SMSC - Swiss Multiple Sclerosis Cohort
The Swiss MS Cohort maintains close cooperation with the DKF. In addition to its role as data center, DKF services are also responsible for the statistical planning and evaluation of all research projects.
This national cohorte is one of the largest Multiple Sclerosis (MS) clinical research databases in Europe and North America. It was established in 2012 and aims to better understand the mechanisms of MS disease based on standardised and high-quality long-term observation of clinical, MRI and biomarker parameters. The researcher's focus is on the development of clinically applicable diagnostic and therapeutic procedures in everyday clinical practice for improved medical treatment of those directly affected.
Integrated research projects
The research focus of SMSC is the development of biomarkers for diagnosis, prognosis and individualised thearpy choice in MS. For example, NfL (Neurofilament light chain), a component of the neural cytoskeleton, has been established as a sensitive measure of MS disease activity (Serum Neurofilament Light Chain Reference App).
Conventional and next generation MRI measures together with fluid and digital biomarkers will help personalise treatment options in MS.
Characteristics
As of 6 January 2022
(datebase still recruiting)
Centres
8 (Aarau, Basel (Data Centre), Bern, Geneve, Lausanne, Lugano, St. Gallen, Zürich)
Key data
- 1554 patients
- 10'651 visits (median follow-up 5.7 years)
- more than 95% of visits with biosample coverage
- 9668 neurofilament measurements
- 4489 clinical relapses documented
(667 in follow-up period)
- 6437 standardised and evaluated brain MRI examinations
DKF support
Statistics, Regulatory Affairs, Data Centre, Data Science, Monitoring
The following research topics are currently under investigation within the SMSC:
- Neurofilament (NfL) levels in health and disease
- Measure of progression in MS
- Immunoglobulin synthesis in the cerebrospinal fluid and its association with MS disease severity
- MS treatment during pregnancy
- Associations between MRI biomarkers, clinical endpoints and NfL
- Extensive biomarker profiling in extreme phenotypes
- Development and validation of blood GFAP as measure of disease activity
- Value of evoked potentials in progressive MS
- Disease severity and immune response against Covid-19
- Digital biomarkers
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A cohort study thrives on collaboration. Without the active cooperation of the participating MS centers with dedicated medical and nursing staff committed to research, we would not have been able to recruit and follow-up so many patients. Another important aspect is, of course, the efficient operation of the data center.
Jens Kuhle, Principal Investigator SMSC
Third-party funds
- SNF project funding: "Towards development of neurofilament light chain as precision medicine biomarker for multiple sclerosis" ID:189140
- Grants from the International Progressive MS Alliance
- Swiss MS Society
Selected publications
- Serum neurofilament light chain for individual prognostication of disease activity in people with multiple sclerosis: a retrospective modelling and validation study, The Lancet Neurology 2022
- Intrathecal Immunoglobulin M Synthesis is an Independent Biomarker for Higher Disease Activity and Severity in Multiple Sclerosis. Ann. Neurol. 2021
- Serum Neurofilament light: A biomarker of neuronal damage in multiple sclerosis. Ann Neurol. 2017.
- The Swiss Multiple Sclerosis Cohort-Study (SMSC): A Prospective Swiss Wide Investigation of Key Phases in Disease Evolution and New Treatment Options. PLoS One. 2016.
Contact
Principal Investigator Swiss SM Cohort
Prof. Dr.med. Jens Kuhle
Head Physician Neurology and Head of MS Centre, University Hospital Basel
Research group leader, Department of Clinical Research, University of Basel
Data Centre / Support DKF
Pascal Benkert, PhD
Senior Data Scientist, Department of Clinical Research, University of Basel