Page last updated: 2024-10-28

ibudilast and Atrophy

ibudilast has been researched along with Atrophy in 4 studies

Atrophy: Decrease in the size of a cell, tissue, organ, or multiple organs, associated with a variety of pathological conditions such as abnormal cellular changes, ischemia, malnutrition, or hormonal changes.

Research Excerpts

ExcerptRelevanceReference
" Ibudilast showed significant treatment effect on brain atrophy and magnetization transfer ratio (MTR) of normal-appearing brain tissue but not in new/enlarging T2 lesion in the SPRINT-MS randomized clinical trial."9.69Effect of ibudilast on thalamic magnetization transfer ratio and volume in progressive multiple sclerosis. ( Cohen, JA; Fox, RJ; Mahajan, KR; Nakamura, K; Ontaneda, D; Zheng, Y, 2023)
"To investigate the treatment effect of ibudilast on thalamic atrophy more than 96 weeks in the phase 2 trial in progressive(MS Secondary and Primary Progressive Ibudilast NeuroNEXT Trial in Multiple Sclerosis [SPRINT-MS])."9.69The effect of ibudilast on thalamic volume in progressive multiple sclerosis. ( Bien, H; Brewer, K; Eloyan, A; Klawiter, EC; Nicholson, S; Russo, AW; Tobyne, SM, 2023)
" Ibudilast showed significant treatment effect on brain atrophy and magnetization transfer ratio (MTR) of normal-appearing brain tissue but not in new/enlarging T2 lesion in the SPRINT-MS randomized clinical trial."5.69Effect of ibudilast on thalamic magnetization transfer ratio and volume in progressive multiple sclerosis. ( Cohen, JA; Fox, RJ; Mahajan, KR; Nakamura, K; Ontaneda, D; Zheng, Y, 2023)
"To investigate the treatment effect of ibudilast on thalamic atrophy more than 96 weeks in the phase 2 trial in progressive(MS Secondary and Primary Progressive Ibudilast NeuroNEXT Trial in Multiple Sclerosis [SPRINT-MS])."5.69The effect of ibudilast on thalamic volume in progressive multiple sclerosis. ( Bien, H; Brewer, K; Eloyan, A; Klawiter, EC; Nicholson, S; Russo, AW; Tobyne, SM, 2023)
"Determine whether a treatment effect of ibudilast on brain atrophy rate differs between participants with primary (PPMS) and secondary (SPMS) progressive multiple sclerosis."5.41Response to ibudilast treatment according to progressive multiple sclerosis disease phenotype. ( Bermel, RA; Chase, M; Coffey, CS; Ecklund, DJ; Fedler, JK; Fox, RJ; Goebel, CV; Goodman, AD; Klawiter, EC; Klingner, EA; Naismith, RT; Yankey, J, 2021)
"In a phase 2 trial involving patients with progressive multiple sclerosis, ibudilast was associated with slower progression of brain atrophy than placebo but was associated with higher rates of gastrointestinal side effects, headache, and depression."5.27Phase 2 Trial of Ibudilast in Progressive Multiple Sclerosis. ( Alvarez, E; Apperson, M; Ashokkumar, A; Barnes, J; Bashir, K; Bermel, RA; Coffey, CS; Cohen, BA; Conwit, R; Coyle, PK; Cudkowicz, ME; Debbins, JP; Delgado, S; Dewitt, LD; Ecklund, D; Flores, A; Fox, RJ; Giesser, BS; Gleason, T; Goldman, MD; Goodman, A; Huang, X; Jagodnik, P; Jubelt, B; Klawiter, EC; Klingner, E; Koepp, M; Krieger, S; Lava, N; Long, JD; Lowe, MJ; Lynch, SG; Matsuda, K; McGovern, M; Moses, H; Naismith, RT; Nakamura, K; Narayanan, S; Natarajan, S; Ontaneda, D; Perumal, JS; Racke, M; Repovic, P; Riley, CS; Sakaie, KE; Severson, C; Shinnar, S; Suski, V; Thoomukuntla, B; Thornell, B; Weinstock-Guttman, B; Yadav, V; Yankey, J; Zabeti, A; Zhou, X, 2018)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (25.00)24.3611
2020's3 (75.00)2.80

Authors

AuthorsStudies
Nakamura, K2
Zheng, Y1
Mahajan, KR1
Cohen, JA1
Fox, RJ3
Ontaneda, D2
Nicholson, S1
Russo, AW1
Brewer, K1
Bien, H1
Tobyne, SM1
Eloyan, A1
Klawiter, EC3
Goodman, AD1
Fedler, JK1
Yankey, J2
Klingner, EA1
Ecklund, DJ1
Goebel, CV1
Bermel, RA2
Chase, M1
Coffey, CS2
Naismith, RT2
Conwit, R1
Cudkowicz, ME1
Gleason, T1
Goodman, A1
Matsuda, K1
McGovern, M1
Ashokkumar, A1
Barnes, J1
Ecklund, D1
Klingner, E1
Koepp, M1
Long, JD1
Natarajan, S1
Thornell, B1
Debbins, JP1
Huang, X1
Jagodnik, P1
Lowe, MJ1
Narayanan, S1
Sakaie, KE1
Thoomukuntla, B1
Zhou, X1
Krieger, S1
Alvarez, E1
Apperson, M1
Bashir, K1
Cohen, BA1
Coyle, PK1
Delgado, S1
Dewitt, LD1
Flores, A1
Giesser, BS1
Goldman, MD1
Jubelt, B1
Lava, N1
Lynch, SG1
Moses, H1
Perumal, JS1
Racke, M1
Repovic, P1
Riley, CS1
Severson, C1
Shinnar, S1
Suski, V1
Weinstock-Guttman, B1
Yadav, V1
Zabeti, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Activity of Ibudilast (MN-166) in Subjects With Progressive Multiple Sclerosis[NCT01982942]Phase 2255 participants (Actual)Interventional2013-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Covariate-adjusted Mean Rate of Change in Brain Atrophy Over 96 Weeks as Measured by Brain Parenchymal Fraction (BPF).

To evaluate the activity of ibudilast (100 mg/day) versus placebo at 96 weeks as measured by quantitative magnetic resonance imaging (MRI) analysis for whole brain atrophy using brain parenchymal fraction (BPF), calculated as the ratio of brain parenchymal tissue volume to the total volume contained within the brain surface contour. (NCT01982942)
Timeframe: 96 weeks

Interventionratio (Mean)
Ibudilast-0.00168
Placebo Oral Capsule-0.00392

Magnetization Transfer Ratio (MTR) Imaging in Normal-appearing Brain Tissue

A magnetization transfer MRI as a marker of brain myelin content including the cerebral cortex could be useful. MT imaging provides access to the restricted protons, which are located in biologically interesting tissue regions.Cortical and normal appearing grey matter MTR correlates strongly with measures of disability such as the multiple sclerosis functional composite score and can show treatment effects. (NCT01982942)
Timeframe: 96 weeks

Interventionratio (Least Squares Mean)
Ibudilast0.325
Placebo Oral Capsule0.247

New T1 Lesions Since Baseline

New T1 lesions since baseline as measured by least square mean (90% confidence interval). (NCT01982942)
Timeframe: 96 weeks

Interventionlesions (Least Squares Mean)
Ibudilast0.355
Placebo Oral Capsule0.317

Percentage of Participants With Adverse Events.

Safety Measures: percentage of participants who experienced treatment-emergent adverse events, clinically significant abnormal laboratory and electrocardiogram results. (NCT01982942)
Timeframe: 96 weeks

Interventionpercentage receiving study medication (Number)
Ibudilast92.2
Placebo Oral Capsule88.1

Retinal Nerve Fiber Layer as Measured by Optical Coherence Tomography (OCT).

Mean retinal nerve fiber layer thickness from baseline measured by Optical coherence tomography (OCT), a non-invasive imaging technique used to obtain high-resolution cross-sectional images of the retina. Increase in thickness is considered improvement. (NCT01982942)
Timeframe: 96 weeks

Interventionmicrometers (Least Squares Mean)
Ibudilast83.0
Placebo Oral Capsule79.5

Diffusion Tensor Imaging (DTI) in Descending Pyramidal White Matter Tracts

Diffusion tensor imaging estimates the three-dimensional diffusion of water in brain tissue and has been explored as an outcome in MS. (NCT01982942)
Timeframe: 48 weeks

,
Intervention10^3/mm^2/s (Least Squares Mean)
Left axial diffusivity meanLeft radial diffusivity meanRight axial diffusivity meanRight radial diffusivity mean
Ibudilast0.0001-0.00770.0014-0.0029
Placebo Oral Capsule-0.00060.0027-0.00170.0046

Trials

4 trials available for ibudilast and Atrophy

ArticleYear
Effect of ibudilast on thalamic magnetization transfer ratio and volume in progressive multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2023, Volume: 29, Issue:10

    Topics: Atrophy; Brain; Humans; Magnetic Resonance Imaging; Multiple Sclerosis; Multiple Sclerosis, Chronic

2023
The effect of ibudilast on thalamic volume in progressive multiple sclerosis.
    Multiple sclerosis (Houndmills, Basingstoke, England), 2023, Volume: 29, Issue:14

    Topics: Atrophy; Bayes Theorem; Humans; Multiple Sclerosis; Multiple Sclerosis, Chronic Progressive

2023
Response to ibudilast treatment according to progressive multiple sclerosis disease phenotype.
    Annals of clinical and translational neurology, 2021, Volume: 8, Issue:1

    Topics: Adult; Atrophy; Brain; Female; Humans; Male; Middle Aged; Multiple Sclerosis, Chronic Progressive; P

2021
Phase 2 Trial of Ibudilast in Progressive Multiple Sclerosis.
    The New England journal of medicine, 2018, 08-30, Volume: 379, Issue:9

    Topics: Adult; Atrophy; Brain; Depression; Diffusion Tensor Imaging; Disease Progression; Double-Blind Metho

2018