Relapsing Remitting Multiple SclerosisPhase 3GALANCT01067521
A Study in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) to Assess the Efficacy, Safety and Tolerability of Glatiramer Acetate (GA) Injection 40 mg Administered Three Times a Week Compared to Placebo
A Phase 3 study testing Glatiramer acetate (GA) in people with Relapsing Remitting Multiple Sclerosis, run by Teva Branded Pharmaceutical Products R&D, Inc. at 176 sites in 17 countries.
Trial summary
The study is designed to assess the efficacy of Glatiramer Acetate (GA) injection 40 mg administered three times a week compared to placebo in subjects with RRMS, as measured by the number of confirmed relapses during the 12 month placebo controlled period. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Relapsing Remitting Multiple Sclerosis
- What is being tested?
- Glatiramer acetate (GA)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,404 participants
- Where
- 176 sitesin 17 countries
- Study dates
- 22 Jun 2010to 12 May 2017
- 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 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Subjects must have a confirmed and documented MS diagnosis as defined by the Revised McDonald criteria with a relapsing-remitting disease course.
- Subjects must be ambulatory with an EDSS score of 0-5.5 in both screening and baseline visits.
- Subjects must be in a relapse-free, stable neurological condition and free of corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)] or ACTH 30 days prior to screening (month -1) and between screening and baseline (month 0) visits.
- Subjects must have experienced one of the following:
- At least one documented relapse in the 12 months prior to screening, or At least two documented relapses in the 24 months prior to screening, or One documented relapse between 12 and 24 months prior to screening with at least one documented T1-Gd enhancing lesion in an MRI performed within 12 months prior to screening.
- Subjects must be between 18 and 55 years of age, inclusive.
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- Women of child-bearing potential must practice an acceptable method of birth control.
- Subjects must be able to sign and date a written informed consent prior to entering the study.
- Subjects must be willing and able to comply with the protocol requirements for the duration of the study
Who cannot join
- Subjects with progressive forms of MS.
- Use of experimental or investigational drugs, and/or participation in drug clinical studies within the 6 months prior to screening.
- Use of immunosuppressive (including Mitoxantrone and Fingolimod) or cytotoxic agents within 6 months prior to the screening visit.
- Use of natalizumab (Tysabri®) or any other monoclonal antibodies within 2 years prior to screening.
- Use of cladribine within 2 years prior to screening.
- Previous treatment with immunomodulators (including IFNβ 1a and 1b, and IV Immunoglobulin (IVIg) within 2 months prior to screening.
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- Previous use of GA or any other glatiramoid.
- Chronic (more than 30 consecutive days) systemic (IV, PO or IM) corticosteroid treatment within 6 months prior to screening visit.
- Previous total body irradiation or total lymphoid irradiation.
- Previous stem-cell treatment, autologous bone marrow transplantation or allogenic bone marrow transplantation.
- Pregnancy or breastfeeding.
- Subjects with a clinically significant or unstable medical or surgical condition that would preclude safe and complete study participation, as determined by medical history, physical exams, ECG, abnormal laboratory tests and chest X-ray. Such conditions may include hepatic, renal or metabolic diseases, systemic disease, acute infection, current malignancy or recent history (5 years) of malignancy, major psychiatric disorder, history of drug and/or alcohol abuse and allergies that could be detrimental according to the investigator's judgment.
- A known history of sensitivity to Gadolinium.
- Inability to successfully undergo MRI scanning.
- A known drug hypersensitivity to Mannitol.
Trial locations and contacts
176 sites in 17 countries.
176 sites in 17 countries
United States37 sites
Teva Investigational Site 1329
Akron, Ohio, 44320
Teva Investigational Site 1297
Aurora, Colorado, 80045
Teva Investigational Site 1332
Birmingham, Alabama, 35209
Teva Investigational Site 1344
Boulder, Colorado, 80304
Teva Investigational Site 1315
Centennial, Colorado, 80112
Teva Investigational Site 1349
Columbus, Ohio, 43221
Teva Investigational Site 1313
Dayton, Ohio, 45417
Teva Investigational Site 1306
Detroit, Michigan, 48201
Teva Investigational Site 1350
Fort Collins, Colorado, 80528
Teva Investigational Site 1326
Fullerton, California, 92835
Teva Investigational Site 1327
Gilbert, Arizona, 85234
Teva Investigational Site 1323
Kirkland, Washington, 98034
Teva Investigational Site 1335
La Jolla, California, 92037
Teva Investigational Site 1334
Lenexa, Kansas, 66214
Teva Investigational Site 1302
Lexington, Kentucky, 40513
Teva Investigational Site 1321
Lubbock, Texas, 79410
Teva Investigational Site 1345
Miami, Florida, 33136
Teva Investigational Site 1336
Naples, Florida, 34102
Teva Investigational Site 1310
Nashville, Tennessee, 37205
Teva Investigational Site 1303
Northbrook, Illinois, 60062
Teva Investigational Site 1341
Oklahoma City, Oklahoma, 73104
Teva Investigational Site 1311
Phoenix, Arizona, 85004
Teva Investigational Site 1347
Pompano Beach, Florida, 33060
Teva Investigational Site 1319
Ponte Vedra, Florida, 32082
Teva Investigational Site 1338
Richmond, Virginia, 23298-0599
Teva Investigational Site 1339
Roanoke, Virginia, 24018
Teva Investigational Site 1337
Round Rock, Texas, 78681
Teva Investigational Site 1343
Salt Lake City, Utah, 84106
Teva Investigational Site 1301
San Antonio, Texas, 78231
Teva Investigational Site 1346
San Antonio, Texas, 78258
Teva Investigational Site 1298
Sarasota, Florida, 34233
Teva Investigational Site 1316
Sarasota, Florida, 34239
Teva Investigational Site 1322
Shreveport, Louisiana, 71103
Teva Investigational Site 1340
Tampa, Florida, 33606
Teva Investigational Site 1318
Uniontown, Ohio, 44685
Teva Investigational Site 1317
Vero Beach, Florida, 32960
Teva Investigational Site 1300
Vienna, Virginia, 22182
Bulgaria20 sites
Teva Investigational Site 5940
Blagoevgrad, 2700
Teva Investigational Site 5931
Pleven, 5800
Teva Investigational Site 5932
Pleven, 5800
Teva Investigational Site 5933
Plovdiv, 4000
Teva Investigational Site 5936
Rousse, 7000
Teva Investigational Site 5935
Shumen, 9700
Teva Investigational Site 5939
Sofia, 1000
Teva Investigational Site 5921
Sofia, 1113
Teva Investigational Site 5922
Sofia, 1113
Teva Investigational Site 5926
Sofia, 1309
Teva Investigational Site 5938
Sofia, 1407
Teva Investigational Site 5924
Sofia, 1431
Teva Investigational Site 5927
Sofia, 15257
Teva Investigational Site 5923
Sofia, 1606
Teva Investigational Site 5925
Sofia, 1606
Teva Investigational Site 5928
Sofia, 1606
Teva Investigational Site 5929
Sofia, 1606
Teva Investigational Site 5934
Stara Zagora, 6000
Teva Investigational Site 5930
Varna, 9010
Teva Investigational Site 5937
Veliko Tarnovo, 5000
Poland18 sites
Teva Investigational Site 5374
Częstochowa, 42-200
Teva Investigational Site 5377
Elblag, 82-300
Teva Investigational Site 5381
Gdansk, 80-299
Teva Investigational Site 5380
Gdansk, 80-803
Teva Investigational Site 5382
Gmina Końskie, 26-200
Teva Investigational Site 5376
Gorzów Wielkopolski, 66-400
Teva Investigational Site 5372
Grodzisk Mazowiecki, 05-825
Teva Investigational Site 5375
Katowice, 40-684
Teva Investigational Site 5368
Katowice, 40-752
Teva Investigational Site 5379
Kielce, 25-726
Teva Investigational Site 5369
Kościerzyna, 83-400
Teva Investigational Site 5378
Krakow, 31-826
Teva Investigational Site 5366
Lodz, 90-153
Teva Investigational Site 5373
Olsztyn, 10-560
Teva Investigational Site 5384
Poznan, 60-355
Teva Investigational Site 5371
Szczecin, 70-111
Teva Investigational Site 5367
Warsaw, 02-097
Teva Investigational Site 5370
Wroclaw, 50-556
Russia17 sites
Teva Investigational Site 5063
Barnaul, 656024
Teva Investigational Site 5068
Irkutsk, 664079
Teva Investigational Site 5067
Krasnoyarsk, 660022
Teva Investigational Site 5052
Moscow, 127015
Teva Investigational Site 5057
Nizhny Novgorod, 603126
Teva Investigational Site 5062
Novosibirsk, 630087
Teva Investigational Site 5060
Perm, 614990
Teva Investigational Site 5056
Saint Petersburg, 194044
Teva Investigational Site 5055
Saint Petersburg, 194354
Teva Investigational Site 5053
Saint Petersburg, 197022
Teva Investigational Site 5054
Saint Petersburg, 197376
Teva Investigational Site 5058
Samara, 443095
Teva Investigational Site 5064
Smolensk, 214018
Teva Investigational Site 5066
Tomsk, 634050
Teva Investigational Site 5061
Ufa, 450007
Teva Investigational Site 5065
Yaroslavl, 150030
Teva Investigational Site 5059
Yekaterinburg, 620102
Germany15 sites
Teva Investigational Site 3268
Bad Wildbad, 75323
Teva Investigational Site 3272
Bayreuth, 95445
Teva Investigational Site 3262
Berlin, 10117
Teva Investigational Site 3276
Berlin, 12203
Teva Investigational Site 3271
Bonn, 53117
Teva Investigational Site 3265
Dresden, 01307
Teva Investigational Site 3267
Düsseldorf, 40211
Teva Investigational Site 3263
Erbach im Odenwald, 64711
Teva Investigational Site 3269
Hamburg, 22179
Teva Investigational Site 3266
Hanover, 30171
Teva Investigational Site 3270
Herborn, 35745
Teva Investigational Site 3273
Kaltenkirchen, 24568
Teva Investigational Site 3275
Marburg, 35043
Teva Investigational Site 3261
Münster, 48149
Teva Investigational Site 3264
Ulm, 89081
Ukraine15 sites
Teva Investigational Site 5835
Chernihiv, 14029
Teva Investigational Site 5834
Chernivtsi, 58018
Teva Investigational Site 5827
Dnipropetrovsk, 49027
Teva Investigational Site 5828
Donetsk, 83003
Teva Investigational Site 5829
Ivano-Frankivsk, 76008
Teva Investigational Site 5830
Kharkiv, 61018
Teva Investigational Site 5833
Kyiv, 03110
Teva Investigational Site 5836
Kyiv, 03115
Teva Investigational Site 5825
Lviv, 79010
Teva Investigational Site 5839
Odesa, 65014
Teva Investigational Site 5832
Poltava, 36024
Teva Investigational Site 5838
Simferopol, 295017
Teva Investigational Site 5837
Uzhhorod, 88018
Teva Investigational Site 5826
Vinnytsia, 21005
Teva Investigational Site 5831
Zaporizhzhya, 69600
Romania14 sites
Teva Investigational Site 5233
Baloteşti, 077015
Teva Investigational Site 5222
Bucharest, 010825
Teva Investigational Site 5221
Bucharest, 022328
Teva Investigational Site 5220
Bucharest, 050098
Teva Investigational Site 5227
Cluj-Napoca, 400006
Teva Investigational Site 5230
Cluj-Napoca, 400437
Teva Investigational Site 5225
Constanța, 900123
Teva Investigational Site 5226
Constanța, 900591
Teva Investigational Site 5232
Craiova, 200515
Teva Investigational Site 5231
Iași, 700661
Teva Investigational Site 5223
Piatra Neamţ, 610136
Teva Investigational Site 5228
Sibiu, 550245
Teva Investigational Site 5229
Târgu Mureş, 540136
Teva Investigational Site 5224
Timișoara, 300736
Hungary7 sites
Teva Investigational Site 5127
Budapest, H-1115
Teva Investigational Site 5129
Debrecen, 4043
Teva Investigational Site 5130
Eger, H-3300
Teva Investigational Site 5132
Esztergom, H-2500
Teva Investigational Site 5131
Győr, H-9023
Teva Investigational Site 5128
Kaposvár, H-7400
Teva Investigational Site 5133
Veszprém, H-8200
South Africa7 sites
Teva Investigational Site 9020
Johannesburg, 2157
Teva Investigational Site 9019
Johannesburg, 2193
Teva Investigational Site 9022
Pietermaritzburg, 3201
Teva Investigational Site 9025
Pretoria, 0002
Teva Investigational Site 9018
Pretoria, 0041
Teva Investigational Site 9021
Rosebank, 2196
Teva Investigational Site 9024
Umhlanga, 4320
Croatia5 sites
Teva Investigational Site 6011
Osijek, 31 000
Teva Investigational Site 6009
Zagreb, 10000
Teva Investigational Site 6010
Zagreb, 10000
Teva Investigational Site 6012
Zagreb, 10000
Teva Investigational Site 6013
Zagreb, 10000
Italy5 sites
Teva Investigational Site 3089
Bologna, 40139
Teva Investigational Site 3084
Cefalù, 90015
Teva Investigational Site 3092
Cosenza, 87100
Teva Investigational Site 3080
Milan, 20148
Teva Investigational Site 3086
Rome, 00144
Czechia4 sites
Teva Investigational Site 5433
Olomouc, 779 00
Teva Investigational Site 5434
Ostrava - Poruba, 708 52
Teva Investigational Site 5432
Prague, 100 31
Teva Investigational Site 5435
Teplice, 415 29
Estonia3 sites
Teva Investigational Site 5513
Kohtla-Järve, 31025
Teva Investigational Site 5510
Tallinn, EE-10617
Teva Investigational Site 5512
Tartu, EE-51014
Lithuania3 sites
Teva Investigational Site 5710
Kaunas, 50009
Teva Investigational Site 5712
Šiauliai, 76231
Teva Investigational Site 5711
Vilnius, LT-08661
United Kingdom3 sites
Teva Investigational Site 3439
Nottingham, NG7 2UH
Teva Investigational Site 3438
Salford, M6 8HD
Teva Investigational Site 3440
Sheffield, S10 2JF
Georgia2 sites
Teva Investigational Site 8110
Tbilisi, 0112
Teva Investigational Site 8111
Tbilisi, 0179
About this study
Official title: A Multinational, Multicenter, Randomized, Parallel-group Study Performed in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) to Assess the Efficacy, Safety and Tolerability of Glatiramer Acetate (GA) Injection 40 mg Administered Three Times a Week Compared to Placebo in a Double-blind Design
The study is designed to assess the efficacy of Glatiramer Acetate (GA) injection 40 mg administered three times a week compared to placebo in subjects with RRMS, as measured by the number of confirmed relapses during the 12 month placebo controlled period. The study has two periods:
- Placebo Controlled Period: 12 months of 40 mg administered three times a week by subcutaneous injection or matching placebo.
- Open Label Extension Period: All subjects will continue treatment with GA 40 mg administered three times a week, until this dose strength is commercially available for the treatment of relapsing remitting multiple sclerosis (RRMS) patients or until the development of this GA dose regimen is stopped by the Sponsor
Read the detailed description
Participants who were randomized to the GA 40 mg treatment arm in the Double-Blind Period, continue that treatment in the Open-Label Extension Period and are referred to as "Early Start" participants. Participants randomized to the Placebo arm in the Double-Blind Period and switched to GA 40 mg subcutaneous injections three times a week in the Open-Label Extension are referred to as "Delayed Start" participants.
- Conditions
- Relapsing Remitting Multiple Sclerosis
- Being tested
- Glatiramer acetate (GA), Placebo
- Keywords
- Relapsing Remitting Multiple Sclerosis, Glatiramer Acetate
- Medical subject headings
- Multiple Sclerosis, Relapsing-Remitting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Glatiramer acetate (GA)Drug
Also called Copaxone
GA 40 mg/mL administered 3 times a week by subcutaneous injection for a period of 12 months for participants assigned to GA treatment in the Double-Blind Period, and GA 40 mg/mL administered 3 times a week by subcutaneous injection for all participants in the Open-Label Extension Period.
PlaceboDrug
Placebo comparator administered by subcutaneous injection three times each week for 12 months during the Double-Blind Period.
| Study group | Role | What they receive |
|---|---|---|
| GA 40 mg / GA 40 mg | Experimental | Also referred to as the 'Early Start' treatment arm, participants were administered glatiramer acetate (GA) 40 mg/mL by subcutaneous injection three times a week for 12 months during the Double-Blind Period, and then continued that treatment as open-label therapy until the drug was commercially available or development stopped. Receives: Drug: Glatiramer acetate (GA) |
| Placebo / GA 40 mg | Placebo comparator | Also referred to as the 'Delayed Start' treatment arm, participants were administered placebo subcutaneous injections three times a week for 12 months during the Double-Blind Period, and then switched to GA 40 mg/mL subcutaneous injections three times a week as open-label therapy until the drug was commercially available or development stopped. Receives: Drug: Glatiramer acetate (GA); Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total Number of Confirmed Relapses During the Placebo Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
Relapses were monitored throughout the study. During the PC Period, two neurologists/physicians assessed subjects' general medical and neurological evaluations separately. A relapse was defined as the appearance of 1+ new neurological abnormalities or the reappearance of 1+ previously observed neurological abnormalities lasting >= 48 hours and immediately preceded by an improving neurological state of at >=30 days from onset of previous relapse. An event was counted as a relapse only when the subject's symptoms were accompanied by observed objective neurological changes, consistent with >= one of the following: - An increase of >= 0.5 in the Expanded Disability Status Scale (EDSS) score as compared to previous evaluation. - An increase of one grade in the actual score of >=2 of the 7 functional systems (FS), as compared to previous evaluation. - An increase of 2 grades in the actual score of one FS as compared to the previous evaluation. Adjusted mean values are displayed.
Measured: Day 1 to 12 months
Annualized Rate of Confirmed Relapses Comparing Early Starters to Delayed Starters Estimated by Negative Binomial Regression
The annualized relapse rate (ARR) was calculated for the study by dividing the cumulative number of confirmed relapses by the number of person-years of exposure to treatment. The analysis of the annualized relapse rate is based on estimating a contrast (early start vs delayed start) derived from a baseline-adjusted, Negative Binomial Regression model to the number of confirmed relapses observed during study (post randomization) with an "offset" based on the log of exposure to treatment.
Measured: Day 1 up to 6.5 years
Secondary outcomes (7)
The Cumulative Number of New/Enlarging T2 Lesions Taken at Month 6 and Month 12 During the Placebo Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
T2 lesions are hyperintense brain lesions that show on magnetic resonance imaging (MRI) and are associated with multiple sclerosis. The cumulative number of T2 lesions at Months 6 and 12 that are new or enlarged as compared to the baseline MRI are offered. Note that the two timeframes (Months 6 and 12) are combined. Adjusted mean is based on negative binomial regression, adjusted for baseline number of T2 lesions and country or geographical region as covariates.
Measured: Baseline (Day -7), Month 6, Month 12
The Cumulative Number of Gadolinium (Gd)-Enhanced Lesions on T1-Weighted Images At Month 6 and Month 12 of the Placebo-Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
The cumulative number of gadolinium (Gd)-enhanced lesions on T1-weighted images at Months 6 and 12 as compared to the baseline MRI are offered. Note that the two timeframes (Months 6 and 12) are combined. Adjusted mean is based on negative binomial regression with an "offset" employing the log of the proportion of the number of the available post-baseline scans to adjust for missing MRI scans (if any), adjusted for baseline number of enhancing lesions on T1-weighted images and country or geographical region as covariates.
Measured: Baseline (Day -7), Month 6, Month 12
Brain Atrophy As Defined by the Percent of Change in Normalized Brain Volume From Baseline to Month 12 During the Placebo Controlled (PC) Treatment Period
The analysis of brain atrophy as defined by the percentage change in normalized brain volume from baseline to Month 12 was based on the outcome of a contrast (GA 40 mg TIW vs. placebo) derived from a baseline-adjusted ANCOVA. In addition to the treatment group, the model included the following covariates: - SIENAX normalized brain volume at baseline. - The number of enhancing lesions on T1-weighted images at baseline. - country or geographical region.
Sienax estimates total brain tissue volume, from a single image, normalised for skull size.
Measured: Baseline (Day -7), Month 12
The Number of New/Enlarging T2 Lesions at Months 6, 12 and 36 Estimated by Negative Binomial Regression
All data accumulated from screening, the PC Treatment period up to the end of the Open Label (OL) period are combined and referred to as the Long Term Period. T2 lesions are hyperintense brain lesions that show on magnetic resonance imaging (MRI) and are associated with multiple sclerosis. The number of T2 lesions at Months 6, 12 and 36 that are new or enlarged as compared to the baseline MRI are offered. Adjusted mean is based on negative binomial regression, adjusted for baseline number of T2 lesions and country or geographical region as covariates. An "offset" employing the log of the proportion of the number of the available post-placebo-controlled baseline (PCBL) scans was used to adjust for missing MRI scans.
Measured: Baseline (Day -7), Month 6, Month 12, Month 36
The Cumulative Number of Gadolinium (Gd)-Enhanced Lesions on T1-Weighted Images At Months 6, 12 and 36 Estimated by Negative Binomial Regression
All data accumulated from screening, the PC Treatment period up to the end of the Open Label (OL) period are combined and referred to as the Long Term Period. The cumulative number of gadolinium (Gd)-enhanced lesions on T1-weighted images at Months 6, 12 and 36 as compared to the baseline MRI are offered. Adjusted mean is based on negative binomial regression The model was fit using an autoregressive covariance structure. Covariates used: number of enhancing lesions on T1-weighted images at placebo-controlled baseline and country or geographical region. The cumulative number is derived from all the data points before it. For example, if the participant skipped one time point in between the baseline and 36 months, then it cannot be calculated.
Measured: Baseline (Day -7), Month 6, Month 12, Month 36
Brain Atrophy As Defined by the Percent of Change in Brain Volume From Baseline to Months 6, 12 and 36 Estimated by a Mixed Model for Repeated Measures
The analysis of brain atrophy as defined by the percentage change in brain volume from baseline to Months 6, 12 and 36 was performed using mixed model for repeated measures (MMRM) with SIENAX normalized brain volume at baseline, number of Gd-enhancing lesions at baseline, and country or geographical region as fixed effects.
Sienax estimates total brain tissue volume, from a single image, normalised for skull size.
Measured: Baseline (Day -7), Month 6, Month 12, Month 36
Participants With Treatment-Emergent Adverse Events (TEAEs)
Adverse events (AEs) summarized in this table are those that began or worsened after treatment with study drug (treatment-emergent AEs). An adverse event was defined in the protocol as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator. Serious AEs include death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, OR an important medical event that jeopardized the patient and required medical intervention to prevent the previously listed serious outcomes.
Measured: Early Start: Day 1 up to 6.5 years Delayed Start - Placebo: Day 1 up to Month 12 Delayed Start - GA: Month 13 up to 6.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Feb 2010 (estimated)
- Study start22 Jun 2010
- Primary completion8 May 2012
- Study completion12 May 2017
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 (1)Papers the sponsor has linked to this study.
- Other trials for Relapsing Remitting Multiple SclerosisStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,404 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01067521
- Sponsor's protocol ID
- MS-GA-301
- Other IDs
- 2009-018084-27, 2009
- Acronym
- GALA
- Status last verified
- Dec 2021
- First submitted
- 10 Feb 2010
- Last updated
- 9 Dec 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Khan O, Rieckmann P, Boyko A, Selmaj K, Ashtamker N, Davis MD, Kolodny S, Zivadinov R. Efficacy and safety of a three-times-weekly dosing regimen of glatiramer acetate in relapsing-remitting multiple sclerosis patients: 3-year results of the Glatiramer Acetate Low-Frequency Administration open-label extension study. Mult Scler. 2017 May;23(6):818-829. doi: 10.1177/1352458516664033. Epub 2016 Aug 8.
PubMed 27503905
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multinational, Multicenter, Randomized, Parallel-group Study Performed in Subjects With Relapsing-Remitting Multiple Sclerosis (RRMS) to Assess the Efficacy, Safety and Tolerability of Glatiramer Acetate (GA) Injection 40 mg Administered Three Times a Week Compared to Placebo in a Double-blind Design
- ClinicalTrials.gov ID
- NCT01067521
- Acronym / sponsor ID
- GALA / MS-GA-301
- Conditions
- Relapsing Remitting Multiple Sclerosis
- Keywords
- Relapsing Remitting Multiple Sclerosis, Glatiramer Acetate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,404 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Jun 2010 (actual)
- Primary completion
- 8 May 2012 (actual)
- Study completion
- 12 May 2017 (actual)
- First posted
- 11 Feb 2010 (estimated)
- Results
- Posted 9 Oct 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is designed to assess the efficacy of Glatiramer Acetate (GA) injection 40 mg administered three times a week compared to placebo in subjects with RRMS, as measured by the number of confirmed relapses during the 12 month placebo controlled period. The study has two periods:
- Placebo Controlled Period: 12 months of 40 mg administered three times a week by subcutaneous injection or matching placebo.
- Open Label Extension Period: All subjects will continue treatment with GA 40 mg administered three times a week, until this dose strength is commercially available for the treatment of relapsing remitting multiple sclerosis (RRMS) patients or until the development of this GA dose regimen is stopped by the Sponsor
Detailed description
Participants who were randomized to the GA 40 mg treatment arm in the Double-Blind Period, continue that treatment in the Open-Label Extension Period and are referred to as "Early Start" participants. Participants randomized to the Placebo arm in the Double-Blind Period and switched to GA 40 mg subcutaneous injections three times a week in the Open-Label Extension are referred to as "Delayed Start" participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GA 40 mg / GA 40 mg | Experimental | Drug: Glatiramer acetate (GA)Also referred to as the 'Early Start' treatment arm, participants were administered glatiramer acetate (GA) 40 mg/mL by subcutaneous injection three times a week for 12 months during the Double-Blind Period, and then continued that treatment as open-label therapy until the drug was commercially available or development stopped. |
| Placebo / GA 40 mg | Placebo comparator | Drug: Glatiramer acetate (GA), Drug: PlaceboAlso referred to as the 'Delayed Start' treatment arm, participants were administered placebo subcutaneous injections three times a week for 12 months during the Double-Blind Period, and then switched to GA 40 mg/mL subcutaneous injections three times a week as open-label therapy until the drug was commercially available or development stopped. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Subjects must have a confirmed and documented MS diagnosis as defined by the Revised McDonald criteria with a relapsing-remitting disease course.
- Subjects must be ambulatory with an EDSS score of 0-5.5 in both screening and baseline visits.
- Subjects must be in a relapse-free, stable neurological condition and free of corticosteroid treatment [intravenous (IV), intramuscular (IM) and/or per os (PO)] or ACTH 30 days prior to screening (month -1) and between screening and baseline (month 0) visits.
- Subjects must have experienced one of the following:
- At least one documented relapse in the 12 months prior to screening, or At least two documented relapses in the 24 months prior to screening, or One documented relapse between 12 and 24 months prior to screening with at least one documented T1-Gd enhancing lesion in an MRI performed within 12 months prior to screening.
Key exclusion criteria (15 listed)
- Subjects with progressive forms of MS.
- Use of experimental or investigational drugs, and/or participation in drug clinical studies within the 6 months prior to screening.
- Use of immunosuppressive (including Mitoxantrone and Fingolimod) or cytotoxic agents within 6 months prior to the screening visit.
- Use of natalizumab (Tysabri®) or any other monoclonal antibodies within 2 years prior to screening.
- Use of cladribine within 2 years prior to screening.
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 |
|---|---|---|
| Glatiramer acetate (GA)Also: CopaxoneGA 40 mg/mL administered 3 times a week by subcutaneous injection for a period of 12 months for participants assigned to GA treatment in the Double-Blind Period, and GA 40 mg/mL administered 3 times a week by subcutaneous injection for all participants in the Open-Label Extension Period. | Drug | GA 40 mg / GA 40 mg, Placebo / GA 40 mg |
| PlaceboPlacebo comparator administered by subcutaneous injection three times each week for 12 months during the Double-Blind Period. | Drug | Placebo / GA 40 mg |
Primary outcome
Total Number of Confirmed Relapses During the Placebo Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
Time frame: Day 1 to 12 months
Relapses were monitored throughout the study. During the PC Period, two neurologists/physicians assessed subjects' general medical and neurological evaluations separately. A relapse was defined as the appearance of 1+ new neurological abnormalities or the reappearance of 1+ previously observed neurological abnormalities lasting >= 48 hours and immediately preceded by an improving neurological state of at >=30 days from onset of previous relapse. An event was counted as a relapse only when the subject's symptoms were accompanied by observed objective neurological changes, consistent with >= one of the following: - An increase of >= 0.5 in the Expanded Disability Status Scale (EDSS) score as compared to previous evaluation. - An increase of one grade in the actual score of >=2 of the 7 functional systems (FS), as compared to previous evaluation. - An increase of 2 grades in the actual score of one FS as compared to the previous evaluation. Adjusted mean values are displayed.
Annualized Rate of Confirmed Relapses Comparing Early Starters to Delayed Starters Estimated by Negative Binomial Regression
Time frame: Day 1 up to 6.5 years
The annualized relapse rate (ARR) was calculated for the study by dividing the cumulative number of confirmed relapses by the number of person-years of exposure to treatment. The analysis of the annualized relapse rate is based on estimating a contrast (early start vs delayed start) derived from a baseline-adjusted, Negative Binomial Regression model to the number of confirmed relapses observed during study (post randomization) with an "offset" based on the log of exposure to treatment.
7 secondary outcomes
The Cumulative Number of New/Enlarging T2 Lesions Taken at Month 6 and Month 12 During the Placebo Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
Time frame: Baseline (Day -7), Month 6, Month 12
The Cumulative Number of Gadolinium (Gd)-Enhanced Lesions on T1-Weighted Images At Month 6 and Month 12 of the Placebo-Controlled (PC) Treatment Period Estimated by Negative Binomial Regression
Time frame: Baseline (Day -7), Month 6, Month 12
Brain Atrophy As Defined by the Percent of Change in Normalized Brain Volume From Baseline to Month 12 During the Placebo Controlled (PC) Treatment Period
Time frame: Baseline (Day -7), Month 12
The Number of New/Enlarging T2 Lesions at Months 6, 12 and 36 Estimated by Negative Binomial Regression
Time frame: Baseline (Day -7), Month 6, Month 12, Month 36
The Cumulative Number of Gadolinium (Gd)-Enhanced Lesions on T1-Weighted Images At Months 6, 12 and 36 Estimated by Negative Binomial Regression
Time frame: Baseline (Day -7), Month 6, Month 12, Month 36
Brain Atrophy As Defined by the Percent of Change in Brain Volume From Baseline to Months 6, 12 and 36 Estimated by a Mixed Model for Repeated Measures
Time frame: Baseline (Day -7), Month 6, Month 12, Month 36
Participants With Treatment-Emergent Adverse Events (TEAEs)
Time frame: Early Start: Day 1 up to 6.5 years Delayed Start - Placebo: Day 1 up to Month 12 Delayed Start - GA: Month 13 up to 6.5 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27503905Khan O, Rieckmann P, Boyko A, Selmaj K, Ashtamker N, Davis MD, Kolodny S, Zivadinov R. Efficacy and safety of a three-times-weekly dosing regimen of glatiramer acetate in relapsing-remitting multiple sclerosis patients: 3-year results of the Glatiramer Acetate Low-Frequency Administration open-label extension study. Mult Scler. 2017 May;23(6):818-829. doi: 10.1177/1352458516664033. Epub 2016 Aug 8.
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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.
The record lists no contact. Use the official record to reach the sponsor.
176 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Glatiramer acetate (GA) in people with Relapsing Remitting Multiple Sclerosis, run by Teva Branded Pharmaceutical Products R&D, Inc. at 176 sites in 17 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 9 inclusion and 15 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 9 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in United States, Bulgaria, Poland, Russia, Germany and 12 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 9 Oct 2018). 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?
Total Number of Confirmed Relapses During the Placebo Controlled (PC) Treatment Period Estimated by Negative Binomial Regression (time frame: Day 1 to 12 months). The study lists 2 primary outcomes in all. 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 NCT01067521, which also lists 1 linked publication.
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 9 Dec 2021.