Trial Outcomes & Findings for Study To Evaluate The Immunogenicity And Safety Of r-hIFN Beta-1a (Rebif®) Using Clone 484-39 In Multiple Sclerosis (NCT NCT00367484)

NCT ID: NCT00367484

Last Updated: 2014-02-27

Results Overview

Participants who were NAb+ at 48 weeks (or at the last available NAb assessment up to Week 48). The NAb+ value was defined as NAb ≥ 20 NU/ml.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

460 participants

Primary outcome timeframe

48 Weeks

Results posted on

2014-02-27

Participant Flow

Subjects were screened for enrollment from 27 May 2004 and attended the last visit on 30 January 2006. Four hundred and eighty four subjects were screened for enrollment and 460 were enrolled. Two subjects (0.4%) were excluded from the ITT Population since they had no post-Baseline NAb assessment due to withdrawing from the study prematurely.

At Week -4 (to Week -1), subjects provided written informed consent and underwent screening procedures. Twenty four subjects were not included in the study: the reasons were "Not met all eligibility criteria" (18 subjects) and "Other" (6 subjects)

Participant milestones

Participant milestones
Measure
Rebif® (Clone 484-39)
subcutaneously administered Rebif® 44mcg three times per week
Overall Study
STARTED
460
Overall Study
COMPLETED
443
Overall Study
NOT COMPLETED
17

Reasons for withdrawal

Reasons for withdrawal
Measure
Rebif® (Clone 484-39)
subcutaneously administered Rebif® 44mcg three times per week
Overall Study
Adverse Event
7
Overall Study
Withdrew informed consent
5
Overall Study
Travel to USA
1
Overall Study
Lost to Follow-up
1
Overall Study
Protocol Violation
1
Overall Study
The choice of the patient
1
Overall Study
Lack of Efficacy
1

Baseline Characteristics

Study To Evaluate The Immunogenicity And Safety Of r-hIFN Beta-1a (Rebif®) Using Clone 484-39 In Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rebif® (Clone 484-39)
n=458 Participants
subcutaneously administered Rebif® 44mcg three times per week
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
458 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
36.0 years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
336 Participants
n=5 Participants
Sex: Female, Male
Male
122 Participants
n=5 Participants
Region of Enrollment
Estonia
36 participants
n=5 Participants
Region of Enrollment
France
2 participants
n=5 Participants
Region of Enrollment
United Kingdom
13 participants
n=5 Participants
Region of Enrollment
Hungary
23 participants
n=5 Participants
Region of Enrollment
Lithuania
69 participants
n=5 Participants
Region of Enrollment
Morocco
5 participants
n=5 Participants
Region of Enrollment
Poland
69 participants
n=5 Participants
Region of Enrollment
Romania
87 participants
n=5 Participants
Region of Enrollment
Russian Federation
43 participants
n=5 Participants
Region of Enrollment
Serbia
80 participants
n=5 Participants
Region of Enrollment
Tunisia
31 participants
n=5 Participants
Neutralising Antibody (NAb) Status
458 Participants not testing NAb positive
n=5 Participants

PRIMARY outcome

Timeframe: 48 Weeks

Population: Intent To Treat (ITT) population, Last Observation Carried Forward (LOCF)

Participants who were NAb+ at 48 weeks (or at the last available NAb assessment up to Week 48). The NAb+ value was defined as NAb ≥ 20 NU/ml.

Outcome measures

Outcome measures
Measure
Rebif® (Clone 484-39)
n=458 Participants
subcutaneously administered Rebif® 44mcg three times per week
Number of Participants Testing Positive for Neutralising Antibody (NAb)
73 NAb+ participants

Adverse Events

Rebif® (Clone 484-39)

Serious events: 11 serious events
Other events: 378 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rebif® (Clone 484-39)
n=460 participants at risk
subcutaneously administered Rebif® 44mcg three times per week
Infections and infestations
Pneumonia
0.43%
2/460 • Number of events 2 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Herpes zoster
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Injection site abscess
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Injection site cellulitis
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Urinary tract infection
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Injury, poisoning and procedural complications
Ankle fracture
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Injury, poisoning and procedural complications
Fall
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Injury, poisoning and procedural complications
Thermal burn
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Parathyroid tumour benign
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma stage I
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Blood and lymphatic system disorders
Anaemia
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Cardiac disorders
Angina pectoris
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Endocrine disorders
Hyperparathyroidism primary
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Immune system disorders
Drug hypersensitivity
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Musculoskeletal and connective tissue disorders
Back pain
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.22%
1/460 • Number of events 1 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.

Other adverse events

Other adverse events
Measure
Rebif® (Clone 484-39)
n=460 participants at risk
subcutaneously administered Rebif® 44mcg three times per week
General disorders
Influenza like illness
40.9%
188/460 • Number of events 284 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
General disorders
Injection site erythema
14.6%
67/460 • Number of events 71 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
General disorders
Pyrexia
10.9%
50/460 • Number of events 57 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
General disorders
Fatigue
8.0%
37/460 • Number of events 40 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
General disorders
Chills
7.6%
35/460 • Number of events 39 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
General disorders
Asthenia
6.3%
29/460 • Number of events 35 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Nervous system disorders
Headache
28.0%
129/460 • Number of events 208 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Upper respiratory tract infection
8.0%
37/460 • Number of events 45 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Influenza
7.0%
32/460 • Number of events 58 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Infections and infestations
Urinary tract infection
5.9%
27/460 • Number of events 32 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Musculoskeletal and connective tissue disorders
Myalgia
9.3%
43/460 • Number of events 53 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Musculoskeletal and connective tissue disorders
Back pain
5.7%
26/460 • Number of events 36 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Gastrointestinal disorders
Nausea
5.2%
24/460 • Number of events 26 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Investigations
Alanine aminotransferase increased
5.4%
25/460 • Number of events 26 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Psychiatric disorders
Insomnia
6.7%
31/460 • Number of events 34 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders
8.7%
40/460 • Number of events 53 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.
Blood and lymphatic system disorders
Blood and lymphatic system disorders
7.8%
36/460 • Number of events 56 • 48 weeks
Comprehensive assessments of any apparent toxicity experienced by the subject were performed throughout the course of the study. Study site personnel reported any AE, whether observed by the Investigator or reported by the subject.

Additional Information

Bettina Stubinski/Senior Medical Director

Merck Serono, a division of Merck KGaA, Darmstadt, Germany

Phone: +49 6151 72 5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER