Cladribine Tablets: Observational Evaluation of Effectiveness and PROs in Suboptimally Controlled Patients Previously Taking Injectable DMDs for RMS (CLICK-MS)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 18
- 主要终点
- Annualized Relapse Rate (ARR)
研究概览
简要总结
To evaluate the effectiveness, patient-reported outcomes (PROs) and safety of cladribine tablets in participants with relapsing forms of multiple sclerosis (RMS) including relapsing-remitting multiple sclerosis (RRMS) and active secondary progressive multiple sclerosis (aSPMS),who transition to cladribine tablets after suboptimal response to any injectable disease-modifying drugs (DMDs) approved in the United States (US) for RMS in a real-world setting.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female participants greater than or equal to (>=)18 years
- •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
- •Had received their last previous injectable disease-modifying drug (DMD) for at least 3 months
- •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
- •In the opinion of the Investigator, experienced suboptimal response (lack of effectiveness, intolerability, poor adherence) to injectable DMD treatment
排除标准
- •Have been previously treated with cladribine in any dosing form
- •Transitioning from previous injectable 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 the cladribine treatment period
研究组 & 干预措施
Cladribine
干预措施: Cladribine (Drug)
结局指标
主要结局
Annualized Relapse Rate (ARR)
时间窗: Baseline (Month 0) up to 24 Months
The qualifying relapse is the occurrence of new or worsening neurological symptoms attributable to Multiple Sclerosis (MS) (for more than \[\>\] 24 hours, no fever, infection, injury, adverse events (AEs), and preceded by a stable or improving neurological state for more than or equal to \[\>=\] 30 days).
次要结局
- Number of Previous Disease-Modifying Drugs (DMD) Received for Multiple Sclerosis (MS) at Baseline(At Baseline)
- Number of Participants Who Received At Least One Concomitant Medication(Baseline up to Month 24)
- Percentage of Participants Who Discontinued 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)
- Change From Baseline in 14-Item Treatment Satisfaction Questionnaire for Medication (TSQM-14) 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) 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 Percent Work Time Missed Assessed by 6-Item Work Productivity Activity Impairment - Multiple Sclerosis (WPAI-MS) Score at Month 6, 12 and 24(Baseline (Month 0), Month 6, 12 and 24)
- Change From Baseline in Percent Impairment While Working Assessed by 6-Item Work Productivity Activity Impairment - Multiple Sclerosis (WPAI-MS) Score at Month 6, 12 and 24(Baseline (Month 0), Month 6, 12 and 24)
- Change From Baseline in Percent Overall Work Impairment Assessed by 6-Item Work Productivity Activity Impairment - Multiple Sclerosis (WPAI-MS) Score at Month 6, 12 and 24(Baseline (Month 0), Month 6, 12 and 24)
- Change From Baseline in Percent Activity Impairment Assessed by 6-Item Work Productivity Activity Impairment- Multiple Sclerosis (WPAI-MS) 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 Cladribine as Assessed by Modified Versions of the Multiple Sclerosis Treatment Adherence Questionnaire (MS-TAQ)(Baseline (Month 0) and Months 1, 2, 13 and 14)
- Percentage of Participants Who Experienced Relapse at Months 12 and 24(Months 12 and 24)
- Annualized Relapse Rate (ARR) at Month 12(At Month 12)
- Percentage of Participants Who Experienced Relapse Associated With Hospitalization(Months 12 and 24)
- Annualized Relapse Rate (ARR) Associated With Hospitalization at Months 12 and 24(Months 12 and 24)
- Percentage of Participants Who Experienced Relapse Associated With Glucocorticoid Use(Months 12 and 24)
- Annualized Relapse Rate (ARR) Associated With Glucocorticoid Use at Months 12 and 24(Months 12 and 24)
- Number of Doses Received by Participants as Per United States Prescribing Information(Baseline (Month 0) up to 24 Months)
- Percentage of Participants With Treatment Compliance as Per United States Prescribing Information(Baseline (Month 0) up to 24 Months)
- Number of Participants With Serious Adverse Events (SAEs), Adverse Drug Reactions (ADRs) and Adverse Events of Special Interest (AESIs)(Baseline (Month 0) up to 24 months)
