Phase II Study of Teriflunomide as Adjunctive Therapy to Interferon-beta in Subjects With Multiple Sclerosis

NCT ID: NCT00489489

Last Updated: 2012-11-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2009-06-30

Brief Summary

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The primary objective was to estimate the tolerability and safety of 2 doses of teriflunomide administered once daily for 24 weeks, compared with placebo, in patients with multiple sclerosis \[MS\] with relapses who were on a stable dose of interferon-β \[IFN-β\].

Secondary objectives were:

* to estimate the effects of the 2 doses of teriflunomide, compared to placebo, in combination with a stable dose of IFN-β on Magnetic Resonance Imaging \[MRI\] parameters, relapse rate and patient-reported fatigue;
* to perform pharmacokinetic analyses of the 2 doses of teriflunomide in combination with a stable dose of IFN-β.

Detailed Description

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The study period per participant was approximatively 44 weeks broken down as follows:

* Screening period up to 4 weeks,
* 24-week double-blind treatment period\*,
* 16-week post-treatment elimination follow-up period.

'\*' participants successfully completing the week 24 visit were offered the opportunity to enter the optional long-term extension study LTS6047 - NCT00811395.

Conditions

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Multiple Sclerosis

Keywords

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MS interferon-beta adjunctive therapy relapses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Teriflunomide 7 mg + IFN-β

Teriflunomide 7 mg once daily concomitantly with Interferon-β (IFN-β) for 24 weeks

Group Type EXPERIMENTAL

Teriflunomide

Intervention Type DRUG

Film-coated tablet

Oral administration

Interferon-β

Intervention Type DRUG

Powder for reconstitution, of any licensed strength for either intramuscular or subcutaneous injection

Teriflunomide 14 mg + IFN-β

Teriflunomide 14 mg once daily concomitantly with Interferon-β (IFN-β) for 24 weeks

Group Type EXPERIMENTAL

Teriflunomide

Intervention Type DRUG

Film-coated tablet

Oral administration

Interferon-β

Intervention Type DRUG

Powder for reconstitution, of any licensed strength for either intramuscular or subcutaneous injection

Placebo + IFN-β

Placebo (for Teriflunomide) once daily concomitantly with Interferon-β (IFN-β) for 24 weeks

Group Type PLACEBO_COMPARATOR

Placebo (for Teriflunomide)

Intervention Type DRUG

Film-coated tablet

Oral administration

Interferon-β

Intervention Type DRUG

Powder for reconstitution, of any licensed strength for either intramuscular or subcutaneous injection

Interventions

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Teriflunomide

Film-coated tablet

Oral administration

Intervention Type DRUG

Placebo (for Teriflunomide)

Film-coated tablet

Oral administration

Intervention Type DRUG

Interferon-β

Powder for reconstitution, of any licensed strength for either intramuscular or subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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HMR1726 Avonex® Rebif® Betaseron®

Eligibility Criteria

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Inclusion Criteria

* Definite MS diagnosis according to McDonald's criteria;
* Relapsing clinical course, with or without progression;
* Expanded Disability Status Scale \[EDSS\] less or equal to 5.5 (ambulatory);
* Stable dose of IFN-β for at least 26 weeks prior to the screening visit;
* No onset of MS relapse in the preceding 60 days prior to randomization;
* Clinically stable for 4 weeks prior to randomization.

Exclusion Criteria

* Other chronic disease of the immune system, liver function impairment or chronic pancreatic disease;
* Pregnant or nursing woman;
* Alcohol or drug abuse;
* Use of cladribine, mitoxantrone, or other immunosuppressant agents such as azathioprine, cyclophosphamide, cyclosporin, methotrexate or mycophenolate before enrollment;
* Human immunodeficiency virus \[HIV\] positive status;
* Any known condition or circumstance that would prevent in the investigator's opinion compliance or completion of the study.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ICD

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, United States

Site Status

Sanofi-Aventis Administrative Office

Laval, , Canada

Site Status

Sanofi-Aventis Administrative Office

Berlin, , Germany

Site Status

Sanofi-Aventis Administrative Office

Milan, , Italy

Site Status

Sanofi-Aventis Administrative Office

Barcelona, , Spain

Site Status

Countries

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Poland United States Canada Germany Italy Spain

References

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Freedman MS, Wolinsky JS, Wamil B, Confavreux C, Comi G, Kappos L, Olsson TP, Miller A, Benzerdjeb H, Li H, Simonson C, O'Connor PW; Teriflunomide Multiple Sclerosis Trial Group and the MRI Analysis Center. Teriflunomide added to interferon-beta in relapsing multiple sclerosis: a randomized phase II trial. Neurology. 2012 Jun 5;78(23):1877-85. doi: 10.1212/WNL.0b013e318258f7d4. Epub 2012 May 23.

Reference Type RESULT
PMID: 22622860 (View on PubMed)

Other Identifiers

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2006-003134-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

HMR1726D-2003

Identifier Type: OTHER

Identifier Source: secondary_id

PDY6045

Identifier Type: -

Identifier Source: org_study_id