Trial Outcomes & Findings for Rebif New Formulation (RNF) in Relapsing Forms of Multiple Sclerosis (NCT NCT00110396)

NCT ID: NCT00110396

Last Updated: 2015-07-15

Results Overview

The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

260 participants

Primary outcome timeframe

96 weeks

Results posted on

2015-07-15

Participant Flow

Participants were enrolled from 25 Jan 2005 and attended the last visit on 16 April 2007. Two hundred and eighty two participants were screened for enrollment and 260 were enrolled.

Screening phase of up to 28 days before the start of interferon-beta-1a treatment. There were 47 centres in: Argentina (5), Australia (4),Canada (1), Denmark (1),Ireland (2), Israel (2), Lithuania(2), Russia (10), Spain (4), Sweden (1), UK (5) and US (10). 1 additional centre in Australia screened 1 participant who was not enrolled into the trial.

Participant milestones

Participant milestones
Measure
Rebif New Formulation (RNF) Cohort
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Overall Study
STARTED
260
Overall Study
COMPLETED
224
Overall Study
NOT COMPLETED
36

Reasons for withdrawal

Reasons for withdrawal
Measure
Rebif New Formulation (RNF) Cohort
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Overall Study
Adverse Event
15
Overall Study
Lost to Follow-up
1
Overall Study
Administration of plasmapheresis
1
Overall Study
Initiated mitoxantrone therapy
1
Overall Study
Lack of Efficacy
1
Overall Study
Decided not to continue treatment
1
Overall Study
Patient non-compliance
1
Overall Study
Patient refused to continue
1
Overall Study
Patient refused to participate
1
Overall Study
Patient will
1
Overall Study
Patient's decision
1
Overall Study
Participation in MS vaccine study
1
Overall Study
Pregnancy
1
Overall Study
Pregnancy (Protocol violation)
2
Overall Study
Protocol Violation
2
Overall Study
Patient refused to come back
1
Overall Study
The patient has refused
2
Overall Study
The patient has refused to visit site
1
Overall Study
Patient is to be administered copaxone
1

Baseline Characteristics

Rebif New Formulation (RNF) in Relapsing Forms of Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rebif New Formulation (RNF) Cohort
n=260 Participants
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
260 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
34.9 years
STANDARD_DEVIATION 9.5 • n=5 Participants
Sex: Female, Male
Female
186 Participants
n=5 Participants
Sex: Female, Male
Male
74 Participants
n=5 Participants
Region of Enrollment
Argentina
14 participants
n=5 Participants
Region of Enrollment
Australia
10 participants
n=5 Participants
Region of Enrollment
Canada
4 participants
n=5 Participants
Region of Enrollment
Denmark
4 participants
n=5 Participants
Region of Enrollment
Ireland
4 participants
n=5 Participants
Region of Enrollment
Israel
4 participants
n=5 Participants
Region of Enrollment
Lithuania
20 participants
n=5 Participants
Region of Enrollment
Russian Federation
134 participants
n=5 Participants
Region of Enrollment
Spain
13 participants
n=5 Participants
Region of Enrollment
Sweden
5 participants
n=5 Participants
Region of Enrollment
United Kingdom
23 participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants

PRIMARY outcome

Timeframe: 96 weeks

Population: ITT (One participant did not have any post-baseline NAb assessments). LOCF imputation

The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay.

Outcome measures

Outcome measures
Measure
Rebif New Formulation (RNF) Cohort
n=259 Participants
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Number of Participants Who Were Neutralising Antibody (NAb) Positive at the Week 96 Visit.
45 participants

SECONDARY outcome

Timeframe: 96 weeks

Population: ITT (One participant did not have any post-baseline NAb assessments). LOCF imputation

The NAb positive value was defined as NAb value greater or equal to 20 NU/mL. NAbs were detected using a viral cytopathic assay.

Outcome measures

Outcome measures
Measure
Rebif New Formulation (RNF) Cohort
n=259 Participants
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Number of Participants Who Were Neutralising Antibody (NAb) Positive at Anytime During the Study
49 participants

SECONDARY outcome

Timeframe: 96 weeks

Population: ITT (One participant did not have any post-baseline NAb assessments) LOCF imputation

Presence of BAbs. BAbs were measured by ELISA (Enzyme-linked immunosorbent assay).

Outcome measures

Outcome measures
Measure
Rebif New Formulation (RNF) Cohort
n=259 Participants
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Number of Participants With Binding Antibodies (BAb) at Week 96
74 Participants

Adverse Events

Rebif New Formulation (RNF) Cohort

Serious events: 15 serious events
Other events: 247 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rebif New Formulation (RNF) Cohort
n=260 participants at risk
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
Injury, poisoning and procedural complications
Drug toxicity
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Injury, poisoning and procedural complications
Humerus fracture
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Injury, poisoning and procedural complications
Joint dislocation
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Injury, poisoning and procedural complications
Limb injury
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Injury, poisoning and procedural complications
Near drowning
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Psychiatric disorders
Depression
1.2%
3/260 • Number of events 3 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Psychiatric disorders
Hypomania
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Reproductive system and breast disorders
Endometriosis
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Reproductive system and breast disorders
Menstrual disorder
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Reproductive system and breast disorders
Ovarian cyst ruptured
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Gastrointestinal disorders
Coeliac disease
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Gastrointestinal disorders
Periproctitis
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Investigations
Alanine aminotransferase increased
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Investigations
Aspartate aminotransferase increased
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Cardiac disorders
Angina unstable
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Infections and infestations
Pneumonia
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Metabolism and nutrition disorders
Diabetes mellitus non-insulin-dependent
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Renal and urinary disorders
Renal colic
0.38%
1/260 • Number of events 1 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.

Other adverse events

Other adverse events
Measure
Rebif New Formulation (RNF) Cohort
n=260 participants at risk
Interferon-beta-1a FBS-free/HSA-free Pre-filled syringes 44mcg/injected subcutaneous 3x per week
General disorders
Pyrexia
6.9%
18/260 • Number of events 32 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Chills
6.9%
18/260 • Number of events 24 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Blood and lymphatic system disorders
Neutropenia
6.9%
18/260 • Number of events 23 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Infections and infestations
Nasopharyngitis
6.5%
17/260 • Number of events 22 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Gastrointestinal disorders
Diarrhoea
6.5%
17/260 • Number of events 21 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Injection site pain
6.5%
17/260 • Number of events 21 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Asthenia
6.2%
16/260 • Number of events 25 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Infections and infestations
Viral upper respiratory tract infection
5.8%
15/260 • Number of events 25 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Investigations
Aspartate aminotransferase increased
5.8%
15/260 • Number of events 19 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Infections and infestations
Urinary tract infection
5.4%
14/260 • Number of events 27 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Gastrointestinal disorders
Vomiting
5.0%
13/260 • Number of events 16 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Psychiatric disorders
Insomnia
5.0%
13/260 • Number of events 14 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Musculoskeletal and connective tissue disorders
Back pain
10.0%
26/260 • Number of events 31 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Injection site haemorrhage
9.6%
25/260 • Number of events 30 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Fatigue
9.2%
24/260 • Number of events 26 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Infections and infestations
Upper respiratory tract infection
8.8%
23/260 • Number of events 36 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Musculoskeletal and connective tissue disorders
Arthralgia
8.1%
21/260 • Number of events 32 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Musculoskeletal and connective tissue disorders
Pain in extremity
7.7%
20/260 • Number of events 26 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Investigations
Alanine aminotransferase increased
7.3%
19/260 • Number of events 22 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Nervous system disorders
Dizziness
7.3%
19/260 • Number of events 22 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Influenza like illness
67.7%
176/260 • Number of events 329 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Nervous system disorders
Headache
37.7%
98/260 • Number of events 229 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
General disorders
Injection site erythema
24.2%
63/260 • Number of events 76 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.
Gastrointestinal disorders
Nausea
10.0%
26/260 • Number of events 34 • Adverse event reporting began at signature of informed consent and continued until 4 weeks after the last administration of trial medication.
Investigator recorded AE's at every visit.

Additional Information

Bettina Stubinski/Medical Responsible

Merck Serono SA

Phone: +41224143396

Results disclosure agreements

  • Principal investigator is a sponsor employee SPONSOR shall have the right to publish or present any results or information, including the Study Results, arising in connection with the STUDY for any purposes. The INSTITUTION, its officers, agents, employees and affiliated entities shall not publish or use any results or information arising in connection with the STUDY, including the Study Results, for professional, research, training or other purposes without SPONSOR's prior written consent.
  • Publication restrictions are in place

Restriction type: OTHER