Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Investigating genetic and molecular factors in multiple sclerosis outcomes

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

Run by Nantes University Hospital · NCT04873492 · Data updated 2026-11-12

This study is trying to find out how genetic and molecular differences in people with multiple sclerosis can explain why some have a more severe form of the disease than others.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment130 (estimated)
SponsorNantes University Hospital
Academic / other
Locations1 site (Nantes, Loire-Atlantique)
StatusRecruiting
StartedJanuary 24, 2022
Main results expectedJuly 24, 2029
Study endsJuly 24, 2029
Registry record updatedMarch 19, 2026
Trial IDNCT04873492 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with clinical isolated syndrome, either aggressive or non-aggressive forms of multiple sclerosis.

Probably not a fit

Patients with a history of clinically isolated syndrome or multiple sclerosis who do not meet the inclusion criteria may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to explore the genetic and transcriptomic differences in patients with multiple sclerosis (MS) to understand why some individuals experience aggressive disease progression while others do not. By analyzing biological samples from patients with clinical isolated syndrome, the research will focus on identifying differentially expressed molecules and cell subpopulations among aggressive and non-aggressive MS patients compared to healthy controls. The study will involve the collection of biological samples to facilitate these analyses, contributing to a better understanding of MS heterogeneity.

Why it matters

Potential benefit: If successful, this research could lead to improved personalized treatment strategies for patients with multiple sclerosis.

How similar studies have gone: While similar studies have explored genetic factors in MS, this specific approach focusing on transcriptomics and aggressive versus non-aggressive outcomes is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria :

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 Criteria :

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

Where it's running

  • Nantes University Hospital
    Nantes, Loire-Atlantique, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.