The optic neuritis treatment trial (ONTT) and subsequent studies have had a tremendous impact on the treatment and prognosis of optic neuritis and multiple sclerosis in adults. The results of these studies have been extrapolated to children; however, pediatric data are sparse.
After reviewing the hypothetical scenario, trial design, risks and benefits, and alternatives to the study, 21% of parents would enroll their children in the trial whereas 98% of medical professionals would enroll their patients. With medical professional recommendation, 43% of parents would enroll their children.
Whilst steroids are often used in Optic Neuritis in adults, people can still have vision problems even if they are given steroids. As such optic neuritis (inflammation of the optic nerve) has been targeted for a number of innovative trials for new MS drugs aimed at targeting problems in relapsing remitting and progressive MS.
Prof G and Friends will be doing one of these studies in adults in the New Year. It will be interesting to see how this recruits, however it is clear that we will need to properly inform if we are to recruit a reasonable rate. It is clear that parents are cautious when issues relate to their children (or are they?).
Prof G may comment on thisLabels: optic neuritis