Rebif® Versus Copaxone® in the Treatment of Relapsing Remitting Multiple Sclerosis

NCT ID: NCT00078338

Last Updated: 2018-06-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

764 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-02-16

Study Completion Date

2006-11-28

Brief Summary

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The primary objective of the study is to assess the clinical efficacy of Rebif® 44 microgram (mcg) three times per week compared with Copaxone® 20 milligram (mg) daily in subjects with relapsing Multiple Sclerosis.

Detailed Description

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Conditions

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Relapsing-remitting Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rebif®

Group Type EXPERIMENTAL

Rebif®

Intervention Type DRUG

Subjects will be administered with Rebif® (Recombinant interferon beta-1a) as subcutaneous (SC) injection at a dose of 44 microgram (mcg) three times weekly (tiw).

Copaxone®

Group Type ACTIVE_COMPARATOR

Copaxone®

Intervention Type DRUG

Subjects will be administered with Copaxone® (Glatiramer acetate) as subcutaneous (SC) injection at a dose of 20 milligram (mg) once daily (qd).

Interventions

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Rebif®

Subjects will be administered with Rebif® (Recombinant interferon beta-1a) as subcutaneous (SC) injection at a dose of 44 microgram (mcg) three times weekly (tiw).

Intervention Type DRUG

Copaxone®

Subjects will be administered with Copaxone® (Glatiramer acetate) as subcutaneous (SC) injection at a dose of 20 milligram (mg) once daily (qd).

Intervention Type DRUG

Other Intervention Names

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Recombinant interferon beta-1a Glatiramer acetate

Eligibility Criteria

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Inclusion Criteria

* Be between 18 and 60 years of age
* Have definite relapsing multiple sclerosis
* Have had one or more relapses within the prior 12 months
* Must be in a clinically stable or improving neurological state during the four weeks prior to Study Day 1
* Expanded Disability Status Scale (EDSS) score from 0 to 5.5, inclusive
* If female, she must either be post-menopausal or surgically sterilized; or use a hormonal contraceptive, intra uterine device, diaphragm with spermicide, or condom with spermicide, for the duration of the study; and be neither pregnant nor breast-feeding
* Confirmation that the subject is not pregnant must be established by a negative serum human chorionic gonadotropin (hCG) pregnancy test within 7 days of Study Day 1 and a negative urine pregnancy test on Study Day 1. A pregnancy test is not required if the subject is post-menopausal or surgically sterilized
* Be willing and able to comply with the protocol for the duration of the study
* Voluntarily provide written informed consent and, for USA sites only, a subject authorization under Health Insurance Portability and Accountability Act (HIPAA), prior to any study-related procedure that is not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to their future medical care

Exclusion Criteria

* Have secondary progressive multiple sclerosis (SPMS) or primary progressive MS (PPMS)
* Prior use of any interferon or glatiramer acetate
* Have had treatment with oral or systemic corticosteroids or adrenocorticotrophic hormone (ACTH) within 4 weeks of Study Day 1 and within 7 days prior to the Day 1 magnetic resonance imaging (MRI)
* Have a psychiatric disorder that is unstable or would preclude safe participation in the study.
* Have significant leukopenia (white blood cell count \< 0.5 times the lower limit of normal of the central laboratory) within 7 days of Study Day 1.
* Have elevated liver function tests (alanine aminotransferase \[AST\], aspartate aminotransferase \[ALT\], alkaline phosphatase \> 2.0 times the upper limit of normal \[ULN\] of the central laboratory, or total bilirubin \> 1.5 times the ULN of the central laboratory) within 7 days of Study Day 1 or a history of hepatitis (including infectious or drug-induced)
* Prior cytokine or anti-cytokine therapy within 3 months prior to Study Day 1
* Prior use of immunomodulatory or immunosuppressive therapy (including but not limited to cyclophosphamide, cyclosporin, methotrexate, azathioprine, linomide, mitoxantrone) within the 12 months prior to Study Day 1
* Prior use of cladribine or have received total lymphoid irradiation
* Have allergy or hypersensitivity to human serum albumin, mannitol, glatiramer acetate, natural or recombinant interferon-β, or any other components of the study drugs or gadolinium diethylenetriaminepentaacetic acid
* Have taken intravenous immunoglobulin or any other investigational drug or taken part in any experimental procedure in the 6 months prior to Study Day 1.
* Presence of systemic disease that might interfere with subject safety, compliance or evaluation of the condition under study (e.g. insulin-dependent diabetes, Lyme disease, clinically significant cardiac disease, human immunodeficiency virus \[HIV\], human T-cell lymphotrophic virus type I \[HTLV-1\])
* Have had plasma exchange in 3 months prior to Study Day 1.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

EMD Serono

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck KGaA, Darmstadt, Germany

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Barrow Neurology Clinics

Phoenix, Arizona, United States

Site Status

Northwest NeuroSpecialists

Tucson, Arizona, United States

Site Status

University of California, Davis

Sacramento, California, United States

Site Status

Kaiser Permanente Neurology

San Diego, California, United States

Site Status

Advanced Neurology of Colorado, LLC

Fort Collins, Colorado, United States

Site Status

The MS Treatment Center at Griffin Hospital

Derby, Connecticut, United States

Site Status

Associated Neurologists of Southern Connecticut, P.C.

Fairfield, Connecticut, United States

Site Status

Neurological Center of South Florida

Miami, Florida, United States

Site Status

Harbourside Medical Plaza

Tampa, Florida, United States

Site Status

Shepherd Center

Atlanta, Georgia, United States

Site Status

University Chicago Hospitals

Chicago, Illinois, United States

Site Status

Consultants In Neurology, Ltd.

Northbrook, Illinois, United States

Site Status

Fort Wayne Neurological Center

Fort Wayne, Indiana, United States

Site Status

University of Maryland MD Center for MS

Baltimore, Maryland, United States

Site Status

University Of Michigan

Ann Arbor, Michigan, United States

Site Status

Wayne State University

Detroit, Michigan, United States

Site Status

Henry Ford Hospital Dept of Neurology

Detroit, Michigan, United States

Site Status

The Minneapolis Clinic of Neurology

Golden Valley, Minnesota, United States

Site Status

University of Minnesota Medical School, Dept of Neurology

Minneapolis, Minnesota, United States

Site Status

Nevada Neurological Consultants

Henderson, Nevada, United States

Site Status

Albany Medical College Dept of Neurology MC-70

Albany, New York, United States

Site Status

Neurology University of Rochester

Rochester, New York, United States

Site Status

SUNY At Stony Brook U Hospital - Department of Neurology

Stony Brook, New York, United States

Site Status

SUNY Upstate Medical University Dept of Neurology

Syracuse, New York, United States

Site Status

MS Center/CHS

Charlotte, North Carolina, United States

Site Status

Wake Forest Univ. Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Oak Clinic for Multiple Sclerosis

Uniontown, Ohio, United States

Site Status

Medford Neurological and Spine Clinic

Medford, Oregon, United States

Site Status

University Of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University Physicians Dept of Neurology

Philadelphia, Pennsylvania, United States

Site Status

Baptist West Hospital

Knoxville, Tennessee, United States

Site Status

University of Texas-Houston

Houston, Texas, United States

Site Status

Central Texas Neurology

Round Rock, Texas, United States

Site Status

Neurology Health Care Service / Fletcher Allen Health Care

Burlington, Vermont, United States

Site Status

Neurology Center of Fairfax

Fairfax, Virginia, United States

Site Status

Blue Ridge Research Center

Roanoke, Virginia, United States

Site Status

Minor & James Medical, PLLC

Seattle, Washington, United States

Site Status

CAMC Institute

Charleston, West Virginia, United States

Site Status

Center for Neurological Disorders

Milwaukee, Wisconsin, United States

Site Status

Servicio de Neurologia

Buenos Aires, , Argentina

Site Status

Departmento Enfermedades Desmielinizantes

Buenos Aires, , Argentina

Site Status

Servicio de Neurologia Departmento Enfermedades Desmielinizantes

Buenos Aires, , Argentina

Site Status

Seccion Neurolgia Instituto INEBA

Buenos Aires, , Argentina

Site Status

Fundacion Rosarina de Neurorehabilitacion

Rosario, , Argentina

Site Status

Dept Neurologia Sanatorio Britanico de Rosario

Rosario, , Argentina

Site Status

OO Landes-Nervenklinik

Linz, , Austria

Site Status

Campus Ribeirao Preto Faculdade de Medicina de Sao Paolo

Riberao Preto-SP, , Brazil

Site Status

Dept of Neurology CHU Timone

Marseille, , France

Site Status

Hopital Pontchaillou

Rennes, , France

Site Status

Dept of Neurology Johannes Gutenberg University

Mainz, , Germany

Site Status

Dept of Neurology Universitatsklinikum Munster

Münster, , Germany

Site Status

Dept of Neurological and Psychiatric Sciences University of Bari

Bari, , Italy

Site Status

Dept of Neurosciences Oftamology and Genetics Univ of Genoa

Genoa, , Italy

Site Status

Dept Neurology Ospedale San Raffaele

Milan, , Italy

Site Status

Dept of Neurological Sciences University La Sapienza Rome

Rome, , Italy

Site Status

Academisch Ziekenhuis Vrije Universiteit

Amsterdam, , Netherlands

Site Status

MS Center Nijmegen

Nijmegen, , Netherlands

Site Status

City Clinical Hospital No 83

Moscow, , Russia

Site Status

Dept Of Neurology and Neurosurgery, Russian State Med Univ

Moscow, , Russia

Site Status

State Instituion Central Clinical Milatary Hospital

Moscow, , Russia

Site Status

Scientific Research Center of Neurology Russian MOH

Moscow, , Russia

Site Status

Department of Neurology City Hospital #33

Nizhny Novgorod, , Russia

Site Status

Institute of Clinical Immunology RAMS

Novosibirsk, , Russia

Site Status

Military Medical Academy

Saint Petersburg, , Russia

Site Status

Dept of Neurology St Petersburg State Medical University

Saint Petersburg, , Russia

Site Status

Dept of MS Institute for Human Brain of R.A.Sci

Saint Petersburg, , Russia

Site Status

Dept of Neurology Medical Clinic of Russian MoH

Saint Petersburg, , Russia

Site Status

Chair of Nuerological Diseases and Medical Genetics

Yaroslavl, , Russia

Site Status

Neuroinmunologia Clinica Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

Servicio de Neurologia Hospital Bellvitge

L'Hospitalet de Llobregat, , Spain

Site Status

Neurologia Hospital Carlos Haya

Málaga, , Spain

Site Status

Unidad de EM Neurologia Hospital Virgen Macarena

Seville, , Spain

Site Status

Dept Of Neurology

Zurich, , Switzerland

Site Status

Department of Neurology

Whitechapel, London, United Kingdom

Site Status

Department Of Neurology Royal London Hospital

London, , United Kingdom

Site Status

Royal Victoria Infirmary

Newcastle upon Tyne, , United Kingdom

Site Status

Div of Clinical Neurology B Floor Medical School Univ Hospital

Nottingham, , United Kingdom

Site Status

Division of Clinical Neurology Medical School Universtity Hopsital

Nottingham, , United Kingdom

Site Status

Countries

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United States Argentina Austria Brazil France Germany Italy Netherlands Russia Spain Switzerland United Kingdom

References

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Mikol DD, Barkhof F, Chang P, Coyle PK, Jeffery DR, Schwid SR, Stubinski B, Uitdehaag B; REGARD study group. Comparison of subcutaneous interferon beta-1a with glatiramer acetate in patients with relapsing multiple sclerosis (the REbif vs Glatiramer Acetate in Relapsing MS Disease [REGARD] study): a multicentre, randomised, parallel, open-label trial. Lancet Neurol. 2008 Oct;7(10):903-14. doi: 10.1016/S1474-4422(08)70200-X. Epub 2008 Sep 11.

Reference Type RESULT
PMID: 18789766 (View on PubMed)

Other Identifiers

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24735

Identifier Type: -

Identifier Source: org_study_id

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