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Relapsing Multiple SclerosisPhase 3ADVANCENCT00906399

Efficacy and Safety Study of Peginterferon Beta-1a in Participants With Relapsing Multiple Sclerosis

A Phase 3 study testing BIIB017 (peginterferon beta-1a) in people with Relapsing Multiple Sclerosis, run by Biogen at 178 sites in 26 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is to determine the efficacy of peginterferon beta-1a in reducing the annualized relapse rate (ARR) in participants with relapsing multiple sclerosis (RMS) at 1 year. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Relapsing Multiple Sclerosis
What is being tested?
BIIB017 (peginterferon beta-1a)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,516 participants
Where
178 sitesin 26 countries
Study dates
Jun 2009to Oct 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must have a confirmed diagnosis of relapsing multiple sclerosis (RMS), as defined by McDonald criteria 1 through 4 (Polman, 2005)
  • Must have an EDSS score between 0.0 and 5.0.
  • Must have experienced at least 2 relapses that have been medically documented within the last 3 years with at least one occurring in the last 12 months

Who cannot join

  • Other chronic disease of immune system, malignancies, urologic, pulmonary, gastrointestinal disease
  • Pregnant or nursing women
  • Prior treatment with interferon could not exceed 4 weeks and subjects must have discontinued interferon treatment 6 months prior to Baseline
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

178 sites in 26 countries.

178 sites in 26 countries

Poland28 sites
  • Research Site

    Bialystok, 15276

  • Research Site

    Bialystok, 15402

  • Research Site

    Bydgoszcz, 85681

  • Research Site

    Gdansk, 80299

  • Research Site

    Gdansk, 80803

  • Research Site

    Gdansk, 80952

  • Research Site

    Gmina Końskie, 26200

  • Research Site

    Katowice, 40650

  • Research Site

    Katowice, 40662

  • Research Site

    Katowice, 40684

  • Research Site

    Krakow, 31505

  • Research Site

    Krakow, 31637

  • Research Site

    Krakow, 31826

  • Research Site

    Lodz, 90153

  • Research Site

    Lublin, 20718

  • Research Site

    Lublin, 20954

  • Research Site

    Olsztyn, 10082

  • Research Site

    Plewiska, 62064

  • Research Site

    Poznan, 60355

  • Research Site

    Poznan, 61853

  • Research Site

    Szczecin, 70215

  • Research Site

    Szczecin, 71252

  • Research Site

    Warsaw, 00851

  • Research Site

    Warsaw, 02957

  • Research Site

    Warsaw, 04141

  • Research Site

    Warsaw, 04749

  • Research Site

    Wroclaw, 50556

  • Research Site

    Zabrze, 41800

Other trials in Poland

India21 sites
  • Research Site

    Ahmedabad, Gujarat, 380006

  • Research Site

    Amritsar, Punjab, 143001

  • Research Site

    Bangalore, Karnataka, 560043

  • Research Site

    Bangalore, 560017

  • Research Site

    Chennai, Tamil Nadu, 600017

  • Research Site

    Coimbatore, Tamil Nadu, 641014

  • Research Site

    Indore, Madhyr Pradesh, 452018

  • Research Site

    Jaipur, Rajasthan, 302004

  • Research Site

    Kolkata, West Bengal, 700068

  • Research Site

    Mangalore, 575018

  • Research Site

    Mumbai, Maharashtra, 400026

  • Research Site

    Nagpur, Maharashtra, 440010

  • Research Site

    Nashik, Maharashtra, 422004

  • Research Site

    Navi Mumbai, 400703

  • Research Site

    Nehru Nagar, 110065

  • Research Site

    New Delhi, National Capital Territory of Delhi, 110029

  • Research Site

    New Delhi, National Capital Territory of Delhi, 110060

  • Research Site

    Pune, Maharashtra, 411004

  • Research Site

    Pune, Maharashtra, 411030

  • Research Site

    Rajkot, Gujarat, 360001

  • Research Site

    Saket, National Capital Territory of Delhi, 110017

Other trials in India

Germany16 sites
  • Research Site

    Bayreuth, 95445

  • Research Site

    Berlin, 10713

  • Research Site

    Berlin, 14163

  • Research Site

    Bochum, 44791

  • Research Site

    Cologne, 50935

  • Research Site

    Erbach im Odenwald, 64711

  • Research Site

    Erlangen, 91054

  • Research Site

    Hamburg, 20099

  • Research Site

    Hanover, 30559

  • Research Site

    Leipzig, 04103

  • Research Site

    Marburg, 35043

  • Research Site

    München, 80331

  • Research Site

    Münster, 48149

  • Research Site

    Prien am Chiemsee, 83209

  • Research Site

    Ulm, 89079

  • Research Site

    Westerstede, 26655

Other trials in Germany

Russia15 sites
  • Research Site

    Chelyabinsk, 454136

  • Research Site

    Kaluga, 248007

  • Research Site

    Kazan', 420021

  • Research Site

    Krasnodar, 350012

  • Research Site

    Kursk, 305007

  • Research Site

    Moscow, 107150

  • Research Site

    Moscow, 119021

  • Research Site

    Moscow, 125367

  • Research Site

    Moscow, 127018

  • Research Site

    Novosibirsk, 630007

  • Research Site

    Perm, 614990

  • Research Site

    Rostov-on-Don, 344015

  • Research Site

    Smolensk, 214018

  • Research Site

    Tomsk, 634050

  • Research Site

    Ufa, 450005

Other trials in Russia

United States12 sites
  • Research Site

    Akron, Ohio, 44320

  • Research Site

    Atlanta, Georgia, 30327

  • Research Site

    Baltimore, Maryland, 21287

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Des Moines, Iowa, 50314

  • Research Site

    Franklin, Tennessee, 37064

  • Research Site

    Lexington, Kentucky, 40513

  • Research Site

    Phoenix, Arizona, 85013

  • Research Site

    Ponte Vedra Beach, Florida, 32082 4040

  • Research Site

    Raleigh, North Carolina, 27607 6520

  • Research Site

    Round Rock, Texas, 78681

  • Research Site

    Teaneck, New Jersey, 07666

Other trials in United States

Ukraine12 sites
  • Research Site

    Chernivtsi, 58018

  • Research Site

    Dnipropetrovsk, 49027

  • Research Site

    Donetsk, 83099

  • Research Site

    Kharkiv, 61068

  • Research Site

    Kharkiv, 61103

  • Research Site

    Kyiv, 3110

  • Research Site

    Kyiv, 4107

  • Research Site

    Odesa, 65025

  • Research Site

    Poltava, 26011

  • Research Site

    Simferopol, 95017

  • Research Site

    Ternopil, 46027

  • Research Site

    Vinnytsia, 21005

Other trials in Ukraine

Czechia8 sites
  • Research Site

    Brno, 62500

  • Research Site

    Olomouc, 77520

  • Research Site

    Ostrava, 70852

  • Research Site

    Ostrava - Vitkovice, 70200

  • Research Site

    Ostrava-Poruba, 70300

  • Research Site

    Prague, 12808

  • Research Site

    Prague, 15006

  • Research Site

    Teplice, 41529

Other trials in Czechia

Bulgaria7 sites
  • Research Site

    Plovdiv, 4002

  • Research Site

    Sofia, 1113

  • Research Site

    Sofia, 1309

  • Research Site

    Sofia, 1407

  • Research Site

    Sofia, 1431

  • Research Site

    Sofia, 1527

  • Research Site

    Sofia, 1606

Other trials in Bulgaria

Mexico6 sites
  • Research Site

    Aquas Calientes, 20127

  • Research Site

    Chihuahua City, 31203

  • Research Site

    Mexico City, 03310

  • Research Site

    Mexico City, 10700

  • Research Site

    Monterrey, Nuevo Leon, 64710

  • Research Site

    Tijuana, Baja California, 22320

Other trials in Mexico

Romania6 sites
  • Research Site

    Brasov, 500123

  • Research Site

    Bucharest, 50098

  • Research Site

    Campulung Muscel, 115100

  • Research Site

    Iași, 700656

  • Research Site

    Sibiu, 550166

  • Research Site

    Târgu Mureş, 540136

Other trials in Romania

France5 sites
  • Research Site

    Amiens, 80054

  • Research Site

    Clermont-Ferrand, 63003

  • Research Site

    Lyon, 69394

  • Research Site

    Marseille, 13385

  • Research Site

    Nice, 6002

Other trials in France

Spain5 sites
  • Research Site

    Córdoba, 14008

  • Research Site

    Madrid, 28041

  • Research Site

    Madrid, 28046

  • Research Site

    Málaga, 29010

  • Research Site

    Seville, 41071

Other trials in Spain

Georgia4 sites
  • Research Site

    Tbilisi, 112

  • Research Site

    Tbilisi, 141

  • Research Site

    Tbilisi, 179

  • Research Site

    Tbilisi, 186

Other trials in Georgia

Peru4 sites
  • Research Site

    Lima, Lima 01

  • Research Site

    Lima, Lima 1

  • Research Site

    Lima, Lima 21

  • Research Site

    San Isidro, Lima 27

Other trials in Peru

United Kingdom4 sites
  • Research Site

    London, E1 1BB

  • Research Site

    Nottingham, NG7 2UH

  • Research Site

    Salford, M6 8HD

  • Research Site

    Sheffield, S10 2JF

Other trials in United Kingdom

Colombia3 sites
  • Research Site

    Barranquilla, Atlántico

  • Research Site

    Bogota, Cundinamarca

  • Research Site

    Bogotá

Other trials in Colombia

Estonia3 sites
  • Research Site

    Pärnu, EE 80010

  • Research Site

    Tallinn, EE 10617

  • Research Site

    Tartu, EE 51014

Other trials in Estonia

Greece3 sites
  • Research Site

    Athens, 11521

  • Research Site

    Athens, 11525

  • Research Site

    Thessaloniki, 57010

Other trials in Greece

New Zealand3 sites
  • Research Site

    Auckland, 1023

  • Research Site

    Christchurch

  • Research Site

    Dunedin

Other trials in New Zealand

Serbia3 sites
  • Research Site

    Belgrade, 11000

  • Research Site

    Kragujevac, 34000

  • Research Site

    Niš, 18000

Other trials in Serbia

Belgium2 sites
  • Research Site

    Brussels, 1200

  • Research Site

    Sint-Truiden, 3800

Other trials in Belgium

Canada2 sites
  • Research Site

    London, Ontario, N6A 5A5

  • Research Site

    Montreal, Quebec, H2L4M1

Other trials in Canada

Croatia2 sites
  • Research Site

    Osijek, 31000

  • Research Site

    Zagreb, 10000

Other trials in Croatia

Netherlands2 sites
  • Research Site

    Breda, 4818CK

  • Research Site

    Nieuwegein, 3435CM

Other trials in Netherlands

Chile1 site
  • Research Site

    Santiago, 8207257

Other trials in Chile

Latvia1 site
  • Research Site

    Riga, LV 1005

Other trials in Latvia

About this study

Official title: A Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Study to Evaluate the Efficacy and Safety of PEGylated Interferon Beta-1a (BIIB017) in Subjects With Relapsing Multiple Sclerosis

The primary objective of this study is to determine the efficacy of peginterferon beta-1a in reducing the annualized relapse rate (ARR) in participants with relapsing multiple sclerosis (RMS) at 1 year. The secondary objectives of this study are to determine whether peginterferon beta-1a, at 1 year when compared with placebo, is effective in reducing the total number of new or newly enlarging T2 hyperintense lesions on brain magnetic resonance imaging (MRI) scans, reducing the proportion of participants who relapse, and slowing the progression of disability.

Read the detailed description

This is a global multicenter, randomized, double-blind, parallel-group, placebo-controlled study. The treatment period is 96 weeks (2 years) in duration. Treatment Year 1 (Week 0 to Week 48) is referred to as the placebo-controlled treatment period of the study. At the beginning of Treatment Year 1, participants were randomized to receive placebo, peginterferon beta-1a 125 μg every 2 weeks, or peginterferon beta-1a 125 μg every 4 weeks. At the end of Treatment Year 1, participants in the placebo group were re-randomized to receive peginterferon beta-1a treatment so that during treatment Year 2 (Weeks 48 to Week 96) all participants received peginterferon beta-1a 125 μg every 2 or every 4 weeks. Per protocol, all primary and secondary endpoints pertain to Year 1 data.

Being tested
BIIB017 (peginterferon beta-1a), Placebo
Keywords
interferon, injectable, MS, SC, PEGylated, Interferon beta-1a, relapsing, PEG, multiple sclerosis, subcutaneous
Medical subject headings
Recurrence, Multiple Sclerosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BIIB017 (peginterferon beta-1a)Drug

    Also called PEG IFN ß-1a, PEGylated interferon beta-1a, Plegridy

    Supplied as a liquid in pre-filled syringes to deliver 0.5 mL of 0.25 mg/mL (125 µg dose), self-administered by subcutaneous injection.

  • PlaceboDrug

    Matched placebo provided in pre-filled syringes, to deliver 0.5 mL self-administered by subcutaneous injection.

Study groups in NCT00906399
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo every 2 weeks for 48 weeks followed by 125 µg peginterferon beta-1a subcutaneously every 2 or 4 weeks for 48 weeks.
Receives: Drug: BIIB017 (peginterferon beta-1a); Drug: Placebo
Peginterferon Beta-1a Q2WExperimental125 µg peginterferon beta-1a subcutaneously every 2 weeks (Q2W) for 96 weeks.
Receives: Drug: BIIB017 (peginterferon beta-1a)
Peginterferon Beta-1a Q4WExperimental125 µg peginterferon beta-1a subcutaneously every 4 weeks (Q4W) for 96 weeks. Participants received a placebo injection 2 weeks after each active injection (in order to maintain the blind with Q2W arm).
Receives: Drug: BIIB017 (peginterferon beta-1a); Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized Relapse Rate (ARR) at 1 Year

    A relapse is defined as new or recurrent neurologic symptoms not associated with fever or infection, lasting for at least 24 hours, and accompanied by new objective neurologic findings. Only relapses confirmed by an independent neurology evaluation committee (INEC) are included in the analysis. Data after participants switched to alternative multiple sclerosis (MS) medications are excluded. Data were analyzed using negative binomial regression, adjusted for baseline Expanded Disability Status Scale (EDSS) score (< 4 versus ≥ 4), baseline age (< 40 versus ≥ 40 years), and baseline relapse rate (number of relapses in 3 years prior to study entry divided by 3).

    Measured: 1 Year

Secondary outcomes (3)
  1. Number of New Or Newly Enlarging T2 Hyperintense Lesions at 1 Year

    Number of new or newly enlarging T2 hyperintense lesions on brain magnetic resonance imaging (MRI) scans. Data observed after participants switched to alternative MS medications are excluded. Adjusted mean is based on negative binomial regression, adjusted for baseline number of T2 lesions.

    Measured: 1 Year

  2. Proportion of Participants Relapsed at 1 Year

    A relapse is defined as new or recurrent neurologic symptoms not associated with fever or infection, lasting for at least 24 hours, and accompanied by new objective neurologic findings. Only relapses confirmed by INEC were included in the analysis. Estimated proportion of participants relapsed is based on the Kaplan-Meier product limit method.

    Measured: Year 1

  3. Estimated Proportion of Participants With Sustained Disability Progression at 1 Year

    Sustained disability progression is defined as: at least a 1.0 point increase on the EDSS from baseline EDSS ≥ 1.0 that is sustained for 12 weeks, or at least a 1.5 point increase on the EDSS from baseline EDSS = 0 that is sustained for 12 weeks. The EDSS measures the disability status of people with MS on a scale that ranges from 0 to 10. The range of main categories include 0 (normal neurologic examination), to 5 (ambulatory without aid or rest for 200 meters/disability severe enough to impair full daily activities), to 10 (death due to MS). Estimated proportion of participants with progression based on the Kaplan-Meier product limit method.

    Measured: 1 Year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 May 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionOct 2012
  4. Study completionOct 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
1,516 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00906399
Sponsor's protocol ID
105MS301
Other IDs
2008-006333-27, 2008
Acronym
ADVANCE
Status last verified
Sep 2014
First submitted
20 May 2009
Last updated
19 Sep 2014
Data monitoring committee
Yes

Publications

  • Calabresi PA, Kieseier BC, Arnold DL, Balcer LJ, Boyko A, Pelletier J, Liu S, Zhu Y, Seddighzadeh A, Hung S, Deykin A; ADVANCE Study Investigators. Pegylated interferon beta-1a for relapsing-remitting multiple sclerosis (ADVANCE): a randomised, phase 3, double-blind study. Lancet Neurol. 2014 Jul;13(7):657-65. doi: 10.1016/S1474-4422(14)70068-7. Epub 2014 Apr 30.

    PubMed 24794721
  • Loomis SJ, Sadhu N, Fisher E, Gafson AR, Huang Y, Yang C, Hughes EE, Marshall E, Herman A, John S, Runz H, Jia X, Bhangale T, Bronson PG. Genome-wide study of longitudinal brain imaging measures of multiple sclerosis progression across six clinical trials. Sci Rep. 2023 Aug 31;13(1):14313. doi: 10.1038/s41598-023-41099-0.

    PubMed 37652990
  • Calabresi PA, Arnold DL, Sangurdekar D, Singh CM, Altincatal A, de Moor C, Engle B, Goyal J, Deykin A, Szak S, Kieseier BC, Rudick RA, Plavina T. Temporal profile of serum neurofilament light in multiple sclerosis: Implications for patient monitoring. Mult Scler. 2021 Sep;27(10):1497-1505. doi: 10.1177/1352458520972573. Epub 2020 Dec 14.

    PubMed 33307998
  • Cleanthous S, Cano S, Kinter E, Marquis P, Petrillo J, You X, Wakeford C, Sabatella G. Measuring the impact of multiple sclerosis: Enhancing the measurement performance of the Multiple Sclerosis Impact Scale (MSIS-29) using Rasch Measurement Theory (RMT). Mult Scler J Exp Transl Clin. 2017 Aug 15;3(3):2055217317725917. doi: 10.1177/2055217317725917. eCollection 2017 Jul-Sep.

    PubMed 29104758
  • Scott TF, Kieseier BC, Newsome SD, Arnold DL, You X, Hung S, Sperling B. Improvement in relapse recovery with peginterferon beta-1a in patients with multiple sclerosis. Mult Scler J Exp Transl Clin. 2016 Nov 15;2:2055217316676644. doi: 10.1177/2055217316676644. eCollection 2016 Jan-Dec.

    PubMed 28607743
  • Newsome SD, Kieseier BC, Liu S, You X, Kinter E, Hung S, Sperling B. Peginterferon beta-1a reduces disability worsening in relapsing-remitting multiple sclerosis: 2-year results from ADVANCE. Ther Adv Neurol Disord. 2017 Jan;10(1):41-50. doi: 10.1177/1756285616676065. Epub 2016 Nov 16.

    PubMed 28450894
  • Arnold DL, Calabresi PA, Kieseier BC, Liu S, You X, Fiore D, Hung S. Peginterferon beta-1a improves MRI measures and increases the proportion of patients with no evidence of disease activity in relapsing-remitting multiple sclerosis: 2-year results from the ADVANCE randomized controlled trial. BMC Neurol. 2017 Feb 10;17(1):29. doi: 10.1186/s12883-017-0799-0.

    PubMed 28183276
  • Newsome SD, Guo S, Altincatal A, Proskorovsky I, Kinter E, Phillips G, You X, Sabatella G. Impact of peginterferon beta-1a and disease factors on quality of life in multiple sclerosis. Mult Scler Relat Disord. 2015 Jul;4(4):350-7. doi: 10.1016/j.msard.2015.06.004. Epub 2015 Jun 14.

    PubMed 26195056
  • Arnold DL, Calabresi PA, Kieseier BC, Sheikh SI, Deykin A, Zhu Y, Liu S, You X, Sperling B, Hung S. Effect of peginterferon beta-1a on MRI measures and achieving no evidence of disease activity: results from a randomized controlled trial in relapsing-remitting multiple sclerosis. BMC Neurol. 2014 Dec 31;14:240. doi: 10.1186/s12883-014-0240-x.

    PubMed 25551571
  • Kieseier BC, Arnold DL, Balcer LJ, Boyko AA, Pelletier J, Liu S, Zhu Y, Seddighzadeh A, Hung S, Deykin A, Sheikh SI, Calabresi PA. Peginterferon beta-1a in multiple sclerosis: 2-year results from ADVANCE. Mult Scler. 2015 Jul;21(8):1025-35. doi: 10.1177/1352458514557986. Epub 2014 Nov 28.

    PubMed 25432952
  • Hu X, Cui Y, White J, Zhu Y, Deykin A, Nestorov I, Hung S. Pharmacokinetics and pharmacodynamics of peginterferon beta-1a in patients with relapsing-remitting multiple sclerosis in the randomized ADVANCE study. Br J Clin Pharmacol. 2015 Mar;79(3):514-22. doi: 10.1111/bcp.12521.

    PubMed 25265472

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BIIB017 (peginterferon beta-1a) in people with Relapsing Multiple Sclerosis, run by Biogen at 178 sites in 26 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 178 sites in Poland, India, Germany, Russia, United States and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Sep 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized Relapse Rate (ARR) at 1 Year (time frame: 1 Year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00906399, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2014; AzTrials last refreshed its copy on 7 Nov 2026.

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