A Study of Suboptimally Controlled Participants Previously Taking Oral or Infusion DMDs for RMS (MASTER-2)
- Registration Number
- NCT03933202
- Brief Summary
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
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 291
- 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
- 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
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Cladribine Tablets 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.
- Primary Outcome Measures
Name Time Method Annualized Relapse Rate (ARR) (Prospective Assessment) Baseline (Month 0) up to 24 Months A relapse will be defined as per routine clinical practice as determined by the investigator. As a guide, relapse may be defined as exacerbation of symptoms that occur over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. ARR up to 24 months of treatment with cladribine tablets, after baseline (prospectively collected data) will be reported.
- Secondary Outcome Measures
Name Time Method Number of Participants with Subsequent Treatment Chosen Following Discontinuation of Cladribine Tablets Baseline (Month 0) up to 24 Months Number of Participants Assessed of Concomitant Multiple Sclerosis Medications Used During Study Period Baseline (Month 0) up to 24 Months Annualized Relapse Rate (ARR) (Retrospective Assessment) Up to 24 Months prior Baseline (Month 0) A relapse will be defined as exacerbation of symptoms that occur over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. ARR up to 24 months prior to baseline (retrospectively collected data) will be reported.
Number of Participants With Serious Adverse Events (SAEs), Adverse Drug Reactions (ADRs), Adverse Events of Special Interest (AESIs) and Special Situations Baseline (Month 0) up to 24 months A serious adverse event (SAE) is an adverse event (AE) that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or is otherwise considered medically important. An ADR is a response to a medicinal product which is noxious and unintended. An AESI is an AE of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and rapid communication by the investigator to the Sponsor can be appropriate.
Percentage of Participants With Relapse Associated With Glucocorticoid Use Month 12 and 24 A relapse will be defined as per routine clinical practice as determined by the investigator. As a guide, relapse may be defined as exacerbation of symptoms that occur over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. Percentage of participants with relapse associated with glucocorticoid use up to 24 months of treatment with cladribine tablets, after baseline (prospectively collected data) will be reported.
Percentage of Participants Who Discontinue Cladribine Tablets Baseline (Month 0) up to 24 Months Percentage of Participants With Reason for Discontinuation of Cladribine Tablets Baseline (Month 0) up to 24 Months Elapsed Time to Discontinuation After First Dose of Cladribine Tablets Baseline (Month 0) up to 24 Months Number of Doses Received by Participants as per United States Prescribing Information Baseline (Month 0) up to 24 Months Percentage of Planned Doses Received by Participants as per United States Prescribing Information Baseline (Month 0) up to 24 Months Treatment Pattern as Evaluated by Number of Participants With Previous Treatment for Multiple Sclerosis (MS) At Baseline (Month 0) Change From Baseline in 14-Item Treatment Satisfaction Questionnaire for Medication (TSQM-14) Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Change From Baseline in 36-Item Short Form Health Survey (SF-36) Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Change From Baseline in Modified Fatigue Impact Scale - 5-item version (MFIS-5) Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Change From Baseline in 7-Item Beck-Depression Inventory-Fast Screen (BDI-FS) Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Change From Baseline in 6-Item Work Productivity Activity Impairment - Multiple Sclerosis (WPAI-MS) Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Change From Baseline in Patient Determined Disease Steps (PDDS) Scale Total Score at Month 6, 12 and 24 Baseline (Month 0), Month 6, 12 and 24 Number of Participants With Adherence to Treatment as Assessed by Modified Versions of the Multiple Sclerosis Treatment Adherence Questionnaire (MS-TAQ) Baseline (Month 0) and at the end of Months 1, 2, 13 and 14 Percentage of Participants with Relapse (Prospective Assessment) Month 12 and 24 A relapse will be defined as per routine clinical practice as determined by the investigator. As a guide, relapse may be defined as exacerbation of symptoms that occur over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. Percentage of participants with relapse up to 24 months of treatment with cladribine tablets, after baseline (prospectively collected data) will be reported.
Percentage of Participants With Relapse Associated With Hospitalization, Diagnosis or Reason for Hospitalization Month 12 and 24 A relapse will be defined as per routine clinical practice as determined by the investigator. As a guide, relapse may be defined as exacerbation of symptoms that occur over a minimum of 24 hours and separated from a previous attack by at least 30 days, in the absence of fever or infection. Percentage of participants with relapse associated with hospitalization, diagnosis or reason for hospitalization will be reported.
Trial Locations
- Locations (66)
Northwest Houston Neurology
🇺🇸Cypress, Texas, United States
VCU Medical Center - Pediatric Neurology
🇺🇸Richmond, Virginia, United States
Sentara Ambulatory Care Center
🇺🇸Virginia Beach, Virginia, United States
MS Center of Evergreen
🇺🇸Kirkland, Washington, United States
University of South Florida
🇺🇸Tampa, Florida, United States
Northwest Neurology Ltd
🇺🇸Rolling Meadows, Illinois, United States
Prairie Education & Research
🇺🇸Springfield, Illinois, United States
Fort Wayne Neurological Center
🇺🇸Fort Wayne, Indiana, United States
College Park Family Care Center
🇺🇸Overland Park, Kansas, United States
Baptist Health Lexington
🇺🇸Lexington, Kentucky, United States
Northern Light Comprehensive Multiple Sclerosis Care Center
🇺🇸Bangor, Maine, United States
Neurological Clinical Research Institute
🇺🇸Boston, Massachusetts, United States
Neuro Institute of New England P.C.
🇺🇸Foxboro, Massachusetts, United States
The Elliot Lewis Center for Multiple Sclerosis Care
🇺🇸Wellesley, Massachusetts, United States
UMASS - Neurology
🇺🇸Worcester, Massachusetts, United States
Wills Eye Institute - Ocular Oncology Service - Wills Eye Institute
🇺🇸Philadelphia, Pennsylvania, United States
Premier Neurology Research, P.C.
🇺🇸Greer, South Carolina, United States
Neurology, PC
🇺🇸Knoxville, Tennessee, United States
Wayne State University (WSU) - Multiple Sclerosis Treatment and Clinical Research Center (MS Center) - Department of Neurology
🇺🇸Detroit, Michigan, United States
Detroit Clinical Research Center, PC
🇺🇸Farmington Hills, Michigan, United States
Memorial Healthcare
🇺🇸Owosso, Michigan, United States
Minneapolis Clinic of Neurology - Neurology
🇺🇸Golden Valley, Minnesota, United States
Neurology Center of Las Vegas
🇺🇸Las Vegas, Nevada, United States
DENT Neurologic Institute
🇺🇸Amherst, New York, United States
North Central Neurology Associates, P.C.
🇺🇸Cullman, Alabama, United States
NYU Langone Brooklyn - Brooklyn
🇺🇸Brooklyn, New York, United States
University of South Alabama
🇺🇸Mobile, Alabama, United States
University of Arkansas for Medical Sciences
🇺🇸Little Rock, Arkansas, United States
Fullerton Neurology and Headache Center
🇺🇸Fullerton, California, United States
Regina Berkovich MD PhD INC
🇺🇸West Hollywood, California, United States
Colorado Springs Neurological Associates, PC - Neurology
🇺🇸Colorado Springs, Colorado, United States
HCA Research Institute
🇺🇸Englewood, Colorado, United States
Advanced Neurosciences Research, LLC
🇺🇸Fort Collins, Colorado, United States
Associated Neurologists of Southern Connecticut, PC
🇺🇸Fairfield, Connecticut, United States
The Trustee of Columbia University in the City of New York
🇺🇸New York, New York, United States
Vanderbilt University Medical Center
🇺🇸Nashville, Tennessee, United States
Integrated Neurology Services - Dr. Simon Fishman's Office
🇺🇸Alexandria, Virginia, United States
Massey Cancer Center - VCU Medical Center
🇺🇸Richmond, Virginia, United States
Multiple Sclerosis Center of Greater Washington
🇺🇸Vienna, Virginia, United States
MultiCare Health System Institute for Research and Innovation - MultiCare Health System Institute for Research
🇺🇸Tacoma, Washington, United States
Ascension St. Francis Center for Neurological Disorders, S.C.
🇺🇸Milwaukee, Wisconsin, United States
Yale University
🇺🇸Fairfield, Connecticut, United States
Neurology Associates, P. A.
🇺🇸Maitland, Florida, United States
University of Miami
🇺🇸Miami, Florida, United States
Orlando Health Multiple Sclerosis Comprehensive Care Center - Downtown Orlando
🇺🇸Orlando, Florida, United States
The Charlotte-Mecklenburg Hospital Authority - Carolinas Healthcare System
🇺🇸Charlotte, North Carolina, United States
Guilford Neurologic Associates
🇺🇸Greensboro, North Carolina, United States
Raleigh Neurology Associates
🇺🇸Raleigh, North Carolina, United States
Insight Neuroscience LLC
🇺🇸Bellevue, Ohio, United States
Riverhills Neuroscience
🇺🇸Cincinnati, Ohio, United States
The Boster Center for Multiple Scelosis
🇺🇸Columbus, Ohio, United States
Dayton Center for Neurological Disorders
🇺🇸Dayton, Ohio, United States
University of Toledo - PARENT
🇺🇸Toledo, Ohio, United States
Baylor College of Medicine IRB
🇺🇸Houston, Texas, United States
DHR Health Neurology Institute Neuroimmunology and Multiple Sclerosis
🇺🇸McAllen, Texas, United States
Neurology Center of San Antonio
🇺🇸San Antonio, Texas, United States
Meridian Clinical Research (Neurology)
🇺🇸Norfolk, Virginia, United States
Neurological Associates
🇺🇸Richmond, Virginia, United States
MultiCare Health System Institute for Research and Innovation - MultiCare Health System Institute for Research and
🇺🇸Spokane, Washington, United States
The Medical College of Wisconsin - Endocrinology
🇺🇸Milwaukee, Wisconsin, United States
Neuroscience Group of Northeast Wisconsin - DUPLICATE
🇺🇸Neenah, Wisconsin, United States
Central Texas Neurology Consultants
🇺🇸Round Rock, Texas, United States
Suncoast Neuroscience and Associates, Inc.
🇺🇸Saint Petersburg, Florida, United States
Axiom Clinical Research of Florida
🇺🇸Tampa, Florida, United States
Providence Neurological Specialties
🇺🇸Portland, Oregon, United States
Blacksburg Neurology, PC
🇺🇸Christiansburg, Virginia, United States