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| Name | Class |
|---|---|
| Merck Hellas sa., Greece, an affiliate of Merck KGaA, Darmstadt, Germany | UNKNOWN |
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The main aim was to study in the real world setting the effectiveness of Cladribine tablets in terms of Annualized Relapse Rate (ARR) and disability progression, in participants who switched from a first line Disease Modifying Drug (DMD) (Interferons, Glatiramer Acetate, Teriflunomide, (Dymethyl fumarate) [DMF]) to treatment with Cladribine tablets in routine clinical practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cladribine |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cladribine | Drug | No intervention will be administered as a part of this study. Participants who had switched from first-line DMD treatments to treatment with cladribine tablets in routine clinical practice will be assessed for 2 years in this study. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Annualized Relapse Rate (ARR) Between the Pre-Baseline 12-Month Period (Baseline) and Over the 12 Months Period Before the End of Study Follow-Up (2 Years) | ARR defined as the number of relapses per year. A relapse was defined as the appearance of new symptoms or the exacerbation of pre-existing symptoms that were attributed to Multiple Sclerosis (MS) and occurred over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. Baseline ARR was defined as the total number of relapses reported in the last 12 months prior to Cladribine treatment. ARR 12-months prior to End Of Study was calculated as the sum of the number of MS relapses reported at Visit 3 and Visit 4 divided by the number of days between Visit 4 date and Visit 2 date and multiplied by 365.25. For a change from baseline, 95 percent (%) Confidence Interval (CI) for the difference were presented together with summary statistics. These CIs were included as a descriptive measure of effect. | 12-months pre-baseline (Baseline) and 12 Months Prior to End of Study follow up (2 years) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in ARR Between the Pre-Baseline 12-Month Period (Baseline) and Over the 12 Months Period After the Start of Cladribine (1 Year) | ARR defined as the number of relapses per year. A relapse was defined as the appearance of new symptoms or the exacerbation of pre-existing symptoms that were attributed to MS and occurred over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. ARR 12-months after start of Cladribine was calculated as the sum of the number of MS relapses reported at Visit 1 and Visit 2 divided by the number of days between Visit 2 date and Cladribine start date and multiplied by 365.25.For a change from baseline, 95% CIs for the difference were presented together with summary statistics. These CIs were included as a descriptive measure of effect. |
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Inclusion Criteria:
Exclusion Criteria:
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Participants with a confirmed diagnosis of Highly Active Relapsing-Remitting Multiple Sclerosis (RRMS).
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| Name | Affiliation | Role |
|---|---|---|
| Medical Responsible | Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KH der Barmherzige Brüder Eisenstadt - Neurology | Eisenstadt | Austria | ||||
| Dr. Reinhard Krendl-Head |
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| Label | URL |
|---|---|
| Trial Awareness and Transparency website | View source |
| Medical Information Location Map - Med Info Contacts | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cladribine | Participants with relapsing-remitting multiple sclerosis who had switched from first-line disease-modifying drug (DMD) treatments to cladribine tablets as part of routine clinical practice. No intervention was administered as part of this study. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 7, 2021 | May 20, 2025 |
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| 12-month pre-baseline period (baseline) and over the 12 months period after start of Cladribine treatment (1 year) |
| Percentage of Participants With 6-Month Disability Progression Measured With Expanded Disability Status Scale (EDSS) | EDSS assessed disability in 8 functional systems. It was a scale based on a standardized EDSS neurological examination, which comprised optic, brain stem, pyramidal, cerebellar, sensory, and cerebral functions, as well as walking ability. An overall score ranged from 0 (normal) to 10 (death due to MS) was calculated. Progression on EDSS was defined as at least a 1-point increase in the score or an increase of at least 1.5 points if the baseline EDSS score was 0. | At EOS (24 months follow-up) |
| Percentage of Participants With Overall 6-Month Disability Progression Measured With EDSS, Timed 25 Foot Walk (T25FW) or 9 Hole Peg Test (9HPT) | Disability progression was assessed if at least one assessment (EDSS, T25FW or 9HPT) was available. As per definition, disability progression was derived as "Yes" if at least one of the below cases occured: 1. Visit 4 EDSS is greater than (>=) equal to (≥) 1 point >= Visit 3 EDSS if Visit 3 EDSS is > 0; 2. Visit 4 EDSS is 1.5 or > when Visit 3 EDSS is 0; 3. 20% increase in the T25FW score (average of the two trials) from Visit 3 to Visit 4; 4. 20% increase in the 9HPT score (The two trials for each hand are averaged, converted to the reciprocals of the mean times for each hand and then the two reciprocals are averaged) from Visit 3 to Visit 4. If none of those cases occurred, disability progression will be set to "No". The percentage of participants with 6-month disability progression at the EOS was presented including associated 95% Clopper Pearson exact intervals. | At EOS (24 months follow-up) |
| Percentage of Participants With 6-Month Disability Improvement Measured With EDSS | EDSS assessed disability in 8 functional systems. It was a scale based on standardized neurological examination which comprised of optic, brain stem, pyramidal, cerebellar, sensory & cerebral functions, as well as walking ability. An overall score ranged from 0 (normal) to 10 (death due to MS) was calculated. Improvement on EDSS was defined as a decrease in EDSS by at least 1 point (1.5 points if baseline EDSS was 1.5). | At EOS (24 months follow-up) |
| Percentage of Participants With Overall 6-Month Disability Improvement Measured With EDSS, Timed 25 Foot Walk (T25FW) or 9 Hole Peg Test(9HPT) | Disability improvement was assessed if at least one assessment (EDSS, T25FW or 9HPT) was available. As per definition, disability improvement was derived as "Yes" if at least one of the below cases occur:1. Visit 4 EDSS is ≥1 point smaller than Visit 3 EDSS if Visit 3 EDSS is greater than 1.5;2. Visit 4 EDSS is 0 when Visit 3 EDSS is 1.5;3. 20% decrease in the T25FW score (average of the two trials) from Visit 3 to Visit 4;4. 20% decrease in the 9HPT score (The two trials for each hand are averaged, converted to the reciprocals of the mean times for each hand and then the two reciprocals are averaged) from Visit 3 to Visit 4. If none of those cases occurred, disability improvement was set to "No". The percentage of participants with 6-month disability improvement at the end of study was presented including associated 95% Clopper Pearson exact intervals. | At EOS (24 months follow-up) |
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) | An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. Serious AE: AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAEs are defined as AEs that were reported or worsened on or after start of study drug dosing through the Safety Follow-up Visit. TEAEs included both serious TEAEs and non-serious TEAEs. | From start of study up to 2 years |
| Quality of Life as Assessed by Multiple Sclerosis Impact Scale (MSIS-29) Score: Physical and Psychological Impact | MSIS-29 was a 29-item self-report measure with 20 items related to physical scale and 9 items with psychological scale. All items have 5 options:1-not at all to 5-extremely. Each of2 scales are scored by summing responses across items, converting to 0-100 scale where 100 indicates great impact of disease on daily function (worse health). Physical impact score computed by summing items 1-20 inclusive (observed score). This score was then transformed to a score on a scale of 0-100 using the formula:[100 multiplied by(observed score minus(-)20)] divided by(100-20). The psychological impact score was computed by summing items number21-29 inclusive(observed score). This score was then transformed to score on scale of 0-100 using the formula:[100 multiplied by(observed score minus 9)]divided by(45-9). Total score range ranges from 0-100, lower total score shows less psychological/physical-related impact while a higher total score indicated greater psychological/physical-related impact. | Baseline, Months 12 and 24 |
| Quality of Life as Assessed by EuroQol Quality of Life Questionnaire 5 Dimensions 3 Levels (EQ-5D-3L) | Quality of Life was measured using the EQ-5D-3L questionnaire. The EQ-5D-3L asks participants to rate the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. EQ-5D-5L VAS was used to record a participants rating for his/her current health-related quality of life state and captured on a vertical VAS (0-100), where 0 =worst imaginable health state and 100 = best imaginable health state. | Baseline, Months 12 and 24 |
| Treatment Satisfaction as Assessed by Treatment Satisfaction Questionnaire for Medication Version 1.4 (TSQM v1.4) Scale | TSQM version 1.4 was a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Global Satisfaction- Question 12 scored as 1 (not at all confident) to 5 (extremely confident); question 13 scored as 1 (not at all certain) to 5 (extremely certain); and question 14 scored as 1 (extremely dissatisfied) to 7 (extremely satisfied). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. | Months 6, 12, 18 and 24 |
| Number of Participants With Treatment Adherence | According to the World Health Organization (WHO), treatment adherence is defined as both compliance (taking the medication in the correct dose and according to the schedule prescribed) and persistency (maintenance of the drug regimen over the long-term). Adherence to treatment, calculated as 100 × Taken tablets/Prescribed tablets | Up to Month 24 |
| Sankt Veit an der Glan |
| Austria |
| Klinik Florisdorf | Vienna | Austria |
| University of Thrace, Medical School - Neurology Department | Alexandroupoli | Greece |
| 251 General Air Force Hospital | Athens | Greece |
| 417 NIMITS Hospital | Athens | Greece |
| Aeginiteion Hospital, University of Athens - A' Neurology Department | Athens | Greece |
| Attikon University Hospital | Athens | Greece |
| Evangelismos Hospital - Neurology Department | Athens | Greece |
| Genaral Hospital of Elefsina "Thriasio" | Athens | Greece |
| General Hospital of Athens "Evangelismos" | Athens | Greece |
| University of Ioannina - Neurology Department, Ioannina | Ioannina | Greece |
| University General Hospital of Larissa - Rheumatology Clinic | Larissa | Greece |
| Iatriko Palaioy Faliroy, Medical Center - Neurology Department | Palaió Fáliro | Greece |
| General Hospital of Patra "Agios Andreas" | Pátrai | Greece |
| University General Hospital of Patra | Pátrai | Greece |
| AHEPA General Hospital of Thessaloniki | Thessaloniki | Greece |
| General Hospital of Thessaloniki "G. Papanikolaou" | Thessaloniki | Greece |
| Interbalkan Hospital of Thessaloniki | Thessaloniki | Greece |
| Papageorgiou General Hospital Thessaloniki | Thessaloniki | Greece |
| St Luke's Hospital | Thessaloniki | Greece |
| Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII) - Dipartimento di Neurologia | Bergamo | Italy |
| Fondazione Istituto G.Giglio di Cefalù - Neurologia-Centro Sclerosi Multipla | Cefalù | Italy |
| Università degli Studi G. D'Annunzio | Chieti | Italy |
| Azienda Ospedaliera Universitaria Arcispedale Sant'Anna - Neurologia | Cona | Italy |
| Ospedali Riuniti di Foggia - Neurology | Foggia | Italy |
| Azienda Socio Sanitaria Territoriale della Valle Olona (presidio di Gallarate) - Neurologia 2 - Sclerosi Multipla | Gallarate | Italy |
| Ospedale San Luca - S.C.Oncologia | Lucca | Italy |
| ASL 1 Avezzano L'Aquila Sulmona- Ospedale Regionale San Salvatore - Dipartimento di Neurologia | L’Aquila | Italy |
| IRCCS Centro Neurolesi Bonino Pulejo - U.O. di Neurofisipatologia ed Ambulatori | Messina | Italy |
| Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli - U.O.S. Malattie Degenerative del S.N.C. | Naples | Italy |
| Ospedale Maggiore della carità - Novara | Novara | Italy |
| Centro di Riferimento Regionale per la Sclerosi Multipla (CRESM) - SCDO Neurologia | Orbassano | Italy |
| Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone - Dipartimento di Neuroscienze | Palermo | Italy |
| Azienda Ospedaliera di Udine Ospedale S. Maria della Misericordia - UO Neurologia | Perugia | Italy |
| Grande Ospedale Metropolitano "Bianchi Melacrino Morelli - Centro Regionale Epilessia | Reggio Calabria | Italy |
| Azienda Ospedaliera San Filippo Neri - Neurologia | Roma | Italy |
| Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza - Dip. di Neurologia e Psichiatria (servizio EMG) | Roma | Italy |
| A. O. U. San Giovanni Di Dio e Ruggi D'Aragona - Struttura Complessa di Oculistica | Salerno | Italy |
| Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma) - D.U.Neurologia | Verona | Italy |
| Vestre Viken HF Drammen Sykehus - former Sykehuset Buskerud | Drammen | Norway |
| Sykehuset Namsos | Namsos | Norway |
| Oslo Universitetssykehus HF - Ullevål | Oslo | Norway |
| Uniwersytecki Szpital Kliniczny w Bialymstoku - Dept of Neurology | Bialystok | Poland |
| Szpital Specjalistyczny im. L.Rydygiera w Krakowie - Neurology Department | Krakow | Poland |
| Szpital Uniwersytecki w Krakowie - Uniwersytet Jagiellonski Collegium Medicum | Krakow | Poland |
| Szpital Kliniczny im.Heliodora Swiecickiego Uniwersytetu Medycznego im.K. Marcinkowskiego w Poznaniu - Dept of Neurology | Poznan | Poland |
| Pomorski Uniwersytet Medyczny - Klinika Neurologii | Szczecin | Poland |
| Wojskowy Instytut Medyczny - Klinika Neurologiczna | Warsaw | Poland |
| SPZOZ Wojewodzki Szpital Specjalistyczny nr 3 w Rybniku | Żory | Poland |
| Centro Hospitalar de Lisboa Ocidental, E.P.E. - Hospital de Egas Moniz - Serviço de Neurologia | Lisbon | Portugal |
| Unidade Local de Saúde de Matosinhos, EPE (Hospital Pedro Hispano) - Serviço de Neurologia | Matosinhos Municipality | Portugal |
| Centro Hospitalar de São João, E.P.E. - Serviço de Neurologia | Porto | Portugal |
| Hospital Garcia de Orta, EPE - Serviço de Neurologia | Pragal | Portugal |
| Centro Hospitalar de Setubal, EPE - Hospital São Bernardo | Setúbal | Portugal |
| Unidade Local de Saúde do Alto Minho, EPE - Serviço de Neurologia | Viana de Castelo | Portugal |
| Inselspital - Universitaetsspital Bern - Neuropsychologische Rehabilitation, Neurologie | Bern | Switzerland |
| (CHUV), Centre Hospitalier Universitaire Vaudois - Departement des Neurosciences Cliniques | Lausanne | Switzerland |
| Luzerner Kantonsspital - Zentrum fuer Neurologie und Neurorehabilitation | Lucerne | Switzerland |
| Ospedale Regionale di Lugano - Neurologia | Lugano | Switzerland |
| Hôpital Régional Sion-Hérens-Conthey - Neurologie | Sion | Switzerland |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Cladribine | Participants with relapsing-remitting multiple sclerosis who had switched from first-line disease-modifying drug (DMD) treatments to cladribine tablets as part of routine clinical practice. No intervention was administered as part of this study. |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | Change in Annualized Relapse Rate (ARR) Between the Pre-Baseline 12-Month Period (Baseline) and Over the 12 Months Period Before the End of Study Follow-Up (2 Years) | ARR defined as the number of relapses per year. A relapse was defined as the appearance of new symptoms or the exacerbation of pre-existing symptoms that were attributed to Multiple Sclerosis (MS) and occurred over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. Baseline ARR was defined as the total number of relapses reported in the last 12 months prior to Cladribine treatment. ARR 12-months prior to End Of Study was calculated as the sum of the number of MS relapses reported at Visit 3 and Visit 4 divided by the number of days between Visit 4 date and Visit 2 date and multiplied by 365.25. For a change from baseline, 95 percent (%) Confidence Interval (CI) for the difference were presented together with summary statistics. These CIs were included as a descriptive measure of effect. | The Full Analysis Set (FAS) included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Mean | 95% Confidence Interval | relapses per year | 12-months pre-baseline (Baseline) and 12 Months Prior to End of Study follow up (2 years) |
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| Secondary | Change in ARR Between the Pre-Baseline 12-Month Period (Baseline) and Over the 12 Months Period After the Start of Cladribine (1 Year) | ARR defined as the number of relapses per year. A relapse was defined as the appearance of new symptoms or the exacerbation of pre-existing symptoms that were attributed to MS and occurred over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. ARR 12-months after start of Cladribine was calculated as the sum of the number of MS relapses reported at Visit 1 and Visit 2 divided by the number of days between Visit 2 date and Cladribine start date and multiplied by 365.25.For a change from baseline, 95% CIs for the difference were presented together with summary statistics. These CIs were included as a descriptive measure of effect. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. | Posted | Mean | 95% Confidence Interval | relapses per year | 12-month pre-baseline period (baseline) and over the 12 months period after start of Cladribine treatment (1 year) |
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| Secondary | Percentage of Participants With 6-Month Disability Progression Measured With Expanded Disability Status Scale (EDSS) | EDSS assessed disability in 8 functional systems. It was a scale based on a standardized EDSS neurological examination, which comprised optic, brain stem, pyramidal, cerebellar, sensory, and cerebral functions, as well as walking ability. An overall score ranged from 0 (normal) to 10 (death due to MS) was calculated. Progression on EDSS was defined as at least a 1-point increase in the score or an increase of at least 1.5 points if the baseline EDSS score was 0. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Number | 95% Confidence Interval | percentage of participants | At EOS (24 months follow-up) |
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| Secondary | Percentage of Participants With Overall 6-Month Disability Progression Measured With EDSS, Timed 25 Foot Walk (T25FW) or 9 Hole Peg Test (9HPT) | Disability progression was assessed if at least one assessment (EDSS, T25FW or 9HPT) was available. As per definition, disability progression was derived as "Yes" if at least one of the below cases occured: 1. Visit 4 EDSS is greater than (>=) equal to (≥) 1 point >= Visit 3 EDSS if Visit 3 EDSS is > 0; 2. Visit 4 EDSS is 1.5 or > when Visit 3 EDSS is 0; 3. 20% increase in the T25FW score (average of the two trials) from Visit 3 to Visit 4; 4. 20% increase in the 9HPT score (The two trials for each hand are averaged, converted to the reciprocals of the mean times for each hand and then the two reciprocals are averaged) from Visit 3 to Visit 4. If none of those cases occurred, disability progression will be set to "No". The percentage of participants with 6-month disability progression at the EOS was presented including associated 95% Clopper Pearson exact intervals. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Number | 95% Confidence Interval | percentage of participants | At EOS (24 months follow-up) |
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| Secondary | Percentage of Participants With 6-Month Disability Improvement Measured With EDSS | EDSS assessed disability in 8 functional systems. It was a scale based on standardized neurological examination which comprised of optic, brain stem, pyramidal, cerebellar, sensory & cerebral functions, as well as walking ability. An overall score ranged from 0 (normal) to 10 (death due to MS) was calculated. Improvement on EDSS was defined as a decrease in EDSS by at least 1 point (1.5 points if baseline EDSS was 1.5). | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Number | 95% Confidence Interval | percentage of participants | At EOS (24 months follow-up) |
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| Secondary | Percentage of Participants With Overall 6-Month Disability Improvement Measured With EDSS, Timed 25 Foot Walk (T25FW) or 9 Hole Peg Test(9HPT) | Disability improvement was assessed if at least one assessment (EDSS, T25FW or 9HPT) was available. As per definition, disability improvement was derived as "Yes" if at least one of the below cases occur:1. Visit 4 EDSS is ≥1 point smaller than Visit 3 EDSS if Visit 3 EDSS is greater than 1.5;2. Visit 4 EDSS is 0 when Visit 3 EDSS is 1.5;3. 20% decrease in the T25FW score (average of the two trials) from Visit 3 to Visit 4;4. 20% decrease in the 9HPT score (The two trials for each hand are averaged, converted to the reciprocals of the mean times for each hand and then the two reciprocals are averaged) from Visit 3 to Visit 4. If none of those cases occurred, disability improvement was set to "No". The percentage of participants with 6-month disability improvement at the end of study was presented including associated 95% Clopper Pearson exact intervals. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Number | 95% Confidence Interval | percentage of participants | At EOS (24 months follow-up) |
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| Secondary | Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs) | An AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product, regardless of causal relationship with this treatment. Therefore, an AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, regardless if it is considered related to the medicinal product. Serious AE: AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial/prolonged inpatient hospitalization; congenital anomaly/birth defect. TEAEs are defined as AEs that were reported or worsened on or after start of study drug dosing through the Safety Follow-up Visit. TEAEs included both serious TEAEs and non-serious TEAEs. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. | Posted | Count of Participants | Participants | From start of study up to 2 years |
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| Secondary | Quality of Life as Assessed by Multiple Sclerosis Impact Scale (MSIS-29) Score: Physical and Psychological Impact | MSIS-29 was a 29-item self-report measure with 20 items related to physical scale and 9 items with psychological scale. All items have 5 options:1-not at all to 5-extremely. Each of2 scales are scored by summing responses across items, converting to 0-100 scale where 100 indicates great impact of disease on daily function (worse health). Physical impact score computed by summing items 1-20 inclusive (observed score). This score was then transformed to a score on a scale of 0-100 using the formula:[100 multiplied by(observed score minus(-)20)] divided by(100-20). The psychological impact score was computed by summing items number21-29 inclusive(observed score). This score was then transformed to score on scale of 0-100 using the formula:[100 multiplied by(observed score minus 9)]divided by(45-9). Total score range ranges from 0-100, lower total score shows less psychological/physical-related impact while a higher total score indicated greater psychological/physical-related impact. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. . Here "Number Analyzed" signifies those participants who were evaluable at specific timepoint. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Months 12 and 24 |
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| Secondary | Quality of Life as Assessed by EuroQol Quality of Life Questionnaire 5 Dimensions 3 Levels (EQ-5D-3L) | Quality of Life was measured using the EQ-5D-3L questionnaire. The EQ-5D-3L asks participants to rate the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. EQ-5D-5L VAS was used to record a participants rating for his/her current health-related quality of life state and captured on a vertical VAS (0-100), where 0 =worst imaginable health state and 100 = best imaginable health state. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluated at the specified time point. | Posted | Mean | Standard Deviation | units on a scale | Baseline, Months 12 and 24 |
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| Secondary | Treatment Satisfaction as Assessed by Treatment Satisfaction Questionnaire for Medication Version 1.4 (TSQM v1.4) Scale | TSQM version 1.4 was a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Global Satisfaction- Question 12 scored as 1 (not at all confident) to 5 (extremely confident); question 13 scored as 1 (not at all certain) to 5 (extremely certain); and question 14 scored as 1 (extremely dissatisfied) to 7 (extremely satisfied). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. Here "Number Analyzed" signifies those participants who were evaluated at the specified time point. | Posted | Mean | Standard Deviation | units on a scale | Months 6, 12, 18 and 24 |
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| Secondary | Number of Participants With Treatment Adherence | According to the World Health Organization (WHO), treatment adherence is defined as both compliance (taking the medication in the correct dose and according to the schedule prescribed) and persistency (maintenance of the drug regimen over the long-term). Adherence to treatment, calculated as 100 × Taken tablets/Prescribed tablets | The FAS included all the participants who provided informed consent and who received at least one dose of Cladribine. . Here "Number Analyzed" signifies those participants who were evaluable for this outcome measure. | Posted | Count of Participants | Participants | Up to Month 24 |
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From start of study up to 2 years
Other AEs includes both serious and non-serious AEs as no separate NSAEs were calculated in the study.
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 | Cladribine | Participants with relapsing-remitting multiple sclerosis who had switched from first-line disease-modifying drug (DMD) treatments to cladribine tablets as part of routine clinical practice. No intervention was administered as part of this study. | 0 | 256 | 10 | 256 | 90 | 256 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Appendicitis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Multiple sclerosis relapse | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Drug-induced liver injury | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hepatitis acute | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Lymphopenia | Blood and lymphatic system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| COVID-19 | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Oral herpes | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Herpes zoster | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Coronavirus infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dysentery | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Fungal skin infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Respiratory tract infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Skin bacterial infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Varicella zoster virus infection | Infections and infestations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Multiple sclerosis relapse | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Occipital neuralgia | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Sensory disturbance | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Central nervous system lesion | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hypoaesthesia | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Lhermitte's sign | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Memory impairment | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Lymphopenia | Blood and lymphatic system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Transaminases increased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Blood pressure increased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| CD4 lymphocytes decreased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Gamma-glutamyltransferase increased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Lymphocyte count decreased | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| SARS-CoV-2 test positive | Investigations | MedDRA 26.1 | Non-systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dermatitis atopic | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Prurigo | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Seborrhoeic dermatitis | Skin and subcutaneous tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Pain | General disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Ankle fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Foot fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hand fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Tooth fracture | Injury, poisoning and procedural complications | MedDRA 26.1 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dental caries | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Haemorrhoidal haemorrhage | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Adjustment disorder with depressed mood | Psychiatric disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Panic attack | Psychiatric disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Tinnitus | Ear and labyrinth disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Deafness | Ear and labyrinth disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Deafness neurosensory | Ear and labyrinth disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Drug-induced liver injury | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hepatitis acute | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hypertransaminasaemia | Hepatobiliary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Pregnancy | Pregnancy, puerperium and perinatal conditions | MedDRA 26.1 | Non-systematic Assessment |
| |
| Morning sickness | Pregnancy, puerperium and perinatal conditions | MedDRA 26.1 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Upper airway obstruction | Respiratory, thoracic and mediastinal disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Hyperhomocysteinaemia | Metabolism and nutrition disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Ovarian germ cell teratoma benign | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 26.1 | Non-systematic Assessment |
| |
| Renal colic | Renal and urinary disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Cervical dysplasia | Reproductive system and breast disorders | MedDRA 26.1 | Non-systematic Assessment |
| |
| Raynaud's phenomenon | Vascular disorders | MedDRA 26.1 | Non-systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Communication Center | Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany | 6151-72-5200 | +49 | service@emdgroup.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 17, 2021 | May 20, 2025 | SAP_001.pdf |
| 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 |
|---|---|
| D017338 | Cladribine |
| ID | Term |
|---|---|
| D015762 | 2-Chloroadenosine |
| D000241 | Adenosine |
| D011684 | Purine Nucleosides |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D003839 | Deoxyadenosines |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012263 | Ribonucleosides |
Not provided
Not provided
| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Participants |
|
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