Can an Iron-Based dye reveal hidden inflammation in progressive MS?
NCT ID NCT05357833
First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This pilot study tests whether a special MRI contrast agent called ferumoxytol can highlight areas of active inflammation in the brains of people with secondary progressive multiple sclerosis (SPMS). The goal is to see if this imaging method can distinguish chronic-active lesions—which may drive worsening disability—from inactive ones. Adults aged 35 to 65 with SPMS will receive an intravenous infusion of ferumoxytol and a standard contrast agent, then undergo MRI scans before and after to measure signal changes. The study also checks the safety and tolerability of ferumoxytol in this group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ferumoxytol (an iron-based MRI contrast agent) and gadoteridol (a standard MRI contrast agent)
- What this could lead to
- If successful, this could lead to a new MRI technique to identify active inflammation in progressive MS, helping doctors monitor disease and potentially guide treatment decisions.
- What could go wrong
- This is a very small early-phase pilot study, so results may not be conclusive. The imaging marker may not reliably distinguish active from inactive lesions, and ferumoxytol carries risks like allergic reactions or iron overload.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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11 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Sep 2023
- 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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35 to 65 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adults age 35 to 65 years 2. Clinically diagnosed with secondary progressive multiple sclerosis (SPMS) (2017 McDonald Criteria) 3. Worsening 25 foot walk time (worsening SPMS cohort) over the preceding 2 years. 4. Ambulatory with ability to walk at least 20 meters without rest, with or without aid 5. Ability and willingness to attend study visits and complete the study Exclusion Criteria: 1. Clinically diagnosed with relapsing remitting multiple sclerosis (RRMS), primary progressive multiple sclerosis (PPMS), clinical isolated syndrome (CIS), or radiologically isolated syndrome (RIS) 2. Clinical MS relapse and/or new MRI lesion(s) within the preceding 2 years 3. Positive pregnancy test 4. Gadolinium contrast allergy 5. Acute or chronic kidney disease with eGFR \<30 ml/min/1.73m2 6. Pacemaker or other MRI contraindications per American College of Radiology guidelines 7. Intravenous iron sensitivity 8. Serum ferritin and transferrin saturation above age-adjusted upper limit of normal (if serum ferritin is above normal, but transferrin saturation is normal, the subject is NOT excluded)
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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.
Contacts and locations
Locations
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University of Utah Health Imaging and Neurosciences Center
Salt Lake City, Utah, 84108, United States
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