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Optic Neuritis Recovery After Oral or IV Corticosteroids

This study has been completed.
The Physicians' Services Incorporated Foundation
Information provided by (Responsible Party):
Sarah Morrow, London Health Sciences Centre Identifier:
First received: January 30, 2012
Last updated: September 1, 2015
Last verified: September 2015
Patients aged 18-65 with acute demyelinating optic neuritis where treatment with high dose corticosteroids are already been chosen by the patient and the diagnosing physician will be contacted for screening and enrollment. Patients will then be randomized to receive equivalent doses of either intravenous (IV) or oral corticosteroid treatment. Optic nerve function assessments will be compared at baseline, prior to treatment, one and six months post corticosteroid treatment. This will allow for a comparison on whether the route of medication plays a role in the effectiveness of treatment with high dose corticosteroids.

Condition Intervention Phase
Optic Neuritis
Drug: corticosteroids
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Recovery of Demyelinating Optic Neuritis After Treatment With Equivalent High Doses of Oral vs. Intravenous Corticosteroids: a Randomized Single Blinded Clinical Trial

Resource links provided by NLM:

Further study details as provided by Sarah Morrow, London Health Sciences Centre:

Primary Outcome Measures:
  • P100 latency of the Visual Evoked Potential in the affected eye [ Time Frame: 6 months ]

Secondary Outcome Measures:
  • High contrast visual acuity [ Time Frame: one and six months ]
  • contrast sensitivity [ Time Frame: one and six months ]
  • P100 latency of the Visual Evoked Potential in the affected eye [ Time Frame: one month ]

Enrollment: 51
Study Start Date: March 2012
Study Completion Date: May 2015
Primary Completion Date: May 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: oral prednisone
1250mg oral prednisone daily for 3 days
Drug: corticosteroids
1250mg of oral prednisone daily for 3 days
Active Comparator: IV methylprednisolone
1000mg IV methylprednisolone daily for 3 days
Drug: corticosteroids
1000mg IV methylprednisolone daily for 3 days

  Show Detailed Description


Ages Eligible for Study:   18 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Males/Females who are ≥ 18 years old and < 65 years old and are capable of understanding and complying with the protocol
  2. Have a diagnosis of unilateral acute demyelinating optic neuritis and will be treated with high dose corticosteroids
  3. Are within 14 days of symptom onset
  4. Have a visual acuity in the affected of eye of ≥ 20/40
  5. Have not received corticosteroids in the last thirty (30) days
  6. Medications that could potentially affect the VEP P100 amplitude or may cause drowsiness/difficulty with visual fixation are allowed if there has been no change in dose within 30 days of study enrollment or anytime during the study. These medications include:

    1. Carbamazepine or other anticonvulsants (45)
    2. Benzodiazepines
    3. Opioid and opiates
    4. Barbiturates
    5. Sleep aids such as zopiclone or trazadone
    6. Tricyclic antidepressants
  7. Have given written informed consent prior to any study related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to his/her future medical care

Exclusion Criteria:

  1. Have another medical condition that could affect the visual outcomes, such as, but not limited to, diabetes retinopathy, glaucoma, cataracts and optic neuropathy not due to a demyelinating lesion
  2. Have had optic neuritis in the same eye previously
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01524250

Canada, Ontario
London Health Sciences Center
London, Ontario, Canada, N6A 5A5
London Health Sciences Center
London, Ontario, Canada, N6G1W8
Sponsors and Collaborators
London Health Sciences Centre
The Physicians' Services Incorporated Foundation
  More Information

Responsible Party: Sarah Morrow, Assistant Professor of Neurology, London Health Sciences Centre Identifier: NCT01524250     History of Changes
Other Study ID Numbers: REB 18804
Study First Received: January 30, 2012
Last Updated: September 1, 2015

Keywords provided by Sarah Morrow, London Health Sciences Centre:
Multiple Sclerosis

Additional relevant MeSH terms:
Optic Neuritis
Optic Nerve Diseases
Cranial Nerve Diseases
Nervous System Diseases
Eye Diseases
Peripheral Nervous System Diseases
Neuromuscular Diseases
Prednisolone acetate
Methylprednisolone acetate
Methylprednisolone Hemisuccinate
Prednisolone hemisuccinate
Prednisolone phosphate
Anti-Inflammatory Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Autonomic Agents
Peripheral Nervous System Agents
Gastrointestinal Agents
Neuroprotective Agents
Protective Agents processed this record on May 25, 2017