Blood test could replace gadolinium scans for MS monitoring
NCT ID NCT07292480
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing whether monthly blood tests for a nerve damage marker (neurofilament light chain) can detect hidden disease activity in people with relapsing-remitting multiple sclerosis (MS) earlier than standard yearly MRI scans. The goal is to reduce the need for gadolinium-based contrast agents in MRI and allow faster treatment adjustments. The study will compare 84 participants on monthly blood monitoring against standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- monthly blood test for neurofilament light chain (pNfL)
- What this could lead to
- If successful, this could lead to a simpler, safer way to monitor MS and catch silent disease activity early, allowing faster treatment changes.
- What could go wrong
- This is a small, early-phase study. The blood test may not reliably detect all hidden activity, and results may not change long-term outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 84 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient with RRMS according to 2024 McDonald's criteria. * Less than 10 years from disease onset. * Active RRMS (EDA) observed during the last 24 months: relapse and/or NELs and/or CELs as compared to a previous MRI performed within 24 months (± 3 months). * Current MET (IFN, GA, TE, fumarates) for less than 24 months. * Standard MRI follow-up scan performed less than 90 days before inclusion. * Clinically stable disease for at least 30 days. * Patients included in observational studies and cohorts (OFSEP, PROMISE …) will be eligible for inclusion in MoMo-NfL. * For women with reproductive potential: negative pregnancy test at the time of inclusion and use of an effective method to avoid pregnancy for the duration of the trial. * Patients able to adhere to the study visit schedule. * Patient must have signed and given the consent. * Patient affiliated or beneficiary of a health insurance plan. Exclusion Criteria: * Pregnant or breastfeeding woman. * Patient unable to perform brain and/or spinal cord MRI scans. * Patient not willing to perform monthly blood punctures. * Patient treated with HET (S1P agonists, natalizumab, ocrelizumab, ofatumumab, rituximab, alemtuzumab, cladribine, mitoxantrone). * Patient with a relapse within 6 months before inclusion. * Patient with CELs within 3 months before inclusion. * Patient with progressive MS. * Patient unable to sign the consent. * It is impossible to correctly inform the patient. * Patient already participating in therapeutic research or in an exclusion period. The exclusion period corresponds to five half-lives (t1/2) of the experimental drug. * Patient under judicial protection, or is an adult under guardianship. * Female patients who are pregnant or breastfeeding or of reproductive potential who are not willing to employ effective birth control for the duration of the trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Nice
RECRUITINGNice, France
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CHU de Nîmes
RECRUITINGNîmes, France
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