Pubblicazioni

The Acute Optic Neuritis Network (ACON): Study protocol of a non-interventional prospective multicenter study on diagnosis and treatment of acute optic neuritis  (2023)

Autori:
Asseyer, Susanna; Asgari, Nasrin; Bennett, Jeffrey; Bialer, Omer; Blanco, Yolanda; Bosello, Francesca; Camos-Carreras, Anna; Carnero Contentti, Edgar; Carta, Sara; Chen, John; Chien, Claudia; Chomba, Mashina; Dale, Russell C; Dalmau, Josep; Feldmann, Kristina; Flanagan, Eoin P; Froment Tilikete, Caroline; Garcia-Alfonso, Carolina; Havla, Joachim; Hellmann, Mark; Kim, Ho Jin; Klyscz, Philipp; Konietschke, Frank; La Morgia, Chiara; Lana-Peixoto, Marco; Leite, Maria Isabel; Levin, Netta; Levy, Michael; Llufriu, Sara; Lopez, Pablo; Lotan, Itay; Lugaresi, Alessandra; Marignier, Romain; Mariotto, Sara; Mollan, Susan P; Ocampo, Cassandra; Cosima Oertel, Frederike; Olszewska, Maja; Palace, Jacqueline; Pandit, Lekha; Peralta Uribe, José Luis; Pittock, Sean; Ramanathan, Sudarshini; Rattanathamsakul, Natthapon; Saiz, Albert; Samadzadeh, Sara; Sanchez-Dalmau, Bernardo; Saylor, Deanna; Scheel, Michael; Schmitz-Hübsch, Tanja; Shifa, Jemal; Siritho, Sasitorn; Sperber, Pia S; Subramanian, Prem S; Tiosano, Alon; Vaknin-Dembinsky, Adi; Mejia Vergara, Alvaro Jose; Wilf-Yarkoni, Adi; Zarco, Luis Alfonso; Zimmermann, Hanna G; Paul, Friedemann; Stiebel-Kalish, Hadas
Titolo:
The Acute Optic Neuritis Network (ACON): Study protocol of a non-interventional prospective multicenter study on diagnosis and treatment of acute optic neuritis
Anno:
2023
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Formato:
Elettronico
Referee:
Nome rivista:
FRONTIERS IN NEUROLOGY
ISSN Rivista:
1664-2295
N° Volume:
14
Numero o Fascicolo:
1102353
Intervallo pagine:
1-16
Parole chiave:
Aquaporin-4-IgG (AQP4-IgG); MOG-IgG associated disorders (MOGAD); clinically isolated syndrome (CIS); multiple sclerosis (MS); neuromyelitis optica spectrum disorders (NMOSD); optic neuritis (ON)
Breve descrizione dei contenuti:
Optic neuritis (ON) often occurs at the presentation of multiple sclerosis (MS), neuromyelitis optica spectrum disorders (NMOSD), and myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD). The recommended treatment of high-dose corticosteroids for ON is based on a North American study population, which did not address treatment timing or antibody serostatus. The Acute Optic Neuritis Network (ACON) presents a global, prospective, observational study protocol primarily designed to investigate the effect of time to high-dose corticosteroid treatment on 6-month visual outcomes in ON. Patients presenting within 30 days of the inaugural ON will be enrolled. For the primary analysis, patients will subsequently be assigned into the MS-ON group, the aquapotin-4-IgG positive ON (AQP4-IgG+ON) group or the MOG-IgG positive ON (MOG-IgG+ON) group and then further sub-stratified according to the number of days from the onset of visual loss to high-dose corticosteroids (days-to-Rx). The primary outcome measure will be high-contrast best-corrected visual acuity (HC-BCVA) at 6 months. In addition, multimodal data will be collected in subjects with any ON (CIS-ON, MS-ON, AQP4-IgG+ON or MOG-IgG+ON, and seronegative non-MS-ON), excluding infectious and granulomatous ON. Secondary outcomes include low-contrast best-corrected visual acuity (LC-BCVA), optical coherence tomography (OCT), magnetic resonance imaging (MRI) measurements, serum and cerebrospinal fluid (CSF) biomarkers (AQP4-IgG and MOG-IgG levels, neurofilament, and glial fibrillary protein), and patient reported outcome measures (headache, visual function in daily routine, depression, and quality of life questionnaires) at presentation at 6-month and 12-month follow-up visits. Data will be collected from 28 academic hospitals from Africa, Asia, the Middle East, Europe, North America, South America, and Australia. Planned recruitment consists of 100 MS-ON, 50 AQP4-IgG+ON, and 50 MOG-IgG+ON. This prospective, multimodal data collection will assess the potential value of early high-dose corticosteroid treatment, investigate the interrelations between functional impairments and structural changes, and evaluate the diagnostic yield of laboratory biomarkers. This analysis has the ability to substantially improve treatment strategies and the accuracy of diagnostic stratification in acute demyelinating ON. Trial registration: ClinicalTrials.gov, identifier: NCT05605951.
Pagina Web:
https://doi.org/10.3389/fneur.2023.1102353
Id prodotto:
132776
Handle IRIS:
11562/1088208
ultima modifica:
14 luglio 2023
Citazione bibliografica:
Asseyer, Susanna; Asgari, Nasrin; Bennett, Jeffrey; Bialer, Omer; Blanco, Yolanda; Bosello, Francesca; Camos-Carreras, Anna; Carnero Contentti, Edgar; Carta, Sara; Chen, John; Chien, Claudia; Chomba, Mashina; Dale, Russell C; Dalmau, Josep; Feldmann, Kristina; Flanagan, Eoin P; Froment Tilikete, Caroline; Garcia-Alfonso, Carolina; Havla, Joachim; Hellmann, Mark; Kim, Ho Jin; Klyscz, Philipp; Konietschke, Frank; La Morgia, Chiara; Lana-Peixoto, Marco; Leite, Maria Isabel; Levin, Netta; Levy, Michael; Llufriu, Sara; Lopez, Pablo; Lotan, Itay; Lugaresi, Alessandra; Marignier, Romain; Mariotto, Sara; Mollan, Susan P; Ocampo, Cassandra; Cosima Oertel, Frederike; Olszewska, Maja; Palace, Jacqueline; Pandit, Lekha; Peralta Uribe, José Luis; Pittock, Sean; Ramanathan, Sudarshini; Rattanathamsakul, Natthapon; Saiz, Albert; Samadzadeh, Sara; Sanchez-Dalmau, Bernardo; Saylor, Deanna; Scheel, Michael; Schmitz-Hübsch, Tanja; Shifa, Jemal; Siritho, Sasitorn; Sperber, Pia S; Subramanian, Prem S; Tiosano, Alon; Vaknin-Dembinsky, Adi; Mejia Vergara, Alvaro Jose; Wilf-Yarkoni, Adi; Zarco, Luis Alfonso; Zimmermann, Hanna G; Paul, Friedemann; Stiebel-Kalish, Hadas, The Acute Optic Neuritis Network (ACON): Study protocol of a non-interventional prospective multicenter study on diagnosis and treatment of acute optic neuritis «FRONTIERS IN NEUROLOGY» , vol. 14 , n. 11023532023pp. 1-16

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