Page last updated: 2024-11-06

estriol and Multiple Sclerosis

estriol has been researched along with Multiple Sclerosis in 14 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.

Multiple Sclerosis: An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903)

Research Excerpts

ExcerptRelevanceReference
" Animal models of multiple sclerosis have shown that the pregnancy hormone, estriol, can ameliorate disease and can cause an immune shift."9.10Treatment of multiple sclerosis with the pregnancy hormone estriol. ( Bouvier, S; Klutch, R; Liva, SM; Odesa, S; Pfeiffer, P; Sicotte, NL; Voskuhl, RR; Wu, TC, 2002)
" Here, oral treatment with an estrogen unique to pregnancy (estriol) using an 8 mg dose to induce a mid-pregnancy blood estriol level reduced serum neurofilament light chain in nonpregnant MS women at mean age of 37 years."8.12Decreased neurofilament light chain levels in estriol-treated multiple sclerosis. ( Itoh, N; Kuhle, J; MacKenzie-Graham, A; Patel, K; Siddarth, P; Voskuhl, R, 2022)
"To evaluate the use of estriol in the treatment of experimental autoimmune encephalomyelitis (EAE) and other cell mediated autoimmune diseases."7.70Estriol ameliorates autoimmune demyelinating disease: implications for multiple sclerosis. ( Dalal, MA; Kim, S; Liva, SM; Verity, MA; Voskuhl, RR, 1999)
"Estriol treatment initiated after disease onset decreased cerebral cortex atrophy."5.91Neuroprotection in Cerebral Cortex Induced by the Pregnancy Hormone Estriol. ( Farkhondeh, V; Gao, JL; Herbig, PD; Itoh, N; Itoh, Y; MacKenzie-Graham, A; Meyer, CE; Ngo, KH; Nguyen, Q; Oberoi, MR; Padilla-Requerey, AA; Siddarth, P; Smith, AW; Voskuhl, RR, 2023)
" Animal models of multiple sclerosis have shown that the pregnancy hormone, estriol, can ameliorate disease and can cause an immune shift."5.10Treatment of multiple sclerosis with the pregnancy hormone estriol. ( Bouvier, S; Klutch, R; Liva, SM; Odesa, S; Pfeiffer, P; Sicotte, NL; Voskuhl, RR; Wu, TC, 2002)
" Here, oral treatment with an estrogen unique to pregnancy (estriol) using an 8 mg dose to induce a mid-pregnancy blood estriol level reduced serum neurofilament light chain in nonpregnant MS women at mean age of 37 years."4.12Decreased neurofilament light chain levels in estriol-treated multiple sclerosis. ( Itoh, N; Kuhle, J; MacKenzie-Graham, A; Patel, K; Siddarth, P; Voskuhl, R, 2022)
"To evaluate the use of estriol in the treatment of experimental autoimmune encephalomyelitis (EAE) and other cell mediated autoimmune diseases."3.70Estriol ameliorates autoimmune demyelinating disease: implications for multiple sclerosis. ( Dalal, MA; Kim, S; Liva, SM; Verity, MA; Voskuhl, RR, 1999)
"Currently, the cause of MS is unknown."2.48Neuroprotective effects of estrogens and androgens in CNS inflammation and neurodegeneration. ( Spence, RD; Voskuhl, RR, 2012)
"Estriol treatment initiated after disease onset decreased cerebral cortex atrophy."1.91Neuroprotection in Cerebral Cortex Induced by the Pregnancy Hormone Estriol. ( Farkhondeh, V; Gao, JL; Herbig, PD; Itoh, N; Itoh, Y; MacKenzie-Graham, A; Meyer, CE; Ngo, KH; Nguyen, Q; Oberoi, MR; Padilla-Requerey, AA; Siddarth, P; Smith, AW; Voskuhl, RR, 2023)
"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 (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (14.29)18.2507
2000's5 (35.71)29.6817
2010's4 (28.57)24.3611
2020's3 (21.43)2.80

Authors

AuthorsStudies
Voskuhl, R1
Kuhle, J1
Siddarth, P2
Itoh, N2
Patel, K1
MacKenzie-Graham, A3
Meyer, CE1
Smith, AW1
Padilla-Requerey, AA1
Farkhondeh, V1
Itoh, Y2
Gao, JL1
Herbig, PD1
Nguyen, Q1
Ngo, KH1
Oberoi, MR1
Voskuhl, RR7
Nekrasova, I1
Shirshev, S1
Ali, ES1
Mangold, C1
Peiris, AN1
Brook, J1
Kurth, F1
Meyer, C1
Montag, MJ1
Wang, HJ1
Elashoff, R1
Gold, SM1
Spence, RD1
Sicotte, NL1
Liva, SM2
Klutch, R1
Pfeiffer, P1
Bouvier, S1
Odesa, S1
Wu, TC1
Palaszynski, KM1
Liu, H1
Loo, KK1
Tanzer, J1
Correale, J1
Arias, M1
Gilmore, W1
Kim, S1
Dalal, MA1
Verity, MA1
Drew, PD1
Chavis, JA1
Zang, YC1
Halder, JB1
Hong, J1
Rivera, VM1
Zhang, JZ1

Clinical Trials (4)

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 Pilot Trial of Testosterone Treatment for Fatigue in Men With Multiple Sclerosis[NCT03000127]Phase 20 participants (Actual)Interventional2018-07-01Withdrawn (stopped due to Lack of funding)
A Combination Trial of Copaxone Plus Estriol in RRMS[NCT00451204]Phase 2158 participants (Actual)Interventional2007-03-31Completed
Safety and Tolerability of Oral Two-Doses Estroprogestins Associated With Interferon-Beta 1a in Patients With Relapsing-Remitting Multiple Sclerosis[NCT00151801]Phase 2200 participants Interventional2002-05-31Recruiting
[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

Reviews

3 reviews available for estriol and Multiple Sclerosis

ArticleYear
Estriol: emerging clinical benefits.
    Menopause (New York, N.Y.), 2017, Volume: 24, Issue:9

    Topics: Administration, Intravaginal; Bone Density; Estriol; Estrogen Replacement Therapy; Female; Humans; I

2017
Pregnancy and multiple sclerosis: from molecular mechanisms to clinical application.
    Seminars in immunopathology, 2016, Volume: 38, Issue:6

    Topics: Clinical Trials as Topic; Disease Susceptibility; Estriol; Female; Humans; Incidence; Multiple Scler

2016
Neuroprotective effects of estrogens and androgens in CNS inflammation and neurodegeneration.
    Frontiers in neuroendocrinology, 2012, Volume: 33, Issue:1

    Topics: Animals; Central Nervous System Diseases; Dihydrotestosterone; Disease Models, Animal; Encephalomyel

2012

Trials

1 trial available for estriol and Multiple Sclerosis

ArticleYear
Treatment of multiple sclerosis with the pregnancy hormone estriol.
    Annals of neurology, 2002, Volume: 52, Issue:4

    Topics: Adolescent; Adult; Biomarkers; Cross-Over Studies; Estriol; Female; Humans; Hypersensitivity, Delaye

2002

Other Studies

10 other studies available for estriol and Multiple Sclerosis

ArticleYear
Decreased neurofilament light chain levels in estriol-treated multiple sclerosis.
    Annals of clinical and translational neurology, 2022, Volume: 9, Issue:8

    Topics: Adult; Biomarkers; Estriol; Estrogens; Female; Humans; Intermediate Filaments; Multiple Sclerosis; P

2022
Neuroprotection in Cerebral Cortex Induced by the Pregnancy Hormone Estriol.
    Laboratory investigation; a journal of technical methods and pathology, 2023, Volume: 103, Issue:8

    Topics: Animals; Atrophy; Cerebral Cortex; Encephalomyelitis, Autoimmune, Experimental; Estriol; Female; Mic

2023
Estriol in regulation of cell-mediated immune reactions in multiple sclerosis.
    Journal of neuroimmunology, 2020, 12-15, Volume: 349

    Topics: Adaptive Immunity; Adult; Cells, Cultured; Dose-Response Relationship, Drug; Estriol; Female; Humans

2020
Estriol-mediated neuroprotection in multiple sclerosis localized by voxel-based morphometry.
    Brain and behavior, 2018, Volume: 8, Issue:9

    Topics: Adult; Atrophy; Cognitive Dysfunction; Estriol; Female; Gray Matter; Humans; Magnetic Resonance Imag

2018
Estriol treatment ameliorates disease in males with experimental autoimmune encephalomyelitis: implications for multiple sclerosis.
    Journal of neuroimmunology, 2004, Volume: 149, Issue:1-2

    Topics: Analysis of Variance; Animals; Cell Culture Techniques; Cytokines; Disease Models, Animal; Encephalo

2004
Estrogen effect in multiple sclerosis more nuanced than described.
    Annals of neurology, 2008, Volume: 63, Issue:2

    Topics: Adipose Tissue; Adult; Age of Onset; Estradiol; Estriol; Estrogens; Female; Humans; Inflammation Med

2008
Steroid hormone regulation of cytokine secretion by proteolipid protein-specific CD4+ T cell clones isolated from multiple sclerosis patients and normal control subjects.
    Journal of immunology (Baltimore, Md. : 1950), 1998, Oct-01, Volume: 161, Issue:7

    Topics: CD4-Positive T-Lymphocytes; Cell Separation; Clone Cells; Cytokines; Dexamethasone; Estriol; Estrone

1998
Estriol ameliorates autoimmune demyelinating disease: implications for multiple sclerosis.
    Neurology, 1999, Apr-12, Volume: 52, Issue:6

    Topics: Animals; Autoimmune Diseases; Brain; Disease Models, Animal; Encephalomyelitis, Autoimmune, Experime

1999
Female sex steroids: effects upon microglial cell activation.
    Journal of neuroimmunology, 2000, Nov-01, Volume: 111, Issue:1-2

    Topics: Animals; Cells, Cultured; Estradiol; Estriol; Female; Gene Expression; Interferon-gamma; Lipopolysac

2000
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