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.
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
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
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
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
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
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
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
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
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
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
France5 sites
Research Site
Amiens, 80054
Research Site
Clermont-Ferrand, 63003
Research Site
Lyon, 69394
Research Site
Marseille, 13385
Research Site
Nice, 6002
Spain5 sites
Research Site
Córdoba, 14008
Research Site
Madrid, 28041
Research Site
Madrid, 28046
Research Site
Málaga, 29010
Research Site
Seville, 41071
Georgia4 sites
Research Site
Tbilisi, 112
Research Site
Tbilisi, 141
Research Site
Tbilisi, 179
Research Site
Tbilisi, 186
Peru4 sites
Research Site
Lima, Lima 01
Research Site
Lima, Lima 1
Research Site
Lima, Lima 21
Research Site
San Isidro, Lima 27
United Kingdom4 sites
Research Site
London, E1 1BB
Research Site
Nottingham, NG7 2UH
Research Site
Salford, M6 8HD
Research Site
Sheffield, S10 2JF
Colombia3 sites
Research Site
Barranquilla, Atlántico
Research Site
Bogota, Cundinamarca
Research Site
Bogotá
Estonia3 sites
Research Site
Pärnu, EE 80010
Research Site
Tallinn, EE 10617
Research Site
Tartu, EE 51014
Greece3 sites
Research Site
Athens, 11521
Research Site
Athens, 11525
Research Site
Thessaloniki, 57010
New Zealand3 sites
Research Site
Auckland, 1023
Research Site
Christchurch
Research Site
Dunedin
Serbia3 sites
Research Site
Belgrade, 11000
Research Site
Kragujevac, 34000
Research Site
Niš, 18000
Canada2 sites
Research Site
London, Ontario, N6A 5A5
Research Site
Montreal, Quebec, H2L4M1
Netherlands2 sites
Research Site
Breda, 4818CK
Research Site
Nieuwegein, 3435CM
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.
- Conditions
- Relapsing Multiple Sclerosis
- 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 group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Placebo 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 Q2W | Experimental | 125 µg peginterferon beta-1a subcutaneously every 2 weeks (Q2W) for 96 weeks. Receives: Drug: BIIB017 (peginterferon beta-1a) |
| Peginterferon Beta-1a Q4W | Experimental | 125 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.
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)
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
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
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.
- First posted21 May 2009 (estimated)
- Study startJun 2009
- Primary completionOct 2012
- Study completionOct 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Relapsing Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by BiogenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Biogen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Biogen
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 24794721Loomis 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 37652990Calabresi 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 33307998Cleanthous 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 29104758Scott 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 28607743Newsome 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 28450894Arnold 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 28183276Newsome 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 26195056Arnold 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 25551571Kieseier 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 25432952Hu 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
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00906399
- Acronym / sponsor ID
- ADVANCE / 105MS301
- Conditions
- Relapsing Multiple Sclerosis
- Keywords
- interferon, injectable, MS, SC, PEGylated, Interferon beta-1a, relapsing, PEG
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,516 participants (actual)
- Lead sponsor
- BiogenIndustry (pharma, biotech, devices)
- Study start
- Jun 2009
- Primary completion
- Oct 2012 (actual)
- Study completion
- Oct 2013 (actual)
- First posted
- 21 May 2009 (estimated)
- Results
- Posted 19 Sep 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: BIIB017 (peginterferon beta-1a), Drug: PlaceboPlacebo every 2 weeks for 48 weeks followed by 125 µg peginterferon beta-1a subcutaneously every 2 or 4 weeks for 48 weeks. |
| Peginterferon Beta-1a Q2W | Experimental | Drug: BIIB017 (peginterferon beta-1a)125 µg peginterferon beta-1a subcutaneously every 2 weeks (Q2W) for 96 weeks. |
| Peginterferon Beta-1a Q4W | Experimental | Drug: BIIB017 (peginterferon beta-1a), Drug: Placebo125 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). |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (4 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BIIB017 (peginterferon beta-1a)Also: PEG IFN ß-1a, PEGylated interferon beta-1a, PlegridySupplied 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. | Drug | Peginterferon Beta-1a Q2W, Peginterferon Beta-1a Q4W, Placebo |
| PlaceboMatched placebo provided in pre-filled syringes, to deliver 0.5 mL self-administered by subcutaneous injection. | Drug | Peginterferon Beta-1a Q4W, Placebo |
Primary outcome
Annualized Relapse Rate (ARR) at 1 Year
Time frame: 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).
3 secondary outcomes
Number of New Or Newly Enlarging T2 Hyperintense Lesions at 1 Year
Time frame: 1 Year
Proportion of Participants Relapsed at 1 Year
Time frame: Year 1
Estimated Proportion of Participants With Sustained Disability Progression at 1 Year
Time frame: 1 Year
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 24794721Calabresi 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.
- Derived from this study: PubMed 37652990Loomis 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.
- Derived from this study: PubMed 33307998Calabresi 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.
- Derived from this study: PubMed 29104758Cleanthous 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.
- Derived from this study: PubMed 28607743Scott 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.
- Derived from this study: PubMed 28450894Newsome 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.
- Derived from this study: PubMed 28183276Arnold 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.
- Derived from this study: PubMed 26195056Newsome 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.
- Derived from this study: PubMed 25551571Arnold 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.
- Derived from this study: PubMed 25432952Kieseier 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.
- Derived from this study: PubMed 25265472Hu 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Biogen
178 sites in 26 countries: see every site and its status.
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.