Multiple Sclerosis, Relapsing-RemittingSKORENCT01075880
Post-Authorization Observational Study to Evaluate Cognition and Fatigue in Relapsing-remitting Multiple Sclerosis (RRMS) Patients Treated With Rebif®
An observational study of Multiple Sclerosis, Relapsing-Remitting, run by Merck KGaA, Darmstadt, Germany at 13 sites in Czechia.
Trial summary
The study is planned to evaluate the cognitive functions in subjects with RRMS treated with interferon beta-1a, and its relationship to the fatigue and neurological dysfunction status. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Multiple Sclerosis, Relapsing-Remitting
- What is being tested?
- Rebif (Interferon beta-1a)
- How many people
- 300 participants
- Where
- 13 sitesCzechia
- Study dates
- May 2009to Jun 2013
- Phase
- Observational
- Are there results?
- None posted in the registry
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
Study population: Subjects with RRMS prescribed with Rebif across 14 centres in Czech Republic.
Who may be able to join
- Subjects diagnosed with RRMS
- Subjects eligible for treatment with Rebif as per SmPC, the Czech local guidelines and the actual Health insurance policy.
- Subjects 18-65 years of age
- Subjects with EDSS score < 4
- Subjects who are willing and able to give informed consent
Who cannot join
- Treatment with Rebif for more than 24 months prior the informed consent form has been obtained.
- Subjects with history of hypersensitivity to natural or recombinant interferon-β, or to any excipients
- Female subject who is pregnant or breast feeding and/or planning to become pregnant
- Subjects with current severe depression and/or suicidal ideation
- Any contraindication for Rebif therapy as per SmPC
- Subjects with severe disability and/or any neurologic or psychiatric condition that may interfere with test performance
- Prior treatment with interferon beta-1a i.m. or interferon beta-1b or glatiramer acetate.
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
Czechia13 sites
Neurologicka klinika FNBB
Brno
Neurologicka klinika, Fakultní nemocnice U Sv. Anny
Brno
Neurologicke oddeleni KN.
České Budějovice
Neurologicka klinika Fakultní nemocnice
Hradec Králové
Neurologicka klinika Fakultní nemocnice
Motol
Neurologicka klinika, Fakultní nemocnice
Olomouc
Neurologicka klinika Fakultní nemocnice
Ostrava
Neurologicke oddeleni KN
Pardubice
Neurologicka klinika Fakultní nemocnice
Pilsen
Neurologicka klinika FNKV
Prague
Neurologicka klinika, Fakultní Thomayerovy nemocnice
Prague
Neurologicke oddeleni NsP
Teplice
Neurologicke oddeleni, Baťova nemocnice
Zlín
About this study
Official title: Post-Authorization Observational Study to Evaluate Cognition and Fatigue in RRMS Patients Treated With Rebif
The study is planned to evaluate the cognitive functions in subjects with RRMS treated with interferon beta-1a, and its relationship to the fatigue and neurological dysfunction status.
Read the detailed description
Besides the motor and sensory dysfunctions, the progression of cognitive decline is a frequent manifestation of RRMS. Fatigue is another important symptom of MS, and can negatively affect subject's Quality of life (QoL) and socio-economic functioning, including the ability to work, independent of the direct effects of disability. This is a phase IV observational, non-interventional, prospective, multicentric study to evaluate cognition in RRMS subjects treated with Rebif and its relationship to the fatigue and neurological dysfunction status. The study plans to enroll 300 subjects, across 14 centres in Czech Republic, who will be prescribed with Rebif according to its summary of product characteristics (SmPC). Assessment of cognitive and fatigue status will be done at baseline and follow-up visits at Months 3, 6, 12, 24. Subjects will be selected using the convenience method following the non-probability sampling.
OBJECTIVES
Primary Objective:
- To assess changes of cognition [measured by Paced Auditory Serial Addition Test (PASAT)] in RRMS subjects treated with Rebif
Secondary Objectives:
- To assess changes of fatigue [measured by Fatigue Descriptive Scale (FDS)] in RRMS subjects treated with Rebif
- To assess a correlation between cognition, fatigue and neurological status in RRMS subjects treated with Rebif
- To assess a relationship between Rebif dosage [22 mcg vs 44 mcg thrice a week (tiw)] and cognition (PASAT)
- To assess a relationship between Rebif dosage (22 mcg vs 44 mcg tiw) and fatigue (FDS)
- To assess adherence to Rebif treatment
- To explore the use of antidepressive and antifatigue medicaments
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Being tested
- Rebif (Interferon beta-1a)
- Keywords
- Multiple Sclerosis, Relapsing-Remitting, Rebif, Interferon beta-1a
- 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.
Rebif (Interferon beta-1a)Drug
Also called Rebif
The treatment to be administered is interferon beta-1a on prescription, used as per SmPC, i.e. both doses 22 and 44 mcg s.c. tiw, and the titration pack 8.8 mcg and 22 mcg s.c. tiw when initiating the therapy.
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of subjects with decreased/increased/stable cognition status (PASAT)
Measured: Baseline vs Month 6 - 12 - 24
Secondary outcomes (8)
Percentage of subjects with decreased/increased/stable fatigue (FDS)
Measured: Baseline vs Month 6- 12 - 24
Relationship between the cognition status, the fatigue status and the EDSS status
Measured: Baseline, Month 6- 12 - 24
Relationship between the Rebif dosage used with cognition and fatigue status
Measured: Baseline, Month 6- 12 - 24
Proportion of relapse-free subjects
Measured: Month 3 - 6 - 12 - 24
Proportion of subjects with defined EDSS changes (decrease; no change; increase of 0.5 - 1.0; 1.5 - 2.0; 2.5 - 3.0; 3.0 or more points, respectively)
Measured: Month 6 - 12 - 24
Proportion of subjects without either relapse, EDSS progression, cognition status decrease and fatigue increase
Measured: Month 6 - 12- 24
Number of Rebif doses not taken since the last study visit, and the reason of dose not taken
Measured: Month 3 - 6 - 12 - 24
Proportion of subjects using the antidepressive or antifatigue medication
Measured: Baseline, Month 3 - 6 - 12 - 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2010 (estimated)
- Study startMay 2009
- Primary completionJun 2013
- Study completionJun 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple Sclerosis, Relapsing-RemittingStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 300 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck KGaA, Darmstadt, Germany
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck spol.s.r.o., Czech Republic
- Responsible party
- Sponsor
- Investigators
- Medical Responsible, Study director, Merck spol.s.r.o., Czech Republic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01075880
- Sponsor's protocol ID
- EMR 701068-519
- Acronym
- SKORE
- Status last verified
- Sep 2013
- First submitted
- 24 Feb 2010
- Last updated
- 6 Sep 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Sep 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post-Authorization Observational Study to Evaluate Cognition and Fatigue in RRMS Patients Treated With Rebif
- ClinicalTrials.gov ID
- NCT01075880
- Acronym / sponsor ID
- SKORE / EMR 701068-519
- Conditions
- Multiple Sclerosis, Relapsing-Remitting
- Keywords
- Multiple Sclerosis, Relapsing-Remitting, Rebif, Interferon beta-1a
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 300 participants (actual)
- Lead sponsor
- Merck KGaA, Darmstadt, GermanyIndustry (pharma, biotech, devices)
- Collaborators
- Merck spol.s.r.o., Czech Republic
- Study start
- May 2009
- Primary completion
- Jun 2013 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 25 Feb 2010 (estimated)
- Results
- Not posted in the source record
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 planned to evaluate the cognitive functions in subjects with RRMS treated with interferon beta-1a, and its relationship to the fatigue and neurological dysfunction status.
Detailed description
Besides the motor and sensory dysfunctions, the progression of cognitive decline is a frequent manifestation of RRMS. Fatigue is another important symptom of MS, and can negatively affect subject's Quality of life (QoL) and socio-economic functioning, including the ability to work, independent of the direct effects of disability. This is a phase IV observational, non-interventional, prospective, multicentric study to evaluate cognition in RRMS subjects treated with Rebif and its relationship to the fatigue and neurological dysfunction status. The study plans to enroll 300 subjects, across 14 centres in Czech Republic, who will be prescribed with Rebif according to its summary of product characteristics (SmPC). Assessment of cognitive and fatigue status will be done at baseline and follow-up visits at Months 3, 6, 12, 24. Subjects will be selected using the convenience method following the non-probability sampling.
OBJECTIVES
Primary Objective:
- To assess changes of cognition [measured by Paced Auditory Serial Addition Test (PASAT)] in RRMS subjects treated with Rebif
Secondary Objectives:
- To assess changes of fatigue [measured by Fatigue Descriptive Scale (FDS)] in RRMS subjects treated with Rebif
- To assess a correlation between cognition, fatigue and neurological status in RRMS subjects treated with Rebif
- To assess a relationship between Rebif dosage [22 mcg vs 44 mcg thrice a week (tiw)] and cognition (PASAT)
- To assess a relationship between Rebif dosage (22 mcg vs 44 mcg tiw) and fatigue (FDS)
- To assess adherence to Rebif treatment
- To explore the use of antidepressive and antifatigue medicaments
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Subjects with RRMS prescribed with Rebif across 14 centres in Czech Republic.
Key inclusion criteria (5 listed)
- Subjects diagnosed with RRMS
- Subjects eligible for treatment with Rebif as per SmPC, the Czech local guidelines and the actual Health insurance policy.
- Subjects 18-65 years of age
- Subjects with EDSS score < 4
- Subjects who are willing and able to give informed consent
Key exclusion criteria (7 listed)
- Treatment with Rebif for more than 24 months prior the informed consent form has been obtained.
- Subjects with history of hypersensitivity to natural or recombinant interferon-β, or to any excipients
- Female subject who is pregnant or breast feeding and/or planning to become pregnant
- Subjects with current severe depression and/or suicidal ideation
- Any contraindication for Rebif therapy as per SmPC
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 |
|---|---|---|
| Rebif (Interferon beta-1a)Also: RebifThe treatment to be administered is interferon beta-1a on prescription, used as per SmPC, i.e. both doses 22 and 44 mcg s.c. tiw, and the titration pack 8.8 mcg and 22 mcg s.c. tiw when initiating the therapy. | Drug | – |
Primary outcome
Percentage of subjects with decreased/increased/stable cognition status (PASAT)
Time frame: Baseline vs Month 6 - 12 - 24
8 secondary outcomes
Percentage of subjects with decreased/increased/stable fatigue (FDS)
Time frame: Baseline vs Month 6- 12 - 24
Relationship between the cognition status, the fatigue status and the EDSS status
Time frame: Baseline, Month 6- 12 - 24
Relationship between the Rebif dosage used with cognition and fatigue status
Time frame: Baseline, Month 6- 12 - 24
Proportion of relapse-free subjects
Time frame: Month 3 - 6 - 12 - 24
Proportion of subjects with defined EDSS changes (decrease; no change; increase of 0.5 - 1.0; 1.5 - 2.0; 2.5 - 3.0; 3.0 or more points, respectively)
Time frame: Month 6 - 12 - 24
Proportion of subjects without either relapse, EDSS progression, cognition status decrease and fatigue increase
Time frame: Month 6 - 12- 24
Number of Rebif doses not taken since the last study visit, and the reason of dose not taken
Time frame: Month 3 - 6 - 12 - 24
Proportion of subjects using the antidepressive or antifatigue medication
Time frame: Baseline, Month 3 - 6 - 12 - 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Sep 2013.
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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 Responsible study director
Merck spol.s.r.o., Czech Republic
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Multiple Sclerosis, Relapsing-Remitting, run by Merck KGaA, Darmstadt, Germany at 13 sites in Czechia.
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 5 inclusion and 7 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 6 Sep 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in Czechia. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percentage of subjects with decreased/increased/stable cognition status (PASAT) (time frame: Baseline vs Month 6 - 12 - 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Sep 2013; AzTrials last refreshed its copy on 27 Oct 2026.