Study of Montelukast on Gastrointestinal Tolerability in Patients With Relapsing Forms of Multiple Sclerosis Receiving Tecfidera

NCT ID: NCT02410278

Last Updated: 2020-03-31

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-12

Study Completion Date

2017-04-27

Brief Summary

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The primary objective of this study is to evaluate whether montelukast can reduce the severity of gastrointestinal (GI) events, measured by the Gastrointestinal Symptom Rating Scale (GSRS), after oral administration of dimethyl fumarate (DMF) in participants with relapsing forms of Multiple Sclerosis (MS). The secondary objectives of this study are as follows: To evaluate whether montelukast after oral administration of DMF in participants with relapsing forms of MS decreases discontinuations due to GI events and reduces the number of participants taking symptomatic therapies for GI events; To investigate the effect of montelukast on the incidence of flushing events after oral administration of 240 mg DMF in participants with relapsing forms of MS.

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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DMF plus montelukast

DMF as described in the United States Prescribing Information (USPI) plus 10mg montelukast tablet once daily according to the prevailing product label (Singulair)

Group Type EXPERIMENTAL

dimethyl fumarate

Intervention Type DRUG

Starting dose of 120 mg twice daily orally After 7 days, maintenance dose of 240 mg twice daily orally

montelukast

Intervention Type DRUG

As described in the treatment arm

DMF plus placebo

DMF as described in the USPI plus matched placebo

Group Type EXPERIMENTAL

dimethyl fumarate

Intervention Type DRUG

Starting dose of 120 mg twice daily orally After 7 days, maintenance dose of 240 mg twice daily orally

Placebo

Intervention Type DRUG

Matched placebo

Interventions

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dimethyl fumarate

Starting dose of 120 mg twice daily orally After 7 days, maintenance dose of 240 mg twice daily orally

Intervention Type DRUG

montelukast

As described in the treatment arm

Intervention Type DRUG

Placebo

Matched placebo

Intervention Type DRUG

Other Intervention Names

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BG00012 Tecfidera DMF Singulair

Eligibility Criteria

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Inclusion Criteria

* Reside in the United States and have a confirmed diagnosis of a relapsing form of MS and satisfy the therapeutic indication as described in the local label
* As perceived by the Investigator, have the ability to comply with all requirements of the study protocol and to operate the eDiary required to record GI-related events
* Female participants of childbearing potential who are not surgically sterile must practice effective contraception during their participation in the study and be willing and able to continue contraception for 30 days after they complete or withdraw from the study. All men must practice effective contraception, and they should not donate sperm throughout the study and for at least 90 days after their last dose of study treatment.

Exclusion Criteria

* History of significant GI disease (for example, irritable bowel disease, peptic ulcer disease, history of major GI surgery, eosinophilic GI disease, or food allergies)
* Chronic use (≥7 consecutive days) of bismuth subsalicylate, simethicone, calcium carbonate, loperamide, proton-pump inhibitors, or ondansetron within 1 month prior to the Screening Visit
* Use of the following medications: montelukast, immunotherapy, mast cell stabilizers, or parenteral, inhaled, or oral steroids up to 1 month prior to the Screening Visit. Use of these medications is also not permitted for the duration of the study (except for the use of montelukast as per study protocol) and will lead to discontinuation
* Have one or more major comorbidities that, in the opinion of the Investigator, may affect the outcome of the study
* History of malignancy (except for basal cell carcinoma that had been completely excised prior to study entry), severe allergic or anaphylactic reactions or known drug hypersensitivity, abnormal laboratory results indicative of any significant disease, and/or a major disease that would preclude participation in a clinical study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biogen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Biogen

Locations

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Research Site

Jonesboro, Arkansas, United States

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Carmichael, California, United States

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La Jolla, California, United States

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La Mesa, California, United States

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Pomona, California, United States

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Simi Valley, California, United States

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Aurora, Colorado, United States

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Colorado Springs, Colorado, United States

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Fairfield, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Jacksonville, Florida, United States

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Naples, Florida, United States

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Ormond Beach, Florida, United States

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Sunrise, Florida, United States

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Rome, Georgia, United States

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Smyrna, Georgia, United States

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Chicago, Illinois, United States

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Flossmoor, Illinois, United States

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Indianapolis, Indiana, United States

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Louisville, Kentucky, United States

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Scarborough, Maine, United States

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Farmington Hills, Michigan, United States

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Chesterfield, Missouri, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Freehold, New Jersey, United States

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Amherst, New York, United States

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New York, New York, United States

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Patchogue, New York, United States

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Hendersonville, North Carolina, United States

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Raleigh, North Carolina, United States

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Sanford, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Dayton, Ohio, United States

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Dayton, Ohio, United States

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Uniontown, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Tualatin, Oregon, United States

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Dickson City, Pennsylvania, United States

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Greensburg, Pennsylvania, United States

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Hershey, Pennsylvania, United States

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Wilkes-Barre, Pennsylvania, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Round Rock, Texas, United States

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Alexandria, Virginia, United States

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Newport News, Virginia, United States

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Seattle, Washington, United States

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Madison, Wisconsin, United States

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Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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109MS414

Identifier Type: -

Identifier Source: org_study_id

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