This study will primarily address the question whether the combination of Mitoxantrone therapy with dexrazoxane can reduce cardiotoxic side effects in the treatment of Multiple Sclerosis patients in comparison to Mitoxantrone monotherapy.
It is designed to provide clinical and paraclinical efficacy and safety data for dexrazoxane in Mitoxantrone treatment of Multiple Sclerosis in order to investigate the possible positive influence of dexrazoxane on cardiac function of Mitoxantrone-affected myocardial tissue and on the possible augmented clinical efficacy of Mitoxantrone in combination with dexrazoxane on neurological outcome parameters. The incidence of cardiotoxicity during combined Mitoxantrone/dexrazoxane treatment will be investigated and compared to the standard Mitoxantrone-treatment without dexrazoxane.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
50
Dosage: DRZ (600 mg/m2) : MX (12 mg/m2) ratio 50:1 DRZ infusion / MX infusion once every three months over a period of 12 months, i.e. 5 infusions
MX Dosage: 12mg/m2 Placebo infusion / MX infusion once every three months over a period of 12 months, i.e. 5 infusions
Department of Neurology, St. Josef-Hospital, Ruhr-University Bochum
Bochum, Germany
Changes in LVEF in the different treatment arms by cardiac MRI
Assessment of cardiac function by measurement of LVEF in mitoxantrone plus dexrazoxane treatment arm versus mitoxantrone plus placebo treatment arm by cardiac MRI
Time frame: Baseline to month 12
Changes in LVEF by transthoracic echocardiography and determination of cardiac side effects by ECG and by measurement of CK-MB, Troponin and BNP in mitoxantrone plus dexrazoxane versus mitoxantrone plus placebo treatment arms
Assessment of cardiac function by measurement of LVEF by transthoracic echocardiography, by determination of cardiac side effects by ECG and by measurement of CK-MB, Troponin and BNP in mitoxantrone plus dexrazoxane treatment arm versus mitoxantrone plus placebo treatment arm
Time frame: Baseline and month 3,6,9,12, 24
Determination of EDSS and relapse rate in mitoxantrone plus dexrazoxane treatment arm versus mitoxantrone plus placebo treatment arm
Comparison of clinical efficacy of mitoxantrone plus dexrazoxane treatment versus mitoxantrone plus placebo treatment on neurological outcome parameters by means of EDSS and relapse rate
Time frame: Baseline and month 3,6,9,12 and 24
Cumulative number of active lesions by cMRI
Time frame: Day1 and month 12
LVEF in 3D-echocardiography vs. LVEF in cardiac MRI
Time frame: Baseline and month 12
Clinical efficacy of DRZ+MX vs. MX monotherapy by MSFC
Time frame: Baseline and month 3,6,9,12 and 24
Quality of Life by SF-36 questionnaire
Time frame: Baseline and month 3,6,9 and month 12
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Changes in magnetic evoked potentials: prolongation of TMCT+CMCT, potential configuration
Time frame: Baseline and month 3,6,9 and month 12
Annual brain atrophy rates in cMRI
Time frame: Day 1 and month 12
Changes in transcranial sonography (abnormal iron deposition AID). AID in cMRI. Comparison of both methods
Time frame: Baseline and month 12
Analysis of ABD transporter gene polymorphisms as predictor of therapy response and side effect profile via TaqMan PCR
Time frame: Baseline and month 12