A Safety and Efficacy Study of Oral Prolonged-Release Fampridine (BIIB041) in Japanese Participants With Multiple Sclerosis

NCT ID: NCT01917019

Last Updated: 2017-03-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 101 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2013-08-31
• Study Completion Date: 2017-03-31

Brief Summary

This is a multicenter study conducted in 3 parts. Part A is a double-blind placebo-controlled parallel-group period, and Part B and C are open-label extension periods. The primary objective of the double-blind study (Part A) is to assess the effect of Prolonged-Release Fampridine treatment on walking speed as measured by the T25FW (timed 25 foot walk) in Japanese participants with Multiple Sclerosis. The secondary objective of the double-blind portion of the study is to evaluate the safety and tolerability of prolonged-release Fampridine in this study population. The primary objective of the open-label extension study (Part B) is to evaluate the long-term safety profile of prolonged-release Fampridine. The primary objective of the additional open-label extension (Part C) is to provide participants who complete the study with continued access to prolonged-release fampridine until marketed drug can be used at the applicable site or until sponsor decision to discontinue the study.

Conditions

Multiple Sclerosis, Remittent Progressive; Multiple Sclerosis, Primary Progressive; Relapsing-Remitting Multiple Sclerosis; Secondary Progressive Multiple Sclerosis; Multiple Sclerosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

Part A Placebo

Part A: All participants will receive placebo orally twice daily for the first 2 weeks and then be randomized to receive prolonged-release fampridine 10 mg or matching placebo tablets orally twice daily for up to 14 weeks.

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

matching placebo tablets

Part A prolonged-release fampridine

Part A: All participants will receive placebo orally twice daily for the first 2 weeks and then be randomized to receive prolonged-release fampridine 10 mg or matching placebo tablets orally twice daily for up to 14 weeks.

Group Type: EXPERIMENTAL

BIIB041 (fampridine)

Intervention Type: DRUG

fampridine prolonged-release tablets

Part B prolonged-release fampridine

Part B: Eligible participants will receive open label treatment with prolonged-release fampridine 10mg orally twice daily for up to 52 weeks.

Group Type: EXPERIMENTAL

BIIB041 (fampridine)

Intervention Type: DRUG

fampridine prolonged-release tablets

Part C prolonged-release fampridine

Part C: Eligible participants will receive open label treatment with prolonged-release fampridine 10mg orally twice daily until marketed product is available.

Group Type: EXPERIMENTAL

BIIB041 (fampridine)

Intervention Type: DRUG

fampridine prolonged-release tablets

Interventions

Placebo

matching placebo tablets

Intervention Type: DRUG

BIIB041 (fampridine)

fampridine prolonged-release tablets

Intervention Type: DRUG

Other Intervention Names

Fampyra; prolonged-release fampridine; dalfampridine; Ampyra

Eligibility Criteria

Inclusion Criteria

Part A

To be eligible to participate in Part A, candidates must meet the following eligibility criteria at screening or at the timepoint specified in the individual eligibility criterion listed (potential subjects who fail screening may be rescreened 1 time):

1. Must have a diagnosis of primary-progressive, secondary progressive, progressive relapsing, or relapsing-remitting MS as defined by the revised McDonald Committee criteria ([Lublin and Reingold 1996; McDonald 2001; Polman 2005]) of at least 2 months duration.

2. Must be able to complete the T25FW with or without a walking aid in 8 to 45 seconds at the screening visit.

Part B

To be eligible to participate in Part B, candidates must meet the following criteria at the Week 21 visit in Part A, which is the first visit for Part B:

1. Completed all visits in Part A of the study.

Part C

To be eligible to participate in Part C, candidates must meet the following criteria at the Week 52 visit in Part B, which is the first visit for Part C:

1. Completed all visits in Part B of the study.

Exclusion Criteria

1. Known allergy to pyridine-containing substances, or any of the inactive ingredients of the prolonged-release fampridine tablet

2. Any prior history of seizures, epilepsy, or other convulsive disorder, with the exception of febrile seizures in childhood, or prior history of epileptiform activity on electroencephalogram.

3. Any form of renal impairment as defined by a creatinine clearance (CrCl) of <80 mL/min (estimated by the central laboratory).

4. Known history of cardiac arrhythmia or cardiac conduction disorders requiring medical or surgical intervention, or any clinically significant ECG abnormality (as determined by the Investigator) at the screening visit or Day 1.

5. Any prior treatment with fampridine (4 AP) or 3,4 diaminopyridine in any formulation.

6. Treatment with an investigational drug or approved therapy for investigational use within 30 days (or 5 half lives, whichever is longer) prior to the screening visit.

7. Participation in an investigational study (with the exception of observational studies) within 30 days prior to the screening visit or plans to enroll in another interventional investigational study at any time during this study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Biogen

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

Research Site

Bunkyō City, , Japan

Research Site

Chiba, , Japan

Research Site

Fuchū, , Japan

Research Site

Fukuoka, , Japan

Research Site

Kawagoe-shi, , Japan

Research Site

Kodaira-shi, , Japan

Research Site

Kyoto, , Japan

Research Site

Morioka, , Japan

Research Site

Niigata, , Japan

Research Site

Obihiro, , Japan

Research Site

Osaka, , Japan

Research Site

Ōta-ku, , Japan

Research Site

Sapporo, , Japan

Research Site

Sendai, , Japan

Research Site

Shinjuku-ku, , Japan

Research Site

Suita-shi, , Japan

Research Site

Toon-shi, , Japan

Research Site

Ube-shi, , Japan

Research Site

Yachiyo-shi, , Japan

Countries

Japan

Other Identifiers

218MS304

Identifier Type: -

Identifier Source: org_study_id