This clinical trial aims at preventing visual dysfunction and optic nerve degeneration associated with autoimmune optic neuritis by systemic i.v. administration of 33.000 IU erythropoietin over 3 days. The primary objective is to determine the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone as assessed by measurements of retinal nerve fibre layer thickness and low contrast visual acuity 6 months after acute optic neuritis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
108
Medical Center - University of Freiburg, Eye Hospital
Freiburg im Breisgau, Baden-Wurttemberg, Germany
Heidelberg University Hospital, Department of Neurooncology
Heidelberg, Baden-Wurttemberg, Germany
Tuebingen University Hospital
Tübingen, Baden-Wurttemberg, Germany
Global retinal nerve fibre layer thickness (RNFLT-G)
Determination of the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone (standard of care) as assessed by measurement of global retinal nerve fibre layer thickness (RNFLT-G) in the affected eye 6 months after randomisation.
Time frame: 6 months
Low contrast visual acuity (LCVA)
Determination of the efficacy of erythropoietin compared to placebo given as add-on to methylprednisolone (standard of care) as assessed by measurement of low contrast visual acuity (LCVA) in the affected eye 6 months after randomisation.
Time frame: 6 months
Absolute values of the global retinal nerve fibre layer thickness
Time frame: 6 months
Retinal nerve fibre layer thickness in the papillomacular bundle
Time frame: 6 months
Retinal nerve fibre layer thickness in the temporal quadrant
Time frame: 6 months
Total macular volume
Time frame: 6 months
Visual acuity
Time frame: 6 months
Contrast sensitivity
Time frame: 6 months
Mean visual field defect
Time frame: 6 months
Latency [ms] and amplitude [µV] of visual evoked potentials (VEP)
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University Hospital Erlangen
Erlangen, Bavaria, Germany
University Hospital of Munich
Munich, Bavaria, Germany
University Hospital Klinikum rechts der Isar, Munich
Munich, Bavaria, Germany
University Medical Center Göttingen
Göttingen, Lower Saxony, Germany
Hannover Medical School
Hanover, Lower Saxony, Germany
Duesseldorf University Hospital
Düsseldorf, North Rhine-Westphalia, Germany
University Medical Center of the Johannes Gutenberg University Mainz
Mainz, Rhineland-Palatinate, Germany
...and 1 more locations
Time frame: 6 months
Expanded Disability Status Scale (EDSS) score
Time frame: 6 months
Quality of life
Determined by NEI-VFQ-25
Time frame: 6 months
Safety
Assessment of AEs / SAEs
Time frame: Screening until end of study