Trial Outcomes & Findings for A Pilot Study in Participants With Relapsing Remitting Multiple Sclerosis (RR-MS) (NCT NCT03387046)

NCT ID: NCT03387046

Last Updated: 2020-02-10

Results Overview

EDSS is an ordinal scale in half-point increments that qualifies disability in participants with Multiple Sclerosis (MS). It assesses the 8 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder, cerebral and other) as well as ambulation. EDSS overall score ranging from 0 (normal) to 10 (death due to MS).

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

Baseline, Week 8

Results posted on

2020-02-10

Participant Flow

Participant milestones

Participant milestones
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Overall Study
STARTED
5
2
Overall Study
COMPLETED
4
1
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Overall Study
Adverse Event
1
1

Baseline Characteristics

A Pilot Study in Participants With Relapsing Remitting Multiple Sclerosis (RR-MS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Total
n=7 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
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 8

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment.

EDSS is an ordinal scale in half-point increments that qualifies disability in participants with Multiple Sclerosis (MS). It assesses the 8 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder, cerebral and other) as well as ambulation. EDSS overall score ranging from 0 (normal) to 10 (death due to MS).

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Number of Participants With Change From Baseline in Multiple Sclerosis Related Disability Measured by Expanded Disability Status Scale (EDSS) at Week 8
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline, Week 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment.

EDSS is an ordinal scale in half-point increments that qualifies disability in participants with Multiple Sclerosis. It assesses the 8 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder, cerebral and other) as well as ambulation. EDSS overall score ranging from 0 (normal) to 10 (death due to MS).

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Number of Participants With Change From Baseline in Multiple Sclerosis Related Disability Measured by Expanded Disability Status Scale (EDSS) at Week 12 and 24
Week 12
1 Participants
0 Participants
Number of Participants With Change From Baseline in Multiple Sclerosis Related Disability Measured by Expanded Disability Status Scale (EDSS) at Week 12 and 24
Week 24
1 Participants
0 Participants

SECONDARY outcome

Timeframe: At Week 8, 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

The Timed 25-Foot Walk is a quantitative measure of lower extremity function. The participants is directed to one end of a clearly marked 25-foot (7.62 m) course and is instructed to walk 25 feet (7.62 meter) as quickly as possible, but safely. The task is immediately administered again by having the participant walk back the same distance. Participants may use assistive devices when doing this task. The test scores were the time in seconds it took to walk the 25 feet. The data for the 25-FWT is reported for the 2 completed trials. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 8
13.1 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 8
12.4 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 1: Week 8
12.7 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 2: Week 8
12.6 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 8
17.4 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 8
16.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 8
11.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 8
10.9 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 8
5.6 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 8
5.7 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 8
16.1 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 8
14.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 8
9.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 8
8.9 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 12
13.1 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 12
13.8 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 12
17.1 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 12
15.8 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 12
10.9 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 12
10.2 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 12
5.7 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 12
5.6 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 12
12.7 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 12
12.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 12
12.4 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 12
11.8 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 24
11.8 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 24
11.5 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 24
8.6 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 24
9.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 24
11.4 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 24
11.5 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 24
5.0 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 24
5.3 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 24
10.1 Seconds
25-foot Timed Walk (25-FWT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 24
9.8 Seconds

SECONDARY outcome

Timeframe: Week 8, 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

The 9HPT is a brief, standardized, quantitative test of upper extremity function. The participant picks up 9 pegs puts them in a block containing nine empty holes, and, once they are in the holes, removes them again as quickly as possible one at a time. The total time to complete the task is recorded. Two consecutive trials with the dominant hand are immediately followed by two consecutive trials with the non-dominant hand. The data for the 29HPT is reported for the 2 completed trials. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 12: Dominant hand
31.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 8: Dominant hand
22.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 8: Dominant hand
21.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 1: Week 8: Dominant hand
18.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 2: Week 8: Dominant hand
17.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 8: Dominant hand
19.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 8: Dominant hand
16.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 8: Dominant hand
17.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 8: Dominant hand
17.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 8: Dominant hand
22.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 8: Dominant hand
25.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 8: Dominant hand
17.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 8: Dominant hand
17.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 8: Dominant hand
31.9 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 8: Dominant hand
9.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 12: Dominant hand
24.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 12: Dominant hand
22.0 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 12: Dominant hand
17.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 12: Dominant hand
17.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 12: Dominant hand
16.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 12: Dominant hand
16.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 12: Dominant hand
25.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 12: Dominant hand
23.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 12: Dominant hand
21.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 12: Dominant hand
17.9 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 12: Dominant hand
29.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 24: Dominant hand
22.0 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 24: Dominant hand
21.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 24: Dominant hand
18.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 24: Dominant hand
18.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 24: Dominant hand
17.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 24: Dominant hand
16.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 24: Dominant hand
27.4 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 24: Dominant hand
24.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 24: Dominant hand
32.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 24: Dominant hand
30.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 8: Non-Dominant hand
25.2 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 8: Non-Dominant hand
25.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 1: Week 8: Non-Dominant hand
18.9 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Trial 2: Week 8: Non-Dominant hand
17.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 8: Non-Dominant hand
21.4 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 8: Non-Dominant hand
20.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 8: Non-Dominant hand
18.9 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 8: Non-Dominant hand
19.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 8: Non-Dominant hand
22.0 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 8: Non-Dominant hand
20.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 8: Non-Dominant hand
19.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 8: Non-Dominant hand
19.9 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 8: Non-Dominant hand
22.0 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 8: Non-Dominant hand
21.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 12: Non-Dominant hand
22.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 12: Non-Dominant hand
19.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 12: Non-Dominant hand
20.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 12: Non-Dominant hand
22.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 12: Non-Dominant hand
17.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 12: Non-Dominant hand
17.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 12: Non-Dominant hand
22.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 12: Non-Dominant hand
23.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 1: Week 12: Non-Dominant hand
20.6 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Trial 2: Week 12: Non-Dominant hand
20.4 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 12: Non-Dominant hand
24.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 12: Non-Dominant hand
25.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 1: Week 24: Non-Dominant hand
22.4 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Trial 2: Week 24: Non-Dominant hand
20.5 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 1: Week 24: Non-Dominant hand
20.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Trial 2: Week 24: Non-Dominant hand
18.4 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 1: Week 24: Non-Dominant hand
18.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Trial 2: Week 24: Non-Dominant hand
18.3 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 1: Week 24: Non-Dominant hand
25.8 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Trial 2: Week 24: Non-Dominant hand
22.7 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 1: Week 24: Non-Dominant hand
24.1 Seconds
9 Hole Peg Test (9HPT) to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Trial 2: Week 24: Non-Dominant hand
23.6 Seconds

SECONDARY outcome

Timeframe: At Week 8, 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

Symbol digit modalities test is to evaluate neurocognitive functions. This measure involves a coding key consisting of 9 abstract symbols, each paired with a number ranging from 1 to 9. The participants is required to scan the key and write down the number corresponding to each symbol as fast as possible. The number of correct substitution within 90 seconds is recorded. In the written version of the test the participants fills in the numbers that correspond to the symbols. The score is the number of correctly coded items from 0-110 in 90 seconds. A higher score indicates better performance. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 8
38 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Week 8
43 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 8
48 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 8
66 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Week 8
46 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 8
56 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 8
43 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 12
48 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 12
44 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 12
68 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Week 12
44 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 12
46 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 12
43 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 24
50 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 24
51 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 24
70 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 5: Week 24
39 units on a scale
Symbol Digit Modalities Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 24
55 units on a scale

SECONDARY outcome

Timeframe: Week 8, 12 and 24

Population: Full analysis set. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "Number of participants analyzed" signifies those who were evaluable for this endpoint and "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

Visual acuity is measured under low contrast conditions (10% contrast relative to the chart background) at object testing distances of 10 feets and is reported as the number of letters read correctly (ranging from 0 to 10 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly indicates that vision has improved. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=8 eye
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=4 eye
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 8: Left eye
4 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Week 8: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 8: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 8: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 8: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 8: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 12: Left eye
2 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 12: Left eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 12: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 12: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 12: Left eye
9 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 24: Left eye
3 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 24: Left eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 24: Left eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 24: Left eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 8: Right eye
4 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 2: Week 8: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 8: Right eye
2 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 8: Right eye
7 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 8: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 8: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 12: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 12: Right eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 12: Right eye
7 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 6: Week 12: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 12: Right eye
9 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 1: Week 24: Right eye
8 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 3: Week 24: Right eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 4: Week 24: Right eye
10 Letters read correctly
Low Contrast Letter Visual Acuity Test to Measure Multiple Sclerosis Related Disability and Cognitive Impairment
Participant 7: Week 24: Right eye
8 Letters read correctly

SECONDARY outcome

Timeframe: Week 8, 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

MFIS is a structured, self-report questionnaire consisting of 21 items assessing the effects of fatigue. All 21 items are scaled 0 to 4, with higher scores indicating a greater impact of fatigue on participant's activities. The Total MFIS score ranges from 0 to 84. A score of 0 indicates fatigue has no impact on activities and the high-end score indicates fatigue has extreme impact on activities. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 1: Week 8
8 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 2: Week 8
27 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 3: Week 8
15 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 4: Week 8
2 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 5: Week 8
18 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 6: Week 8
27 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 7: Week 8
29 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 1: Week 12
6 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 3: Week 12
12 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 4: Week 12
12 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 5: Week 12
15 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 6: Week 12
27 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 7: Week 12
30 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 1: Week 24
10 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 3: Week 24
48 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 4: Week 24
12 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 5: Week 24
15 units on a scale
Modified Fatigue Impact Scale (MFIS) Score to Measure Fatigue at Week 8, 12 and 24
Participant 7: Week 24
43 units on a scale

SECONDARY outcome

Timeframe: Week 8, 12 and 24

Population: Full analysis set included all participants enrolled into the study and assigned to the randomized treatment. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "number analyzed" signifies specific participant evaluated in respective arm at specified timepoint.

Fatigue Severity Scale (FSS) is a method of evaluating fatigue in multiple sclerosis and is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. The Fatigue Severity Scale is a 9-item questionnaire developed to assess the level of fatigue due to neurological disease, were each assessed on a 1-7 scale (1= no fatigue and 7= severe fatigue). The total score was calculated as the average of individual 9-items and ranged from 1 to 7 with a higher value indicating greater impairment due to fatigue. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 4: Week 12
2 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 1: Week 8
1.2 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 2: Week 8
2.6 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 3: Week 8
1.7 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 4: Week 8
1.1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 5: Week 8
1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 6: Week 8
4.3 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 7: Week 8
2.2 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 1: Week 12
1.3 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 3: Week 12
2.6 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 5: Week 12
1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 6: Week 12
4.1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 7: Week 12
4.1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 1: Week 24
1.3 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 3: Week 24
2.8 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 4: Week 24
2 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 5: Week 24
1.1 units on a scale
Fatigue Severity Scale (FSS) Score to Measure Fatigue by at Week 8, 12 and 24
Participant 7: Week 24
3.3 units on a scale

SECONDARY outcome

Timeframe: Baseline (0 minute) and Post-Baseline (15 minutes) at Week 8

Population: Full analysis set. No summary analysis was done as study was prematurely terminated due to slow recruitment rate and participant wise data are reported. Here, "Number of participants analyzed" signifies those who were evaluated for this endpoint and "number analyzed" signifies specific participant evaluated in respective arm.

TMS is an electrophysiological technique that was used to measure neurologic changes associated with recovery from stroke via alterations in the excitability of the motor system. Motor threshold measures reflect global excitability of the corticospinal pathway, including large pyramidal cells, excitatory/inhibitory interneurons, and spinal motor neurons. Long term potentiation can be measured non invasively and painlessly, in awake humans through transcranial magnetic stimulation (TMS). TMS uses high intensity, brief duration, magnetic fields that, when applied on the scalp, can activate neurons within a small focal region of the cerebral cortex, through electromagnetic induction. Motor Evoked Potentials (MEP) amplitudes elicited by single TMS pulses of increasing intensity (110, 120 and 130% of the Resting Motor Threshold \[RMT\]) will be measured to calculate recruitment curves of the motor cortex. Participant wise data was reported for this outcome.

Outcome measures

Outcome measures
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 Participants
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Baseline): 110% RMT
30 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Baseline): 120% RMT
105 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Baseline): 130% RMT
142 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Post-baseline): 110% RMT
39 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Post-baseline): 120% RMT
128 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 1: Week 8 (Post-baseline): 130% RMT
154 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Baseline): 110% RMT
23 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Baseline): 120% RMT
95 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Baseline): 130% RMT
115 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Post-baseline): 110% RMT
31 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Post-baseline): 120% RMT
103 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 3: Week 8 (Post-baseline): 130% RMT
118 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Baseline): 110% RMT
28 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Baseline): 120% RMT
83 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Baseline): 130% RMT
118 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Post-baseline): 110% RMT
26 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Post-baseline): 120% RMT
91 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 6: Week 8 (Post-baseline): 130% RMT
125 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Baseline): 110% RMT
33 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Baseline): 120% RMT
140 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Baseline): 130% RMT
149 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Post-baseline): 110% RMT
30 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Post-baseline): 120% RMT
135 millivolts
Long Term Potentiation Measured by Transcranial Magnetic Stimulation (TMS)
Participants 7: Week 8 (Post-baseline): 130% RMT
138 millivolts

SECONDARY outcome

Timeframe: Baseline, Week 8 and 12

Population: Data was not collected since the study was prematurely terminated, due to slow recruitment rate.

Treated participants with immune-metabolic response (glycolysis, mitochondrial respiration, fatty acids oxidation and circulating adipocytokines) of lymphocytes were to be reported.

Outcome measures

Outcome data not reported

Adverse Events

D-aspartate + IFN Beta-1a + Methylprednisolone

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo + IFN Beta-1a + Methylprednisolone

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
D-aspartate + IFN Beta-1a + Methylprednisolone
n=5 participants at risk
Participants received D-aspartate 2660 milligrams (mg) once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Placebo + IFN Beta-1a + Methylprednisolone
n=2 participants at risk
Participants received placebo matched to D-aspartate once daily in the form of oral solution for 24 weeks along with IFN beta-1a subcutaneously (sc) at a dose of 44 microgram (mcg) three times a week (TIW) in participants without relapse and IFN beta-1a sc TIW plus Methylprednisolone 1000 mg intravenously once daily for 5 consecutive days in participants with relapse.
Reproductive system and breast disorders
Hypersexuality
20.0%
1/5 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
0.00%
0/2 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
Infections and infestations
Flu-like symptoms
20.0%
1/5 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
50.0%
1/2 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
General disorders
Weight gain
20.0%
1/5 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
0.00%
0/2 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
General disorders
Pain in the left thigh
20.0%
1/5 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
0.00%
0/2 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
Eye disorders
Periorbital pain
0.00%
0/5 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study
50.0%
1/2 • Baseline up to 292 days; Participants were assessed for adverse events for the entire study

Additional Information

Communication Center

Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

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