A Study to Evaluate the Safety, Tolerability, and Efficacy of BIIB017 (Peginterferon beta-1a) in Pediatric Participants for the Treatment of Relapsing-Remitting Multiple Sclerosis
- Conditions
- Relapsing Remitting Multiple Sclerosis (RRMS)MedDRA version: 20.0Level: SOCClassification code 10029205Term: Nervous system disordersSystem Organ Class: 10029205 - Nervous system disordersMedDRA version: 21.1Level: PTClassification code 10063399Term: Relapsing-remitting multiple sclerosisSystem Organ Class: 10029205 - Nervous system disordersTherapeutic area: Diseases [C] - Nervous System Diseases [C10]
- Registration Number
- EUCTR2018-003008-38-BE
- Lead Sponsor
- Biogen Idec Research Limited
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Authorised-recruitment may be ongoing or finished
- Sex
- All
- Target Recruitment
- 142
Part 1
1. Ability of parents or legal guardians to understand the purpose and risks of the study and
provide signed and dated informed consent and authorization to use confidential health
information in accordance with national and local subject privacy regulations. Subjects
will provide assent in addition to the parent’s or guardian’s consent, as appropriate, per
local regulations.
2. Age 10 to <18 years old at the time of informed consent. The minimum age can be older
than 10 years, as required by country-specific regulations and/or local ethics committees.
3. Must have a diagnosis of RRMS as defined by the revised consensus definition for
pediatric MS [Krupp 2013; Polman 2011].
4. Must have an EDSS score between 0.0 and 5.5.
5. Must have experienced =1 relapse in the 12 months prior to randomization (Day 1) or
=2 relapses in the 24 months prior to randomization (Day 1) or have evidence of
asymptomatic disease activity (Gd-enhancing lesions) on brain MRI in the 6 months prior
to randomization (Day 1). Relapse is defined as the occurrence of a clinical
demyelination event regardless of whether the event is a first (initial) or subsequent
(recurrent) demyelinating event.
6. Female subjects of childbearing potential and all male subjects must practice effective
contraception during the study and for 3 months after their last dose of study treatment,
unless they agree to abstinence. For further details of contraceptive requirements for this
study, see Section 15.5.
Part 2
1. Subjects who completed the study treatment in Part 1 (Week 96 Visit), as per protocol.
2. Sexually active subjects of childbearing potential must continue to practice effective
contraception during the study and for 3 months after their last dose of study treatment.
Are the trial subjects under 18? yes
Number of subjects for this age range: 142
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range
PART 1
1.Primary progressive, secondary progressive, or progressive relapsing MS .These conditions require the presence of continuous clinical disease worsening over a period of at least 3 months. Subjects with these conditions may also have superimposed relapses but are distinguished from relapsing subjects by the lack of clinically stable periods or clinical improvement.
2.History of seizure disorder or unexplained blackouts, or history of a seizure within 3 months prior to randomization (Day 1).
3.History of suicidal ideation within 3 months prior to randomization (Day 1) or an episode of severe depression within 3 months prior to randomization (Day 1). Severe depression is defined as an episode of depression that requires hospitalization or is otherwise regarded as severe by the Investigator.
4. Occurrence of an MS relapse that has occurred within 30 days prior to randomization (Day 1) and/or the subject has not stabilized from a previous relapse prior to randomization (Day 1).
5. History of any clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic (other than MS), dermatologic, psychiatric, renal, or other major disease, as determined by the Investigator that would preclude participation in the study.
6. Abnormal screening blood tests exceeding any of the following defined limits:
a.ALT >2 ??upper limit of normal (ULN)
b.AST >2 ??ULN
c.Gamma-glutamyl transferase (GGT) >2 ??ULN
d.Total bilirubin >1.5 ??ULN
e.Total WBC count <3700/mm3
• ANC ?1500/mm3
f.Platelet count <150,000/mm3
g.Hemoglobin <10 g/dL in female subjects or <11 g/dL in male subjects
h.Serum creatinine >1 ??ULN
i.Prothrombin time or activated partial thromboplastin time >1.2 ??ULN
PART 2
1.Any significant changes in medical history occurring after enrollment in Part 1, including laboratory test abnormalities or current clinically significant conditions that, in the opinion of the Investigator, would have excluded the subject’s participation in Part 1.
The Investigator must re-assess the subject’s medical fitness for participation and consider any factors that would preclude treatment.
2.The subject could not tolerate BIIB017 in Part 1.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: Part 1- To evaluate the safety, tolerability, and descriptive efficacy of<br>BIIB017 in pediatric subjects with RRMS<br>- ? To assess the PK of BIIB017 in pediatric subjects with RRMS<br>The primary objective of Part 2 of the study is to evaluate the longterm<br>safety of BIIB017 in subjects who completed the study treatment<br>at Week 96 in Part 1 of the study.;Secondary Objective: The secondary objective of Part 2 of the study is to further describe<br>safety and the long-term MS outcomes after BIIB017 treatment in<br>subjects who completed the study treatment at Week 96 in Part 1 of the<br>study.;Primary end point(s): Part 1- The primary endpoint is the annualized relapse rate (ARR) at Week 96.<br>Part 2- The primary endpoint is the safety and tolerability of BIIB017 as<br>assessed by the incidence of AEs, SAEs, and AEs leading to study<br>treatment discontinuation.;Timepoint(s) of evaluation of this end point: Part 1 - week 96
- Secondary Outcome Measures
Name Time Method