MS mystery: do some relapses hide from MRI scans?
NCT ID NCT07545889
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with relapsing-remitting multiple sclerosis (RRMS) can have a relapse—new or worsening symptoms—without any visible inflammation on an MRI scan. Researchers will follow 136 adults who are having a suspected relapse, performing early brain and spinal MRIs to check for active lesions. The goal is to better understand these 'invisible' relapses, improve diagnosis, and avoid unnecessary treatments. Participants will also have follow-up visits at 6 months to track their recovery and quality of life.
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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 136 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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May 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 70 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: * Adult aged 18 to 70 years. * Relapsing-Remitting Multiple Sclerosis according to the McDonald 2024 criteria. * Patient receiving disease-modifying therapy (DMT) for multiple sclerosis. * Most recent EDSS score between 0 and 7.0, dating back less than 1 year. * Patient presenting with a neurological exacerbation lasting more than 24 hours and less than 7 days (excluding fatigue and pain alone). * Patient capable of understanding the objectives and risks associated with the study and who has provided informed consent. * Patient affiliated with or a beneficiary of a social security health insurance scheme. Exclusion Criteria: * Primary progressive or secondary progressive multiple sclerosis. * Diagnosis of chronic psychotic disorder. * Infection within the past week. * Body temperature \> 38.5°C at V0 (baseline visit). * Corticosteroid bolus or plasma exchange in the month preceding inclusion. * Chronic treatment with corticosteroids or immunosuppressants for another pathology. * Contraindication to MRI or gadolinium. * Uncontrolled cardiac, renal, or hepatic pathology. * Patient participating in another interventional study or still within an exclusion period. * Pregnant or breastfeeding woman. * Severe claustrophobia. * Patient deprived of liberty (e.g., incarcerated).
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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
8 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 Dijon Bourgogne
Dijon, 21079, France
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CHU de Nancy
Nancy, 54035, France
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Centre Hospitalier de Haguenau
Haguenau, 67504, France
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Chr Metz-Thionville
Metz, 57085, France
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Chu Reims
Reims, 51092, France
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Grpe Hosp Region Mulhouse & Sud Alsace
Mulhouse, 68051, France
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Hospices Civils de Colmar
Colmar, 68024, France
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Hôpitaux Universitaires de Strasbourg
Strasbourg, 67098, France
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