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The objective of the clinical study of the medicinal product for medical use: to compare efficacy and safety of the generic drug BCD-063 and Copaxone®-Teva in patients with relapsing-remitting multiple sclerosis.
Period of the clinical study of the medicinal product for medical use: from June 10, 2013 to March 23, 2016.
Number of patients, involved into the study of the medicinal product for medical use: 158 patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCD-063 (glatiramer acetate) | Experimental | Subcutaneous injection of glatiramer acetate BCD-063 subcutaneously every day |
|
| Copaxone-Teva (glatiramer acetate) | Active Comparator | Subcutaneous injection of glatiramer acetate Copaxone-Teva subcutaneously every day |
|
| Placebo | Placebo Comparator | Subcutaneous injection of mannitol 40 mg, water for injections till 1 ml, every day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCD-063 | Drug |
|
| |
| Copaxone-Teva |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative Unique Activity lesions | Cumulative Unique Activity (CUA) detected by MRI | 48 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Annual relapse rate | Relapse per patient per year | 48 weeks |
| Proportion of patients without relapses | Proportion of patients without confirming relapses with magnetic resonance imaging (MRI) |
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Inclusion Criteria:
Exclusion Criteria:
Secondary progressive and primary progressive forms of multiple sclerosis;
Other diseases (except multiple sclerosis), which may affect the assessment of the severity of the symptoms of the underlying disease: mask, amplify, modify the symptoms of the underlying disease or cause the clinical manifestations and changes in the data of laboratory and instrumental methods of investigation similar to those of multiple sclerosis;
Any acute or chronic infection in the acute stage;
Verified HIV, hepatitis B and C, syphilis;
Metabolic abnormalities (disorders), which manifest themselves as:
Violation of bone marrow function as reducing the total number of leukocytes <3000 /mcl, or a platelet count <125000 /mcl, hemoglobin concentration reduction, or <100 g / l;
EDSS> 5,5 points;
Liver disease in the stage of decompensation;
Congestive heart failure, or not controlled by a drug therapy angina or arrhythmia;
Pregnancy, breast-feeding or planned pregnancy during the study period;
Use of any time prior to study any drug for modifying multiple sclerosis: interferon beta-1a, interferon beta-1b, glatiramer acetate, azathioprine, corticosteroids and immunomodulators (except for treating exacerbations corticosteroids), drugs and monoclonal antibodies, cytotoxic and / or immunosuppressive drugs, including, but not limited to drugs: mitoxantrone, cyclophosphamide, cyclosporine, fingolimod, cladribine; or total lymphoid irradiation system;
System (IV, oral) corticosteroids within 30 days prior to the screening visit;
Intolerance or allergy to glatiramer acetate, mannitol or other components of the BCD-063 preparations or Copaxone®-Teva;
History of drug addiction, alcoholism and abuse of drugs;
Contraindications to MRI (gadolinium allergic to or intolerant of closed spaces, any renal failure, which may interfere with the removal of gadolinium - an acute or chronic renal failure);
Any malignancies, including in anamnesis;
Vaccination within 4 weeks prior to study entry (prior to randomization);
Participation in any other clinical trial within 30 days prior to screening or simultaneous participation in other clinical trials;
Previous participation in this study.
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| Name | Affiliation | Role |
|---|---|---|
| Roman A. Ivanov, PhD | Biocad | Study Director |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | May 18, 2022 | |
| Reset | Feb 21, 2023 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 18, 2022 | Feb 21, 2023 |
| ID | Term |
|---|---|
| D020529 | Multiple Sclerosis, Relapsing-Remitting |
| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000068717 | Glatiramer Acetate |
| D008353 | Mannitol |
| ID | Term |
|---|---|
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D013402 | Sugar Alcohols |
| D000438 | Alcohols |
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| Drug |
|
|
| Placebo | Drug |
|
|
| 48 weeks |
| Changing in volume of hypointense T1 lesions | 48 weeks |
| Changing in volume of T2 lesions | 48 weeks |
| Amount of new or extended lesions in T2 regimen | 48 weeks |
| Patients proportion without lesions | 48 weeks |
| T1 lesions amount | 48 weeks |
| Expanded Disability Status Scale dynamics | Expanded Disability Status Scale (EDSS) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group | Week 24, Week 48 |
| Progression on Multiple Sclerosis Functional Composite scale comparing to the baseline | 48 weeks |
| Risk of relapse | Relative Risk Ratio for relapse in each group | 48 weeks |
| Time till the first relapse | 48 weeks |
| Multiple Sclerosis Functional Composite scale dynamics | Multiple Sclerosis Functional Composite (MSFC) scale count at 24th and 48th week, comparing count at week 24 to week 48 for each group | 24, 48 weeks |
| D003711 | Demyelinating Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D009930 |
| Organic Chemicals |
| D002241 | Carbohydrates |