Prospective Effectiveness and Safety Study of Cladribine in Participants Who Change First-line DMD Treatments for Multiple Sclerosis (CLAD CROSS)

NCT ID: NCT04934800

Last Updated: 2025-06-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

256 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-12-10

Study Completion Date

2024-05-20

Brief Summary

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The main aim was to study in the real world setting the effectiveness of Cladribine tablets in terms of Annualized Relapse Rate (ARR) and disability progression, in participants who switched from a first line Disease Modifying Drug (DMD) (Interferons, Glatiramer Acetate, Teriflunomide, (Dymethyl fumarate) \[DMF\]) to treatment with Cladribine tablets in routine clinical practice.

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

Cladribine

Intervention Type DRUG

No intervention will be administered as a part of this study. Participants who had switched from first-line DMD treatments to treatment with cladribine tablets in routine clinical practice will be assessed for 2 years in this study.

Interventions

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Cladribine

No intervention will be administered as a part of this study. Participants who had switched from first-line DMD treatments to treatment with cladribine tablets in routine clinical practice will be assessed for 2 years in this study.

Intervention Type DRUG

Other Intervention Names

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MAVENCLAD ®

Eligibility Criteria

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Inclusion Criteria

* Participants with confirmed diagnosis of RRMS diagnosed by the treating physician according to applicable clinical practice guidelines -(currently McDonald 2017 criteria), with high disease activity
* Participants should have been treated with the same first-line DMD (Interferons, Glatiramer Acetate, Teriflunomide, DMF) and at a stable dose for at least one year prior to switch to Cladribine tablets and should have been prescribed Cladribine tablets, according to the decision of the treating physician, prior to enrollment in the study. Any washout period and/or washout methods required before switching (such as elimination of Teriflunomide) must have been conducted, according to the decision of the treating physician
* Required history data should be available: Multiple Sclerosis (MS) data for the 12-months pre-baseline period (annualized relapse rate); MS Medication History (prior DMDs)
* Fulfilment of the criteria for treatment with Cladribine tablets per standard of care in accordance with the local Summary of Product Characteristics (SmPC)

Exclusion Criteria

* Contraindications to use of cladribine tablets according to the SmPC
* Participants with history of alcohol or drug abuse that could potentially interfere with their participation in the study
* Participants that have received Cladribine in the past
* Concurrent participation in an investigational study in which participant assessment and/or treatment may be dictated by a protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Hellas sa., Greece, an affiliate of Merck KGaA, Darmstadt, Germany

UNKNOWN

Sponsor Role collaborator

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

Locations

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KH der Barmherzige Brüder Eisenstadt - Neurology

Eisenstadt, , Austria

Site Status

Dr. Reinhard Krendl-Head

Sankt Veit an der Glan, , Austria

Site Status

Klinik Florisdorf

Vienna, , Austria

Site Status

University of Thrace, Medical School - Neurology Department

Alexandroupoli, , Greece

Site Status

251 General Air Force Hospital

Athens, , Greece

Site Status

417 NIMITS Hospital

Athens, , Greece

Site Status

Aeginiteion Hospital, University of Athens - A' Neurology Department

Athens, , Greece

Site Status

Attikon University Hospital

Athens, , Greece

Site Status

Evangelismos Hospital - Neurology Department

Athens, , Greece

Site Status

Genaral Hospital of Elefsina "Thriasio"

Athens, , Greece

Site Status

General Hospital of Athens "Evangelismos"

Athens, , Greece

Site Status

University of Ioannina - Neurology Department, Ioannina

Ioannina, , Greece

Site Status

University General Hospital of Larissa - Rheumatology Clinic

Larissa, , Greece

Site Status

Iatriko Palaioy Faliroy, Medical Center - Neurology Department

Palaió Fáliro, , Greece

Site Status

General Hospital of Patra "Agios Andreas"

Pátrai, , Greece

Site Status

University General Hospital of Patra

Pátrai, , Greece

Site Status

AHEPA General Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

General Hospital of Thessaloniki "G. Papanikolaou"

Thessaloniki, , Greece

Site Status

Interbalkan Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Papageorgiou General Hospital Thessaloniki

Thessaloniki, , Greece

Site Status

St Luke's Hospital

Thessaloniki, , Greece

Site Status

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII) - Dipartimento di Neurologia

Bergamo, , Italy

Site Status

Fondazione Istituto G.Giglio di Cefalù - Neurologia-Centro Sclerosi Multipla

Cefalù, , Italy

Site Status

Università degli Studi G. D'Annunzio

Chieti, , Italy

Site Status

Azienda Ospedaliera Universitaria Arcispedale Sant'Anna - Neurologia

Cona, , Italy

Site Status

Ospedali Riuniti di Foggia - Neurology

Foggia, , Italy

Site Status

Azienda Socio Sanitaria Territoriale della Valle Olona (presidio di Gallarate) - Neurologia 2 - Sclerosi Multipla

Gallarate, , Italy

Site Status

Ospedale San Luca - S.C.Oncologia

Lucca, , Italy

Site Status

ASL 1 Avezzano L'Aquila Sulmona- Ospedale Regionale San Salvatore - Dipartimento di Neurologia

L’Aquila, , Italy

Site Status

IRCCS Centro Neurolesi Bonino Pulejo - U.O. di Neurofisipatologia ed Ambulatori

Messina, , Italy

Site Status

Azienda Ospedaliera di Rilievo Nazionale A. Cardarelli - U.O.S. Malattie Degenerative del S.N.C.

Napoli, , Italy

Site Status

Ospedale Maggiore della carità - Novara

Novara, , Italy

Site Status

Centro di Riferimento Regionale per la Sclerosi Multipla (CRESM) - SCDO Neurologia

Orbassano, , Italy

Site Status

Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone - Dipartimento di Neuroscienze

Palermo, , Italy

Site Status

Azienda Ospedaliera di Udine Ospedale S. Maria della Misericordia - UO Neurologia

Perugia, , Italy

Site Status

Grande Ospedale Metropolitano "Bianchi Melacrino Morelli - Centro Regionale Epilessia

Reggio Calabria, , Italy

Site Status

Azienda Ospedaliera San Filippo Neri - Neurologia

Roma, , Italy

Site Status

Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza - Dip. di Neurologia e Psichiatria (servizio EMG)

Roma, , Italy

Site Status

A. O. U. San Giovanni Di Dio e Ruggi D'Aragona - Struttura Complessa di Oculistica

Salerno, , Italy

Site Status

Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma) - D.U.Neurologia

Verona, , Italy

Site Status

Vestre Viken HF Drammen Sykehus - former Sykehuset Buskerud

Drammen, , Norway

Site Status

Sykehuset Namsos

Namsos, , Norway

Site Status

Oslo Universitetssykehus HF - Ullevål

Oslo, , Norway

Site Status

Uniwersytecki Szpital Kliniczny w Bialymstoku - Dept of Neurology

Bialystok, , Poland

Site Status

Szpital Specjalistyczny im. L.Rydygiera w Krakowie - Neurology Department

Krakow, , Poland

Site Status

Szpital Uniwersytecki w Krakowie - Uniwersytet Jagiellonski Collegium Medicum

Krakow, , Poland

Site Status

Szpital Kliniczny im.Heliodora Swiecickiego Uniwersytetu Medycznego im.K. Marcinkowskiego w Poznaniu - Dept of Neurology

Poznan, , Poland

Site Status

Pomorski Uniwersytet Medyczny - Klinika Neurologii

Szczecin, , Poland

Site Status

Wojskowy Instytut Medyczny - Klinika Neurologiczna

Warsaw, , Poland

Site Status

SPZOZ Wojewodzki Szpital Specjalistyczny nr 3 w Rybniku

Żory, , Poland

Site Status

Centro Hospitalar de Lisboa Ocidental, E.P.E. - Hospital de Egas Moniz - Serviço de Neurologia

Lisbon, , Portugal

Site Status

Unidade Local de Saúde de Matosinhos, EPE (Hospital Pedro Hispano) - Serviço de Neurologia

Matosinhos Municipality, , Portugal

Site Status

Centro Hospitalar de São João, E.P.E. - Serviço de Neurologia

Porto, , Portugal

Site Status

Hospital Garcia de Orta, EPE - Serviço de Neurologia

Pragal, , Portugal

Site Status

Centro Hospitalar de Setubal, EPE - Hospital São Bernardo

Setúbal, , Portugal

Site Status

Unidade Local de Saúde do Alto Minho, EPE - Serviço de Neurologia

Viana de Castelo, , Portugal

Site Status

Inselspital - Universitaetsspital Bern - Neuropsychologische Rehabilitation, Neurologie

Bern, , Switzerland

Site Status

(CHUV), Centre Hospitalier Universitaire Vaudois - Departement des Neurosciences Cliniques

Lausanne, , Switzerland

Site Status

Luzerner Kantonsspital - Zentrum fuer Neurologie und Neurorehabilitation

Lucerne, , Switzerland

Site Status

Ospedale Regionale di Lugano - Neurologia

Lugano, , Switzerland

Site Status

Hôpital Régional Sion-Hérens-Conthey - Neurologie

Sion, , Switzerland

Site Status

Countries

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Austria Greece Italy Norway Poland Portugal Switzerland

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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Other Identifiers

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MS700568_0070

Identifier Type: -

Identifier Source: org_study_id

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