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| Name | Class |
|---|---|
| Pfizer | INDUSTRY |
The primary objective of the study is to compare the immunogenicity of the new fetal bovine serum (FBS)-free/human serum albumin (HSA)-free Rebif® formulation (RNF) to historical data.
As has been seen with other recombinant protein molecules, the use of injectable recombinant proteins may result in the development of neutralising antibodies (NAbs). Antibodies are considered neutralising by their ability to inhibit the biological effect of interferon in a bioassay system. EMD Serono has actively pursued improvements in the formulation of interferon (IFN) beta-1a to reduce aggregate levels and to develop a formulation that is HSA-free. Reducing aggregates should reduce antigenicity of the product while removal of HSA may have an unpredictable effect on antigenicity. EMD Serono will conduct a study to assess the immunogenicity and safety of the new HSA-free formulation, manufactured using IFN-ß-1a drug substance produced by a new clone from the FBS-free process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rebif New Formulation Cohort | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interferon-beta-1a FBS-free/HSA-free | Biological | Pre-filled syringes 44mcg/injected subcutaneous 3x per week. Total study period is 96 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Were Neutralising Antibody (NAb) Positive at the Week 96 Visit. | The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay. | 96 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Were Neutralising Antibody (NAb) Positive at Anytime During the Study | The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay. | 96 weeks |
| Number of Participants With Binding Antibodies (BAb) at Week 96 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bettina Stubinski, MD | Merck Serono SA - Geneva | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Local US Medical Information | Rockland | Massachusetts | 02370 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17692727 | Result | Giovannoni G, Barbarash O, Casset-Semanaz F, Jaber A, King J, Metz L, Pardo G, Simsarian J, Sorensen PS, Stubinski B; RNF Study Group. Immunogenicity and tolerability of an investigational formulation of interferon-beta1a: 24- and 48-week interim analyses of a 2-year, single-arm, historically controlled, phase IIIb study in adults with multiple sclerosis. Clin Ther. 2007 Jun;29(6):1128-45. doi: 10.1016/j.clinthera.2007.06.002. | |
| 18755819 |
| Label | URL |
|---|---|
| Full FDA approved prescribing information can be found here | View source |
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Screening phase of up to 28 days before the start of interferon-beta-1a treatment. There were 47 centres in: Argentina (5), Australia (4),Canada (1), Denmark (1),Ireland (2), Israel (2), Lithuania(2), Russia (10), Spain (4), Sweden (1), UK (5) and US (10). 1 additional centre in Australia screened 1 participant who was not enrolled into the trial.
Participants were enrolled from 25 Jan 2005 and attended the last visit on 16 April 2007. Two hundred and eighty two participants were screened for enrollment and 260 were enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Rebif New Formulation (RNF) Cohort | Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Rebif New Formulation (RNF) Cohort | Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Who Were Neutralising Antibody (NAb) Positive at the Week 96 Visit. | The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay. | ITT (One participant did not have any post-baseline NAb assessments). LOCF imputation | Posted | Number | participants | 96 weeks |
|
|
Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Rebif New Formulation (RNF) Cohort | Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Drug toxicity | Injury, poisoning and procedural complications | MedDRA (8.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Influenza like illness | General disorders | MedDRA (8.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Bettina Stubinski/Medical Responsible | Merck Serono SA | +41224143396 |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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Presence of BAbs. BAbs were measured by ELISA (Enzyme-linked immunosorbent assay). |
| 96 weeks |
| Result |
| Giovannoni G, Barbarash O, Casset-Semanaz F, King J, Metz L, Pardo G, Simsarian J, Sorensen PS, Stubinski B; Rebif New Formulation Study Group. Safety and immunogenicity of a new formulation of interferon beta-1a (Rebif New Formulation) in a Phase IIIb study in patients with relapsing multiple sclerosis: 96-week results. Mult Scler. 2009 Feb;15(2):219-28. doi: 10.1177/1352458508097299. Epub 2008 Aug 28. |
| Initiated mitoxantrone therapy |
|
| Lack of Efficacy |
|
| Decided not to continue treatment |
|
| Patient non-compliance |
|
| Patient refused to continue |
|
| Patient refused to participate |
|
| Patient will |
|
| Patient's decision |
|
| Participation in MS vaccine study |
|
| Pregnancy |
|
| Pregnancy (Protocol violation) |
|
| Protocol Violation |
|
| Patient refused to come back |
|
| The patient has refused |
|
| The patient has refused to visit site |
|
| Patient is to be administered copaxone |
|
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
| Secondary | Number of Participants Who Were Neutralising Antibody (NAb) Positive at Anytime During the Study | The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay. | ITT (One participant did not have any post-baseline NAb assessments). LOCF imputation | Posted | Number | participants | 96 weeks |
|
|
|
| Secondary | Number of Participants With Binding Antibodies (BAb) at Week 96 | Presence of BAbs. BAbs were measured by ELISA (Enzyme-linked immunosorbent assay). | ITT (One participant did not have any post-baseline NAb assessments) LOCF imputation | Posted | Number | Participants | 96 weeks |
|
|
|
| 15 |
| 260 |
| 247 |
| 260 |
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA (8.0) | Systematic Assessment |
|
| Joint dislocation | Injury, poisoning and procedural complications | MedDRA (8.0) | Systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA (8.0) | Systematic Assessment |
|
| Near drowning | Injury, poisoning and procedural complications | MedDRA (8.0) | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA (8.0) | Systematic Assessment |
|
| Hypomania | Psychiatric disorders | MedDRA (8.0) | Systematic Assessment |
|
| Endometriosis | Reproductive system and breast disorders | MedDRA (8.0) | Systematic Assessment |
|
| Menstrual disorder | Reproductive system and breast disorders | MedDRA (8.0) | Systematic Assessment |
|
| Ovarian cyst ruptured | Reproductive system and breast disorders | MedDRA (8.0) | Systematic Assessment |
|
| Coeliac disease | Gastrointestinal disorders | MedDRA (8.0) | Systematic Assessment |
|
| Periproctitis | Gastrointestinal disorders | MedDRA (8.0) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (8.0) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (8.0) | Systematic Assessment |
|
| Angina unstable | Cardiac disorders | MedDRA (8.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (8.0) | Systematic Assessment |
|
| Diabetes mellitus non-insulin-dependent | Metabolism and nutrition disorders | MedDRA (8.0) | Systematic Assessment |
|
| Renal colic | Renal and urinary disorders | MedDRA (8.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (8.0) | Systematic Assessment |
|
| Injection site erythema | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (8.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (8.0) | Systematic Assessment |
|
| Injection site haemorrhage | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (8.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (8.0) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (8.0) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (8.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (8.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Chills | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA (8.0) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (8.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (8.0) | Systematic Assessment |
|
| Injection site pain | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA (8.0) | Systematic Assessment |
|
| Viral upper respiratory tract infection | Infections and infestations | MedDRA (8.0) | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA (8.0) | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA (8.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (8.0) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (8.0) | Systematic Assessment |
|
SPONSOR shall have the right to publish or present any results or information, including the Study Results, arising in connection with the STUDY for any purposes. The INSTITUTION, its officers, agents, employees and affiliated entities shall not publish or use any results or information arising in connection with the STUDY, including the Study Results, for professional, research, training or other purposes without SPONSOR's prior written consent.
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |