- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07540182
The Aim of the Present Study is to Determine Outcome Predictors in Children Who Were Diagnosed as Acute Disseminated Encephalomyelitis (ADEM). (ADEM disease)
April 17, 2026 updated by: Norma Samy Gergis, Assiut University
Outcome Predictors in Children With Acute Disseminated Encephalomyelitis at Assuit University Children Hospital
The aim of the present study is to determine outcome predictors in children who were diagnosed as acute disseminated encephalomyelitis (ADEM).
Study Overview
Status
Not yet recruiting
Detailed Description
Outcome predictors in children with Acute Disseminated Encephalomyelitis
Study Type
Observational
Enrollment (Estimated)
25
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Norma S Girgis
- Phone Number: 00201274511337
- Email: samygergis104@gmail.com
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
- Child
- Adult
Accepts Healthy Volunteers
No
Sampling Method
Probability Sample
Study Population
Children aged from 6 months old to 18 years.
2. Presence of clinical signs of acute encephalopathy with multifocal neurological deficits
Description
Inclusion Criteria:
- Children aged from 6 months old to 18 years.
- Presence of clinical signs of acute encephalopathy with multifocal neurological deficits.
- MRI findings suggestive of demyelinating lesions.
Exclusion Criteria:
- Pediatric patients diagnosed who were as multiple sclerosis.
- Pediatric patients with clinical signs and radiological findings suggestive of neuromyelitis optica spectrum disorder.
- Pediatric patients with infectious encephalitis.
- Pediatric patients with metabolic or genetic neurological disorders
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of Patients Achieving Complete Recovery Assessed by the Modified Rankin Scale (mRS)
Time Frame: 6 months
|
Functional disability and recovery are assessed using the Modified Rankin Scale (mRS), a validated 7-point scale ranging from 0 to 6.
A score of 0 indicates no symptoms at all, 5 indicates severe disability (bedridden, requiring constant care), and 6 indicates death.
For this study, complete recovery is defined as achieving an mRS score of 0 or 1 (no significant disability).
This measure reports the percentage of participants who meet this specific recovery criteria.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Disease Relapse
Time Frame: up to 12 months
|
This measure evaluates the percentage of participants who experience a new inflammatory demyelinating event.
As per the study protocol, a relapse is specifically defined as the onset of a new neurological event occurring more than 3 months after the patient's initial clinical recovery.
|
up to 12 months
|
|
Incidence of Residual Neurological Deficits
Time Frame: up to 12 months
|
This measure reports the proportion of participants who exhibit long-term cognitive or motor sequelae following the acute disease phase.
The presence or absence of these residual deficits is determined through standard clinical neurological examinations conducted during outpatient follow-up.
|
up to 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Pohl D, Alper G, Van Haren K, Kornberg AJ, Lucchinetti CF, Tenembaum S, Belman AL. Acute disseminated encephalomyelitis: Updates on an inflammatory CNS syndrome. Neurology. 2016 Aug 30;87(9 Suppl 2):S38-45. doi: 10.1212/WNL.0000000000002825.
- Wang CX. Assessment and Management of Acute Disseminated Encephalomyelitis (ADEM) in the Pediatric Patient. Paediatr Drugs. 2021 May;23(3):213-221. doi: 10.1007/s40272-021-00441-7. Epub 2021 Apr 8.
- Sechi E, Krecke KN, Messina SA, Buciuc M, Pittock SJ, Chen JJ, Weinshenker BG, Lopez-Chiriboga AS, Lucchinetti CF, Zalewski NL, Tillema JM, Kunchok A, Monaco S, Morris PP, Fryer JP, Nguyen A, Greenwood T, Syc-Mazurek SB, Keegan BM, Flanagan EP. Comparison of MRI Lesion Evolution in Different Central Nervous System Demyelinating Disorders. Neurology. 2021 Sep 14;97(11):e1097-e1109. doi: 10.1212/WNL.0000000000012467. Epub 2021 Jul 14.
- Ferenc K, Semik P, Paprocka J. Acute Disseminated Encephalomyelitis (ADEM): Current View into Etiopathogenesis and Clinical Features. Brain Sci. 2026 Feb 9;16(2):201. doi: 10.3390/brainsci16020201.
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 (Estimated)
March 29, 2026
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
April 1, 2027
Study Registration Dates
First Submitted
April 5, 2026
First Submitted That Met QC Criteria
April 17, 2026
First Posted (Actual)
April 20, 2026
Study Record Updates
Last Update Posted (Actual)
April 20, 2026
Last Update Submitted That Met QC Criteria
April 17, 2026
Last Verified
April 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neuroinflammatory Diseases
- Post-Infectious Disorders
- Central Nervous System Diseases
- Nervous System Diseases
- Pathologic Processes
- Chronic Disease
- Disease Attributes
- Autoimmune Diseases
- Immune System Diseases
- Infections
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Leukoencephalopathies
- Central Nervous System Infections
- Pathological Conditions, Signs and Symptoms
- Brain Diseases
- Demyelinating Diseases
- Encephalomyelitis
- Encephalomyelitis, Acute Disseminated
Other Study ID Numbers
- ADEM disease
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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