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Study design is double-blind, randomized, placebo-controlled study in 3 parallel groups with the use of active comparator and placebo. Total duration of therapy of about 2 years. Study hypothesis is equivalence of efficacy and safety of the investigational drug BCD-033 original drug Rebif®.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCD-033 | Experimental | Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 92 weeks |
|
| Rebif | Active Comparator | Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks, followed by 48 weeks of open-label BCD-033 usage |
|
| Placebo | Placebo Comparator | Subcutaneous injection of placebo, 0,5 ml 3 times per week, every other day, for 48 weeks, followed by 72 weeks of open-label BCD-033 usage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCD-033 (interferon beta 1a) | Drug | Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 92 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Combined Unique Active Lesions | Number of Combined Unique Active Lesions (CUA) -- the number of new MRI contrast uptake lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice) after 52 weeks blinded application of interferon-β1а (BCD-033 and Rebif®) (44 mcg). | 52 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Annual Relapse Rate | Annual relapse rate ARR for 52 weeks was evaluated in all three groups, after the application of IFN beta-1a | 52 weeks |
| Proportion of Subjects Without Confirmed Relapse | proportion of subjects without confirmed relapse in PP |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events/Serious Adverse Events | quantity and grade of all AE/SAE is calculated in subjects, who received at least one dose of study drug | 96 weeks |
| Severe Adverse Events Frequency | AE grade 3-4 (CTCAE 4.03) is calculated in subjects, who received at least one dose of study drug |
Inclusion Criteria:
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Scientific neurology center, RAS | Moscow | Russia |
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| ID | Title | Description |
|---|---|---|
| FG000 | BCD-033 | Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 96 weeks BCD-033 (interferon beta 1a): Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 96 weeks |
| FG001 | Rebif/BCD-033 | Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks, followed by 48 weeks of open-label BCD-033 usage Rebif (interferon beta 1a): Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks |
| FG002 | Placebo/BCD-033 | Subcutaneous injection of placebo, 0,5 ml 3 times per week, every other day, for 16 weeks, followed by 68 weeks of open-label BCD-033 usage |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | BCD-033 | interferon beta-1a (BCD-033) |
| BG001 | Rebif / BCD-033 | interferon beta-1a (Rebif / BCD-033) |
| 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 Combined Unique Active Lesions | Number of Combined Unique Active Lesions (CUA) -- the number of new MRI contrast uptake lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice) after 52 weeks blinded application of interferon-β1а (BCD-033 and Rebif®) (44 mcg). | The primary endpoint was assessed after 52 weeks of use of IFN-β1a (BCD-033 and Rebif) in a full dose (44 μg). In the analysis of the effeciency of MRI indicators included 100 patients | Posted | Median | Inter-Quartile Range | lesions | 52 weeks |
|
52 week
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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 | BCD-033 | Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 96 weeks BCD-033 (interferon beta 1a): Subcutaneous injection of BCD-033, 44 µg (0,5 ml) 3 times per week, every other day, for 96 weeks |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| nephrotic syndrome | Renal and urinary disorders | Systematic Assessment | The patient had an albuminuria, in connection with which he was hospitalized in a hospital for treatment. It is discharged with improvement of a status. The therapy was abolished. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| headache | General disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Linkova Yuliya | BIOCAD | +7(495)9926628 | 930 | linkova@biocad.ru |
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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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| ID | Term |
|---|---|
| D000068556 | Interferon beta-1a |
| ID | Term |
|---|---|
| D016899 | Interferon-beta |
| D007370 | Interferon Type I |
| D007372 | Interferons |
| D016207 | Cytokines |
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| Rebif (interferon beta 1a) | Drug | Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks |
|
| Placebo | Drug | Subcutaneous injection of placebo, 0,5 ml 3 times per week, every other day, for12 weeks |
|
| 16, 52 weeks |
| Relapse Free Time | Time to first relapse in "per protocol" population | 96 weeks |
| Number of Combined Unique Active Lesions | CUA (the number of new contrast-enhanced lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice) | 96 weeks |
| Annual Relapse Rate | Annual Relapse Rate ARR for 96 weeks was evaluated in two groups, after the administraion of IFN beta-1a in a full dose for 96 weeks. | 96 week |
| Relapse Free Time | Time to first relapse in "per protocol" population | 16, 52 weeks |
| Number of Combined Unique Active Lesions | CUA (the number of new contrast-enhanced lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice). | 16 weeks |
| 52 weeks |
| Withdrawal | quantity of withdrawals due to AE/SAE is calculated in subjects, who received at least one dose of study drug | 16, 52 weeks |
| Immunogenicity | Count of Participants with Binding and Neutralizing Antibodies | 16, 52 weeks |
| Adverse Reaction/Serious Adverse Reactions | quantity and grade of all adverse reactions/serious adverse reactions is calculated in subjects, who received at least one dose of study drug | 16, 52 weeks |
| Severe Adverse Events Frequency | AE grade 3-4 (CTCAE 4.03)is calculated in subjects, who received at least one dose of study drug | 96 weeks |
| Withdrawal | quantity of withdrawals due to AE/SAE is calculated in subjects, who received at least one dose of study drug | 96 weeks |
| Immunogenicity | Count of Participants with Binding and Neutralizing Antibodies | 96 weeks |
| Serious Adverse Events | quantity and grade of all SAE is calculated in subjects, who received at least one dose of study drug | 52 week of study |
| BG002 |
| Placebo / BCD-033 |
placebo / interferon beta-1a |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Median | Inter-Quartile Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG001 | Rebif | Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks, followed by 48 weeks of open-label BCD-033 usage Rebif (interferon beta 1a): Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks |
|
|
| Secondary | Annual Relapse Rate | Annual relapse rate ARR for 52 weeks was evaluated in all three groups, after the application of IFN beta-1a | Posted | Mean | Standard Deviation | relapses | 52 weeks |
|
|
|
| Secondary | Proportion of Subjects Without Confirmed Relapse | proportion of subjects without confirmed relapse in PP | The analysis was performed in per protocol population at 16 and 52 weeks | Posted | Number | Count of Participants | 16, 52 weeks |
|
|
|
| Secondary | Relapse Free Time | Time to first relapse in "per protocol" population | Posted | Median | Inter-Quartile Range | days | 96 weeks |
|
|
|
| Secondary | Number of Combined Unique Active Lesions | CUA (the number of new contrast-enhanced lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice) | Posted | Median | Inter-Quartile Range | lesions | 96 weeks |
|
|
|
| Secondary | Annual Relapse Rate | Annual Relapse Rate ARR for 96 weeks was evaluated in two groups, after the administraion of IFN beta-1a in a full dose for 96 weeks. | Posted | Mean | Standard Error | relapses | 96 week |
|
|
|
| Secondary | Relapse Free Time | Time to first relapse in "per protocol" population | The analysis was performed in per protocol population at 16 and 52 weeks | Posted | Median | Inter-Quartile Range | days | 16, 52 weeks |
|
|
|
| Secondary | Number of Combined Unique Active Lesions | CUA (the number of new contrast-enhanced lesions on T1 images, and new or expanding lesions on T2 images (lesion identified on T1-and T2 images is not counted twice). | Posted | Median | Inter-Quartile Range | lesions | 16 weeks |
|
|
|
| Other Pre-specified | Adverse Events/Serious Adverse Events | quantity and grade of all AE/SAE is calculated in subjects, who received at least one dose of study drug | Posted | Number | adverse events | 96 weeks |
|
|
|
| Other Pre-specified | Severe Adverse Events Frequency | AE grade 3-4 (CTCAE 4.03) is calculated in subjects, who received at least one dose of study drug | Posted | Number | adverse events | 52 weeks |
|
|
|
| Other Pre-specified | Withdrawal | quantity of withdrawals due to AE/SAE is calculated in subjects, who received at least one dose of study drug | Posted | Count of Participants | Participants | 16, 52 weeks |
|
|
|
| Other Pre-specified | Immunogenicity | Count of Participants with Binding and Neutralizing Antibodies | Posted | Number | participants | 16, 52 weeks |
|
|
|
| Other Pre-specified | Adverse Reaction/Serious Adverse Reactions | quantity and grade of all adverse reactions/serious adverse reactions is calculated in subjects, who received at least one dose of study drug | Posted | Number | adverse events | 16, 52 weeks |
|
|
|
| Other Pre-specified | Severe Adverse Events Frequency | AE grade 3-4 (CTCAE 4.03)is calculated in subjects, who received at least one dose of study drug | Posted | Number | adverse events | 96 weeks |
|
|
|
| Other Pre-specified | Withdrawal | quantity of withdrawals due to AE/SAE is calculated in subjects, who received at least one dose of study drug | Posted | Count of Participants | Participants | 96 weeks |
|
|
|
| Other Pre-specified | Immunogenicity | Count of Participants with Binding and Neutralizing Antibodies | Posted | Number | participants | 96 weeks |
|
|
|
| Other Pre-specified | Serious Adverse Events | quantity and grade of all SAE is calculated in subjects, who received at least one dose of study drug | Posted | Number | adverse events | 52 week of study |
|
|
|
| 0 |
| 53 |
| 0 |
| 53 |
| 35 |
| 53 |
| EG001 | Rebif | Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks, followed by 48 weeks of open-label BCD-033 usage Rebif (interferon beta 1a): Subcutaneous injection of Rebif, 44 µg (0,5 ml) 3 times per week, every other day, for 48 weeks | 0 | 55 | 0 | 55 | 32 | 55 |
| EG002 | Placebo/BCD-033 | Subcutaneous injection of placebo, 0,5 ml 3 times per week, every other day, for 16 weeks, followed by 68 weeks of open-label BCD-033 usage | 0 | 54 | 2 | 54 | 34 | 54 |
|
| Left hemophthalmos | Eye disorders | Systematic Assessment |
|
| Chronic viral hepatitis B | Infections and infestations | Systematic Assessment |
|
| flu-like syndrom | General disorders | Systematic Assessment |
|
| fever | General disorders | Systematic Assessment |
|
| increased ALT | Investigations | Systematic Assessment |
|
| local reaction | General disorders | Systematic Assessment |
|
| lymphopenia | Investigations | Systematic Assessment |
|
| neutropenia | Investigations | Systematic Assessment |
|
| thrombocytopenia | Investigations | Systematic Assessment |
|
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| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D036341 |
| Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011506 | Proteins |
| D001685 | Biological Factors |
| week 52 |
|
|
| week 52 |
|
|
| Title | Measurements |
|---|---|
|
|
| week 52 : Binding Antibodies |
|
| week 52 : Neutralizing Antibodies |
|
| Title | Measurements |
|---|---|
|