Clinical trial Recruiting at 1 site Interventional Ages 18 and up

TWEAK biomarker in MS: a blood test to see if inflammatory relapses are coming

Official title: TNF-related Weak Inducer of Apoptosis (TWEAK), a New Biomarker Predicting Inflammatory Thrust in Multiple Sclerosis

Run by Assistance Publique Hopitaux De Marseille · NCT03974997 · Data updated 2026-11-12

This study tests whether levels of the blood protein TWEAK can predict inflammatory MS relapses during the first year of disease.

More Multiple Sclerosis trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorAssistance Publique Hopitaux De Marseille
Academic / other
Locations1 site (Marseille)
StatusRecruiting
StartedJune 16, 2023
Main results expectedJune 16, 2027
Study endsJune 16, 2027
Registry record updatedSeptember 23, 2026
Trial IDNCT03974997 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with a first MS attack or confirmed MS who meet diagnostic criteria and are enrolled in a French hospital system.

Probably not a fit

Patients who do not experience inflammatory relapses or whose TWEAK levels do not correlate with relapses may see no personal benefit.

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

What this trial studies

This interventional study measures circulating TWEAK levels in people with multiple sclerosis to see if fluctuations correlate with upcoming inflammatory attacks. Blood samples will be collected over the first year to analyze associations with relapse events. The goal is to determine if TWEAK concentration changes can serve as an early biomarker to guide monitoring and treatment decisions.

Why it matters

Potential benefit: If successful, regular TWEAK testing could help predict relapses and inform timely treatment adjustments.

How similar studies have gone: Prior preclinical and observational work suggests TWEAK is linked to inflammatory activity in MS, but human biomarker validation remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* a first episode of inflammation and demyelination of the central nervous system affecting the optic nerve, the spinal cord, one cerebral hemisphere, or the brainstem; or confirmed multiple sclerosis
* no differential diagnosis at enrollment based on clinical examination and laboratory tests
* compliance with the revised 2017 Mac Donald diagnostic criteria

Exclusion Criteria:

* age \<18 years old
* person in an emergency situation
* adult who is subject to a legal protection measure (an adult under guardianship, conservatorship, or judicial protection), or who is unable to give consent
* not Enrolled in a Social Security Program
* pregnant or breastfeeding woman

Where it's running

  • Assistance Publique Hopitaux de Marseille
    Marseille, 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.