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Studying Why Some People With Multiple Sclerosis Have a Harder Course

Studies blood cells from early multiple sclerosis patients to compare aggressive and non-aggressive disease.

Plain-language title generated from the registry record
Registry title: From Genetics to Transcriptomics to Unravel the Mechanisms Behind a Poor Outcome in Multiple Sclerosis

Key facts

Where
Nantes, FranceSee the site

Where in France

  • Nantes University HospitalNantes, FranceTaking people

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Trial details

Who runs it
Nantes University Hospital
Trial code
NCT04873492
Record updated
19 March 2026
Original description
MS is a heterogeneous disease either in its response to treatment or clinical manifestation. Indeed, the natural history of MS is varying from a benign condition to a devastating and rapidly incapacitating disease. Clinical heterogeneity could also be cellular and / or molecular. The aim is to identify from OMIC analyses, at the early stage of the disease, differentially expressed molecules and / or cell subpopulations derived from CD8 + T lymphocytes and / or CD4 + T lymphocytes and / or B lymphocytes and monocytes from patients with aggressive versus non-aggressive, compared to a cohort of healthy controlsRead full original descriptionShow less

From Genetics to Transcriptomics to Unravel the Mechanisms Behind a Poor Outcome in Multiple Sclerosis

MS is a heterogeneous disease either in its response to treatment or clinical manifestation. Indeed, the natural history of MS is varying from a benign condition to a devastating and rapidly incapacitating disease. Clinical heterogeneity could also be cellular and / or molecular. The aim is to identify from OMIC analyses, at the early stage of the disease, differentially expressed molecules and / or cell subpopulations derived from CD8 + T lymphocytes and / or CD4 + T lymphocytes and / or B lymphocytes and monocytes from patients with aggressive versus non-aggressive, compared to a cohort of healthy controls

Inclusion: Common criteria for retrospective MS patients:; Patients aged 18 years or older; Clinical isolated syndrome (CIS) with or without dissemination in space; Patients affiliated to an appropriate health insurance; Criteria for Aggressive MS group; Start of a 2nd line therapy within the two years following the CIS; Criteria for Non aggressive MS group; No conversion according to McDonald criteria from clinical isolated syndrome to multiple sclerosis within 2 years or; Conversion based to McDonald criteria treated or not with first line disease modifying therapy within 2 years; Have a minimum of least 2 years of follow-up; Healthy volunteers; Aged 18 years or older; No history of clinically isolated syndrome or MS; Pairing criteria :; Age +/- 5 years; Sex; Prospective MS Patients; Patients aged 18 years or older; Clinical isolated syndrome (CIS) with or without dissemination in space; Patients affiliated to an appropriate health insurance.

Exclusion: Immunosuppressive drug at the time of blood collection; Plasma exchange or corticosteroid treatment within the four weeks prior to blood sample; Ongoing participation to a another study; Refusal to genetic analyses; Adults under a legal protection regime (guardianship, trusteeship, judicial safeguard); Pregnancy.

ClinicalTrials.gov NCT04873492