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| ID | Type | Description | Link |
|---|---|---|---|
| 305207 | Other Identifier | Company Internal |
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This study will primarily compare the long-term effects of an early and continued treatment with Betaferon/Betaseron (patients who were treated with active medication during the double-blind BENEFIT study) to treatment initiated either after Clinically Definite Multiple Sclerosis (CDMS) has been diagnosed or after two years (those patients who were treated with placebo during the double-blind BENEFIT study).
Analyses are based on the integrated data of the initial BENEFIT study and this follow-up study.
The study has previously been posted by Schering AG, Germany. Schering AG, Germany has been renamed to Bayer HealthCare Pharmaceuticals Inc..
Bayer HealthCare Pharmaceuticals Inc. is the sponsor of the trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Initial IFNB-1b (Interferon beta-1b) | Experimental | Initial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase |
|
| Initial Placebo | Experimental | Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interferon beta-1b (Betaseron, BAY86-5046) | Drug | Initial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Clinically Definite Multiple Sclerosis (CDMS) Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With CDMS at Selected Points in Time | CDMS could be reached due to a qualifying relapse or sustained progression of 1.5 points on the expanded disability status scale (EDSS) as compared to the lowest EDSS obtained during screening or Day 1. The validity of CDMS diagnoses was confirmed by a central committee. The EDSS scale quantifies disability in MS in 8 functional systems, values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on an ordinal scale. Time to CDMS = date of CDMS - date of Day 1 + 1 or time to CDMS = date of last clinical visit - date of Day 1 + 1 (right-censored) | up to 60 months after start of treatment |
| Time to Confirmed Expanded Disability Status Scale (EDSS) Progression Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With Confirmed EDSS Progression at Selected Points in Time | EDSS progression was defined as an increase in the expanded disability status scale (EDSS) of 1.0 point compared to the lowest EDSS score obtained during the screening or baseline visit, if this score was <= 5.5. A confirmed EDSS progression status was defined as an EDSS progression observed at two consecutive scheduled visits at least 140 days apart from each other. The EDSS scale is a method of quantifying disability in multiple sclerosis in eight functional systems and values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on a scale. | up to 60 months after start of treatment |
| Functional Assessment of Multiple Sclerosis (FAMS) Trial Outcome Index (TOI) at Month 60 | As an index of health related quality of life in people diagnosed with MS, the FAMS Trial Outcome Index covers overall physical health (sum of sub-scale scores Mobility, Symptoms, Thinking/Fatigue, Additional Concerns) with a score range from 0 to 148. A higher score reflects a higher overall physical health as reported by patients. | 60 months after start of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Relapse-based Efficacy Domain: Time to Multiple Sclerosis (MS) According to McDonald Criteria | MS according to the criteria by McDonald was reached if, in addition to the single clinical demyelinating event, both dissemination in space and dissemination in time were established by MRI-criteria or a new relapse. Time to McDonald MS is the difference of date of McDonald MS to the date of Day 1 + 1. For subjects without McDonald MS, time to McDonald MS is the difference from the maximum (date of last magnetic resonance imaging scan, date of last clinical visit) to the date of Day 1 + 1 (right-censored observation). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bayer Study Director | Bayer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Graz | 8036 | Austria | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24218527 | Background | Edan G, Kappos L, Montalban X, Polman CH, Freedman MS, Hartung HP, Miller D, Barkhof F, Herrmann J, Lanius V, Stemper B, Pohl C, Sandbrink R, Pleimes D; BENEFIT Study Group. Long-term impact of interferon beta-1b in patients with CIS: 8-year follow-up of BENEFIT. J Neurol Neurosurg Psychiatry. 2014 Nov;85(11):1183-9. doi: 10.1136/jnnp-2013-306222. Epub 2013 Nov 11. | |
| 23842212 |
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The full analysis set includes all 468 participants (particip.) with at least one administration of study drug in the placebo-controlled original study 92012, using treatment groups as randomized according to the minimization procedure regardless of the kind of study treatment (IFNB-1b/placebo) received. 19 subjects did not consent to the Follow-up
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| ID | Title | Description |
|---|---|---|
| FG000 | Initial IFNB-1b (Interferon Beta-1b) | Initial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase |
| FG001 | Initial Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Placebo-controlled Study (92012) |
|
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| Interferon beta-1b (Betaseron, BAY86-5046) | Drug | Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial) |
|
| up to 60 months after start of treatment |
| Relapse-based Efficacy Domain: Hazard Ratio for Recurrent Relapses | A relapse was defined as the appearance of a new neurological abnormality or the reappearance of a neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The time to the onset of recurrent relapses was determined for each subject according to the counting process representation for recurrent events. Time to a relapse was right-censored if a relapse-risk period ended without relapse. Based on the Andersen-Gill model the hazard ratio for recurrent relapses was estimated. Annualized relapse rates are provided as another outcome measure. | up to 60 months after start of treatment |
| Relapse-based Efficacy Domain (Supportive): Annualized Relapse Rate | The annualized relapse rate is defined as total number of relapses up to month 60 divided by the total observation time (last clinical visit minus first day of study treatment administration plus 1 of all participants) in years. | up to 60 months after start of treatment |
| Disability-based Efficacy Domain: Multiple Sclerosis Functional Composite (MSFC) at Month 60 | The MSFC score consists of three sub-tests (Timed-25-Foot-Walk, 9-Hole-Peg-Test, 3" Paced Auditory Serial Addition Test [PASAT]). Standardized results (Z-scores) of the sub-tests and the overall MSFC Z-score as an average of the three Z-scores were derived using baseline data pooled over both treatment arms as reference population. Higher Z-scores reflect a better neurological status. | 60 months after start of treatment |
| MRI (Magnet-Resonance Imaging)-Based Efficacy Domain: Cumulative Number of Newly Active Lesions at Month 60 | Newly active lesions are defined as displaying either new Gadolinium (Gd)-enhancement on T1-weighted scans or non-enhancement on T1-weighted scan but new on T2-weighted scan. The numbers of newly active lesions on yearly MRI scans were summed up to the cumulative number. | up to 60 months after start of treatment |
| MRI-based Efficacy Domain: Absolute Change of T2 Lesion Volume From Screening MRI to Month 60 | Absolute change of T2 lesion volume from screening MRI to month 60 was calculated as T2 lesion volume at month 60 minus T2 lesion volume at screening. | 60 months after start of treatment |
| MRI-based Efficacy Domain: Absolute Change of Volume of Black Holes From Screening MRI to Month 60 | Absolute change of volume of black holes from screening MRI to month 60 was calculated as volume of black holes at month 60 minus volume of black holes at screening. | 60 months after start of treatment |
| MRI-based Efficacy Domain: Percentage Change of Brain Volume From Screening MRI to Month 60 | Two-timepoint percentage brain volume change was estimated with Structural Image Evaluation, using Normalisation, of Atrophy (SIENA) software. The measurements describe the percentage change from screening in brain volume at month 60. | 60 months after start of treatment |
| Innsbruck |
| 6020 |
| Austria |
| Vienna | 1090 | Austria |
| Brussels | 1200 | Belgium |
| Ghent | 9000 | Belgium |
| Leuven | 3000 | Belgium |
| Liège | 4000 | Belgium |
| Calgary | Alberta | T2N 2T9 | Canada |
| Vancouver | British Columbia | V6T 2B5 | Canada |
| London | Ontario | N6A 5A5 | Canada |
| Ottawa | Ontario | K1H 8L6 | Canada |
| Toronto | Ontario | M5B 1W8 | Canada |
| Montreal | Quebec | H2L 4M1 | Canada |
| Brno | 63900 | Czechia |
| Hradec Králové | 50005 | Czechia |
| Ostrava | 70852 | Czechia |
| Pilsen | 30460 | Czechia |
| Prague | 10034 | Czechia |
| Prague | 12808 | Czechia |
| Glostrup Municipality | 2600 | Denmark |
| Helsinki | 00100 | Finland |
| Kuopio | 70210 | Finland |
| Oulu | 90029 | Finland |
| Seinäjoki | 60220 | Finland |
| Tampere | 33521 | Finland |
| Turku | 20100 | Finland |
| Rennes | Brittany Region | 35038 | France |
| Bordeaux | Gironde | 33076 | France |
| Clermont-Ferrand | 63003 | France |
| Dijon | 21033 | France |
| Lille | 59037 | France |
| Nancy | 54035 | France |
| Nice | 06000 | France |
| Paris | 75019 | France |
| Toulouse | 31059 | France |
| Ulm | Baden-Wurttemberg | 89081 | Germany |
| München | Bavaria | 81377 | Germany |
| Regensburg | Bavaria | 93053 | Germany |
| Würzburg | Bavaria | 97080 | Germany |
| Hennigsdorf | Brandenburg | 16761 | Germany |
| Giessen | Hesse | 35392 | Germany |
| Marburg | Hesse | 35039 | Germany |
| Offenbach | Hesse | 63069 | Germany |
| Braunschweig | Lower Saxony | 38126 | Germany |
| Göttingen | Lower Saxony | 37099 | Germany |
| Greifswald | Mecklenburg-Vorpommern | 17475 | Germany |
| Cologne | North Rhine-Westphalia | 50931 | Germany |
| Düsseldorf | North Rhine-Westphalia | 40225 | Germany |
| Düsseldorf | North Rhine-Westphalia | 40479 | Germany |
| Münster | North Rhine-Westphalia | 48149 | Germany |
| Mainz | Rhineland-Palatinate | 55101 | Germany |
| Homburg | Saarland | 66424 | Germany |
| Halle | Saxony-Anhalt | 06120 | Germany |
| Magdeburg | Saxony-Anhalt | 39120 | Germany |
| Berlin | State of Berlin | 12200 | Germany |
| Berlin | State of Berlin | 13585 | Germany |
| Erfurt | Thuringia | 99089 | Germany |
| Szeged | Csongrád megye | 6720 | Hungary |
| Budapest | 1076 | Hungary |
| Budapest | 1145 | Hungary |
| Budapest | 1204 | Hungary |
| Debrecen | 4032 | Hungary |
| Haifa | Israel | 34362 | Israel |
| Tel Litwinsky | Israel | 52621 | Israel |
| Gallarate | Varese | 21013 | Italy |
| Milan | 20132 | Italy |
| Padova | 35128 | Italy |
| Pavia | 27100 | Italy |
| Torino | 10126 | Italy |
| Sittard | 6131 BK | Netherlands |
| Tilburg | 5022 GC | Netherlands |
| Bergen | N-5021 | Norway |
| Bydgoszcz | 85681 | Poland |
| Krakow | 31503 | Poland |
| Lodz | 90153 | Poland |
| Lublin | 20090 | Poland |
| Wroclaw | 50420 | Poland |
| Coimbra | 3000 | Portugal |
| Ljubljana | 1525 | Slovenia |
| L'Hospitalet de Llobregat | Barcelona | 08907 | Spain |
| Barakaldo | Vizcaya | 48903 | Spain |
| Barcelona | 08035 | Spain |
| Barcelona | 08036 | Spain |
| Madrid | 28040 | Spain |
| Málaga | 29010 | Spain |
| Seville | 41071 | Spain |
| Valencia | 46026 | Spain |
| Gothenburg | 41685 | Sweden |
| Basel | Canton of Basel-City | 4031 | Switzerland |
| Sankt Gallen | 9007 | Switzerland |
| Dundee | Scotland | DD1 9SY | United Kingdom |
| Aberdeen | AB25 2ZN | United Kingdom |
| London | W6 8RF | United Kingdom |
| Sheffield | S10 2JF | United Kingdom |
| Nagtegaal GJ, Pohl C, Wattjes MP, Hulst HE, Freedman MS, Hartung HP, Miller D, Montalban X, Kappos L, Edan G, Pleimes D, Beckman K, Stemper B, Polman CH, Sandbrink R, Barkhof F. Interferon beta-1b reduces black holes in a randomised trial of clinically isolated syndrome. Mult Scler. 2014 Feb;20(2):234-42. doi: 10.1177/1352458513494491. Epub 2013 Jul 10. |
| 22492127 | Background | Penner IK, Stemper B, Calabrese P, Freedman MS, Polman CH, Edan G, Hartung HP, Miller DH, Montalban X, Barkhof F, Pleimes D, Lanius V, Pohl C, Kappos L, Sandbrink R. Effects of interferon beta-1b on cognitive performance in patients with a first event suggestive of multiple sclerosis. Mult Scler. 2012 Oct;18(10):1466-71. doi: 10.1177/1352458512442438. Epub 2012 Apr 4. |
| 19748319 | Result | Kappos L, Freedman MS, Polman CH, Edan G, Hartung HP, Miller DH, Montalban X, Barkhof F, Radu EW, Metzig C, Bauer L, Lanius V, Sandbrink R, Pohl C; BENEFIT Study Group. Long-term effect of early treatment with interferon beta-1b after a first clinical event suggestive of multiple sclerosis: 5-year active treatment extension of the phase 3 BENEFIT trial. Lancet Neurol. 2009 Nov;8(11):987-97. doi: 10.1016/S1474-4422(09)70237-6. Epub 2009 Sep 10. |
| 21849647 | Result | Hartung HP, Freedman MS, Polman CH, Edan G, Kappos L, Miller DH, Montalban X, Barkhof F, Petkau J, White R, Sahajpal V, Knappertz V, Beckmann K, Lanius V, Sandbrink R, Pohl C; BENEFIT Study Group. Interferon beta-1b-neutralizing antibodies 5 years after clinically isolated syndrome. Neurology. 2011 Aug 30;77(9):835-43. doi: 10.1212/WNL.0b013e31822c90d7. Epub 2011 Aug 17. |
| 22183938 | Result | Freedman MS, Metzig C, Kappos L, Polman CH, Edan G, Hartung HP, Miller DH, Montalban X, Yarden J, Spector L, Fire E, Dotan N, Schwenke S, Lanius V, Sandbrink R, Pohl C. Predictive nature of IgM anti-alpha-glucose serum biomarker for relapse activity and EDSS progression in CIS patients: a BENEFIT study analysis. Mult Scler. 2012 Jul;18(7):966-73. doi: 10.1177/1352458511432327. Epub 2011 Dec 19. |
| 21795647 | Result | Waschbisch A, Sandbrink R, Hartung HP, Kappos L, Schwab S, Pohl C, Wiendl H. Evaluation of soluble HLA-G as a biomarker for multiple sclerosis. Neurology. 2011 Aug 9;77(6):596-8. doi: 10.1212/WNL.0b013e318228c14d. Epub 2011 Jul 27. No abstract available. |
| 19901165 | Result | Moraal B, Pohl C, Uitdehaag BM, Polman CH, Edan G, Freedman MS, Hartung HP, Kappos L, Miller DH, Montalban X, Lanius V, Sandbrink R, Barkhof F. Magnetic resonance imaging predictors of conversion to multiple sclerosis in the BENEFIT study. Arch Neurol. 2009 Nov;66(11):1345-52. doi: 10.1001/archneurol.2009.243. |
| 18004635 | Result | Polman C, Kappos L, Freedman MS, Edan G, Hartung HP, Miller DH, Montalban X, Barkhof F, Selmaj K, Uitdehaag BM, Dahms S, Bauer L, Pohl C, Sandbrink R; BENEFIT investigators. Subgroups of the BENEFIT study: risk of developing MS and treatment effect of interferon beta-1b. J Neurol. 2008 Apr;255(4):480-7. doi: 10.1007/s00415-007-0733-2. Epub 2007 Nov 15. |
| 22541587 | Result | Caloyeras JP, Zhang B, Wang C, Eriksson M, Fredrikson S, Beckmann K, Knappertz V, Pohl C, Hartung HP, Shah D, Miller JD, Sandbrink R, Lanius V, Gondek K, Russell MW. Cost-effectiveness analysis of interferon beta-1b for the treatment of patients with a first clinical event suggestive of multiple sclerosis. Clin Ther. 2012 May;34(5):1132-44. doi: 10.1016/j.clinthera.2012.03.004. Epub 2012 Apr 27. |
| 19457248 | Result | Nielsen JM, Pohl C, Polman CH, Barkhof F, Freedman MS, Edan G, Miller DH, Bauer L, Sandbrink R, Kappos L, Uitdehaag BM. MRI characteristics are predictive for CDMS in monofocal, but not in multifocal patients with a clinically isolated syndrome. BMC Neurol. 2009 May 20;9:19. doi: 10.1186/1471-2377-9-19. |
| 17846268 | Result | Barkhof F, Polman CH, Radue EW, Kappos L, Freedman MS, Edan G, Hartung HP, Miller DH, Montalban X, Poppe P, de Vos M, Lasri F, Bauer L, Dahms S, Wagner K, Pohl C, Sandbrink R. Magnetic resonance imaging effects of interferon beta-1b in the BENEFIT study: integrated 2-year results. Arch Neurol. 2007 Sep;64(9):1292-8. doi: 10.1001/archneur.64.9.1292. |
| 17679016 | Result | Kappos L, Freedman MS, Polman CH, Edan G, Hartung HP, Miller DH, Montalban X, Barkhof F, Radu EW, Bauer L, Dahms S, Lanius V, Pohl C, Sandbrink R; BENEFIT Study Group. Effect of early versus delayed interferon beta-1b treatment on disability after a first clinical event suggestive of multiple sclerosis: a 3-year follow-up analysis of the BENEFIT study. Lancet. 2007 Aug 4;370(9585):389-97. doi: 10.1016/S0140-6736(07)61194-5. |
| 19879194 | Result | De Jager PL, Chibnik LB, Cui J, Reischl J, Lehr S, Simon KC, Aubin C, Bauer D, Heubach JF, Sandbrink R, Tyblova M, Lelkova P; Steering committee of the BENEFIT study; Steering committee of the BEYOND study; Steering committee of the LTF study; Steering committee of the CCR1 study; Havrdova E, Pohl C, Horakova D, Ascherio A, Hafler DA, Karlson EW. Integration of genetic risk factors into a clinical algorithm for multiple sclerosis susceptibility: a weighted genetic risk score. Lancet Neurol. 2009 Dec;8(12):1111-9. doi: 10.1016/S1474-4422(09)70275-3. Epub 2009 Oct 29. |
Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial)
| COMPLETED |
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| NOT COMPLETED |
|
|
| Follow-up Study (91031 - This Study) |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Initial IFNB-1b (Interferon Beta-1b) | Initial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase |
| BG001 | Initial Placebo | Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial) |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Number of T2 lesions detected in screening MRI (Magnet-Resonance Imaging) | Only patients with at least two clinically silent lesions on the T2-weighted brain MRI scan with a size of at least 3 mm, at least one of which is ovoid or periventricular or infratentorial, were included. Number of T2 lesions with the three categories was used in the minimization procedure. | Number | participants |
| |||||||||||||||
| Number of participants with steroid use during the first clinical demyelinating event | The allocation of participants to the treatment arms was according to a minimization procedure with an element of randomization to minimize imbalances of treatment groups with respect to e.g. steroid use during first clinical demyelinating event. Steroid treatment was at the discretion of the investigator. | Number | participants |
| |||||||||||||||
| Type of onset of disease (classification of first demyelinating event) | On the basis of the central classification of the patient's symptoms and signs, the first event was classified as either monofocal (a single central nervous system (CNS) lesion suffices to explain the patient's symptoms and signs) or multifocal (the patient's symptoms and signs can only be explained by multiple (i.e. more than one) CNS lesions. | Number | 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 | Time to Clinically Definite Multiple Sclerosis (CDMS) Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With CDMS at Selected Points in Time | CDMS could be reached due to a qualifying relapse or sustained progression of 1.5 points on the expanded disability status scale (EDSS) as compared to the lowest EDSS obtained during screening or Day 1. The validity of CDMS diagnoses was confirmed by a central committee. The EDSS scale quantifies disability in MS in 8 functional systems, values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on an ordinal scale. Time to CDMS = date of CDMS - date of Day 1 + 1 or time to CDMS = date of last clinical visit - date of Day 1 + 1 (right-censored) | The analysis followed the intention to treat (ITT) principle. After five years, in the initial placebo arm 94 participants and in the initial IFNB-1b arm 124 participants had reached CDMS diagnosis. | Posted | Number | cum. percentage of particip. with CDMS | up to 60 months after start of treatment |
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| Primary | Time to Confirmed Expanded Disability Status Scale (EDSS) Progression Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With Confirmed EDSS Progression at Selected Points in Time | EDSS progression was defined as an increase in the expanded disability status scale (EDSS) of 1.0 point compared to the lowest EDSS score obtained during the screening or baseline visit, if this score was <= 5.5. A confirmed EDSS progression status was defined as an EDSS progression observed at two consecutive scheduled visits at least 140 days apart from each other. The EDSS scale is a method of quantifying disability in multiple sclerosis in eight functional systems and values vary between 0="normal neurological examination" and 10="death due to MS" measured in half-points on a scale. | The analysis followed the ITT principle. The 25%-percentile for time to confirmed EDSS progression was 908 days in the initial placebo arm but was not estimable in the initial IFNB-1b arm. After five years, in the initial placebo arm 47 participants and in the initial IFNB-1b arm 65 participants had reached confirmed EDSS progression. | Posted | Number | percentage of particip. with EDSS progr. | up to 60 months after start of treatment |
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| Primary | Functional Assessment of Multiple Sclerosis (FAMS) Trial Outcome Index (TOI) at Month 60 | As an index of health related quality of life in people diagnosed with MS, the FAMS Trial Outcome Index covers overall physical health (sum of sub-scale scores Mobility, Symptoms, Thinking/Fatigue, Additional Concerns) with a score range from 0 to 148. A higher score reflects a higher overall physical health as reported by patients. | The analysis followed the ITT principle. Not all patients who completed the follow-up study could be included at month 60 as subject to copyright constraints and to the availability of validated language versions, FAMS assessments could not be conducted in all patients. | Posted | Median | Inter-Quartile Range | units on a scale | 60 months after start of treatment |
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| Secondary | Relapse-based Efficacy Domain: Time to Multiple Sclerosis (MS) According to McDonald Criteria | MS according to the criteria by McDonald was reached if, in addition to the single clinical demyelinating event, both dissemination in space and dissemination in time were established by MRI-criteria or a new relapse. Time to McDonald MS is the difference of date of McDonald MS to the date of Day 1 + 1. For subjects without McDonald MS, time to McDonald MS is the difference from the maximum (date of last magnetic resonance imaging scan, date of last clinical visit) to the date of Day 1 + 1 (right-censored observation). | The analysis followed the ITT principle. After five years, in the initial placebo arm 151 participants and in the initial IFNB-1b arm 224 participants had reached McDonald MS diagnosis. | Posted | Median | 95% Confidence Interval | months | up to 60 months after start of treatment |
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| Secondary | Relapse-based Efficacy Domain: Hazard Ratio for Recurrent Relapses | A relapse was defined as the appearance of a new neurological abnormality or the reappearance of a neurological abnormality, separated by at least 30 days from onset of a preceding clinical demyelinating event. The time to the onset of recurrent relapses was determined for each subject according to the counting process representation for recurrent events. Time to a relapse was right-censored if a relapse-risk period ended without relapse. Based on the Andersen-Gill model the hazard ratio for recurrent relapses was estimated. Annualized relapse rates are provided as another outcome measure. | The analysis followed the Intention-To-Treat (ITT) principle. The hazard for recurrent relapses was modelled by an extension of the Cox Proportional Hazards (PH) regression model (Andersen-Gill Model). | Posted | Number | Ratio | up to 60 months after start of treatment |
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| Secondary | Relapse-based Efficacy Domain (Supportive): Annualized Relapse Rate | The annualized relapse rate is defined as total number of relapses up to month 60 divided by the total observation time (last clinical visit minus first day of study treatment administration plus 1 of all participants) in years. | The analysis followed the ITT principle. For each treatment arm, the relapse rate is defined as total number of relapses up to month 60 divided by the total observation time in years. | Posted | Mean | 95% Confidence Interval | number of relapses per patient and year | up to 60 months after start of treatment |
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| Secondary | Disability-based Efficacy Domain: Multiple Sclerosis Functional Composite (MSFC) at Month 60 | The MSFC score consists of three sub-tests (Timed-25-Foot-Walk, 9-Hole-Peg-Test, 3" Paced Auditory Serial Addition Test [PASAT]). Standardized results (Z-scores) of the sub-tests and the overall MSFC Z-score as an average of the three Z-scores were derived using baseline data pooled over both treatment arms as reference population. Higher Z-scores reflect a better neurological status. | The analysis followed the ITT principle. Not all FAS patients completed the follow-up study or had MSFC results at month 60 available. | Posted | Median | Inter-Quartile Range | Z-scores | 60 months after start of treatment |
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| Secondary | MRI (Magnet-Resonance Imaging)-Based Efficacy Domain: Cumulative Number of Newly Active Lesions at Month 60 | Newly active lesions are defined as displaying either new Gadolinium (Gd)-enhancement on T1-weighted scans or non-enhancement on T1-weighted scan but new on T2-weighted scan. The numbers of newly active lesions on yearly MRI scans were summed up to the cumulative number. | The analysis followed the ITT principle. Not all patients in the full analysis set completed the follow-up study or had MRI scan readings at month 60 available. | Posted | Median | Inter-Quartile Range | cumulative number of lesions | up to 60 months after start of treatment |
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| Secondary | MRI-based Efficacy Domain: Absolute Change of T2 Lesion Volume From Screening MRI to Month 60 | Absolute change of T2 lesion volume from screening MRI to month 60 was calculated as T2 lesion volume at month 60 minus T2 lesion volume at screening. | The analysis followed the ITT principle. Not all FAS patients completed the follow-up study or had MRI scan readings at month 60 available. | Posted | Median | Inter-Quartile Range | cubic millimeter | 60 months after start of treatment |
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| Secondary | MRI-based Efficacy Domain: Absolute Change of Volume of Black Holes From Screening MRI to Month 60 | Absolute change of volume of black holes from screening MRI to month 60 was calculated as volume of black holes at month 60 minus volume of black holes at screening. | The analysis followed the ITT principle. Not all FAS patients completed the follow-up study or had MRI scan readings at month 60 available. | Posted | Median | Inter-Quartile Range | cubic millimeter | 60 months after start of treatment |
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| Secondary | MRI-based Efficacy Domain: Percentage Change of Brain Volume From Screening MRI to Month 60 | Two-timepoint percentage brain volume change was estimated with Structural Image Evaluation, using Normalisation, of Atrophy (SIENA) software. The measurements describe the percentage change from screening in brain volume at month 60. | The analysis followed the ITT principle. Not all patients in the full analysis set completed the follow-up study or had MRI scan readings at month 60 available. There were several missing values in both treatment arms regarding the percentage brain volume change. | Posted | Median | Inter-Quartile Range | Percentage of brain volume | 60 months after start of treatment |
|
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Not provided
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Initial IFNB-1b (Interferon Beta-1b) | Initial Betaferon/Betaseron treatment (Interferon beta-1b, IFNB-1b), 250 ug administered s.c. (subcutaneous) every other day, continued in Follow-up phase | 61 | 292 | 283 | 292 | ||
| EG001 | Initial Placebo | Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial) | 42 | 176 | 169 | 176 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Accidental injury | Injury, poisoning and procedural complications | Harts 2.3 | Non-systematic Assessment |
| |
| Allergic reaction | Immune system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Cellulitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Cyst | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Fever | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hernia | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Infection | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Mucous membrane disorder | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Harts 2.3 | Non-systematic Assessment |
| |
| Suicide attemp other than overdose | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Surgery | Surgical and medical procedures | Harts 2.3 | Non-systematic Assessment |
| |
| Unevaluable reaction | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Myocardial infarct | Cardiac disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Cardiovascular disorder | Cardiac disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Migraine | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Thrombosis | Vascular disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Colitis | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Gastrointestinal Disorder | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Gastrointestinal Hemorrhage | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hepatitis | Hepatobiliary disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Jaundice | Hepatobiliary disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Liver function test abnormal | Investigations | Harts 2.3 | Non-systematic Assessment |
| |
| Goiter | Endocrine disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Thyroid carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Harts 2.3 | Non-systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Injection site necrosis | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Injection site reaction | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hyponatremia | Metabolism and nutrition disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Weight gain | Investigations | Harts 2.3 | Non-systematic Assessment |
| |
| Bone fracture (not spontaneous) | Injury, poisoning and procedural complications | Harts 2.3 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Tendon disorder | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Convulsion | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Emotional lability | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Grand mal convulsion | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Myoclonus | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Personality disorder | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Psychosis | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Psychotic depression | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Multiple sclerosis | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Pharyngitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Breast carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Harts 2.3 | Non-systematic Assessment |
| |
| Breast neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Harts 2.3 | Non-systematic Assessment |
| |
| Skin necrosis | Skin and subcutaneous tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Skin ulcer | Skin and subcutaneous tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Eye disorder | Eye disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Ovarian cyst | Reproductive system and breast disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Abortion | Pregnancy, puerperium and perinatal conditions | Harts 2.3 | Non-systematic Assessment |
| |
| Unintended pregnancy | Pregnancy, puerperium and perinatal conditions | Harts 2.3 | Non-systematic Assessment |
| |
| Endometrial disorder | Reproductive system and breast disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Vaginal hemorrhage | Reproductive system and breast disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Cystitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Pyelonephritis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Back pain | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Asthenia | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Fever | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Flu syndrome | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Pain | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Injection site reaction | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| SGOT increased | Investigations | Harts 2.3 | Non-systematic Assessment |
| |
| SGPT increased | Investigations | Harts 2.3 | Non-systematic Assessment |
| |
| Bilirubinemia | Hepatobiliary disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Insomnia | Psychiatric disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Multiple sclerosis | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Paresthesia | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Upper respiratory infection | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Pharyngitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Accidental injury | Injury, poisoning and procedural complications | Harts 2.3 | Non-systematic Assessment |
| |
| Allergic reaction | Immune system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Chills | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Infection | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Surgery | Surgical and medical procedures | Harts 2.3 | Non-systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hypertension | Vascular disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Tooth disorder | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Liver function test abnormal | Investigations | Harts 2.3 | Non-systematic Assessment |
| |
| Sore throat | Respiratory, thoracic and mediastinal disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Injection site pain | General disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hyperglycemia | Metabolism and nutrition disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Muscle cramps | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Myasthenia | Musculoskeletal and connective tissue disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hypertonia | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Hypesthesia | Nervous system disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Rhinitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
| |
| Eye pain | Eye disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Abnormal vision | Eye disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Blurred vision | Eye disorders | Harts 2.3 | Non-systematic Assessment |
| |
| Unintended pregnancy | Pregnancy, puerperium and perinatal conditions | Harts 2.3 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | Harts 2.3 | Non-systematic Assessment |
|
Participant Flow: Subject with "Other" as reason for not completing a study period are presented according to the NIH pre-specified categories as far as possible.
Submit for review any manuscript / abstract related to the Study at least 90 days prior to publication.The proposed publication / presentation shall only be made after BSP has obtained adequate patent protection for the Results, or after the patentable information has been taken out of the publication/presentation.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Therapeutic Area Head | BAYER | clinical-trials-contact@bayerhealthcare.com |
| 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 |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000068576 | Interferon beta-1b |
| ID | Term |
|---|---|
| D016899 | Interferon-beta |
| D007370 | Interferon Type I |
| D007372 | Interferons |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011506 | Proteins |
| D001685 | Biological Factors |
Not provided
Not provided
| Lost to Follow-up |
|
| Physician Decision |
|
| Pregnancy |
|
| Withdrawal by Subject |
|
| other disease modif. treatment |
|
| Male |
|
| 5 to 8 T2 lesions |
|
| at least 9 T2 lesions |
|
| No Steroid Use |
|
| multifocal disease |
|
| Kaplan-Meier estimate at year 5 |
|
| Superiority or Other |
| Time to CDMS was modelled by a Cox proportional hazards regression model with the following covariates: treatment group, steroid use during first event (yes vs. no), onset of disease (monofocal vs. multifocal) and number of T2 lesions at screening (categories: 2-4, 5-8 and at least 9 T2 lesions). The null hypothesis was: Initial IFNB-1b and initial placebo do not differ with regard to the hazard for CDMS, i.e. hazard ratio = 1. | Regression, Cox | covariate adjustment: steroid use during first event, onset of disease, categorized number of T2 lesions at screening | 0.0028 | Hazard Ratio (HR) | 0.663 | 97.47 | 0.488 | 0.902 | The direction of comparison is initial IFNB-1b (numerator) versus initial placebo (denominator), i.e. the Hazard Ratio represents the relative risk of initial IFNB-1b treatment compared to initial placebo treatment. | No | Superiority or Other |
Initial placebo treatment; Betaferon/Betaseron, 250 ug administered s.c. (subcutaneous) every other day offered in Follow-up phase (= this trial)
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