Trial Outcomes & Findings for Rebif Advanced Magnetic Resonance Imaging (MRI) and Immunology Pilot Trial (NCT NCT01085318)

NCT ID: NCT01085318

Last Updated: 2018-02-23

Results Overview

To characterize the effect of Rebif on remyelination using VW-MTR dynamic mapping of NABT in subjects ith RRMS over 6 months of treatment compared to a group of healthy Control (HC).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

38 participants

Primary outcome timeframe

Baseline to Month 6

Results posted on

2018-02-23

Participant Flow

Recruitment took place at the clinic - June 16, 2010 through July 6, 2011

Relapsing Remitting Multiple Sclerosis (RRMS)Participants could not have received treatment within 3 months prior to Screening with interferon-beta-1a (Rebif®), IVIG or plasmapheresis

Participant milestones

Participant milestones
Measure
Arm 1 RRMS Patients
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
Healthy Control
Overall Study
STARTED
23
15
Overall Study
COMPLETED
21
15
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rebif Advanced Magnetic Resonance Imaging (MRI) and Immunology Pilot Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 RRMS Patients
n=23 Participants
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
n=15 Participants
Healthy Control
Total
n=38 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=5 Participants
15 Participants
n=7 Participants
38 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
39.9 years
STANDARD_DEVIATION 10.17 • n=5 Participants
36.7 years
STANDARD_DEVIATION 10.31 • n=7 Participants
38.6 years
STANDARD_DEVIATION 10.21 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
8 Participants
n=7 Participants
22 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
15 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Month 6

Population: The analysis were run on the Intent-to-Treat (ITT) set defined as all RRMS subjects with at least one injection of Rebif and all HC who signed the informed consent form. Missing data were not imputed.

To characterize the effect of Rebif on remyelination using VW-MTR dynamic mapping of NABT in subjects ith RRMS over 6 months of treatment compared to a group of healthy Control (HC).

Outcome measures

Outcome measures
Measure
Arm 1 RRMS Patients
n=21 Participants
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
n=13 Participants
Healthy Control
Change in Volume (in Millimeters Cubed) of Normal Appearing Brain Tissue (NABT) With Increasing (Indicative of Remyelination) Voxel-wise Magnetization Transfer Ratio (VW-MTR) From Baseline to 6 Months
1206.1 mm^3
Full Range 4081.621 • Interval 0.0 to 15278.1
342 mm^3
Full Range 291.890 • Interval 0.0 to 951.0

SECONDARY outcome

Timeframe: Baseline to Month 6

To characterize the effect of Rebif on demyelination using VW-MTR dynamic mapping of NABT in subjects ith RRMS over 6 months of treatment compared to a group of healthy Control (HC).

Outcome measures

Outcome measures
Measure
Arm 1 RRMS Patients
n=21 Participants
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
n=13 Participants
Healthy Control
Change in Volume (in Millimeters Cubed) of Normal Appearing Brain Tissue (NABT) With Decreasing (Indicative of Demyelination) Voxel-wise Magnetization Transfer Ratio (VW-MTR)From Baseline to 6 Months
941.99 mm^3
Full Range 1262.565 • Interval 0.0 to 6140.6
297 mm^3
Full Range 311.269 • Interval 0.0 to 852.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Over 6 months

Clinical Relapses

Outcome measures

Outcome measures
Measure
Arm 1 RRMS Patients
n=23 Participants
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
Healthy Control
Clinical Relapses
0.3 relapses per participant
Standard Deviation 0.88

OTHER_PRE_SPECIFIED outcome

Timeframe: Months

Time to First Clinical Relapse

Outcome measures

Outcome measures
Measure
Arm 1 RRMS Patients
n=23 Participants
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
Healthy Control
Time to First Clinical Relapse
2.5 months
Standard Deviation 1.88

Adverse Events

Arm 1 RRMS Patients

Serious events: 2 serious events
Other events: 22 other events
Deaths: 0 deaths

Arm 2 Healthy Control

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm 1 RRMS Patients
n=23 participants at risk
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
n=15 participants at risk
Healthy Control
Nervous system disorders
Multiple Sclerosis Relapse
4.3%
1/23 • Number of events 1
0.00%
0/15
Infections and infestations
Post procedural infection
4.3%
1/23 • Number of events 1
0.00%
0/15

Other adverse events

Other adverse events
Measure
Arm 1 RRMS Patients
n=23 participants at risk
Rebif 44 mcg sc tiw
Arm 2 Healthy Control
n=15 participants at risk
Healthy Control
General disorders
Influenza like illness
39.1%
9/23
0.00%
0/15
General disorders
Injection site reaction
34.8%
8/23
0.00%
0/15
Nervous system disorders
Multiple sclerosis relapse
21.7%
5/23
0.00%
0/15
General disorders
Fatigue
17.4%
4/23
0.00%
0/15
General disorders
Injection site pain
17.4%
4/23
0.00%
0/15
Infections and infestations
Nasopharyngitis
17.4%
4/23
13.3%
2/15
Nervous system disorders
Headache
13.0%
3/23
0.00%
0/15
Nervous system disorders
Migraine
13.0%
3/23
0.00%
0/15
Musculoskeletal and connective tissue disorders
Muscular weakness
13.0%
3/23
0.00%
0/15
Gastrointestinal disorders
Nausea
13.0%
3/23
0.00%
0/15
Injury, poisoning and procedural complications
Fall
8.7%
2/23
0.00%
0/15
Gastrointestinal disorders
Gastroenteritis viral
8.7%
2/23
0.00%
0/15
Psychiatric disorders
Insomnia
8.7%
2/23
0.00%
0/15
General disorders
Irritability
8.7%
2/23
0.00%
0/15
Nervous system disorders
Multiple sclerosis
8.7%
2/23
0.00%
0/15
Infections and infestations
Sinusitis
8.7%
2/23
0.00%
0/15
Injury, poisoning and procedural complications
Animal bite
0.00%
0/23
6.7%
1/15
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/23
6.7%
1/15
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/23
6.7%
1/15
Injury, poisoning and procedural complications
Head injury
0.00%
0/23
6.7%
1/15
Respiratory, thoracic and mediastinal disorders
Lower respiratory tract infection
0.00%
0/23
6.7%
1/15
Skin and subcutaneous tissue disorders
Rash
0.00%
0/23
6.7%
1/15
Respiratory, thoracic and mediastinal disorders
Upper respiratory tract infection
0.00%
0/23
6.7%
1/15
Infections and infestations
Urinary tract infection
0.00%
0/23
6.7%
1/15
Nervous system disorders
VIIth nerve paralysis
0.00%
0/23
6.7%
1/15

Additional Information

Fernando Dangond, MD FAAN

EMD Serono, Inc.

Phone: 781-681-2348

Results disclosure agreements

  • Principal investigator is a sponsor employee Neither Institution nor any Principal Investigators shall publish or present any results from such Study to any third parties until: (i) EMD Serono publishes the results from all sites participating in such Study; (ii) Institution receives notification from EMD Serono that publication of the multi-site results is no longer planned; or (iii) twenty-four (24) months following the completion of the multi-site study at all sites, whichever occurs first.
  • Publication restrictions are in place

Restriction type: OTHER