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临床试验/NCT02064816
NCT02064816已完成4 期

Multicenter, Open-label, 12 Week, Phase IV Prospective Randomized Study Aimed at Evaluating Whether sc IFN Beta 1a (Rebif®) Administered in the Morning May Affect the Severity of Flu-like Syndrome and Patient-perceived Invisible Symptoms in Subjects With Relapsing Multiple Sclerosis

Merck KGaA, Darmstadt, Germany1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2014年5月31日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
入组人数
200
试验地点
1
主要终点
Difference in Multiple Sclerosis Treatment Concern Questionnaire (MSTCQ) Flu Like Symptom (FLS) Score Between Rebif Morning Administration and Rebif Evening Administration Groups at Week 12

研究概览

简要总结

This is an open-label, multi-center, 12-week, randomized, controlled, parallel group, Phase 4 study to assess whether the morning administration of interferon beta 1a (Rebif®) leads to a lower severity of flu-like symptoms (FLS) as compared to the evening administration, in subjects with relapsing multiple sclerosis (RMS).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Males and females between 18 and 60 years of age
  • Female subjects must be neither pregnant nor breast-feeding and must lack child-bearing potential. Furthermore, female subjects must not have been pregnant from at least three months prior to enter in the study
  • Subjects have RMS according to the revised McDonald Criteria (2010)
  • Subjects with an expanded disability status scale (EDSS) score of less than 6.0
  • Subjects naive to treatment and eligible for treatment with Rebif® 44 three times a week, or patients having received glatiramer acetate with a wash-out from at least one month, or patients having received treatment with natalizumab or fingolimod with a wash-out from at least three months
  • Subjects able to self-inject treatment using RebiSmart®
  • Subjects willing and able to comply with the protocol for the duration of the study
  • Subjects have given written informed consent to take part in the study

排除标准

  • Subjects have any disease other than MS that could better explain his/her signs and symptoms
  • Subjects who have received any immunosuppressive agents within 3 months prior to Baseline
  • Subjects who have received any corticosteroids within 30 days prior to Baseline
  • Subjects have a MS relapse within 30 days prior to Baseline
  • Subjects have inadequate liver function and bone marrow reserve as defined in the protocol
  • Subjects have moderate to severe renal impairment
  • Subjects have any visual or physical impairment that precludes the subjects from self-injecting the treatment using RebiSmart®
  • Subjects have hypersensitivity to natural or recombinant interferon, or to any of its excipients
  • Subjects have any contra-indications to treatment with interferon (IFN) beta 1a according to Summary of Product Characteristics (SmPC)
  • Subjects have any contra-indications to treatment with ibuprofen/paracetamol according to SmPC
  • Obese subjects, defined by body mass index greater than 30 kilogram per square meter (kg/m^2)
  • Subjects have participated in any other investigational trial within 30 days from Baseline
  • Subjects have any other significant disease that in the Investigator's opinion would exclude the subject from the trial

研究组 & 干预措施

Rebif® Morning Administration

Experimental

干预措施: Rebif® (Drug)

Rebif® Evening Administration

Experimental

干预措施: Rebif® (Drug)

结局指标

主要结局

Difference in Multiple Sclerosis Treatment Concern Questionnaire (MSTCQ) Flu Like Symptom (FLS) Score Between Rebif Morning Administration and Rebif Evening Administration Groups at Week 12

时间窗: Week 12

The MSTCQ was used as a tool to measure treatment satisfaction, focusing on the attributes specific to multiple sclerosis (MS) medications. The FLS subscale of MSTCQ was defined as the sum of the scores for questions 13 to 16 with a minimum possible total FLS score = 1 and a maximum possible total FLS score = 20. Lower score indicates lower flu like symptoms and better satisfaction. Difference between Rebif Morning Administration and Rebif Evening Administration groups at Week 12 is presented in statistical analysis section.

次要结局

  • Correlation Between Change From Baseline in Circulating Levels of Cytokines (Leptin, Resistin and Adiponectin) and in Flu Like Symptom (FLS) Score at Week 12(Baseline and Week 12)
  • Difference in Multiple Sclerosis Treatment Concern Questionnaire (MSTCQ) Flu Like Symptom (FLS) Score Between Rebif Morning Administration and Rebif Evening Administration Groups at Week 4 and 8(Week 4 and 8)
  • Difference in Multiple Sclerosis Treatment Concern Questionnaire (MSTCQ) Subscale Scores Between Rebif Morning Administration and Rebif Evening Administration Groups at Week 4, 8 and 12(Week 4, 8 and 12)
  • Change From Baseline in Hospital Anxiety and Depression Scale (HADS) Score at Week 4, 8 and 12(Baseline, Week 4, 8 and 12)
  • Change From Baseline in Fatigue Severity Scale (FSS) Score at Week 4, 8 and 12(Baseline, Week 4, 8 and 12)
  • Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Score at Week 4, 8 and 12(Baseline, Week 4, 8 and 12)
  • Change From Baseline in Circulating Levels of Cytokines at Week 12(Baseline and Week 12)
  • Correlation Between Change From Baseline in Circulating Levels of Cytokines and in Other MSTCQ Items, HADS, FSS, PSQI and MusiQOL Scores at Week 12(Baseline and Week 12)
  • Change From Baseline in Cytokines (Leptin and Resistin) Levels at Week 12(Baseline and Week 12)
  • Change From Baseline in Cytokine (Adiponectin) Level at Week 12(Baseline and Week 12)
  • Change From Baseline in Multiple Sclerosis International Quality of Life (MusiQOL) Score at Week 4, 8 and 12(Baseline, Week 4, 8 and 12)
  • Percentage of Subjects With Treatment Adherence at Week 4, 8 and 12(Week 4, 8 and 12)
  • Change From Baseline in Hormone-Like Cytokine (Interleukin-6, 10 and 12) Levels at Week 12(Baseline and Week 12)
  • Change From Baseline in Total Sleep Time (TST) and Rapid Eye Movement (REM) Sleep Time at Week 12(Baseline and Week 12)
  • Correlation Between Change From Baseline in Cytokines (Leptin, Resistin and Adiponectin) and Hormone-like Cytokine Levels (Interleukin-6, 10 and 12), and TST and REM Sleep Time at Week 12(Baseline and Week 12)
  • Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death and TEAEs Leading to Discontinuation(Baseline up to Week 12)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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