The purpose of the study is to determine if Interferon-alfa is effective and safe in multiple sclerosis patients who developed neutralizing antibodies for Interferon-beta.
Patient with NAbs developed during IFN-β therapy do not have any longer beneficial effect of any IFN-β preparation and IFN-β has to be replaced with another therapy that may be less effective or carry along serious adverse effects. Hence, many NAb positive patients wish to continue IFN therapy, and these patients might benefit from treatment with IFN-α as both IFN-α and IFN-β are type I interferons that bind to the same interferon receptor (IFNAR). A full in vivo response to human IFN-α (Multiferon) comparable to that seen after IFN-β induction would suggest that the same therapeutic effect could be obtained with human IFN-α (Multiferon).We measure in vivo response of MxA 9-12 hours after administration of human IFN-α (Multiferon) and four other known IFN response markers measured with rt-PCR. As controls, NAb negative MS patients with a full in vivo MxA response will be studied.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
One single injection of interferon(IFN)- β and one single injection of human leukocyte IFN-α (Multiferon® ) 6 MIU s.c. with 1-7 days follow-up.
In vivo mRNA MxA response
The primary objective of this study is to compare the in vivo mRNA MxA response to IFN-α with the in vivo mRNA MxA response to IFN-β
Time frame: 9-12 hours after injection of one dose Interferon-alfa
Determining response marker: IL10
The in vivo response to IFN-α of known IFN response marker: interleukin-10 (IL10),
Time frame: 9-12 hours after adminstration of Interferon-alfa
Determining response marker:TRAIL
Determining tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)
Time frame: 9-12 hours after administration of IFN-alfa
Determining response marker IFI27
Determining IFN-α-inducible protein 27 (IFI27),
Time frame: 9-12 timer after administration of IFN-alfa
Determining response marker:CXCL10 at mRNA level
Determining :Chemokine CXCL10 at mRNA level
Time frame: 9-12 hours after IFN-alfa administration
Changes i Neutralizing antibodies Nabs
Measuring changes in Neutralising antibodies 9-12 hours after treatment with one dose IFN-alfa
Time frame: 9-12 hours after administration of IFN-alfa
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.