Page last updated: 2024-11-06

estriol and Acute Relapsing Multiple Sclerosis

estriol has been researched along with Acute Relapsing Multiple Sclerosis in 6 studies

hormonin: estrogen replacement; each tablet contains 600 ug micronized 17beta-estradiol, 270 ug estriol and 1.4 mg estrone
chlorapatite : A phosphate mineral with the formula Ca5(PO4)3Cl.

Research Excerpts

ExcerptRelevanceReference
" This translational study aims to determine whether in vivo treatment with the pregnancy hormone estriol affects MMP-9 levels from immune cells in patients with MS and mice with experimental autoimmune encephalomyelitis (EAE)."3.75Estrogen treatment decreases matrix metalloproteinase (MMP)-9 in autoimmune demyelinating disease through estrogen receptor alpha (ERalpha). ( Du, S; Gold, SM; Morales, LB; Sasidhar, MV; Sicotte, NL; Tiwari-Woodruff, SK; Voskuhl, RR, 2009)
"Estriol treatment is anti-inflammatory and neuroprotective in preclinical studies."2.82Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial. ( Arnold, DL; Bardens, J; Bernard, JT; Corboy, JR; Cross, AH; Dhib-Jalbut, S; Elashoff, R; Ford, CC; Frohman, EM; Giesser, B; Itoh, N; Jacobs, D; Kasper, LH; Kurth, F; Lynch, S; MacKenzie-Graham, AJ; Nakamura, K; Parry, G; Racke, MK; Reder, AT; Rose, J; Sicotte, NL; Tseng, CH; Voskuhl, RR; Wang, H; Wingerchuk, DM; Wu, TC, 2016)
"Estriol was also found to alter the cytokine profile of T cells toward Th2 phenotype by up-regulating the production of IL-10 and inhibiting TNFalpha secretion of T cells."1.31Regulatory effects of estriol on T cell migration and cytokine profile: inhibition of transcription factor NF-kappa B. ( Halder, JB; Hong, J; Rivera, VM; Zang, YC; Zhang, JZ, 2002)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (50.00)29.6817
2010's3 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Langer-Gould, A1
Voskuhl, RR4
Wang, H1
Wu, TC1
Sicotte, NL3
Nakamura, K1
Kurth, F2
Itoh, N1
Bardens, J1
Bernard, JT1
Corboy, JR1
Cross, AH1
Dhib-Jalbut, S1
Ford, CC1
Frohman, EM1
Giesser, B1
Jacobs, D1
Kasper, LH1
Lynch, S1
Parry, G1
Racke, MK1
Reder, AT1
Rose, J1
Wingerchuk, DM1
MacKenzie-Graham, AJ1
Arnold, DL1
Tseng, CH1
Elashoff, R2
MacKenzie-Graham, A1
Itoh, Y1
Wang, HJ1
Montag, MJ1
Gold, SM1
Sasidhar, MV1
Morales, LB1
Du, S1
Tiwari-Woodruff, SK1
Soldan, SS1
Alvarez Retuerto, AI1
Zang, YC1
Halder, JB1
Hong, J1
Rivera, VM1
Zhang, JZ1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-Blind, Placebo Controlled Trial of Estriol Treatment in Women With Multiple Sclerosis: Effect on Cognition.[NCT01466114]Phase 264 participants (Anticipated)Interventional2011-10-31Recruiting
A Combination Trial of Copaxone Plus Estriol in RRMS[NCT00451204]Phase 2158 participants (Actual)Interventional2007-03-31Completed
Effect of a Tissue Selective Estrogen Complex on Menopausal Symptoms in Women With MS: A Pilot Trial.[NCT02710214]Phase 224 participants (Actual)Interventional2016-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Confirmed Relapse, Annualized Relapse Rate

A confirmed relapse was defined as new neurological symptoms or worsening of pre-existing symptoms, lasting at least 48 hours in a subject who had been neurologically stable or improving in the previous 30 days, accompanied by objective change in the neurological examination (worsening of 0.5 points on the EDSS or worsening by 1.0 or more points on the pyramidal, cerebellar, brainstem or visual functional system scores), not due to fatigue alone and not associated with fever or infection. (NCT00451204)
Timeframe: 12 months

Interventionrelapses per year (Mean)
Estriol Capsules Plus Copaxone Injections0.25
Placebo Capsules Plus Copaxone Injections0.48

Confirmed Relapse, Annualized Relapse Rate

A confirmed relapse was defined as new neurological symptoms or worsening of pre-existing symptoms, lasting at least 48 hours in a subject who had been neurologically stable or improving in the previous 30 days, accompanied by objective change in the neurological examination (worsening of 0.5 points on the EDSS or worsening by 1.0 or more points on the pyramidal, cerebellar, brainstem or visual functional system scores), not due to fatigue alone and not associated with fever or infection. (NCT00451204)
Timeframe: 24 months

Interventionrelapses per year (Mean)
Estriol Capsules Plus Copaxone Injections0.25
Placebo Capsules Plus Copaxone Injections0.37

Confirmed Relapse, Probability of First Relapse

(NCT00451204)
Timeframe: 24 months

Interventionprobability of relapse at 24 months (Mean)
Estriol Capsules Plus Copaxone Injections33.3
Placebo Capsules Plus Copaxone Injections42.9

Relapse Event, Annualized Relapse Rate

Met all criteria for relapse except not confirmed to have increase in EDSS by an independent examiner. (NCT00451204)
Timeframe: 12 months

Interventionrelapses per year (Mean)
Estriol Capsules Plus Copaxone Injections0.33
Placebo Capsules Plus Copaxone Injections0.61

Relapse Event, Annualized Relapse Rate

Met all criteria for relapse except not confirmed to have increase in EDSS by an independent examiner. (NCT00451204)
Timeframe: 24 months

Interventionrelapses per year (Mean)
Estriol Capsules Plus Copaxone Injections0.32
Placebo Capsules Plus Copaxone Injections0.46

Relapse Event, Probability of First Relapse Event

(NCT00451204)
Timeframe: 24 months

Interventionprobability of relapse event at 24 mo (Mean)
Estriol Capsules Plus Copaxone Injections40.5
Placebo Capsules Plus Copaxone Injections46.9

Change in Average Hot Flashes Per Day From Baseline to 8 Weeks

The number of daily vasomotor symptoms (VMS) will be collected in the form of hot flashes per 24 hours. The average hot flashes per day will be determined at 2 week intervals (baseline, 2 weeks, 4 weeks, and 8 weeks). The average reduction in hot flashes per day over the course of the trial will be determined from the difference between 8 week and baseline frequency (by randomization group, treatment or placebo). When baseline data is not available, the 2 weeks on study data will be used as 'baseline'. Differences <0 indicate reduction in hot flash frequency over the course of the trial. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionhot flashes/day (Median)
Duavee-2.1
Placebo-2.6

Change in Letter Number Sequencing (LNS) Performance

The LNS is administered to asses working memory and processing speed at baseline and end of study (8 weeks). The score range is 0 to 21; higher scores indicate better performance on this test. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee0
Placebo1

Change in Number of Participants Who Experienced a Reduction in Hot Flashes Per 24 Hours From Baseline to 8 Weeks

The number of daily vasomotor symptoms (VMS) will be collected in the form of hot flashes per 24 hours. The average hot flashes per day will be determined at 2 week intervals (baseline, 2 weeks, 4 weeks, and 8 weeks). The number of women experiencing reduction in hot flashes at week 8 compared to baseline will be counted; when baseline data is unavailable 1-2 week on study data will be used. (NCT02710214)
Timeframe: Baseline and 8 weeks

InterventionParticipants (Count of Participants)
Duavee9
Placebo8

Change in SDMT Z-score

Regression-based norms for the SDMT were used to convert participants' raw scores at baseline and end of study (8 weeks) to demographically adjusted Z-scores, correcting for the effects of age, gender, and education. Scores are normalized so that 0 represents the mean, scores above 0 fall above the mean and are associated with greater performance on the SDMT. Scores below 0 fall below the mean and are associated with poorer performance on the SDMT. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionz-score (Median)
Duavee0.39
Placebo0.13

Change in the Bladder Control Scale (BLCS)

Bladder function will be assessed using the BLCS. Patient reported scores will be collected at baseline and at the end of study (8 weeks); scores fall within the range of 0 to 12. Higher scores indicate worse bladder function. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee1
Placebo0

Change in the Expanded Disability Status Scale (EDSS)

EDSS total score is a metric used for quantifying disability in MS and monitoring changes in the level of disability over time. The EDSS will be assessed by a the trial neurologist at baseline and end of study (8 weeks). The score range is 0 to 10; higher scores indicate greater disability. All analyses were performed according to the intention-to-treat principle (primary) then the per-protocol principle. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee-0.5
Placebo0

Change in the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ)

Cognitive function will be assessed by the MSNQ at baseline and end of study (8 weeks). Scores range 0 to 60 (scores >27 indicate cognitive impairment). (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee-2
Placebo0

Change in the Multiple Sclerosis Rating Scale (MSRS)

Patient reported disability will be measured by the MSRS at baseline and end of study (8 weeks). Scores range of 0 to 32; higher scores indicate worse patient reported disability. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee1
Placebo0

Change in the Symbol Digit Modalities Test (SDMT) Raw Score

SDMT is a screening instrument commonly used in clinical and research settings to assess cognitive dysfunction in MS. The SDMT will be administered at baseline and end of study (8 weeks). The final raw score is the correct number responses completed in 90 seconds and scores range between 0 and 110; higher scores indicate better performance. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Duavee3
Placebo1

Hot Flash Related Daily Interference Scale (HFRDIS) Score

The interference of vasomotor symptoms (VMS) with daily life will be assessed using the HFRDIS. Scores range from 0 to 100; higher scores indicate greater interference of hot flashes with daily life. (NCT02710214)
Timeframe: Baseline and 8 weeks

Interventionscore on a scale (Median)
Duavee4
Placebo9

Number of Missed Doses

The number of missed doses will be assed at the end of study visit. (NCT02710214)
Timeframe: 8 weeks

Interventionmissed doses (Median)
Duavee0
Placebo1

Number of Participants Reporting Side Effects on the Treatment Satisfaction Questionnaire for Medication (TSQM)

The primary measure will be the percentage of subjects reporting side effects (yes or no) on the Satisfaction Questionnaire for Medication (TSQM). The TSQM is used to assess patients' satisfaction with medication, providing scores on four scales - side effects, effectiveness, convenience and global satisfaction. (NCT02710214)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Duavee2
Placebo1

Number of Participants With New or Enhancing Lesions on MRI

To verify that CE+BZA does not yield any marked changes in inflammatory activity, a randomized subset of 12 participants will undergo MRI at baseline and end of study (8 weeks) to evaluate for new T2 lesions and new gadolinium enhancing lesions. (NCT02710214)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Duavee0
Placebo1

Change in the MS Quality of Life 54 (MSQOL-54)

MS Quality of Life 54 (MSQOL-54) composite scores provide a patient reported quality of life score assessing physical QOL and mental QOL. A sub-scale of this assessment also assesses energy QOL. These will be measured at baseline and end of study (8 weeks). These scores fall within the range of 0 to 100; higher scores indicate better QOL within that domain or sub-scale. (NCT02710214)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Median)
MSQOL-54: PhysicalMSQOL-54: MentalMSQOL-54: Energy
Duavee5.20.30
Placebo000

Trials

3 trials available for estriol and Acute Relapsing Multiple Sclerosis

ArticleYear
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Estriol combined with glatiramer acetate for women with relapsing-remitting multiple sclerosis: a randomised, placebo-controlled, phase 2 trial.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Adjuvants, Immunologic; Adult; Double-Blind Method; Drug Therapy, Combination; Estriol; Female; Glat

2016
Disability-Specific Atlases of Gray Matter Loss in Relapsing-Remitting Multiple Sclerosis.
    JAMA neurology, 2016, Aug-01, Volume: 73, Issue:8

    Topics: Adolescent; Adult; Cross-Sectional Studies; Disability Evaluation; Disabled Persons; Estriol; Female

2016
Immune modulation in multiple sclerosis patients treated with the pregnancy hormone estriol.
    Journal of immunology (Baltimore, Md. : 1950), 2003, Dec-01, Volume: 171, Issue:11

    Topics: Adjuvants, Immunologic; Administration, Oral; Adult; CD4-Positive T-Lymphocytes; CD8-Positive T-Lymp

2003

Other Studies

3 other studies available for estriol and Acute Relapsing Multiple Sclerosis

ArticleYear
Sex hormones and multiple sclerosis: another informative failure.
    The Lancet. Neurology, 2016, Volume: 15, Issue:1

    Topics: Estriol; Female; Glatiramer Acetate; Humans; Multiple Sclerosis, Relapsing-Remitting

2016
Estrogen treatment decreases matrix metalloproteinase (MMP)-9 in autoimmune demyelinating disease through estrogen receptor alpha (ERalpha).
    Laboratory investigation; a journal of technical methods and pathology, 2009, Volume: 89, Issue:10

    Topics: Animals; Cells, Cultured; Down-Regulation; Encephalomyelitis, Autoimmune, Experimental; Estriol; Est

2009
Regulatory effects of estriol on T cell migration and cytokine profile: inhibition of transcription factor NF-kappa B.
    Journal of neuroimmunology, 2002, Volume: 124, Issue:1-2

    Topics: Adult; Case-Control Studies; Cell Movement; Cytokines; DNA-Binding Proteins; Estriol; Female; Humans

2002