Multiple Sclerosis Center

Since 1993, our MS Center has worked to provide state-of-the-art neurological consultation and care for persons with multiple sclerosis in North Texas and the surrounding area. In addition to clinical activities, the MS Center is dedicated to all phases of clinical research for new, potential MS treatments from first-in-man Phase I through Final Phase III studies for FDA review.

The Care Team

Arun K. Nagaraj, MD
Arun K. Nagaraj, MD
Board Certified in Neurology
Sheilah Storch, LCSW
Sheilah Storch, LCSW

What is Multiple Sclerosis?

Multiple Sclerosis (MS) is a chronic, inflammatory and neurodegenerative human disease which results from the autoimmune destruction of myelin and associated collateral tissue damage within the human central nervous system.

MS affects approximately 2.5 million persons worldwide. In the United States, MS is the most common cause of non-traumatic, long-term neurological disability in young adults, affecting at least 400,000 persons. Although MS is found throughout the world, marked regional variability is well known and likely reflects a combination of multiple interacting genetic and environmental influences. MS is usually first noted in young adults, affecting women two to three times more frequently than men.

...

Figure. The Nature History of MS: Clinical and MRI Features (Compiled from numerous sources.)

Despite the common description of MS as one disease, several subtypes are recognized clinically. The established clinical subtypes include: relapsing-remitting (RRMS), primary progressive (PPMS), secondary progressive (SPMS), and progressive-relapsing (PRMS) forms. Over decades most untreated persons with RRMS will become ?secondarily progressive?; i.e. will develop SPMS. At least 85% of the entire MS population is represented within the combined categories of RRMS and its subsequent form, SPMS. Persons with primary progressive MS (PPMS) are those who never have relapses and remissions, and comprise about 10% of all persons with MS. Progressive-relapsing MS (PRMS) is progressive from the onset without remission and is later punctuated with relapses and remissions. This form of MS affects about 5% of persons with MS.

A common individual course of MS is shown in the figure. As shown, the first clinical evidence of RRMS is usually preceded by subclinical disease activity most sensitively detected by changes in magnetic resonance imaging (MRI) of the brain. Eighty to 90% of new MRI events may not cause clinical symptoms perhaps due to their relatively small size, preferential distribution within the brain white matter, and redundancy of brain circuitry.

A new MRI event is an area of inflammation which is typically detected with a gadolinium (Gd)-enhanced MRI of the brain or spinal cord. After a period of a few weeks, the inflammation subsides, leaving an area of scar tissue (sclerosis) behind. The descriptive diagnostic term ?multiple sclerosis? derives from the multiplicity of these scarred (sclerotic) areas accumulated over time.

Clinical relapses can be associated with a variety of symptoms due to MS-related damage in brain and spinal cord. These may include disturbances of sensation, limb weakness, changes in vision or speech, balance or coordination problems, bowel and bladder control problems, excessive fatigue, and cognitive problems. As more inflammatory events occur over time, some of which actually reach clinical prominence (clinical relapses), the overall clinical and MRI extent of disease mounts (as shown in the Figure, white and orange lines, respectively).

At the same time, and now known to begin at even the earliest stages of MS, brain tissue loss also starts to occur, especially in untreated individuals. These changes correlate with long term irreversible physical and cognitive disabilities seen in many persons with MS. After 10 years disease duration, approximately 50% of untreated RRMS individuals will transition to SPMS.

This evolution is currently only recognizable after slow clinical worsening is noted in the absence of clinical relapses. All of these processes together lead to gradual MS worsening such that half of untreated persons with MS require a walking aid after 15-20 years of illness. The goals of early treatment of persons with MS are to help prevent the accumulation of brain and spinal cord damage that results in the disabling features of MS.

What causes MS?

The answer still remains obscure. Many studies suggest that both genetic and environmental influences play important interacting roles in determining risk for developing MS. MS prevalence varies with geographic location such that MS is more common in high northern or southern latitude regions and less common in equatorial regions. This peculiar finding is perhaps due in part to emigration patterns of higher risk groups, but most recently have been suggested to be related to less sun exposure and abnormalities in vitamin D metabolism more prominent at higher latitudes.

Various infectious causes have also been considered over the last 60 years, although none have shown a clear association with the disease. Recently, attention has been re-focused on the Epstein-Barr virus as a possibly important influence early in life, but there is no evidence that MS is infectious. Neither is MS is an inherited illness in any classic sense, but genes do appear to play some role in determining susceptibility to acquiring MS.

Disease Modifying Agents (DMAs)

In 1993, the first disease-modifying treatment for MS was approved by the US FDA (interferon beta-1b subcutaneous; Betaseron). Since then, five additional disease modifying agents have been approved for use in MS:

  • Avonex (interferon beta-1a intramuscular)
  • Copaxone (glatiramer acetate; copolymer-1; Cop-1)
  • Rebif (interferon beta-1a subcutaneous)
  • Novantrone (mitoxantrone intravenous)
  • Tysabri (natalizumab intravenous)

These agents are called "disease modifying" because each is capable of altering the individual's MS course for the better. Specifically, the approved DMAs all tend to suppress further worsening of MS, particularly regarding relapses.

As of 2008, approximately 20 new possible DMAs are in Final Phase III testing. These include new agents attacking many different aspects of MS, and these also include oral medications. The future holds true promise for developing new, effective, safe, and more convenient treatments for MS. New and exciting approaches to repair MS-related brain and spinal cord damage are on the near horizon. The future, we feel, is bright and encouraging.

Clinical Trials

  • Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Two Year Study to Evaluate the Effect of Subcutaneous RO4909832 on Cognition and Function in Prodromal Alzheimer's Disease With Option for up to an Additional Two Years of Treatment and an Open-Label Extension With Active Study Treatment
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Hoffmann-La Roche
    More Information
    More Information: Click here to learn more.
  • A Placebo-Controlled, Double-Blind, Parallel-Group, Bayesian Adaptive Randomization Design and Dose Regimen-finding Study With an Open-Label Extension Phase to Evaluate Safety, Tolerability and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Eisai Inc.
    More Information
    More Information: Click here to learn more.
  • Assessment of Safety, Tolerability and Efficacy of LY3002813 in Early Symptomatic Alzheimer's Disease
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Eli Lilly and Company
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-design Study to Assess the Efficacy, Safety, and Tolerability of AVP-786 (Deudextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Avanir Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Placebo-Controlled, Double-Blind, Parallel-Group, 18-Month Study With an Open-Label Extension Phase to Confirm Safety and Efficacy of BAN2401 in Subjects With Early Alzheimer's Disease
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Eisai Inc.
    More Information
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  • Randomized, Double-Blind, Placebo-Controlled, Three-Arm, 12-Month, Safety and Efficacy Study of TRx0237 Monotherapy in Subjects With Alzheimer's Disease Followed by a 12-Month Open-Label Treatment
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: TauRx Therapeutics Ltd
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Long Term, Extension Study of the Safety and Efficacy of AVP-786 (Deuterated [d6] Dextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Avanir Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy, and Safety Study of Gantenerumab in Patients With Early (Prodromal to Mild) Alzheimer's Disease
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Hoffmann-La Roche
    More Information
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  • TRx0237 for the Treatment of Early and Mild-Moderate Alzheimer's Disease: Individual Patient Use
    Recruitment Status
    Available
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: TauRx Therapeutics Ltd
    More Information
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  • A Multicenter, Open Label, Multiple Dose, Parallel Group Investigation Of The Long-term Safety, Tolerability, Reactogenicity, Pharmacokinetics And Pharmacodynamics Of Aab-001 Administered Subcutaneously In Subjects With Mild To Moderate Alzheimer's Disease
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Pfizer
    More Information
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  • A Phase 3 Extension, Multicenter, Long Term Safety And Tolerability Trial Of Bapineuzumab (Aab 001, Eln115727) In Subjects With Alzheimer Disease Who Are Apolipoprotein E 4 Carriers And Participated In Study 3133k1-3001-us Or Study 3133k1-3001-ww.
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Pfizer
    More Information
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  • A Phase 3 Extension, Multicenter, Double-Blind, Long-Term Safety and Tolerability Treatment Trial of Bapineuzumab (AAB-001, ELN115727) in Subjects With Alzheimer's Disease Who Participated in Study ELN115727-301 or Study ELN115727-302.
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: JANSSEN Alzheimer Immunotherapy Research & Development, LLC
    More Information
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  • A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Trial of Bapineuzumab (AAB-001, ELN115727) In Patients With Mild to Moderate Alzheimer's Disease Who Are Apolipoprotein E4 Carriers.
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: JANSSEN Alzheimer Immunotherapy Research & Development, LLC
    More Information
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  • A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Trial of Bapineuzumab (AAB-001, ELN115727) In Patients With Mild to Moderate Alzheimer's Disease Who Are Apolipoprotein E4 Non- Carriers.
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: JANSSEN Alzheimer Immunotherapy Research & Development, LLC
    More Information
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  • A Phase Iii, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Group, Efficacy And Safety Trial Of Bapineuzumab (Aab 001, Eln115727) In Subjects With Mild To Moderate Alzheimer Disease Who Are Apolipoprotein E 4 Carriers
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Pfizer
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Efficacy And Safety Trial Of Bapineuzumab (Aab-001, Eln115727) In Subjects With Mild to Moderate Alzheimer Disease Who Are Apolipoprotein E 4 Non-carriers
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Pfizer
    More Information
    More Information: Click here to learn more.
  • A Phase 3 Randomized, Double-blind, Placebo-Controlled Study of the Safety and Effectiveness of Immune Globulin Intravenous (Human), 10% Solution (IGIV, 10%) for the Treatment of Mild to Moderate Alzheimer's Disease
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Baxalta now part of Shire
    More Information
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  • A Seamless Phase IIa/IIb, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Trial to Evaluate the Efficacy and Safety of MK-7622 as an Adjunctive Therapy for Symptomatic Treatment in Subjects With Alzheimer's Disease
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Merck Sharp & Dohme Corp.
    More Information
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  • A Randomized, Placebo Controlled, Parallel-Group, Double Blind Efficacy and Safety Trial of MK-8931 With a Long Term Double-Blind Extension in Subjects With Mild to Moderate Alzheimer's Disease (Protocol No. MK-8931-017-10)(Also Known as SCH 900931, P07738)
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Merck Sharp & Dohme Corp.
    More Information
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  • Effect of Passive Immunization on the Progression of Mild Alzheimer's Disease: Solanezumab (LY2062430) Versus Placebo
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Eli Lilly and Company
    More Information
    More Information: Click here to learn more.
  • A 26-Week, Double-blind, Randomized, Placebo-controlled, Parallel-group Study to Investigate the Effects of Daily Administration of AC-1204 in Participants With Mild to Moderate Alzheimer's Disease (AD) With an Optional 26-Week Open Label Extension
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Cerecin
    More Information
    More Information: Click here to learn more.
  • A 24-month, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Efficacy, Safety, Tolerability, Biomarker, and Pharmacokinetic Study of AZD3293 in Early Alzheimer's Disease (The AMARANTH Study)
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: AstraZeneca
    More Information
    More Information: Click here to learn more.
  • A Phase III Randomized, Placebo-Controlled Clinical Trial to Study the Safety and Efficacy of Suvorexant (MK-4305) for the Treatment of Insomnia in Subjects With Alzheimer's Disease
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Merck Sharp & Dohme Corp.
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy, Safety, and Tolerability of AVP-786 (Deuterated [d6]-Dextromethorphan Hydrobromide [d6-DM]/Quinidine Sulfate [Q]) for the Treatment of Agitation in Patients With Dementia of the Alzheimer's Type.
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Avanir Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy and Safety Study of Crenezumab in Patients With Prodromal to Mild Alzheimer's Disease
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Alzheimer's Disease
    Sponsor
    Sponsor: Hoffmann-La Roche
    More Information
    More Information: Click here to learn more.
  • Evaluation of the Safety, Tolerability, Efficacy and Activity of AMX0035, a Fixed Combination of Phenylbutyrate (PB) and Tauroursodeoxycholic Acid (TUDCA), for the Treatment of ALS
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Amylyx Pharmaceuticals Inc.
    More Information
    More Information: Click here to learn more.
  • Effects of Oral Levosimendan (ODM-109) on Respiratory Function in Patients With ALS
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Orion Corporation, Orion Pharma
    More Information
    More Information: Click here to learn more.
  • Analysis of Transcriptional Changes in Blood Samples from Patients with Neurologic Diseases
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Neurologix Foundation
    More Information
    More Information: N/A
  • HEALEY ALS Platform Trial
    Recruitment Status
    Active: Not Yet Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: 
    More Information
    More Information: N/A
  • Safety Study of Oral Edaravone Administered in Subjects With ALS
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Mitsubishi Tanabe Pharma Development America, Inc.
    More Information
    More Information: Click here to learn more.
  • Speech Movement Patterns of Individuals with Amyotrophic Lateral Sclerosis
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: An NIH-funded project that is being conducted at the University of Texas at Dallas in collaboration with Texas Neurology. The goal of this study is to advance the diagnosis, assessment, and treatment of speech motor impairment due to ALS using novel, computational approaches.
    More Information
    More Information: N/A
  • Centers for Disease Control IRB - Protocol 5923.0 – “Proposal for the State and Metropolitan Area-Based ALS Surveillance”
    Recruitment Status
    Completed
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: 
    More Information
    More Information: N/A
  • Texas Department of State Health Services IRB – # 10-036 – “Texas Amyotrophic Lateral (ALS) Surveillance Activity”
    Recruitment Status
    Completed
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: 
    More Information
    More Information: N/A
  • ALS Patient Care Database
    Recruitment Status
    Completed: 2007
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: 
    More Information
    More Information: N/A
  • A Double-Blind, Randomized, Placebo-Controlled, Multicenter Study to Assess the Safety and Efficacy and to Determine the Pharmacokinetics of Two Doses of AVP-923 (Dextromethorphan/Quinidine) in the Treatment of Pseudobulbar Affect (PBA) in Patients With Amyotrophic Lateral Sclerosis (ALS) and Multiple Sclerosis (MS)
    Recruitment Status
    Completed: 2009
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Avanir Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Double-Blind, Placebo-Controlled, Study to Investigate the Safety and Efficacy of Lithium in Combination With Riluzole in Volunteers With Amyotrophic Lateral Sclerosis (ALS)
    Recruitment Status
    Completed: 2009
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Massachusetts General Hospital
    More Information
    More Information: Click here to learn more.
  • TIV(Tracheostomy with invasive ventilation) for Patients with ALS in Japan and the USA: A Comparitive Study
    Recruitment Status
    Completed: 2011
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Columbia University and the MDA
    More Information
    More Information: N/A
  • Clinical Trial Ceftriaxone in Subjects With Amyotrophic Lateral Sclerosis (ALS)
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Massachusetts General Hospital
    More Information
    More Information: Click here to learn more.
  • A Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study of the Safety and Efficacy of Dexpramipexole in Subjects With Amyotrophic Lateral Sclerosis
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Knopp Biosciences
    More Information
    More Information: Click here to learn more.
  • Collection of Blood Samples for DNA Analysis in Motor Neuron Diseases
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: National Institute of Neurological Disorders and Stroke (NINDS)
    More Information
    More Information: Click here to learn more.
  • An Open-Label, Multicenter, Extension Study to Evaluate the Long-Term Safety and Efficacy of Dexpramipexole (BIIB050) in Subjects With Amyotrophic Lateral Sclerosis
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Knopp Biosciences
    More Information
    More Information: Click here to learn more.
  • Analysis of Transcriptional Changes in Blood Samples from Patients with Neurologic Disease
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Baylor Research Institute
    More Information
    More Information: N/A
  • Northeast ALS (NEALS) Consortium: The Upper Motor Neuron Disease (UMND) Pilot Registry
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: 
    More Information
    More Information: N/A
  • A Phase IIb, Multi-National, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Efficacy of CK-2017357 in Patients With Amyotrophic Lateral Sclerosis (ALS) (BENEFIT-ALS)
    Recruitment Status
    Completed: 2014
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Cytokinetics
    More Information
    More Information: Click here to learn more.
  • A Study to Explore the Safety and Tolerability of Acthar in Patients With Amyotrophic Lateral Sclerosis
    Recruitment Status
    Completed: 2014
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Mallinckrodt
    More Information
    More Information: Click here to learn more.
  • Biogen Idec Evidera ALS Study: Qualitative Investigation of Signs and Related Functional Decline in Patients with Amyotrophic Lateral Sclerosis(ALS)
    Recruitment Status
    Completed: 2015
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Biogen Idec, Inc.
    More Information
    More Information: N/A
  • ALS COSMOS (ALS Cohort Study of Multicenter Oxidative Stress)
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: National Institute of Health (NIH)
    More Information
    More Information: N/A
  • A Phase 3, Multi-National, Double-Blind, Randomized, Placebo-Controlled, Stratified, Parallel Group, Study to Evaluate the Safety, Tolerability and Efficacy of Tirasemtiv in Patients With Amyotrophic Lateral Sclerosis (ALS)
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Cytokinetics
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Open-Label Extension Study of Tirasemtiv for Patients With Amyotrophic Lateral Sclerosis (ALS) Who Completed VITALITY-ALS (CY 4031)
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Cytokinetics
    More Information
    More Information: Click here to learn more.
  • A Multi-Center, Open Label Study to Assess the Safety and Tolerability of Riluzole Oral Soluble Film in Subjects With Amyotrophic Lateral Sclerosis Over 12 Weeks of Twice Daily Treatment.
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Aquestive Therapeutics
    More Information
    More Information: Click here to learn more.
  • Open-Label Study to Evaluate Safety, Tolerability and Pharmacokinetics of Multiple Doses of BHV-0223 in Subjects With Amyotrophic Lateral Sclerosis
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Biohaven Pharmaceuticals, Inc.
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Double Blind, Placebo Controlled Study to Assess the Efficacy and Safety of H.P. Acthar® Gel in the Treatment of Subjects With Amyotrophic Lateral Sclerosis
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Mallinckrodt
    More Information
    More Information: Click here to learn more.
  • A Phase 2, Multi-Center, Double-Blind, Randomized, Dose-Ranging, Placebo-Controlled Study to Evaluate the Efficacy, Safety and Tolerability of CK-2127107 in Patients With Amyotrophic Lateral Sclerosis (ALS)
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Cytokinetics
    More Information
    More Information: Click here to learn more.
  • Answer ALS -Creation of a Large Bio-repository of iPS Cells, Cell Lines, and Bio-fluid Samples, Combined With Clinical Information to Rapidly Advance Therapeutics That Could Treat ALS
    Recruitment Status
    Completed: 2020
    Condition
    Condition: Amyotrophic Lateral Sclerosis (ALS)
    Sponsor
    Sponsor: Johns Hopkins University
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multi-Center Trial to Evaluate the Efficacy and Safety of a Single Treatment of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-1)
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Cervical Dystonia/Spasmodic Torticollis
    Sponsor
    Sponsor: Revance Therapeutics, Inc.
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Open-Label, Multi-Center Trial to Evaluate the Long-Term Safety and Efficacy of Repeat Treatments of DaxibotulinumtoxinA for Injection in Adults With Isolated Cervical Dystonia (ASPEN-OLS)
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Cervical Dystonia/Spasmodic Torticollis
    Sponsor
    Sponsor: Revance Therapeutics, Inc.
    More Information
    More Information: Click here to learn more.
  • Efficacy and Safety of Eslicarbazepine Acetate (BIA 2-093) as Adjunctive Therapy for Refractory Partial Seizures in a Double-blind, Randomised, Placebo-controlled, Parallel-group, Multicentre Trial
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Epilepsy
    Sponsor
    Sponsor: Bial - Portela C S.A.
    More Information
    More Information: Click here to learn more.
  • PROSPECTIVE RANDOMIZED 12-WEEK CONTROLLED STUDY OF VISUAL FIELD CHANGE IN SUBJECTS WITH PARTIAL SEIZURES RECEIVING PREGABALIN OR PLACEBO
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Epilepsy
    Sponsor
    Sponsor: Pfizer
    More Information
    More Information: Click here to learn more.
  • Double-Blind, Randomized, Historical Control Study of the Safety and Efficacy of Eslicarbazepine Acetate Monotherapy in Subjects With Partial Epilepsy Not Well Controlled by Current Antiepileptic Drugs
    Recruitment Status
    Completed: 2013
    Condition
    Condition: Epilepsy
    Sponsor
    Sponsor: Sunovion
    More Information
    More Information: Click here to learn more.
  • An Open-label, Multinational, Multicenter, Follow-up Study to Evaluate the Long-term Safety and Efficacy of Brivaracetam Used at a Flexible Dose up to a Maximum of 200 mg/Day in Subjects Aged 16 Years or Older Suffering From Epilepsy.
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Epilepsy
    Sponsor
    Sponsor: UCB Pharma
    More Information
    More Information: Click here to learn more.
  • Long Term Eslicarbazepine Acetate Extension Study
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Epilepsy
    Sponsor
    Sponsor: Sunovion
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Crossover Study To Evaluate The Efficacy And Safety Of Zolmitriptan Nasal Spray For The Treatment Of Acute Migraine In Subjects Ages 6 To 11 Years, With An Open-Label Extension
    Recruitment Status
    Active: Not Yet Recruiting
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Impax Laboratories, LLC
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy, Safety, and Tolerability of Atogepant for the Prevention of Chronic Migraine (Progress)
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Allergan
    More Information
    More Information: Click here to learn more.
  • A 12-month Prospective, Randomized, Interventional, Global, Multi-center, Activecontrolled Study Comparing Sustained Benefit of Two Treatment Paradigms (Erenumab qm vs. Oral Prophylactics) in Adult Episodic Migraine Patients
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
    More Information: Click here to learn more.
  • A Phase 4, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy and Safety of Erenumab in Adults With Chronic Migraine and Medication Overuse Headache
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: 
    More Information
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  • NINDS Clinical Research Collaboration Chronic Migraine Treatment Trial
    Recruitment Status
    Completed: 2010
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Anne Lindblad
    More Information
    More Information: Click here to learn more.
  • An Open-Label Study to Evaluate the Safety of NP101, a Sumatriptan Iontophoretic Transdermal Patch, in the Treatment of Acute Migraine Over 12 Months
    Recruitment Status
    Completed: 2010
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: NuPathe Inc.
    More Information
    More Information: Click here to learn more.
  • Effect of Septal Closure of Atrial PFO on Events of Migraine With Premere: ESCAPE Migraine Trial
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Abbott Medical Devices
    More Information
    More Information: Click here to learn more.
  • A Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Chronic Migraine Prevention
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
    More Information: Click here to learn more.
  • An Open-label Extension (OLE) Study to Assess the Long-term Safety and Efficacy of AMG 334
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Prospective, Randomized, Open-label Study to Compare the Efficacy, Safety, and Tolerability of BOTOX® and Topiramate for Headache Prophylaxis in Adults With Chronic Migraine
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Allergan
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Migraine Prevention
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Multicenter, Randomized, Double-Blind, Placebo Controlled Single Attack Study to Evaluate the Efficacy, Safety, and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Allergan
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Randomized, Open-Label Extension Study to Evaluate the Long-Term Safety and Tolerability of Oral Ubrogepant in the Acute Treatment of Migraine With or Without Aura
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Allergan
    More Information
    More Information: Click here to learn more.
  • A Parallel Group, Double-Blind, Randomized, Placebo Controlled Phase 3 Trial to Evaluate the Efficacy and Safety of ALD403 Administered Intravenously in Patients With Chronic Migraine
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Alder Biopharmaceuticals, Inc.
    More Information
    More Information: Click here to learn more.
  • A Phase 2, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of AMG 334 in Migraine Prevention
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
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  • A Phase 2a Randomized Double-blind Placebo Controlled Study to Evaluate the Efficacy and Safety of AMG 301 in Migraine Prevention
    Recruitment Status
    Completed: 2019
    Condition
    Condition: Migraine
    Sponsor
    Sponsor: Amgen
    More Information
    More Information: Click here to learn more.
  • Long-term, Prospective,Multinational, Parallel-cohort Study Monitoring Safety in Patients With MS Newly Started With Fingolimod Once Daily or Treated With Another Approved Disease-modifying Therapy
    Recruitment Status
    Active: Not Recruiting
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Novartis Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Randomized, Double Blind, Placebo Controlled Parallel Group, Pilot Study to Assess the Efficacy and Safety of H.P. Acthar® Gel in Subjects With Relapsing-remitting Multiple Sclerosis
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Mallinckrodt
    More Information
    More Information: Click here to learn more.
  • A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter Study to Determine the Safety and Efficacy of Natalizumab in Subjects With Relapsing-Remitting Multiple Sclerosis
    Recruitment Status
    Completed: 2005
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • A Phase II Randomized, Double-Blinded, Placebo-Controlled, Multi-Center Study of Subcutaneous Daclizumab in Patients With Active, Relapsing Forms of Multiple Sclerosis
    Recruitment Status
    Completed: 2006
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: PDL BioPharma, Inc.
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Open-Label, Immunogenicity and Safety Study of Avonex® (Interferon Beta-1a) 30 mcg Administered Subcutaneously to Subjects With Relapsing Multiple Sclerosis
    Recruitment Status
    Completed: 2009
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • Multicenter, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Determine the Safety and Efficacy of Daclizumab HYP (DAC HYP) as a Monotherapy Treatment in Subjects With Relapsing-Remitting Multiple Sclerosis
    Recruitment Status
    Completed: 2011
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • A Double-Blind, Multicenter, Extension Study to Evaluate the Safety and Efficacy of DAC HYP in Subjects With Multiple Sclerosis Who Have Completed Treatment in Study 205MS201 (SELECT)
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • A Double-Blind, Multicenter, Extension Study to Evaluate the Safety and Efficacy of DAC HYP in Subjects With Multiple Sclerosis Who Have Completed Treatment in Study 205MS201 (SELECT)
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of Two Doses of Oral Dalfampridine Extended Release Tablets (5 mg and 10 mg Twice Daily) in Patients With Multiple Sclerosis
    Recruitment Status
    Completed: 2012
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Acorda Therapeutics
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Retrospective, Observational Study Evaluating Real-world Clinical Outcomes in Relapsing-remitting Multiple Sclerosis Patients Who Transition From Tysabri® (Natalizumab) to Tecfidera® (Dimethyl Fumarate)
    Recruitment Status
    Completed: 2015
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Open-label, Extension Study to Evaluate the Long Term Safety and Efficacy of Daclizumab High Yield Process (DAC HYP) Monotherapy in Subjects With Multiple Sclerosis Who Have Completed Treatment in Study 205MS202 (SELECTION)
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • Safety and Efficacy of ADS-5102 (Amantadine HCl) Extended Release Capsules in Patients With Multiple Sclerosis and Walking Impairment
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Adamas Pharmaceuticals, Inc.
    More Information
    More Information: Click here to learn more.
  • A Multicenter, Double- Blind, Placebo- Controlled Study of Montelukast on Gastrointestinal Tolerability in Patients With Relapsing Forms of Multiple Sclerosis Receiving Tecfidera® (Dimethyl Fumarate) Delayed Release Capsules
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Biogen
    More Information
    More Information: Click here to learn more.
  • A 12-month, Randomized, Rater- and Dose-blinded Study to Compare the Efficacy and Safety of Fingolimod 0.25 mg and 0.5 mg Administered Orally Once Daily With Glatiramer Acetate 20 mg Administered Subcutaneously Once Daily in Patients With Relapsing-remitting Multiple Sclerosis
    Recruitment Status
    Completed: 2018
    Condition
    Condition: Multiple Sclerosis (MS)
    Sponsor
    Sponsor: Novartis Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Ravulizumab in Complement-Inhibitor-Naïve Adult Patients With Generalized Myasthenia Gravis
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Myasthenia Gravis
    Sponsor
    Sponsor: Alexion Pharmaceuticals
    More Information
    More Information: Click here to learn more.
  • Patient Assisted Intervention for Neuropathy: Comparison of Treatment in Real Life Situations (PAIN-CONTRoLS)
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Neuropathy
    Sponsor
    Sponsor: University of Kansas Medical Center
    More Information
    More Information: Click here to learn more.
  • Effect of LY3154207 on Cognition in Mild-to-Moderate Dementia Due to Lewy Body Dementia (LBD) Associated With Idiopathic Parkinson's Disease (PD) or Dementia With Lewy Bodies (DLB)
    Recruitment Status
    Active: Recruiting
    Condition
    Condition: Parkinson's Disease (PD)
    Sponsor
    Sponsor: Eli Lilly and Company
    More Information
    More Information: Click here to learn more.
  • This is a Multi-center, Double-blind, Three Arm, Parallel Group, Placebo-controlled, Randomized Study Designed to Evaluate the Efficacy, Safety and Tolerability of Dalfampridine.
    Recruitment Status
    Completed: 2016
    Condition
    Condition: Stroke
    Sponsor
    Sponsor: Acorda Therapeutics
    More Information
    More Information: Click here to learn more.
  • An Extension Study to Evaluate the Long-Term Safety, Tolerability and Efficacy of Dalfampridine Extended-Release Tablets. for the Treatment of Chronic Post-Ischemic Stroke Walking Deficits .
    Recruitment Status
    Completed: 2017
    Condition
    Condition: Stoke
    Sponsor
    Sponsor: Acorda Therapeutics
    More Information
    More Information: Click here to learn more.
  • A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Emtricitabine/Tenofovir Disoproxil Fumarate/GS-9350 Versus Ritonavir-Boosted Atazanavir Plus Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
    Recruitment Status
    Completed: 2014
    Condition
    Condition: HIV
    Sponsor
    Sponsor: Gilead Sciences
    More Information
    More Information: Click here to learn more.

Documents & Forms

Recommended Reading
  • Headache Relief for Women by Dr. Alan Rappaport
  • Heal Your Headache by Dr. David Buchholtz
  • The Migraine Brain by Dr. Carolyn Bernstein
  • Tell Me What to Eat/Headache by Elaine McGee R.D.

Resources

Information from your physicians, other MS patients and families, as well as the National MS Society are likely the most useful resources.

The above links are being provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by Texas Neurology of any of the products, services or opinions of the corporation or organization or individual. Texas Neurology bears no responsibility for the accuracy, legality or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.