A Study of Suboptimally Controlled Participants Previously Taking Oral or Infusion DMDs for RMS (MASTER-2)

NCT ID: NCT03933202

Last Updated: 2026-01-02

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

291 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-22

Study Completion Date

2024-11-11

Brief Summary

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To evaluate the effectiveness, safety and Patient-Reported Outcomes (PROs) of cladribine tablets in participants with RMS including relapsing-remitting multiple sclerosis (RRMS) and active secondary progressive multiple sclerosis (aSPMS), who transition to cladribine tablets after suboptimal response to any oral or infusion Disease-Modifying Drugs (DMDs) approved in the United States (US) for RMS in a real-world-setting.

Detailed Description

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Conditions

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Multiple Sclerosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cladribine Tablets

No intervention will be administered as a part of this study. Participants who had decided prior to enrollment to transition from any oral or infusion DMD to treatment with cladribine tablets under routine clinical care and who meet all eligibility criteria will receive an initial treatment course with cladribine tablets in Year 1 and are planned to receive a second course in Year 2, as per the approved United States Prescribing Information (USPI). Data sources for this study will include data extracts from participants' medical records performed by site personnel as well as questionnaires directly filled out by participants.

Cladribine Tablets

Intervention Type DRUG

No intervention will be administered as a part of this study. Participants will receive cladribine tablets as per investigator discretion and as per United States approved label: 3.5 milligram/kilogram (mg/kg) body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.

Interventions

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Cladribine Tablets

No intervention will be administered as a part of this study. Participants will receive cladribine tablets as per investigator discretion and as per United States approved label: 3.5 milligram/kilogram (mg/kg) body weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Have diagnosis of RMS, including RRMS and aSPMS, and satisfy the approved indication for cladribine tablets as per United States Prescribing Information (USPI)
* Have time since diagnosis of RMS of at least 12 months
* In the opinion of the investigator, experienced suboptimal response (lack of effectiveness, intolerability, poor adherence) to oral or infusion DMD treatment other than cladribine tablets
* Had received their last previous oral DMD for at least 1 month or at least 1 dose of their last previous infusion DMD
* Have decided to initiate treatment with cladribine tablets during routine clinical care
* Meet criteria as per the approved USPI
* Have access to a valid e-mail address

Exclusion Criteria

* Have been previously treated with cladribine in any dosing form (intravenous, subcutaneous, or oral)
* Transitioning from previous oral DMD solely for administrative reasons such as relocation
* Have comorbid conditions that preclude participation
* Have any clinical condition or medical history noted as contraindication on USPI
* Are currently participating in an interventional clinical trial
* Pregnant or breastfeeding women, women who plan to become pregnant or men whose partner plans to become pregnant during study the cladribine treatment period
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role collaborator

EMD Serono Research & Development Institute, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

EMD Serono Inc., the biopharmaceutical division of Merck KGaA, Darmstadt, Germany

Locations

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North Central Neurology Associates, P.C.

Cullman, Alabama, United States

Site Status

University of South Alabama

Mobile, Alabama, United States

Site Status

University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

Fullerton Neurology and Headache Center

Fullerton, California, United States

Site Status

Regina Berkovich MD PhD INC

West Hollywood, California, United States

Site Status

Colorado Springs Neurological Associates, PC - Neurology

Colorado Springs, Colorado, United States

Site Status

HCA Research Institute

Englewood, Colorado, United States

Site Status

Advanced Neurosciences Research, LLC

Fort Collins, Colorado, United States

Site Status

Associated Neurologists of Southern Connecticut, PC

Fairfield, Connecticut, United States

Site Status

Yale University

Fairfield, Connecticut, United States

Site Status

Neurology Associates, P. A.

Maitland, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Orlando Health Multiple Sclerosis Comprehensive Care Center - Downtown Orlando

Orlando, Florida, United States

Site Status

Suncoast Neuroscience and Associates, Inc.

St. Petersburg, Florida, United States

Site Status

Axiom Clinical Research of Florida

Tampa, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Northwest Neurology Ltd

Rolling Meadows, Illinois, United States

Site Status

Prairie Education & Research

Springfield, Illinois, United States

Site Status

Fort Wayne Neurological Center

Fort Wayne, Indiana, United States

Site Status

College Park Family Care Center

Overland Park, Kansas, United States

Site Status

Baptist Health Lexington

Lexington, Kentucky, United States

Site Status

Northern Light Comprehensive Multiple Sclerosis Care Center

Bangor, Maine, United States

Site Status

Neurological Clinical Research Institute

Boston, Massachusetts, United States

Site Status

Neuro Institute of New England P.C.

Foxborough, Massachusetts, United States

Site Status

The Elliot Lewis Center for Multiple Sclerosis Care

Wellesley, Massachusetts, United States

Site Status

UMASS - Neurology

Worcester, Massachusetts, United States

Site Status

Wayne State University (WSU) - Multiple Sclerosis Treatment and Clinical Research Center (MS Center) - Department of Neurology

Detroit, Michigan, United States

Site Status

Detroit Clinical Research Center, PC

Farmington Hills, Michigan, United States

Site Status

Memorial Healthcare

Owosso, Michigan, United States

Site Status

Minneapolis Clinic of Neurology - Neurology

Golden Valley, Minnesota, United States

Site Status

Neurology Center of Las Vegas

Las Vegas, Nevada, United States

Site Status

DENT Neurologic Institute

Amherst, New York, United States

Site Status

NYU Langone Brooklyn - Brooklyn

Brooklyn, New York, United States

Site Status

The Trustee of Columbia University in the City of New York

New York, New York, United States

Site Status

The Charlotte-Mecklenburg Hospital Authority - Carolinas Healthcare System

Charlotte, North Carolina, United States

Site Status

Guilford Neurologic Associates

Greensboro, North Carolina, United States

Site Status

Raleigh Neurology Associates

Raleigh, North Carolina, United States

Site Status

Insight Neuroscience LLC

Bellevue, Ohio, United States

Site Status

Riverhills Neuroscience

Cincinnati, Ohio, United States

Site Status

The Boster Center for Multiple Scelosis

Columbus, Ohio, United States

Site Status

Dayton Center for Neurological Disorders

Dayton, Ohio, United States

Site Status

University of Toledo - PARENT

Toledo, Ohio, United States

Site Status

Providence Neurological Specialties

Portland, Oregon, United States

Site Status

Wills Eye Institute - Ocular Oncology Service - Wills Eye Institute

Philadelphia, Pennsylvania, United States

Site Status

Premier Neurology Research, P.C.

Greer, South Carolina, United States

Site Status

Neurology, PC

Knoxville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Northwest Houston Neurology

Cypress, Texas, United States

Site Status

Baylor College of Medicine IRB

Houston, Texas, United States

Site Status

DHR Health Neurology Institute Neuroimmunology and Multiple Sclerosis

McAllen, Texas, United States

Site Status

Central Texas Neurology Consultants

Round Rock, Texas, United States

Site Status

Neurology Center of San Antonio

San Antonio, Texas, United States

Site Status

Integrated Neurology Services - Dr. Simon Fishman's Office

Alexandria, Virginia, United States

Site Status

Blacksburg Neurology, PC

Christiansburg, Virginia, United States

Site Status

Meridian Clinical Research (Neurology)

Norfolk, Virginia, United States

Site Status

Neurological Associates

Richmond, Virginia, United States

Site Status

VCU Medical Center - Pediatric Neurology

Richmond, Virginia, United States

Site Status

Massey Cancer Center - VCU Medical Center

Richmond, Virginia, United States

Site Status

Multiple Sclerosis Center of Greater Washington

Vienna, Virginia, United States

Site Status

Sentara Ambulatory Care Center

Virginia Beach, Virginia, United States

Site Status

MS Center of Evergreen

Kirkland, Washington, United States

Site Status

MultiCare Health System Institute for Research and Innovation - MultiCare Health System Institute for Research and

Spokane, Washington, United States

Site Status

MultiCare Health System Institute for Research and Innovation - MultiCare Health System Institute for Research

Tacoma, Washington, United States

Site Status

Ascension St. Francis Center for Neurological Disorders, S.C.

Milwaukee, Wisconsin, United States

Site Status

The Medical College of Wisconsin - Endocrinology

Milwaukee, Wisconsin, United States

Site Status

Neuroscience Group of Northeast Wisconsin - DUPLICATE

Neenah, Wisconsin, United States

Site Status

Countries

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United States

References

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Miravalle AA, Katz J, Robertson D, Hayward B, Harlow DE, Lebson LA, Sloane JA, Bass AD, Fox EJ. CLICK-MS and MASTER-2 Phase IV trial design: cladribine tablets in suboptimally controlled relapsing multiple sclerosis. Neurodegener Dis Manag. 2021 Apr;11(2):99-111. doi: 10.2217/nmt-2020-0059. Epub 2021 Feb 1.

Reference Type DERIVED
PMID: 33517769 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://medical.emdserono.com/en_US/home.html

US Medical Information website, Medical Resources

Other Identifiers

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MS700568_0079

Identifier Type: -

Identifier Source: org_study_id

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