Tear Analysis by Isoelectric Focusing in Clinically Isolated Syndrome as Multiple Sclerosis Criterion (POLAR)

March 25, 2024 updated by: Lille Catholic University

Tear Analysis by Isoelectric Focusing in Clinically Isolated Syndrome as Multiple Sclerosis Criterion Among Patients With or Without Lesions at the Magnetic Resonance Imaging (Oligoclonal Profile of Tears)

This is a multicentric and prospective study for the validation of a diagnostic method in multiple sclerosis. Our hypothesis is that there is a characteristic profile of tears that can be recognized in order to help in the diagnosis of this pathology and that could possibly replace the lumbar punction which is an invasive method. Semi-automatic and automatic techniques of isoelectric focusing will be developed for analyzing data from tears. These results will help in the identification of markers of this disease.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

165

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Bordeaux, France, 33300
        • Centre hospitalier Universitaire de Bordeaux
      • Caen, France, 14000
        • Centre Hospitalier Universitaire Caen
      • Clermont-Ferrand, France, 63000
        • Centre Hospitalier Universitaire de Clermont-Ferrand
      • Dijon, France, 21000
        • Centre Hospitalier Universitaire De Dijon
      • Lille, France, 59000
        • Centre Hospitalier Régional Universitaire de Lille
      • Lomme, France, 59 462
        • Groupe Hospitalier de l'Institut Catholique de Lille
      • Lyon, France, 69000
        • Centre Hospitalier Universitaire de Lyon
      • Marseille, France, 13000
        • Hopital de la Timone
      • Nancy, France, 54100
        • Universitaire de Nancy
      • Nantes, France, 44200
        • Centre Hospitalier Universitaire de Nantes
      • Nice, France, 6200
        • Centre Hospitalier Universitaire de Nice
      • Poissy, France, 78300
        • Centre Hospitalier Intercommunal Poissy-St-Germain
      • Rouen, France, 76100
        • Centre Hospitalier Univetrsitaire de Rouen
      • Strasbourg, France, 67100
        • Centre Hospitalier Régional Universitaire de Strasbourg
      • Valenciennes, France, 59300
        • Centre hospitalier de valenciennes

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • 18 years old or more
  • Clinically isolated syndrome of less than 3 months of onset
  • Informed consent to participate

Exclusion Criteria:

  • Progressive primary multiple sclerosis
  • Relapsing remitting multiple sclerosis
  • Persons wearing contact lenses
  • Ocular Infection
  • Corticoid treatment at least 30 days before sampling
  • Immunosuppressive or immunomodulatory treatment at least 3 months before sampling
  • Pregnancy or breast feeding
  • No coverage by the Social Insurance

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: tears and cerebro-spinal fluid sampling
All patients recruited in this study will undergo a cerebrospinal fluid sampling which is an invasive procedure included in the actual routine practice. In addition a sampling from eyes will be obtain using the Schirmer test to get tears from the lacrimal gland.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Test of the concordance coefficient between the analysis of tears and the analysis of cerebrospinal fluid
Time Frame: two years after
Test of the concordance coefficient between the analysis of tears and the analysis of cerebrospinal fluid
two years after

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Diagnostic performance of isoelectric focusing of tears
Time Frame: inclusion, two years after
Identification of the number of patients with a typical electrophoretic profile in tears allowing the early diagnosis of a SEP-RR
inclusion, two years after
Concordance between visual and automatic reading of electrophoretic profiles
Time Frame: two years
Determination of percentage of positive and negative tests after visual and automatic reading of electrophoretic profiles
two years
Calculation of sensitivity/specificity
Time Frame: two years
Calculation of sensitivity/specificity
two years
Calculation of positive/negative predictive value
Time Frame: two years
Calculation of positive/negative predictive value
two years
Calculation of efficiency odds ratio
Time Frame: two years
Calculation of efficiency odds ratio
two years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Patrick Vermersch, MD, PhD, Centre Hospitalier Régional, Universitaire de Lille
  • Principal Investigator: Jérôme de Seze, MD, PhD, Centre Hospitalier Régional Universitaire de Strasbourg
  • Principal Investigator: Marc Debouverie, MD, PhD, Central Hospital, Nancy, France
  • Principal Investigator: Bruno Brochet, MD, PhD, University Hospital, Bordeaux
  • Study Director: Gérard Forzy, MD, Groupement des Hôpitaux de l'Institut Catholique de Lille
  • Principal Investigator: Patrick Hautecoeur, MD, Groupement des Hôpitaux de l'Institut Catholique de Lille
  • Principal Investigator: Gilles Defer, MD, Centre Hospitalier Universitaire Caen
  • Principal Investigator: Christine Lebrun-Fresnay, MD, PhD, Centre Hospitalier Universitaire de Nice
  • Principal Investigator: Thibault Moreau, MD, Centre Hospitalier Universitaire Dijon
  • Principal Investigator: Pierre Clavelou, MD, University Hospital, Clermont-Ferrand
  • Principal Investigator: Olivier Heinzlef, MD, Centre Hospitalier Intercommunal Poissy-St-Germain
  • Principal Investigator: Christian Confavreux, MD, Centre Hospitalier Universitaire de Lyon
  • Principal Investigator: Jean Pelletier, MD, PhD, Hopital de la Timone, Marseille
  • Principal Investigator: Sandrine Wiertlewski, MD, Nantes University Hospital
  • Principal Investigator: Albert Verier, MD, Centre hospitalier de valenciennes
  • Principal Investigator: Bertrand Bourre, MD, Centre Hospitalier Universitaire de Rouen

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2012

Primary Completion (Actual)

June 1, 2018

Study Completion (Actual)

December 1, 2018

Study Registration Dates

First Submitted

November 22, 2013

First Submitted That Met QC Criteria

January 21, 2014

First Posted (Estimated)

January 23, 2014

Study Record Updates

Last Update Posted (Actual)

March 26, 2024

Last Update Submitted That Met QC Criteria

March 25, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • RC-P0021

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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