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Patient with amyotrophic lateral sclerosis (ALS) having anti-NRIP autoantibody showed titer-dependent detrimental Effects. Plasmapheresis might benefit this subgroup of patients via removal of anti-NRIP autoantibody
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALS patients receiving plasmapheresis | Other | Plasmapheresis in ALS patients with different titers of autoantibody against NRIP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Plasmapheresis | Procedure | Regular plasmapheresis to remove anti-NRIP autoantibody |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in ALSFRS-R decline | Change in ALSFRS-R decline before (3-month) and after (3-month) intervention. <ALSFRS-R indicates revised ALS functional rating scale, ranged from 0 to 48 with the higher, the better motor function> | Before (3-month) and after (3-month) intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change in ALSFRS-R decline | Change in ALSFRS-R decline before (3-month) and after (6-month) intervention | Before (3-month) and after (6-month) intervention |
| Changes in ALSFRS-R score | Changes in ALSFRS-R score from day 0 to days 30, 90, and 180 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li-Kai Tsai, MD, PhD | Contact | 886-2-23123456 | 63476 | milikai@ntuh.gov.tw |
| Name | Affiliation | Role |
|---|---|---|
| Li-Kai Tsai, MD, PhD | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | 100 | Taiwan |
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| ID | Term |
|---|---|
| D000690 | Amyotrophic Lateral Sclerosis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D016472 | Motor Neuron Disease |
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| ID | Term |
|---|---|
| D010956 | Plasmapheresis |
| ID | Term |
|---|---|
| D001781 | Blood Component Removal |
| D013812 | Therapeutics |
| D016060 | Sorption Detoxification |
| D005112 | Extracorporeal Circulation |
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| Day 0 to days 30, 90, and 180 |
| Change in force vital capacity | Change in force vital capacity before intervention and on day 90 | Before intervention and on day 90 |
| Change in compound motor action potentials | Change in compound motor action potentials before intervention and on day 90 | Before intervention and on day 90 |
| Changes in anti-NRIP titer | Changes in anti-NRIP titer from day 0 to days 30, 90, and 180 | Day 0 to days 30, 90, and 180 |
| Any adverse effect under plasmapheresis | Any adverse effect during and within 6 months after plasmapheresis | Within 6 months during and after plasmapheresis |
| D019636 | Neurodegenerative Diseases |
| D057177 | TDP-43 Proteinopathies |
| D009468 | Neuromuscular Diseases |
| D057165 | Proteostasis Deficiencies |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D013514 | Surgical Procedures, Operative |