Trial Outcomes & Findings for Assessing Tolerability of Avonex Intramuscular Injections (NCT NCT01641120)

NCT ID: NCT01641120

Last Updated: 2016-02-01

Results Overview

The primary endpoint of the study was a change in patient self-reported 100 mm (10 cm) Visual Analogue Scale (VAS) score for pre-injection anxiety. VAS scale (min=0- max=100 mm (10cm)) 0= no anxiety; 100 mm (10 cm)=very severe anxiety. Data from Weeks 2 and 3 were combined and averaged to obtain a single value as both weeks a 30 gauge needle was used for injection. The 30 gauge needle VAS mean refers to the mean for pre-injection anxiety for that needle size. Data from Weeks 4 and 5 were combined and averaged to obtain a single value as both weeks a 25 gauge needle was used for injection. The 25 gauge needle VAS mean refers to the mean for pre-injection anxiety for that needle size.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

Weeks 2, 3, 4, 5

Results posted on

2016-02-01

Participant Flow

Participant milestones

Participant milestones
Measure
25 Gauge or 30 Gauge Needle
Avonex: Intramuscular injection administered using 25 gauge needle weeks 1, 4, and 5 and 30 gauge needle on weeks 2 and 3.
25 Gauge Needle Weeks 1, 4, 5
STARTED
20
25 Gauge Needle Weeks 1, 4, 5
COMPLETED
20
25 Gauge Needle Weeks 1, 4, 5
NOT COMPLETED
0
30 Gauge Needle Weeks 2 and 3
STARTED
20
30 Gauge Needle Weeks 2 and 3
COMPLETED
20
30 Gauge Needle Weeks 2 and 3
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Assessing Tolerability of Avonex Intramuscular Injections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=20 Participants
Avonex: Intramuscular injection administered using 30 gauge or 25 gauge needle
Age, Continuous
49 years
STANDARD_DEVIATION 10.41 • n=93 Participants
Sex: Female, Male
Female
15 Participants
n=93 Participants
Sex: Female, Male
Male
5 Participants
n=93 Participants
Race/Ethnicity, Customized
White
16 participants
n=93 Participants
Race/Ethnicity, Customized
Black
3 participants
n=93 Participants
Race/Ethnicity, Customized
Other
1 participants
n=93 Participants
Region of Enrollment
United States
20 participants
n=93 Participants

PRIMARY outcome

Timeframe: Weeks 2, 3, 4, 5

The primary endpoint of the study was a change in patient self-reported 100 mm (10 cm) Visual Analogue Scale (VAS) score for pre-injection anxiety. VAS scale (min=0- max=100 mm (10cm)) 0= no anxiety; 100 mm (10 cm)=very severe anxiety. Data from Weeks 2 and 3 were combined and averaged to obtain a single value as both weeks a 30 gauge needle was used for injection. The 30 gauge needle VAS mean refers to the mean for pre-injection anxiety for that needle size. Data from Weeks 4 and 5 were combined and averaged to obtain a single value as both weeks a 25 gauge needle was used for injection. The 25 gauge needle VAS mean refers to the mean for pre-injection anxiety for that needle size.

Outcome measures

Outcome measures
Measure
25 Gauge
n=20 Participants
Subjects used a 25 gauge needle for intramuscular injection of Avonex on weeks 4 and 5 of the study.
30 Gauge
n=20 Participants
Subjects used a 30 gauge needle for intramuscular injection of Avonex for weeks 2 and 3 of the study.
Change in Patient Visual Analog Scale Score for Pre-injection Anxiety
1.58 cm
Standard Deviation 2.25
2.22 cm
Standard Deviation 2.73

PRIMARY outcome

Timeframe: Weeks 2, 3, 4, 5

The primary endpoint of the study was a change in patient self-reported 100 mm (10 cm) Visual Analogue Scale (VAS) score for post-injection pain.VAS scale (min=0 - max=100 mm (10 cm)) 0= no pain; 100 mm (10 cm)=very severe pain. Data from Weeks 2 and 3 were combined and averaged to obtain a single value as both weeks a 30 gauge needle was used for injection. The 30 gauge needle VAS mean refers to the mean for post-injection pain for that needle size. Data from Weeks 4 and 5 were combined and averaged to obtain a single value as both weeks a 25 gauge needle was used for injection. The 25 gauge needle VAS mean refers to the mean for post-injection pain for that needle size.

Outcome measures

Outcome measures
Measure
25 Gauge
n=20 Participants
Subjects used a 25 gauge needle for intramuscular injection of Avonex on weeks 4 and 5 of the study.
30 Gauge
n=20 Participants
Subjects used a 30 gauge needle for intramuscular injection of Avonex for weeks 2 and 3 of the study.
Visual Analog Scale Score for Post-injection Pain
1.201 cm
Standard Deviation 1.22
0.764 cm
Standard Deviation 0.93

SECONDARY outcome

Timeframe: Weeks 2, 3, 4, 5

Secondary endpoint was assessment of fear of injection based on patient questionnaires completed prior to each injection. The patient will respond to each statement on a scale which ranges from 1 (almost always) to 4 (almost never). Data from Weeks 2 and 3 were combined and averaged to obtain a single value as both weeks a 30 gauge needle was used for injection. Mean describes fear of injection for the 30 gauge needle. Data from Weeks 4 and 5 were combined and averaged to obtain a single value as both weeks a 25 gauge needle was used for injection. Mean describes fear of injection for the 25 gauge needle.

Outcome measures

Outcome measures
Measure
25 Gauge
n=20 Participants
Subjects used a 25 gauge needle for intramuscular injection of Avonex on weeks 4 and 5 of the study.
30 Gauge
n=20 Participants
Subjects used a 30 gauge needle for intramuscular injection of Avonex for weeks 2 and 3 of the study.
Fear of Injection
1.38 units on a scale
Standard Deviation 0.509
1.41 units on a scale
Standard Deviation 0.558

SECONDARY outcome

Timeframe: Weeks 2, 3, 4, 5

Secondary endpoint was assessment of the perception of the needle based on patient questionnaires completed after each injection. The patient will respond to each statement on a scale which ranges from 1 (strongly agree) to 5 (strongly disagree). A total of 6 statements were given to the participant the more strongly the participant agreed with the statement, the more favorably they perceived the needle. Data from Weeks 2 and 3 were combined and averaged to obtain a single value as both weeks a 30 gauge needle was used for injection. Mean describes perception of the 30 gauge needle. Data from Weeks 4 and 5 were combined and averaged to obtain a single value as both weeks a 25 gauge needle was used for injection. Mean describes perception of the 25 gauge needle.

Outcome measures

Outcome measures
Measure
25 Gauge
n=20 Participants
Subjects used a 25 gauge needle for intramuscular injection of Avonex on weeks 4 and 5 of the study.
30 Gauge
n=20 Participants
Subjects used a 30 gauge needle for intramuscular injection of Avonex for weeks 2 and 3 of the study.
Perception of Needle
2.58 units on a scale
Standard Deviation 0.914
1.94 units on a scale
Standard Deviation 0.853

Adverse Events

25 Gauge

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

30 Gauge

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lindsay Tuttle, MPH

Mandell Center for Multiple Sclerosis, Mount Sinai Rehabilitation Hospital

Phone: 860-714-2149

Results disclosure agreements

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