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Identifying Immune Biomarkers of Disease and Disease Control in Autoimmune Neurological Disease Using Autologous Haematopoietic Stem Cell Transplantation

Sponsor: Sheffield Teaching Hospitals NHS Foundation Trust

NCT ID: NCT06195800

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Not specified by the sponsor
How long the study runs
Study runs about 51 months (dates as stated)
About the drug or intervention
Not specified by the sponsor
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
16 Years and over
Who
All
Number of participants
15
Started
2023-08-09
Last checked
2026-10

Plain English Summary

What is this study?

  • • Testing a new treatment for multiple sclerosis, relapsing-remitting
  • • Clinical study - 15 participants
  • • The underlying disease mechanisms which occur in patients with immune mediation neurological diseases, such as Multiple Sclerosis (MS), are incompletely understood

Who can take part?

  • • Ages 16 Years and over
  • • Diagnosed with multiple sclerosis, relapsing-remitting

Where?

  • • Sheffield - Sheffield Teaching Hospitals NHS Foundation Trust

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The underlying disease mechanisms which occur in patients with immune mediation neurological diseases, such as Multiple Sclerosis (MS), are incompletely understood. For such patients, autologous haematopoietic stem cell transplantation (aHSCT) has been increasingly used as a highly successful one-off treatment for some patients. This treatment aims to delete the faulty immune system with a course of chemotherapy and then 'reboot' the immune system using a patients' own stem cells (a cell with the unique ability of being a building block to create many different cells in the body) to stop further damage. Over the last 20 years more than 1800 patients with MS have been treated in Europe with high levels of success. It may be more successful than disease modifying treatment but unfortunately, a small portion of people do not respond to this treatment optimally and continue to accumulate disability. There is a risk of side effects, restricted largely to the time of treatment, which necessitates the need to ensure appropriate patients are treated. Whilst aHSCT is a very effective therapy, it is still in its early phase of development, is not in widespread use, and there is incomplete knowledge regarding how it works and importantly, why it does not work in some patients, and how to monitor response to treatment. Unfortunately, there is no way of detecting which patients will, and will not, benefit from the different treatments available or a way of monitoring the immune system to ensure further treatment is provided before irreversible damage occurs. This study will investigate the immune system which is found in the fluid surrounding the brain and spinal cord, blood and stool of patients undergoing aHSCT and compare it to those receiving disease modifying treatment. This study will therefore further the understanding of biomarkers of aHSCT to develop an awareness of how it can be refined, may improve monitoring of patients following treatment and permit the development of markers which can predict potential treatment success or failure before patients are exposed to the risks.

Multiple Sclerosis, Relapsing-Remitting

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 16 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Diagnosis of a immune mediated neurological disease according to disease specific criteria (active treatment arm) or...
  • ✓Treatment with autologous haematopoetic stem cell transplantation (active treatment arm) or high efficacy disease...
  • ✓Willing to provide biological samples for analysis and undergo clinical assessments for the duration of follow up.
  • ✓Able to understand English and provide agreement to take part.

Who cannot take part

  • ✗1\. Inability to provide agreement to take part.
See the full criteria
Inclusion Criteria: 1. Diagnosis of a immune mediated neurological disease according to disease specific criteria (active treatment arm) or diagnosis of relapsing remitting multiple sclerosis (control arm). 2. Treatment with autologous haematopoetic stem cell transplantation (active treatment arm) or high efficacy disease modifying treatment (control arm). 3. Willing to provide biological samples for analysis and undergo clinical assessments for the duration of follow up. 4. Able to understand English and provide informed consent. Exclusion Criteria: 1\. Inability to provide informed consent.

Where Is This Study? (1 UK site)

Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield S10 2JF, United Kingdom

Recruiting
Site contact (verified)
Gavin Brittain, MBBS, MRCPPrincipal Investigator
Gavin Brittain, MBBS, MRCPgavin.brittain@sheffield.ac.uk

How to Get in Touch

Gavin Brittain, MBBS, MRCP

Sponsor contact

CONTACT

+44114 271 1900 gavin.brittain@sheffield.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2026-10