDSS at baseline, disease duration); neuropsychological (SDMT (Symbol Digit Modalities Test) score); MRI (Magnetic Resonance Imaging) (lesion load, atrophy); Biochemical markers analyzed in cerebrospinal fluid (CSF), blood, DNA, RNA, peripheral blood mononuclear cells (PBMCs)
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blood sample | Other | 40-50 ml of blood is taken |
| Measure | Description | Time Frame |
|---|---|---|
| Prediction of EDSS ( Expanded Disability Status Scale) progression by combined markers of the disease | EDSS score | a maximum of 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Prediction of clinical relapses | Prediction of clinical relapses | a maximum of 4 years |
| Conversion from CIS (Clinically Isolated Syndrome) to MS (Multiple Sclerosis) defined by MRI and clinical criteria |
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Inclusion Criteria:
Exclusion Criteria:
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Participants are patients who are in inpatient or outpatient care of the Department of Neurology at the Medical University of Graz, Austria with suspected or proven multiple sclerosis
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christian Enzinger, Prof. | Contact | +43/316/ 385-82180 | chris.enzinger@medunigraz.at | |
| Michael Khalil, MD | Contact | +43/316/385-30313 | michael.khalil@medunigraz.at |
| Name | Affiliation | Role |
|---|---|---|
| Christian Enzinger, Prof | Medical University of Graz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Graz | Recruiting | Graz | Styria | 8010 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41797387 | Derived | Hechenberger S, Broeders TAA, Bet MDA, Helmlinger B, Tinauer C, Ropele S, Heschl B, Wurth S, Damulina A, Khalil M, Schoonheim MM, Enzinger C, Pinter D. Time-Varying Brain Functional Reconfiguration Patterns Associated With Fatigue in Multiple Sclerosis. Hum Brain Mapp. 2026 Mar;47(4):e70480. doi: 10.1002/hbm.70480. |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| D018450 | Disease Progression |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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serum, plasma, peripheral blood mononuclear cells, DNA, urine
Conversion from CIS to MS defined by MRI and clinical criteria
| a maximum of 4 years |
| Time of transition to progressive form of MS | Time of transition to progressive form of MS | a maximum of 4 years |
| Neuropsychological progression (decrease in SDMT performance) | Neuropsychological progression (decrease in SDMT performance) | a maximum of 4 years |
| Increase in morphological damage (lesion load, atrophy) | Increase in morphological damage (lesion load, atrophy) | a maximum of 4 years |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |